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5/9/2008




                                                   CDER Office of Compliance and the
                                                        Critical Path Initiative
                                                      “Since the initial report, we have broadened our
   Pharmaceutical Quality for                         thinking about the Critical Path Initiative to include
                                                      veterinary medicines, generic drugs, and even foods.
        the 21st Century                              For all product areas, the basic idea is to reduce
                                                      uncertainty about product performance throughout the
                                                      product lif cycle through scientific research. W h
                                                          d life l h             h i ifi research. We have
                                                                                                    h
                                                      set up a large number of collaborations with partners to
                 Temple University                    get this research done, in areas as disparate as drug
                   May 06, 2008                       manufacturing and clinical trial design.” -Janet Woodcock
                                                      8/17/07

         Joseph Famulare, Deputy Director
                                                      Sustainability of product quality throughout the product
          FDA CDER Office of Compliance               lifecycle is a major role of the Office of Compliance




       FDA Initiatives: A Quality Timeline                      Scope of Recent Guidances

                                                                                                               Process
                                                     Product                                                  Monitoring/
                                                     Design                                                   Continuous
                                                                         Process          Manufacturing       Verification
                                                                         Design



2004      2005         2006          2007   2008
                                                   ICH Q8/Q8(R) - Pharmaceutical Development
                                                                                       PAT Guidance

                                                                    ICH Q9 – Quality Risk Management

                                                                   FDA Guidance on Quality Systems (9/06)/
                                                                   ICH Q10 – Pharmaceutical Quality Systems




                                                                      CGMP Revisions
                                                      Modernizing and harmonizing CGMPs
                                                          Phased approach …1-2-3
                                                                            …1-
            Revisions to                                  First Phase – ‘non-controversial’:
                                                                        ‘non-
                                                                Withdraw proposed 1996 changes
          CGMP R
               Regulations
                    l ti                                        Change no asbestos filter to no particle shedding
                                                                material
                                                                Potable water can be as defined by, e.g., Japan
                                                                and EU
                                                                Equipment needing to be sterilized shall be
                                                                sterilized




                                                                                                                                    1
5/9/2008




          CGMP Revisions (cont.)                                      CGMP Revisions (cont.)
     First Phase – ‘non-controversial’ (cont.):
                   ‘non-                                      Second Phase: ‘substantive’ issues
       Eliminate second person check on automated                Proposed rule being drafted
       equipment                                                 Includes incorporation of essential quality system
       Require sterile container depyrogenation                  elements
       processes to be validated
       Require bioburden testing, as necessary, on in-in-
       process material
       Require that both aseptic fill as well as other
       sterilization processes be validated




                                                            FDA’s Quality System Guidance
                                                            Result of the CGMPs for the 21st Century Initiative –
                                                            finalized August 2006
                                                            Encourages the use of modern quality management
      Pharmaceutical Quality                                 y
                                                            systems
            System                                          Emphasizes self-management of change
                                                                         self-
                                                            Consistent with overall efforts to reduce manufacturing
                                                            supplements – 21 CFR 314.70 revisions




      Pharmaceutical Quality Systems
                                                                 ICH Quality Vision - 2003
               ICH Q10
                                                            A new vision for ensuring product quality
  Three new letters to learn as we approach the Desired     (Brussels, July 2003)
                                                                            2003)
  State for pharmaceutical manufacturing in the 21st        A harmonized pharmaceutical quality system applicable
  Century                                                   across the life cycle of the product emphasizing an
                                                            integrated approach to quality risk management and
                                                            science

                     PQS                                      New ICH guidelines (high level guidelines, more
                                                              visionary, less prescriptive, flexible regulatory
                                                              approaches)
                                                                 Pharmaceutical Development (Q8)
                                                                 Quality Risk Management (Q9)
How did we get here? Are there challenges ahead?                 Pharmaceutical Quality Systems (PQS) (Q10)




                                                                                                                             2
5/9/2008




                             ICH Quality Vision                                                                        ICH Q10 PQS
     Pre-
     Pre-2003: quantitative guidance                                                             Pharmaceutical         Technology
                                                                                                                                             Manufacturing           Discontinuation
                                                                                                  Development            Transfer
     Post-
     Post-2003: strategic guidance
       Q8/Q9/Q10                                                 For companies with :                                     Management Responsibilities
                                                 Quality Risk    1. Good design and
                       The Regulatory            Management
                       Quality System                               control strategies
                                                    (Q9)         2. Good Risk                                     Process Performance & Product Quality monitoring
              Quality Risk                                          Management strategies                                              CAPA
              Management                                         3.
                                                                 3 Good Quality Systems
                                                                                             PQS elements                       Change Management
                                                                                                                                 Management review
                             Quality by Design
                             (Pharmaceutical          Quality
                              Development)
                                                     by Design   Reduced regulatory
             Quality                                                                                                          Knowledge Management
             Systems                                   (Q8)
                                                                   burden:                       Enablers
                                                                 • Reduction of                                               Quality risk Management
                                                                   submissions on
                                                                   changes/variations
                    Existing GMP ’s
                             GMP’                    Quality     • Inspection of quality
                                                     Systems       systems
                                                                                                                                            GMP
                                                      (Q10)




               ICH Q10 Key Points                                                                                   ICH Q10 Content
      Common terminology                                                                    1.      Pharmaceutical Quality System
      Definition and maintenance of the Quality
      System                                                                                2.      Management Responsibility
      The role of management, including senior
                        g               g
      management                                                                            3.      Continual Improvement of Process
      Identification of performance indicators and                                                  Performance and Product Quality
      management of trends to achieve highly capable
      processes                                                                             4.      Continual Improvement of the Pharmaceutical
      Effective change control procedures                                                           Quality System




             ICH Q10 Content (cont.)                                                                        ICH Q10 Content (cont.)
1.     PHARMACEUTICAL QUALITY SYSTEM                                                        2.      MANAGEMENT RESPONSIBILITY
       Scope / Objectives                                                                           Management Commitment / Quality Policy /
       Relationship of ICH Q10 to                                                                   Quality Planning
          Regional GMP Requirements ISO Standards and ICH Q7
                                                                                                    Resource Management / I
                                                                                                    R         M            Internall
          Regulatory Approaches
                                                                                                    Communication
       Enablers
          Knowledge management                                                                      Management Review
          Quality Risk management                                                                   Oversight of Outsourced Activities
       Design & Content Considerations / Quality Manual




                                                                                                                                                                                              3
5/9/2008




            ICH Q10 Content (cont.)                                            ICH Q10 Content (cont.)
3.    CONTINUAL IMPROVEMENT OF                                     4.    CONTINUAL IMPROVEMENT OF
      PROCESS PERFORMANCE AND                                            THE PHARMACEUTICAL QUALITY
      PRODUCT QUALITY                                                    SYSTEM
     Lifecycle Stage Goals          PQS Elements                         Management Review of the PQS
       Pharma. Development             Monitoring
                                                                         Monitoring of Internal and External Factors
       Tech. Transfer                  Corrective/Preventive
       Manufacturing                   Actions                           Impacting the PQS
       Product Discontinuation         Change Management                 Outcomes of Management Review and
                                       Management Review                 Monitoring




                                                                     Potential Opportunities to Enhance
             ICH Q10 Comments
                                                                          Regulatory Approaches
     Docket in E.U., Japan, & U.S.                                Scenario                      Potential Opportunity
                                                                  1. Comply with GMPs           Compliance - status quo
     Over 300 unique comments
                                                                  2. Demonstrate effective      Opportunity to
     Some themes:                                                    PQS, including effective • increase use of risk-based approaches
       Integration with Other ICH Q Guidelines                       use of quality risk mgt
                                                                           f     li i k           for
                                                                                                  f regulatory inspections
                                                                                                            l      i      i
                                                                     principles (ICH Q9 & Q10)
       Lifecycle: Pharmaceutical Development
                                                                  3. Demonstrate product and Opportunity to:
       Definition of “Control Strategy”                              process understanding,        facilitate science-based pharma.
       Regulatory Impact                                             including effective use of   quality assessment
                                                                     quality risk mgt              enable innovative approaches to
                                                                     principles (ICH Q8 & Q9)     process validation
                                                                                                   establish real-time release mechanisms




 Potential Opportunities to Enhance
                                                                                     Q10 and Q8 Link
      Regulatory Approaches
Scenario              Potential Opportunity                             Processes for pharmaceutical development (Q8 or
4. Demonstrate       Opportunity to:                                    equivalent) are key linkages to product realization
   effective PQS and    increase use of risk-based approaches           within the Pharmaceutical Quality System.
   product and         for regulatory inspections
   process              facilitate science based pharmaceutical
                                   science-based
   understanding,      quality assessment                               Q8 provides for robust development and
   including the use    optimize science and risk-based post-           understanding that serves as the basis for continual
   of quality risk     approval change processes to maximize            improvement.
   mgt. principles     benefits from innovation and continual
   (ICH Q8, Q9, &      improvement
   Q10)                 enable innovative approaches to process
                       validation
                        establish real-time release mechanisms




                                                                                                                                              4
5/9/2008




                       Q10 and Q9 Link                                                               Quality by Design (QbD)
      The Quality System should encourage and
      facilitate the use of Quality Risk Management (Q9)                                      A systematic approach to development
      approaches throughout the system.
                                                                                              that begins with predefined objectives
      The design and application of processes within the                                      and emphasizes product and process
                                                                                                d      h i        d      d
      Quality System should be based on appropriate                                           understanding and process control,
      risk management principles and methods
                                                                                              based on sound science and quality risk
                                                                                              management (ICH Q8(R), step 2)




     Quality by Design (QbD) – A Systematic Approach
                       (QbD)                                                                  Implementation Effects of Science and
    to Pharmaceutical Development and Manufacturing                                                         Quality
Aspects            Traditional                        QbD
                                                                                               Closer collaboration between R & D and Commercial Manufacturing –
                                                                                               Commercialization Initiative
Pharmaceutical     Empirical; typically univariate    Systematic; multivariate experiments
                                                                                                   Restructuring of plants worldwide bringing in closer proximity development ,tech
Development        experiments                                                                     transfer and initial commercial manufacturing
Manufacturing      Fixed                              Adjustable within design                 Opportunity Costs Tangible business and quality benefits in deviation
Process                                               space; opportunities for                 reduction, health and safety, quality plan conformance, and reduction in
                                                      innovation (PAT)                         manufacturing losses and recalls.
                                                                                                    f      i l         d      ll
Process Control    In-
                   In-process testing for go/no-go;
                                          go/no-      PAT tools utilized for
                   offline analysis                                                                System of Integrated Quality Standards in place for Development, Manufacturing,
                                                      feedback and feed forward
                                                                                                   and Product Surveillance
                                                      controls
Product            Primary means of control; based    Part of the overall quality control      Integrated Pharmaceutical Quality System Drives Sustainability and
Specification      on batch data at time of           strategy; based on desired product       Improvement Manufacturing was approximately $200 million under plan for
                   submission                         performance (safety and efficacy)        one year, and approximately $70 million under plan the next year due to
                                                                                               quality system improvements
Control Strategy Mainly by intermediate and end       Risk-
                                                      Risk-based; controls shifted
                   product testing                    upstream; reducing product                   Deviations reduced 70%.
                                                      variability; real-time release
                                                                   real-
Lifecycle          Reactive to problems & OOS;        Continual improvement facilitated
Management         post-
                   post-approval changes needed




                  CGMP Quality Program
                    Accomplishments                                                            Where Do the Challenges Lie?
                  CDER,CBER,CVM,ORA
      Aseptic Processing Guidance, Part 11 Guidance, Update of the
      Validation Compliance Policy Guide, Phase 1 IND CGMP Draft                             Comments heard:
      Guidance and Proposed Rule, Study of CGMP regulations,
      Application to PIC/s, Guidance on Out of Specification Test                             How do I release the batch with real time
      Results, Development of the PI Curriculum, Guidance on                                  release? Can I default to “traditional end product
      Glycerin Testing, PAT, CGMP Q&A. ICH Strategy, ICH Q10
      Coming Soon:                                                                            testing
                                                                                              testing”
         Guidance on the Prevention of Cross Contamination of                                 What is considered Out of Trend Out of Spec
         Potent Compounds
         Technology Transfer Initiative                                                       and Warrants an Investigation
         ICH Implementation Working Group
                                                                                              What does process validation look like.
          Lifecycle Approach to Process Validation
          Guidance




                                                                                                                                                                                             5
5/9/2008




  Where Do the Challenges Lie? (cont.)                       Where Do the Challenges Lie? (cont.)
Testing and Release for Distribution: For each             Data, Trends and Investigations: requirement
  batch of drug product there shall be appropriate            under US CGMP to review annually
  laboratory determination....                                   Modern manufacturing methods and controls
                                                                 make this possible in real time
    Doesn t
    Doesn't have to be end product
                                                                 Not all trends require investigations, however
    Real time release is sufficient and does not have to         “unexplained discrepancies” do
    be backed up with “traditional end product testing”          Manufacturers should be better able to understand
    nor is it appropriate to substitute at will                  those with real time monitoring and controls
    The “need” to do “traditional testing” is covered by
    stability




                                                                           Process Validation
           Process Validation                                               Old Approach ?

  Process Validation for Active                                Two decades old
     Pharmaceutical Ingredients is enforceable                 Design/development foundation weak
     under the Statute                                         Emphasizes replication at commercial scale
                                                                  p         p
                                                                  does not promote a fuller process understanding
       Statutory cGMP provision at 501(a)(2)(b) of                   making deviation/problem analysis dubious
       the Federal Food, Drug, and Cosmetic Act                   biased batches
          feasible and valuable
                                                               Does not sufficiently enable appropriate
       CGMP guidance available - ICH Q7A                       regulatory oversight




           Process Validation                                      Lifecycle Approach to
                                                                    Process Validation
     The ‘process’ of process validation                       Lifecycle
                                                                  Overall validation is not “complete” but ongoing

                                                                  Requires comprehensive process design to identify and
     Series of activities taking place over                       mitigate significant sources of variability
                                                                     achieve process understanding
     the ‘life’ of the product/process
          life’
                                                                  May incorporate risk management

                                                                  Recognizes that more knowledge will be gained during
                                                                  commercial distribution




                                                                                                                             6
5/9/2008




        Lifecycle Approach
       to Process Validation                                               Commercial Production

Revised Process Validation Guidance (in progress)                                    Validation in production
Process Design:
     Lab, pilot, small-scale, and commercial scale studies to
                 small-
     establish process                                                    Activities to continually assure that the process
                                                                                      remains in a state of control
Process Qualification:
     Facility, utilities, and equipment
     Confirm commercial process design
Commercialization:
     Monitor, collect information, assess
     Maintenance, continuous verification, process
     improvement




                  Monitoring                                                   Periodic Evaluation

                          Timely monitoring of critical                  Re-
                                                                         Re-validation – not using this term in the revised
                          operating and performance                      Process Validation Guidance
                          parameters
                          Monitoring of product
                                                                         Production h
                                                                         P d i phase monitoring
                                                                                        i i
                          characteristics (e.g., stability, product
                          specifications)                                   evaluate quality indicator data, changes, and adverse trends
                          Monitoring adequacy of personnel                  periodically decide if new studies, e.g., conformances
                          training and material,                            batches or other verification experiments, need to be done
                          facility/equipment
                          Investigate problems for root cause            Retrospective
                          and implement corrective action




         FDA’s View of                                                               PAT Tools
 Process Analytical Technologies
Process Analytical Technology (PAT)
  a system for designing, analyzing, and controlling
                                                                      PAT tools can be categorized as:
  manufacturing                                                         Process analyzers
  through timely measurements of critical quality and
  performance attributes of raw and in-process materials and
      f            ib      f        d in-
                                      i               i l  d            Process control tools
  processes                                                             Multivariate tools for design, data acquisition
  with the goal of ensuring final product quality
                                                                        and analysis
PAT Fundamental Tenets
  Quality cannot be tested into the product; it should be               Continuous improvement and knowledge management
  built-in or should be by design
  built-                                                                tools
PAT Goals
  Enhance understanding and control of processes
                                                                      PAT is more than just an analyzer!




                                                                                                                                              7
5/9/2008




 FDA Progress in PAT Implementation                     FDA Progress in PAT Implementation

 Training                                                CMC Review experience
    1st PAT Cadre – 15 investigators and reviewers         ONDQA CMC pilot program
    trained                                                PAT Tools in all CMC pilots
                                                              PAT tools used in development
    2nd PAT Cadre – 45 investigators and reviewers            In-
                                                              In-process controls of manufacturing
    being trained                                             Process analyzers used for end-product release, including real time
                                                                                         end-
                                                              release
    Pharmaceutical Inspectorate – training
    incorporates fundamentals of PAT                       CMC applications outside the pilot
                                                              Model based feed-forward control
                                                                          feed-
    Reviewer training – multiple sessions on many             PAT for product/batch release
    aspects of PAT                                         Additional implementation for generic and veterinary drugs




  Industry Progress: Examples of                           Industry Progress: Examples of
    PAT Tools in Development                             Process Analyzers in Manufacturing
In-
In-line laser light scattering analyzer to monitor      Monitoring only:
nucleation during crystallization                          Assay by on-line measurement
                                                                     on-
FTIR and FBRM (Focus Beam Reflectance                      Identity by on-line measurement
                                                                       on-
Measurement) to understand crystal growth and
M              t) t    d t d         t l    th d           On-
                                                           On-line particle size monitoring
nucleation                                              Monitoring and control:
At-
At-line DSC to monitor crystalline form                    Table compression weight check and adjustment
                                                           Endpoint determination of blending
At-
At-line pressure test to force drug substance
degradation                                                Weight check and adjustment of powder filling operation
                                                           Adjustment of process parameters based on starting material
At-
At-line particle size distribution monitoring              attributes
NIR to understand & design blending process




                                                               Implementation of PAT
       Implementation of PAT
Regulators/FDA Challenges                               Industry Challenges
  Training reviewers and investigators
                                                          Lack of experience in developing and implementing
  Developing new approaches for review and inspection
     Integration of review and inspection
                                                                y
                                                          PAT systems
  Communicating expectations to industry                  Training of scientific, operational and regulatory
  International harmonization                             personnel
  Industry’s apprehension in adopting new                 Fear of change
  approaches and investing in new technologies            Perceived regulatory risks
  Industry’s apprehension in sharing information          Investment - more resources needed initially
  with FDA                                                   Management support crucial




                                                                                                                                           8
5/9/2008




What are the Challenges that
        Lie Ahead?
Global Market Place
Variable Regulation or Understanding
of Product Quality
Economic Pressures and Incentives
The Need for Industry to Control
Sources and Outsourcing of Activities




                                               9

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GMPs for the 21st Century May 2008

  • 1. 5/9/2008 CDER Office of Compliance and the Critical Path Initiative “Since the initial report, we have broadened our Pharmaceutical Quality for thinking about the Critical Path Initiative to include veterinary medicines, generic drugs, and even foods. the 21st Century For all product areas, the basic idea is to reduce uncertainty about product performance throughout the product lif cycle through scientific research. W h d life l h h i ifi research. We have h set up a large number of collaborations with partners to Temple University get this research done, in areas as disparate as drug May 06, 2008 manufacturing and clinical trial design.” -Janet Woodcock 8/17/07 Joseph Famulare, Deputy Director Sustainability of product quality throughout the product FDA CDER Office of Compliance lifecycle is a major role of the Office of Compliance FDA Initiatives: A Quality Timeline Scope of Recent Guidances Process Product Monitoring/ Design Continuous Process Manufacturing Verification Design 2004 2005 2006 2007 2008 ICH Q8/Q8(R) - Pharmaceutical Development PAT Guidance ICH Q9 – Quality Risk Management FDA Guidance on Quality Systems (9/06)/ ICH Q10 – Pharmaceutical Quality Systems CGMP Revisions Modernizing and harmonizing CGMPs Phased approach …1-2-3 …1- Revisions to First Phase – ‘non-controversial’: ‘non- Withdraw proposed 1996 changes CGMP R Regulations l ti Change no asbestos filter to no particle shedding material Potable water can be as defined by, e.g., Japan and EU Equipment needing to be sterilized shall be sterilized 1
  • 2. 5/9/2008 CGMP Revisions (cont.) CGMP Revisions (cont.) First Phase – ‘non-controversial’ (cont.): ‘non- Second Phase: ‘substantive’ issues Eliminate second person check on automated Proposed rule being drafted equipment Includes incorporation of essential quality system Require sterile container depyrogenation elements processes to be validated Require bioburden testing, as necessary, on in-in- process material Require that both aseptic fill as well as other sterilization processes be validated FDA’s Quality System Guidance Result of the CGMPs for the 21st Century Initiative – finalized August 2006 Encourages the use of modern quality management Pharmaceutical Quality y systems System Emphasizes self-management of change self- Consistent with overall efforts to reduce manufacturing supplements – 21 CFR 314.70 revisions Pharmaceutical Quality Systems ICH Quality Vision - 2003 ICH Q10 A new vision for ensuring product quality Three new letters to learn as we approach the Desired (Brussels, July 2003) 2003) State for pharmaceutical manufacturing in the 21st A harmonized pharmaceutical quality system applicable Century across the life cycle of the product emphasizing an integrated approach to quality risk management and science PQS New ICH guidelines (high level guidelines, more visionary, less prescriptive, flexible regulatory approaches) Pharmaceutical Development (Q8) Quality Risk Management (Q9) How did we get here? Are there challenges ahead? Pharmaceutical Quality Systems (PQS) (Q10) 2
  • 3. 5/9/2008 ICH Quality Vision ICH Q10 PQS Pre- Pre-2003: quantitative guidance Pharmaceutical Technology Manufacturing Discontinuation Development Transfer Post- Post-2003: strategic guidance Q8/Q9/Q10 For companies with : Management Responsibilities Quality Risk 1. Good design and The Regulatory Management Quality System control strategies (Q9) 2. Good Risk Process Performance & Product Quality monitoring Quality Risk Management strategies CAPA Management 3. 3 Good Quality Systems PQS elements Change Management Management review Quality by Design (Pharmaceutical Quality Development) by Design Reduced regulatory Quality Knowledge Management Systems (Q8) burden: Enablers • Reduction of Quality risk Management submissions on changes/variations Existing GMP ’s GMP’ Quality • Inspection of quality Systems systems GMP (Q10) ICH Q10 Key Points ICH Q10 Content Common terminology 1. Pharmaceutical Quality System Definition and maintenance of the Quality System 2. Management Responsibility The role of management, including senior g g management 3. Continual Improvement of Process Identification of performance indicators and Performance and Product Quality management of trends to achieve highly capable processes 4. Continual Improvement of the Pharmaceutical Effective change control procedures Quality System ICH Q10 Content (cont.) ICH Q10 Content (cont.) 1. PHARMACEUTICAL QUALITY SYSTEM 2. MANAGEMENT RESPONSIBILITY Scope / Objectives Management Commitment / Quality Policy / Relationship of ICH Q10 to Quality Planning Regional GMP Requirements ISO Standards and ICH Q7 Resource Management / I R M Internall Regulatory Approaches Communication Enablers Knowledge management Management Review Quality Risk management Oversight of Outsourced Activities Design & Content Considerations / Quality Manual 3
  • 4. 5/9/2008 ICH Q10 Content (cont.) ICH Q10 Content (cont.) 3. CONTINUAL IMPROVEMENT OF 4. CONTINUAL IMPROVEMENT OF PROCESS PERFORMANCE AND THE PHARMACEUTICAL QUALITY PRODUCT QUALITY SYSTEM Lifecycle Stage Goals PQS Elements Management Review of the PQS Pharma. Development Monitoring Monitoring of Internal and External Factors Tech. Transfer Corrective/Preventive Manufacturing Actions Impacting the PQS Product Discontinuation Change Management Outcomes of Management Review and Management Review Monitoring Potential Opportunities to Enhance ICH Q10 Comments Regulatory Approaches Docket in E.U., Japan, & U.S. Scenario Potential Opportunity 1. Comply with GMPs Compliance - status quo Over 300 unique comments 2. Demonstrate effective Opportunity to Some themes: PQS, including effective • increase use of risk-based approaches Integration with Other ICH Q Guidelines use of quality risk mgt f li i k for f regulatory inspections l i i principles (ICH Q9 & Q10) Lifecycle: Pharmaceutical Development 3. Demonstrate product and Opportunity to: Definition of “Control Strategy” process understanding, facilitate science-based pharma. Regulatory Impact including effective use of quality assessment quality risk mgt enable innovative approaches to principles (ICH Q8 & Q9) process validation establish real-time release mechanisms Potential Opportunities to Enhance Q10 and Q8 Link Regulatory Approaches Scenario Potential Opportunity Processes for pharmaceutical development (Q8 or 4. Demonstrate Opportunity to: equivalent) are key linkages to product realization effective PQS and increase use of risk-based approaches within the Pharmaceutical Quality System. product and for regulatory inspections process facilitate science based pharmaceutical science-based understanding, quality assessment Q8 provides for robust development and including the use optimize science and risk-based post- understanding that serves as the basis for continual of quality risk approval change processes to maximize improvement. mgt. principles benefits from innovation and continual (ICH Q8, Q9, & improvement Q10) enable innovative approaches to process validation establish real-time release mechanisms 4
  • 5. 5/9/2008 Q10 and Q9 Link Quality by Design (QbD) The Quality System should encourage and facilitate the use of Quality Risk Management (Q9) A systematic approach to development approaches throughout the system. that begins with predefined objectives The design and application of processes within the and emphasizes product and process d h i d d Quality System should be based on appropriate understanding and process control, risk management principles and methods based on sound science and quality risk management (ICH Q8(R), step 2) Quality by Design (QbD) – A Systematic Approach (QbD) Implementation Effects of Science and to Pharmaceutical Development and Manufacturing Quality Aspects Traditional QbD Closer collaboration between R & D and Commercial Manufacturing – Commercialization Initiative Pharmaceutical Empirical; typically univariate Systematic; multivariate experiments Restructuring of plants worldwide bringing in closer proximity development ,tech Development experiments transfer and initial commercial manufacturing Manufacturing Fixed Adjustable within design Opportunity Costs Tangible business and quality benefits in deviation Process space; opportunities for reduction, health and safety, quality plan conformance, and reduction in innovation (PAT) manufacturing losses and recalls. f i l d ll Process Control In- In-process testing for go/no-go; go/no- PAT tools utilized for offline analysis System of Integrated Quality Standards in place for Development, Manufacturing, feedback and feed forward and Product Surveillance controls Product Primary means of control; based Part of the overall quality control Integrated Pharmaceutical Quality System Drives Sustainability and Specification on batch data at time of strategy; based on desired product Improvement Manufacturing was approximately $200 million under plan for submission performance (safety and efficacy) one year, and approximately $70 million under plan the next year due to quality system improvements Control Strategy Mainly by intermediate and end Risk- Risk-based; controls shifted product testing upstream; reducing product Deviations reduced 70%. variability; real-time release real- Lifecycle Reactive to problems & OOS; Continual improvement facilitated Management post- post-approval changes needed CGMP Quality Program Accomplishments Where Do the Challenges Lie? CDER,CBER,CVM,ORA Aseptic Processing Guidance, Part 11 Guidance, Update of the Validation Compliance Policy Guide, Phase 1 IND CGMP Draft Comments heard: Guidance and Proposed Rule, Study of CGMP regulations, Application to PIC/s, Guidance on Out of Specification Test How do I release the batch with real time Results, Development of the PI Curriculum, Guidance on release? Can I default to “traditional end product Glycerin Testing, PAT, CGMP Q&A. ICH Strategy, ICH Q10 Coming Soon: testing testing” Guidance on the Prevention of Cross Contamination of What is considered Out of Trend Out of Spec Potent Compounds Technology Transfer Initiative and Warrants an Investigation ICH Implementation Working Group What does process validation look like. Lifecycle Approach to Process Validation Guidance 5
  • 6. 5/9/2008 Where Do the Challenges Lie? (cont.) Where Do the Challenges Lie? (cont.) Testing and Release for Distribution: For each Data, Trends and Investigations: requirement batch of drug product there shall be appropriate under US CGMP to review annually laboratory determination.... Modern manufacturing methods and controls make this possible in real time Doesn t Doesn't have to be end product Not all trends require investigations, however Real time release is sufficient and does not have to “unexplained discrepancies” do be backed up with “traditional end product testing” Manufacturers should be better able to understand nor is it appropriate to substitute at will those with real time monitoring and controls The “need” to do “traditional testing” is covered by stability Process Validation Process Validation Old Approach ? Process Validation for Active Two decades old Pharmaceutical Ingredients is enforceable Design/development foundation weak under the Statute Emphasizes replication at commercial scale p p does not promote a fuller process understanding Statutory cGMP provision at 501(a)(2)(b) of making deviation/problem analysis dubious the Federal Food, Drug, and Cosmetic Act biased batches feasible and valuable Does not sufficiently enable appropriate CGMP guidance available - ICH Q7A regulatory oversight Process Validation Lifecycle Approach to Process Validation The ‘process’ of process validation Lifecycle Overall validation is not “complete” but ongoing Requires comprehensive process design to identify and Series of activities taking place over mitigate significant sources of variability achieve process understanding the ‘life’ of the product/process life’ May incorporate risk management Recognizes that more knowledge will be gained during commercial distribution 6
  • 7. 5/9/2008 Lifecycle Approach to Process Validation Commercial Production Revised Process Validation Guidance (in progress) Validation in production Process Design: Lab, pilot, small-scale, and commercial scale studies to small- establish process Activities to continually assure that the process remains in a state of control Process Qualification: Facility, utilities, and equipment Confirm commercial process design Commercialization: Monitor, collect information, assess Maintenance, continuous verification, process improvement Monitoring Periodic Evaluation Timely monitoring of critical Re- Re-validation – not using this term in the revised operating and performance Process Validation Guidance parameters Monitoring of product Production h P d i phase monitoring i i characteristics (e.g., stability, product specifications) evaluate quality indicator data, changes, and adverse trends Monitoring adequacy of personnel periodically decide if new studies, e.g., conformances training and material, batches or other verification experiments, need to be done facility/equipment Investigate problems for root cause Retrospective and implement corrective action FDA’s View of PAT Tools Process Analytical Technologies Process Analytical Technology (PAT) a system for designing, analyzing, and controlling PAT tools can be categorized as: manufacturing Process analyzers through timely measurements of critical quality and performance attributes of raw and in-process materials and f ib f d in- i i l d Process control tools processes Multivariate tools for design, data acquisition with the goal of ensuring final product quality and analysis PAT Fundamental Tenets Quality cannot be tested into the product; it should be Continuous improvement and knowledge management built-in or should be by design built- tools PAT Goals Enhance understanding and control of processes PAT is more than just an analyzer! 7
  • 8. 5/9/2008 FDA Progress in PAT Implementation FDA Progress in PAT Implementation Training CMC Review experience 1st PAT Cadre – 15 investigators and reviewers ONDQA CMC pilot program trained PAT Tools in all CMC pilots PAT tools used in development 2nd PAT Cadre – 45 investigators and reviewers In- In-process controls of manufacturing being trained Process analyzers used for end-product release, including real time end- release Pharmaceutical Inspectorate – training incorporates fundamentals of PAT CMC applications outside the pilot Model based feed-forward control feed- Reviewer training – multiple sessions on many PAT for product/batch release aspects of PAT Additional implementation for generic and veterinary drugs Industry Progress: Examples of Industry Progress: Examples of PAT Tools in Development Process Analyzers in Manufacturing In- In-line laser light scattering analyzer to monitor Monitoring only: nucleation during crystallization Assay by on-line measurement on- FTIR and FBRM (Focus Beam Reflectance Identity by on-line measurement on- Measurement) to understand crystal growth and M t) t d t d t l th d On- On-line particle size monitoring nucleation Monitoring and control: At- At-line DSC to monitor crystalline form Table compression weight check and adjustment Endpoint determination of blending At- At-line pressure test to force drug substance degradation Weight check and adjustment of powder filling operation Adjustment of process parameters based on starting material At- At-line particle size distribution monitoring attributes NIR to understand & design blending process Implementation of PAT Implementation of PAT Regulators/FDA Challenges Industry Challenges Training reviewers and investigators Lack of experience in developing and implementing Developing new approaches for review and inspection Integration of review and inspection y PAT systems Communicating expectations to industry Training of scientific, operational and regulatory International harmonization personnel Industry’s apprehension in adopting new Fear of change approaches and investing in new technologies Perceived regulatory risks Industry’s apprehension in sharing information Investment - more resources needed initially with FDA Management support crucial 8
  • 9. 5/9/2008 What are the Challenges that Lie Ahead? Global Market Place Variable Regulation or Understanding of Product Quality Economic Pressures and Incentives The Need for Industry to Control Sources and Outsourcing of Activities 9