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QbD as an improvement methodology for
pharmaceutical legacy products. A Case study.
Page 1 of 77
Acknowledgements
This paper was the result of collaboration between ISPE Spain and the Pharmaceutical
Control Services - Department of Health of Generalitat de Catalunya. Professionals
who voluntarily participated to share their knowledge and experience are listed below.
Team members
Alba Figuera Farmaprojects
Beatriz Artalejo AEFI (Spanish Professional Pharmacists Association)
Carlos Blanquer ISPE Spain
Emilio Román Almirall S.A
Fernando Santamaria Laboratorios Dr. Esteve SA
Gemma Casadevall Laboratorios Dr. Esteve SA
Georgina Pujals Servei de Control Farmacèutic – Departament de Salut
Ignacio Lerin Universitat de Barcelona
Javier Castillo Ferrer Internacional SA
Joaquim Amela Farmaprojects
Jordi Garces Alcon
Josep Mª Gonzalez Menarini
Mª Dolors Riba Uriach
Miquel Romero Almirall S.A
Nuria Busquets Almirall S.A
Pablo Martín Ferrer Internacional S.A
Ricardo Aguirre Boehringer Ingelheim S.A
Xavier Casterat. Servei de Control Farmacèutic – Departament de Salut
Team leader
Alicia Tébar Azbil Telstar Projects/ Steering Committee ISPE Spain
Review
Salvador Cassany Servei de Control Farmacèutic – Departament de Salut.
Carles Cirera President ISPE Spain
QbD as an improvement methodology for
pharmaceutical legacy products. A Case study.
Page 2 of 77
Special thanks for their review to the Advisory Committee for Quality Assurance on
industrialized medicinal products integrated by:
Emilio Román Almirall SA, in behalf of Farmaindustria
Santiago Llovera Boehringer Ingelheim España SA, in behalf of Farmaindustria
Mónica Coronas Laboratorios Dr. Esteve SA, in behalf of Farmaindustria
Francesc Taxonera Ferrer Internacional, in behalf of Farmaindustria
Marina Canteli J. Uriach y Cia, in behalf of Farmaindustria
Ramon Esquerdo Laboratorios Menarini, in behalf of Farmaindustria
Josep Ma Gil Ferrer Internacional SA, in behalf of Farmaindustria
Montserrat Gallego Alcón SA, in behalf of Farmaindustria
Angelina Baena Ferrer Internacional SA, in behalf of AEFI Spanish Professional
Pharmacists Association
Raquel Arenós Laboratorios Inibsa SA, in behalf of AEFI Spanish Professional
Pharmacists Association
Jordi Comabella Almirall SA, in behalf of Consell de Col•legis de Farmacèutics de
Catalunya (Vocalia d’indústria)
Ramon Bonet Sanofi Aventis, SA, in behalf of Consell de Col•legis de
Farmacèutics de Catalunya (Vocalia d’indústria)
Montserrat Miñarro in behalf of Facultat de Farmàcia. Universitat de Barcelona
Xavier Casterad Servei de Control Farmacèutic i Productes Sanitaris, in behalf of
Departament de Salut
Georgina Pujals Servei de Control Farmacèutic i Productes Sanitaris, in behalf of
Departament de Salut
Salvador Cassany Servei de Control Farmacèutic i Productes Sanitaris, in behalf of
Departament de Salut
QbD as an improvement methodology for
pharmaceutical legacy products. A Case study.
Page 3 of 77
Disclaimer:
“This case study is a translation of a work produced by an ISPE Affiliate. As such, it does
not necessarily represent the views or guidance produced by ISPE. ISPE has not
performed any peer reviews and does not endorse its content. It is published simply as
a ‘real world’ case study and is intended to provide examples of some aspects of the
application of Quality by Design (QbD) for a legacy product (including examples of
application of statistics, design of experiments, return on investment, and developing a
control strategy) from which ISPE members and others may benefit.”
QbD as an improvement methodology for
pharmaceutical legacy products. A Case study.
Page 4 of 77
Table of Contents
1. Background, aim and scope..........................................................................................................6
1.1. Background and scope ..........................................................................................................6
1.2. Objective................................................................................................................................8
2. Assessment of the state of control of manufacturing processes...............................................10
2.1. GMP and ICH Q10 guidelines ..............................................................................................10
2.2. Statistical techniques applicable to the available data.......................................................11
2.2.1. Background ..................................................................................................................11
2.2.2. Definitions of Process under Control and Process Monitoring ...................................12
2.2.3. Statistical tools and their interpretation .....................................................................12
2.2.3.1. Determine if the variability of the process is constant over time................................... 12
2.2.3.2. To evaluate the ability of a process to obtain a conform product. Capability
measurements..................................................................................................................................... 13
2.2.3.3. Other capability measurements: machine capability (Cm, CmK), process performance
(Pp, PpK) and coefficient of performance (Pr) .................................................................................... 16
2.2.3.4. Calculating the risk of non- compliance .......................................................................... 17
2.2.3.5. Process monitoring.......................................................................................................... 17
2.2.3.6. Sample size ...................................................................................................................... 18
2.2.3.7. Monitoring trends............................................................................................................ 19
2.2.3.8. Multivariate modeling..................................................................................................... 21
2.2.3.9. Extracting knowledge from databases and data mining ................................................. 23
2.2.3.10. Neural Networks.............................................................................................................. 24
2.3. Applicable criteria and indicators to define the control strategy of pharmaceutical
processes........................................................................................................................................26
3. Evaluation of design and/or knowledge deficiencies on manufacturing processes. Proposal for
improvement .....................................................................................................................................30
3.1. Implementation of ICH Q8 tools into the industrial manufacturing process .....................30
3.1.1. Risk analysis and critical points....................................................................................30
3.1.2. Design of Experiments (DoE) .......................................................................................33
3.2. Process validation................................................................................................................34
QbD as an improvement methodology for
pharmaceutical legacy products. A Case study.
Page 5 of 77
3.3. Proposed control strategy...................................................................................................36
4. Calculating the ROI of a QbD project..........................................................................................36
4.1. Need of economic return to ensure the viability of the project.........................................36
4.2. Cost calculation, investment and ROI .................................................................................37
4.3. Prioritizing tool to choose candidates for improvement projects......................................39
5. Case Study...................................................................................................................................42
5.1. Description and background ...............................................................................................42
5.2. Statistical evaluation of the state of control of the process...............................................44
5.2.1. Summary of the quality attributes...............................................................................44
5.2.2. Evaluation of process stability and trends observed...................................................44
5.2.3. Estimating process capability and measuring the risk of non-conformity. .................46
5.2.4. Conclusions about the observed state of control........................................................48
5.2.5. Multivariable analysis and classification study of lots.................................................49
5.3. Analysis of project profitability ...........................................................................................53
5.4. Study of the process............................................................................................................57
5.4.1. Process mapping..........................................................................................................57
5.4.2. Ishikawa or cause-effect diagram................................................................................58
5.4.3. Risk analysis..................................................................................................................59
5.4.4. Experimental design.....................................................................................................64
5.4.5. Experimental design in the mixing process .................................................................64
5.4.6. DoE in the compression process..................................................................................65
5.4.7. DoE 1: Influence of raw material in the homogeneity of the mixture ........................65
5.4.8. DoE 2: influence of compression parameters on hardness and dissolution rate........70
5.5. Proposed specifications based on DoE studies...................................................................73
5.6. Proposed control strategy...................................................................................................74
6. Glossary.......................................................................................................................................76
QbD as an improvement methodology for
pharmaceutical legacy products. A Case study.
Page 6 of 77
1. Background, aim and scope
1.1. Background and scope
On 23th July 1991 Directive 91/42 / EEC entered into force, which gave legal status
to the application of GMP as a global quality system in Europe. Pharmaceutical
industry became a leader in the implementation of quality assurance systems in
the production and quality control of its products.
As management systems matured, it was observed that, once achieved the GMP
full implementation, countless resources were addressed for the formal
compliance accreditation rather than focusing in areas that could provide
significant improvements in the quality and efficiency of production processes. This
leads to high compliance costs and caused delays in the implementation of
innovations as well as the waste of resources.
In August 2002, the United States Food and Drug Administration (FDA) published
the document “Pharmaceutical cGMPs for the 21st Century: A Risk - Based
Approach” 1
, in order to promote innovation within the pharmaceutical industry,
changing the approach of a model based on pre-established compliance with
standards ( prescriptive model ) to another one based on the creation of quality
systems based on scientific evidence ( knowledge- centered model ).
The first result of this initiative was the publication in 2003 of the “Guidance for
Industry Part 11, Electronic Records, Electronic Signatures - Scope and Application”
2
, followed by other guidelines such as aseptic processing 3
, and process analytical
1
FDA (2002): Pharmaceutical cGMPs for the 21st century: a RISK-BASED APPROACH.
2
FDA (2003): Guidance for industry. Part 11, Electronic Records, Electronic Signatures — Scope and
Application.
3
FDA (2004): Guidance for Industry. Sterile Drug Products Produced by Aseptic Processing — Current
Good Manufacturing Practice.
QbD as an improvement methodology for
pharmaceutical legacy products. A Case study.
Page 7 of 77
technologies PAT 4
and comparability protocols to report changes in the
registration of medicines.
In 2004, the FDA also published the guide “Process Validation Requirements for
Drug Products and Active Pharmaceutical Ingredients Subject to Pre- Market
Approval” 5
.
Also, in November 2005, the International Conference on Harmonization ( ICH )
published guidelines ICH Q8 6
and Q97
. Both documents emphasize the increased
knowledge of the process from the stage of development, the management of this
knowledge so that it can be applied to the stage of industrial production and the
risk management tools. These two documents propose a new approach to validate
processes based on the recognition that initiatives to improve quality and
productivity improvement have one thing in common: reducing variability. The aim
is to exploit this synergy to improve the final quality of the drug.
The process is defined by the attributes of the raw materials and final product and by
the process and equipment parameters. These two kinds of features should be
monitored with intensity proportional to their influence on the final quality of the
drug. Scientific knowledge about the intensity of this influence should be the goal of
the development and scale up studies.
This knowledge should be taken into account when selecting Critical Quality Attributes
(CQA) and Critical Process Parameters (CPP). These are evaluated when reviewing the
quality of the product (PQR) and when process control strategies are applied. The
4
FDA (2004): Guidance for Industry. PAT — A Framework for Innovative Pharmaceutical Development,
Manufacturing, and Quality Assurance.
5
FDA (2004): Process Validation Requirements for Drug Products and Active Pharmaceutical Ingredients
Subject to Pre-Market Approval.
6
ICH (2005): Q8 Pharmaceutical Development.
7
ICH (2005): Q9 Quality Risk Management.
QbD as an improvement methodology for
pharmaceutical legacy products. A Case study.
Page 8 of 77
objective of this exercise is to identify sources of variability unknown and / or
uncontrolled, against which actions must be addressed to avoid negative impact on
the quality of the product.
The ICH Q10 – guide 8
- pharmaceutical quality system – was published In June 2008,
describing the elements of the new model that should ensure quality through
continuous improvement tools.
On January 15th 2014, the European Medicine Agency (EMA) released the latest
version of the “Guideline on Process Validation”9
, with the aim of promoting the
implementation of quality systems based on scientific evidence. On January 31st, 2013
the new version of Chapter 1 of the EU - GMP came into force, and became a
reference model for pharmaceutical quality system.
1.2. Objective
The purpose of this document is to guide the pharmaceutical drug manufacturers in
the gradual incorporation of QbD systems to the manufacture of drugs. Specifically, it
focuses on the area of manufacturing of industrial batches.
The paper is structured as follows:
• Chapter 1: Introduction.
• Chapter 2: Evaluation of the state of control of manufacturing processes, criteria and
statistical tools to verify that the processes are stable and capable.
• Chapter 3: Assessment of deficiencies in the design, and in the understanding of the
manufacturing processes as well as an improvement proposal; criteria and tools to
8
ICH (2008): Q10 Pharmaceutical Quality System.
9
EMA (2014): EMA/CHMP/CVMP/QWP/70278/2012- Guideline on Process Validation.
QbD as an improvement methodology for
pharmaceutical legacy products. A Case study.
Page 9 of 77
acquire the necessary knowledge of the process and to identify improvement actions
and / or to redesign the process if necessary.
• Chapter 4: criteria for calculating the ROI of a project based on QbD; methodology to
prioritize improvement projects and to calculate the necessary investment and savings
estimations for each case.
• Chapter 5: Case Study, application of the previous chapters to a fictitious example:
improvement project in tablet manufacturing.
• Glossary of Terms.

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QbD legacy-products-ispe-spain

  • 1. QbD as an improvement methodology for pharmaceutical legacy products. A Case study. Page 1 of 77 Acknowledgements This paper was the result of collaboration between ISPE Spain and the Pharmaceutical Control Services - Department of Health of Generalitat de Catalunya. Professionals who voluntarily participated to share their knowledge and experience are listed below. Team members Alba Figuera Farmaprojects Beatriz Artalejo AEFI (Spanish Professional Pharmacists Association) Carlos Blanquer ISPE Spain Emilio Román Almirall S.A Fernando Santamaria Laboratorios Dr. Esteve SA Gemma Casadevall Laboratorios Dr. Esteve SA Georgina Pujals Servei de Control Farmacèutic – Departament de Salut Ignacio Lerin Universitat de Barcelona Javier Castillo Ferrer Internacional SA Joaquim Amela Farmaprojects Jordi Garces Alcon Josep Mª Gonzalez Menarini Mª Dolors Riba Uriach Miquel Romero Almirall S.A Nuria Busquets Almirall S.A Pablo Martín Ferrer Internacional S.A Ricardo Aguirre Boehringer Ingelheim S.A Xavier Casterat. Servei de Control Farmacèutic – Departament de Salut Team leader Alicia Tébar Azbil Telstar Projects/ Steering Committee ISPE Spain Review Salvador Cassany Servei de Control Farmacèutic – Departament de Salut. Carles Cirera President ISPE Spain
  • 2. QbD as an improvement methodology for pharmaceutical legacy products. A Case study. Page 2 of 77 Special thanks for their review to the Advisory Committee for Quality Assurance on industrialized medicinal products integrated by: Emilio Román Almirall SA, in behalf of Farmaindustria Santiago Llovera Boehringer Ingelheim España SA, in behalf of Farmaindustria Mónica Coronas Laboratorios Dr. Esteve SA, in behalf of Farmaindustria Francesc Taxonera Ferrer Internacional, in behalf of Farmaindustria Marina Canteli J. Uriach y Cia, in behalf of Farmaindustria Ramon Esquerdo Laboratorios Menarini, in behalf of Farmaindustria Josep Ma Gil Ferrer Internacional SA, in behalf of Farmaindustria Montserrat Gallego Alcón SA, in behalf of Farmaindustria Angelina Baena Ferrer Internacional SA, in behalf of AEFI Spanish Professional Pharmacists Association Raquel Arenós Laboratorios Inibsa SA, in behalf of AEFI Spanish Professional Pharmacists Association Jordi Comabella Almirall SA, in behalf of Consell de Col•legis de Farmacèutics de Catalunya (Vocalia d’indústria) Ramon Bonet Sanofi Aventis, SA, in behalf of Consell de Col•legis de Farmacèutics de Catalunya (Vocalia d’indústria) Montserrat Miñarro in behalf of Facultat de Farmàcia. Universitat de Barcelona Xavier Casterad Servei de Control Farmacèutic i Productes Sanitaris, in behalf of Departament de Salut Georgina Pujals Servei de Control Farmacèutic i Productes Sanitaris, in behalf of Departament de Salut Salvador Cassany Servei de Control Farmacèutic i Productes Sanitaris, in behalf of Departament de Salut
  • 3. QbD as an improvement methodology for pharmaceutical legacy products. A Case study. Page 3 of 77 Disclaimer: “This case study is a translation of a work produced by an ISPE Affiliate. As such, it does not necessarily represent the views or guidance produced by ISPE. ISPE has not performed any peer reviews and does not endorse its content. It is published simply as a ‘real world’ case study and is intended to provide examples of some aspects of the application of Quality by Design (QbD) for a legacy product (including examples of application of statistics, design of experiments, return on investment, and developing a control strategy) from which ISPE members and others may benefit.”
  • 4. QbD as an improvement methodology for pharmaceutical legacy products. A Case study. Page 4 of 77 Table of Contents 1. Background, aim and scope..........................................................................................................6 1.1. Background and scope ..........................................................................................................6 1.2. Objective................................................................................................................................8 2. Assessment of the state of control of manufacturing processes...............................................10 2.1. GMP and ICH Q10 guidelines ..............................................................................................10 2.2. Statistical techniques applicable to the available data.......................................................11 2.2.1. Background ..................................................................................................................11 2.2.2. Definitions of Process under Control and Process Monitoring ...................................12 2.2.3. Statistical tools and their interpretation .....................................................................12 2.2.3.1. Determine if the variability of the process is constant over time................................... 12 2.2.3.2. To evaluate the ability of a process to obtain a conform product. Capability measurements..................................................................................................................................... 13 2.2.3.3. Other capability measurements: machine capability (Cm, CmK), process performance (Pp, PpK) and coefficient of performance (Pr) .................................................................................... 16 2.2.3.4. Calculating the risk of non- compliance .......................................................................... 17 2.2.3.5. Process monitoring.......................................................................................................... 17 2.2.3.6. Sample size ...................................................................................................................... 18 2.2.3.7. Monitoring trends............................................................................................................ 19 2.2.3.8. Multivariate modeling..................................................................................................... 21 2.2.3.9. Extracting knowledge from databases and data mining ................................................. 23 2.2.3.10. Neural Networks.............................................................................................................. 24 2.3. Applicable criteria and indicators to define the control strategy of pharmaceutical processes........................................................................................................................................26 3. Evaluation of design and/or knowledge deficiencies on manufacturing processes. Proposal for improvement .....................................................................................................................................30 3.1. Implementation of ICH Q8 tools into the industrial manufacturing process .....................30 3.1.1. Risk analysis and critical points....................................................................................30 3.1.2. Design of Experiments (DoE) .......................................................................................33 3.2. Process validation................................................................................................................34
  • 5. QbD as an improvement methodology for pharmaceutical legacy products. A Case study. Page 5 of 77 3.3. Proposed control strategy...................................................................................................36 4. Calculating the ROI of a QbD project..........................................................................................36 4.1. Need of economic return to ensure the viability of the project.........................................36 4.2. Cost calculation, investment and ROI .................................................................................37 4.3. Prioritizing tool to choose candidates for improvement projects......................................39 5. Case Study...................................................................................................................................42 5.1. Description and background ...............................................................................................42 5.2. Statistical evaluation of the state of control of the process...............................................44 5.2.1. Summary of the quality attributes...............................................................................44 5.2.2. Evaluation of process stability and trends observed...................................................44 5.2.3. Estimating process capability and measuring the risk of non-conformity. .................46 5.2.4. Conclusions about the observed state of control........................................................48 5.2.5. Multivariable analysis and classification study of lots.................................................49 5.3. Analysis of project profitability ...........................................................................................53 5.4. Study of the process............................................................................................................57 5.4.1. Process mapping..........................................................................................................57 5.4.2. Ishikawa or cause-effect diagram................................................................................58 5.4.3. Risk analysis..................................................................................................................59 5.4.4. Experimental design.....................................................................................................64 5.4.5. Experimental design in the mixing process .................................................................64 5.4.6. DoE in the compression process..................................................................................65 5.4.7. DoE 1: Influence of raw material in the homogeneity of the mixture ........................65 5.4.8. DoE 2: influence of compression parameters on hardness and dissolution rate........70 5.5. Proposed specifications based on DoE studies...................................................................73 5.6. Proposed control strategy...................................................................................................74 6. Glossary.......................................................................................................................................76
  • 6. QbD as an improvement methodology for pharmaceutical legacy products. A Case study. Page 6 of 77 1. Background, aim and scope 1.1. Background and scope On 23th July 1991 Directive 91/42 / EEC entered into force, which gave legal status to the application of GMP as a global quality system in Europe. Pharmaceutical industry became a leader in the implementation of quality assurance systems in the production and quality control of its products. As management systems matured, it was observed that, once achieved the GMP full implementation, countless resources were addressed for the formal compliance accreditation rather than focusing in areas that could provide significant improvements in the quality and efficiency of production processes. This leads to high compliance costs and caused delays in the implementation of innovations as well as the waste of resources. In August 2002, the United States Food and Drug Administration (FDA) published the document “Pharmaceutical cGMPs for the 21st Century: A Risk - Based Approach” 1 , in order to promote innovation within the pharmaceutical industry, changing the approach of a model based on pre-established compliance with standards ( prescriptive model ) to another one based on the creation of quality systems based on scientific evidence ( knowledge- centered model ). The first result of this initiative was the publication in 2003 of the “Guidance for Industry Part 11, Electronic Records, Electronic Signatures - Scope and Application” 2 , followed by other guidelines such as aseptic processing 3 , and process analytical 1 FDA (2002): Pharmaceutical cGMPs for the 21st century: a RISK-BASED APPROACH. 2 FDA (2003): Guidance for industry. Part 11, Electronic Records, Electronic Signatures — Scope and Application. 3 FDA (2004): Guidance for Industry. Sterile Drug Products Produced by Aseptic Processing — Current Good Manufacturing Practice.
  • 7. QbD as an improvement methodology for pharmaceutical legacy products. A Case study. Page 7 of 77 technologies PAT 4 and comparability protocols to report changes in the registration of medicines. In 2004, the FDA also published the guide “Process Validation Requirements for Drug Products and Active Pharmaceutical Ingredients Subject to Pre- Market Approval” 5 . Also, in November 2005, the International Conference on Harmonization ( ICH ) published guidelines ICH Q8 6 and Q97 . Both documents emphasize the increased knowledge of the process from the stage of development, the management of this knowledge so that it can be applied to the stage of industrial production and the risk management tools. These two documents propose a new approach to validate processes based on the recognition that initiatives to improve quality and productivity improvement have one thing in common: reducing variability. The aim is to exploit this synergy to improve the final quality of the drug. The process is defined by the attributes of the raw materials and final product and by the process and equipment parameters. These two kinds of features should be monitored with intensity proportional to their influence on the final quality of the drug. Scientific knowledge about the intensity of this influence should be the goal of the development and scale up studies. This knowledge should be taken into account when selecting Critical Quality Attributes (CQA) and Critical Process Parameters (CPP). These are evaluated when reviewing the quality of the product (PQR) and when process control strategies are applied. The 4 FDA (2004): Guidance for Industry. PAT — A Framework for Innovative Pharmaceutical Development, Manufacturing, and Quality Assurance. 5 FDA (2004): Process Validation Requirements for Drug Products and Active Pharmaceutical Ingredients Subject to Pre-Market Approval. 6 ICH (2005): Q8 Pharmaceutical Development. 7 ICH (2005): Q9 Quality Risk Management.
  • 8. QbD as an improvement methodology for pharmaceutical legacy products. A Case study. Page 8 of 77 objective of this exercise is to identify sources of variability unknown and / or uncontrolled, against which actions must be addressed to avoid negative impact on the quality of the product. The ICH Q10 – guide 8 - pharmaceutical quality system – was published In June 2008, describing the elements of the new model that should ensure quality through continuous improvement tools. On January 15th 2014, the European Medicine Agency (EMA) released the latest version of the “Guideline on Process Validation”9 , with the aim of promoting the implementation of quality systems based on scientific evidence. On January 31st, 2013 the new version of Chapter 1 of the EU - GMP came into force, and became a reference model for pharmaceutical quality system. 1.2. Objective The purpose of this document is to guide the pharmaceutical drug manufacturers in the gradual incorporation of QbD systems to the manufacture of drugs. Specifically, it focuses on the area of manufacturing of industrial batches. The paper is structured as follows: • Chapter 1: Introduction. • Chapter 2: Evaluation of the state of control of manufacturing processes, criteria and statistical tools to verify that the processes are stable and capable. • Chapter 3: Assessment of deficiencies in the design, and in the understanding of the manufacturing processes as well as an improvement proposal; criteria and tools to 8 ICH (2008): Q10 Pharmaceutical Quality System. 9 EMA (2014): EMA/CHMP/CVMP/QWP/70278/2012- Guideline on Process Validation.
  • 9. QbD as an improvement methodology for pharmaceutical legacy products. A Case study. Page 9 of 77 acquire the necessary knowledge of the process and to identify improvement actions and / or to redesign the process if necessary. • Chapter 4: criteria for calculating the ROI of a project based on QbD; methodology to prioritize improvement projects and to calculate the necessary investment and savings estimations for each case. • Chapter 5: Case Study, application of the previous chapters to a fictitious example: improvement project in tablet manufacturing. • Glossary of Terms.