developments in regulatory requirements

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© European Compliance Academy (ECA) Developments in Regulatory Requirements Dr. Tim Sandle European Microbiology Conference 4 th – 5 th May, Prague

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An update of regulatory requirements relating to microbiology and healthcare

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Page 1: Developments in regulatory requirements

© European Compliance Academy (ECA)

Developments in Regulatory Requirements

Dr. Tim Sandle

European Microbiology Conference

4th – 5th May, Prague

Page 2: Developments in regulatory requirements

© European Compliance Academy (ECA)

Introduction

European Pharmacopoeia United States Pharmacopoeia ISO PIC/S EMEA FDA WHO ICH NHS

Page 3: Developments in regulatory requirements

© European Compliance Academy (ECA)

Harmonisation

USP, EP & JP: began in 1990 Why harmonise?

• Globalisation of the pharmaceutical and associated industries

• Suppliers of raw materials operate globally for many products but need locally adapted test methods, SOPs etc.

• Pharmaceutical manufacturers have to adapt test methods and licensing files to local requirements

• Reduce costs

Page 4: Developments in regulatory requirements

© European Compliance Academy (ECA)

European Pharmacopoeia

Page 5: Developments in regulatory requirements

© European Compliance Academy (ECA)

European Pharmacopoeia

European Pharmacopoeia is revised and issued by the European Directorate for the Quality of Medicines & HealthCare (EDQM) (Council of Europe) • European Pharmacopoeia was first published in 1967

European Pharmacopoeia is published in two volumes. • The first volume consists of general chapters (such as the

sterility test) and the second of specific monographs for materials (such as sodium heparin).

European Pharmacopoeia is issued at periodic intervals.• A primary edition.• Several supplements over a two year period.

Page 6: Developments in regulatory requirements

© European Compliance Academy (ECA)

European Pharmacopoeia

Supplement 6.1: January 2008 Supplement 6.2: January 2008 Supplement 6.3: January 2008 Supplement 6.4: June 2008 Supplement 6.5: June 2008 Supplement 6.6: July 2008 Supplement 6.7: September 2009 Supplement 6.8: January 2010 7th edition: January 2011

Page 7: Developments in regulatory requirements

© European Compliance Academy (ECA)

European Pharmacopoeia

Sterility Testing• Supplement 6.3: • New chapter 5.1.9 ‘Guidelines for using the test for sterility’

Section of text deleted from 2.6.1 To allow harmonisation with USP Relates to test method and method validation

• 2.6.1 is now almost fully harmonised with USP <71> Changes: precautions against microbial contamination, culture media and

incubation temperatures, method suitability test, main test method, minimum number of items to be tested.

“Residual differences” with USP: rinse fluids; volume of products tested; number of containers of product to be tested; and acceptance criteria.

• Supplement 6.3: • Reference added to indicate harmonization process

Page 8: Developments in regulatory requirements

© European Compliance Academy (ECA)

European Pharmacopoeia

Non-sterile products #1• Supplement 6.3:• Harmonisation with USP for:

» Microbiological examination of non-sterile products: microbial enumeration tests (2.6.12)

» Microbial examination of non-sterile products: test for specified micro-organisms (2.6.13)

» Microbial quality of non-sterile pharmaceutical preparations and substances for pharmaceutical use (5.1.4)

- With 2.6.12 and 2.6.13, these chapters are now interchangeable in the ICH regions (Q4B Annex 4A): JP & USP

Page 9: Developments in regulatory requirements

© European Compliance Academy (ECA)

European Pharmacopoeia

Non-sterile products #2• Supplement 6.5:

A negative control now required when verifying the performance of the media AND also when testing products.

With 2.6.13:- E. coli has been deleted as an indicative strain for XLD agar

since it grows with difficulty on this medium - Clostridia: the description of the test has been reworded Section

4-6-1 reads: “Divide the sample into 2 portions of at least 10 ml”. The wording has been included because a volume each of the treated and of the untreated sample must be transferred to a container with reinforced medium for clostridia.

- For any suspect positive Clostridia an ID test is required in order to distinguish Clostridia from any facultative anaerobic Bacillus species

Page 10: Developments in regulatory requirements

© European Compliance Academy (ECA)

European Pharmacopoeia

Non-sterile products #3 Supplement 6.5: 2.6.13

A maximum incubation time of 72 h has been added (previous incubation time of exactly 48 h: too stringent)

Recommended solutions and culture media: the statement “Other media may be used if they have similar growth promoting and inhibitory properties” has been reworded because it had been considered misleading. Revised wording:

“Other media may be used provided that their suitability can be demonstrated”.

Page 11: Developments in regulatory requirements

© European Compliance Academy (ECA)

European Pharmacopoeia

Water testing• Supplement 6.3:

• WFI 0169 and Purified Water 0008 5-day incubation time has been replaced by a requirement of not

less than 5 days Addition of criteria for growth promotion of the R2A medium used

for microbiological monitoring (similar to media listed in 2.6.12 / 2.6.13)

Page 12: Developments in regulatory requirements

© European Compliance Academy (ECA)

European Pharmacopoeia

Bacterial Endotoxins (2.6.14)• Supplement 6.6:

A number of clarifications have been included.

- For the calculation of the endotoxin limit, the maximum recommended concentration is no longer defined for a single hour period but for a bolus dose.

A new chapter ‘Test for bacterial endotoxins: guidelines’ (5.1.10).

- Not part of pharmacopoeial harmonisation

- Deleted from the 2.6.14 chapter and included in part 5 of the European Pharmacopoeia.

Page 13: Developments in regulatory requirements

© European Compliance Academy (ECA)

European Pharmacopoeia

Pyrogens / Endotoxin• For 7th edition:

General guidance- EU Directive 86/609/EC - Use of an in vitro method (the LAL test) as a preferred alternative

to the pyrogen test in rabbits for a number of products (mainly blood products)

2.6.14- Gel-clot technique. The number 4 has been added to the

following statement:……”Determine the geometric mean end-point concentration by calculating the mean of the logarithms of the end-point concentrations of the 4 dilution series, take the antilogarithm of this value, as indicated by the following expression:………”

Page 14: Developments in regulatory requirements

© European Compliance Academy (ECA)

European Pharmacopoeia

New monograph: MAT• Supplement 6.7:

• An new monograph has been published. This is 2.6.30 Monocyte-activation test.

• The monocyte activation test (MAT) is possible replacement for the rabbit pyrogen test and can potentially be used in conjunction with the LAL test.

Page 15: Developments in regulatory requirements

© European Compliance Academy (ECA)

European Pharmacopoeia

Aspergillus brasiliensis • Supplement 6.8:

In relation to monographs 2.6.1 and 2.6.12 Strain ATCC 16404, formerly Aspergillus niger has been

reclassified, following a polyphasic study, as Aspergillus brasiliensis

Page 16: Developments in regulatory requirements

© European Compliance Academy (ECA)

European Pharmacopoeia

2.6.21. Nucleic acid amplification techniques • Supplement 6.8:

A validation guideline for the quantification of B19 virus DNA in plasma pools

Page 17: Developments in regulatory requirements

© European Compliance Academy (ECA)

European Pharmacopoeia

Biological Indicators• For 7th edition:

Biological indicators (5.1.2) Names of organisms have been changed to be in line with current

taxonomic nomenclature Alignment with EN ISO 11138 (Sterilization of health care products -

Biological indicators)

Page 18: Developments in regulatory requirements

© European Compliance Academy (ECA)

European Pharmacopoeia

Revision of EP chapter 5.1.6. Alternative Methods for Control of Microbiological Quality• Describes alternative methods for the control of microbiological quality.

• Qualitative, quantitative and identification tests and guidance for using validation criteria.

• Technology overviews including risk-benefit analysis and an annex describing an example of a detailed protocol for the validation of an alternative method using bioluminescence techniques.

Page 19: Developments in regulatory requirements

© European Compliance Academy (ECA)

United States Pharmacopoeia

Recent changes

Page 20: Developments in regulatory requirements

© European Compliance Academy (ECA)

United States Pharmacopoeia

USP33 2nd Supplement (October 2010)<1072> Disinfectants and Antiseptics

Classification of Disinfectants Selection of a Disinfectant for Use in a Pharmaceutical

Manufacturing Environment Theoretical Discussion of Disinfectant Activity Mechanism of Disinfectant Activity Microbial Resistance to Disinfectants Disinfectant Challenge Testing Disinfectants in a Cleaning and Sanitisation Program

Page 21: Developments in regulatory requirements

© European Compliance Academy (ECA)

United States Pharmacopoeia

Proposed changes

Page 22: Developments in regulatory requirements

© European Compliance Academy (ECA)

United States Pharmacopoeia

USP <1231> ‘water’• Under revision• Tables of

recommendation action limits are likely to be deleted

Page 23: Developments in regulatory requirements

© European Compliance Academy (ECA)

United States Pharmacopoeia

USP <1116> under review• Action levels for EM

likely to be replaced by frequency tables

E.g. Isolator, incidence rate of <0.1%

E.g. ISO Class 5, incidence rate of <1%

Page 24: Developments in regulatory requirements

© European Compliance Academy (ECA)

United States Pharmacopoeia

USP <1113> Microbial Identification (USP35-NF30)• Title change

• Microbial Characterization, Identification, and Strain Typing

• The chapter provides general information on available microbial identification methods, selection of appropriate methods for use, and verification of these methods

• Emphasis on phenotypic and genotypic methods

• Trending microflora

Page 25: Developments in regulatory requirements

© European Compliance Academy (ECA)

United States Pharmacopoeia

<85> Bacterial Endotoxins Test

• on the basis of an FDA recommendation, change the calculation of the limit for endotoxins in products dosed by body surface area, appearing in non harmonized footnote 2

Page 26: Developments in regulatory requirements

© European Compliance Academy (ECA)

United States Pharmacopoeia

Possible changes

Page 27: Developments in regulatory requirements

© European Compliance Academy (ECA)

United States Pharmacopoeia

A new monograph entitled, “Endotoxin Indicator for Depyrogenation” was proposed in Pharmacopeial Forum (34(6): 1444). • Definition of the term endotoxin indicator - “carrier (challenge vial of

endotoxin or an article spiked with endotoxin) for use in depyrogenation studies.”

• Description of the characterization (identification, purity) of an EI

Also:• Reference to the USP RSE• Packaging and storage• Expiration dating• Recovery tests• Disposal of endotoxin indicators.

Page 28: Developments in regulatory requirements

© European Compliance Academy (ECA)

United States Pharmacopoeia

<1128> Nucleic Acid Based Techniques – Microarray (new) (USP35-NF30)• Because there is no information in USP on this subject, this

general information chapter is being proposed. • This new chapter is a part of the series of information chapters

describing various aspects of nucleic acid-based testing: <1125> Nucleic Acid Based Techniques-General <1126> Nucleic Acid Based Techniques-Extraction, Detection and

Sequencing <1127> Nucleic Acid Based Techniques-Amplification <1129> Nucleic Acid Based Techniques-Genotyping <1130> Nucleic Acid Based Techniques-Approaches for detecting

Trace Nucleic Acids (Residual DNA Testing)

Page 29: Developments in regulatory requirements

© European Compliance Academy (ECA)

ISO standards

Page 30: Developments in regulatory requirements

© European Compliance Academy (ECA)

ISO

ISO14968 (under review)Standard ISO14698 (Bio contamination control) is currently under

review by British Standards Part 1 General principles and methods Part 2 Evaluation and interpretation of biocontamiantion data

Aims: Classification of cleanrooms by airborne biocontamination,

including methods of measurement and the validation of sampling methods. Similar to ISO14644

Approaches to classify and monitor cleanroom surfaces. Risk management and assessment techniques. Establish a relationship between enumeration and the types of

isolates detected Consideration of some of the weaknesses of environmental

monitoring sampling methods

Page 31: Developments in regulatory requirements

© European Compliance Academy (ECA)

ISO

ISO 14644 (under review)• Primary change proposed is a new method for cleanroom classification

• Current standard determines the number of particle counter locations in a cleanroom using a formula based on the square root of the surface area of the cleanroom in cubic metres.

• The proposed change is move to classification using a table with a formula for intermediate classes (a ‘return’ to the old FS209E).

Page 32: Developments in regulatory requirements

© European Compliance Academy (ECA)

ISO

ISO 21501 (in place)• Calibration of particle counters

Size calibration Verification of size setting Counting efficiency Size resolution False count rate Concentration limit Sampling flow rate Sampling time Sampling volume

• Many older model particle counters will not meet the new standard.

Page 33: Developments in regulatory requirements

© European Compliance Academy (ECA)

PIC/S and EMA

Page 34: Developments in regulatory requirements

© European Compliance Academy (ECA)

PIC/S

PIC/S inspection guides• ‘Validation of Aseptic Processes’ (PI 007-5)

That media fills should be run for a similar length of time as product fills; The number of containers filled should be close to the commercial batch

size; The frequency of re-qualifications is a minimum of six-monthly; There is considerable emphasis on the selection of the appropriate

culture medium, including being able to demonstrate growth promotion (as an aside, due to concerns with TSEs in Europe some companies have moved away from bovine based media and towards vegetable peptones);

The incubation conditions are established as:- “incubate at 20-25°C for a minimum of 7 days followed

immediately, or after a first reading, by incubation at 30-35°C for a total minimum incubation time of 14 days”

Page 35: Developments in regulatory requirements

© European Compliance Academy (ECA)

PIC/S

PIC/S inspection guides • PIC/S Document 007-4 ‘Recommendation on the Validation of aseptic

processes’ has been updated

• PIC/S guidance on EU GMP Annex 1 Cleanrooms and clean air device classification; and media simulation trials.

Page 36: Developments in regulatory requirements

© European Compliance Academy (ECA)

EMA

The EMA has published some questions and answers concerning the use of Process Analytical Technology (PAT) on their website: http://www.gmp-compliance.org/eca_news_1385_5940,6080,6077,6095,6062_n.html

Page 37: Developments in regulatory requirements

© European Compliance Academy (ECA)

FDA

Page 38: Developments in regulatory requirements

© European Compliance Academy (ECA)

FDA

FDA draft Process Validation Guidance• FDA’s current thinking on process manufacture

• Reference to ICH Q8, Q9 and Q10, particularly the product lifecycle approach.

• Main sections : process design, process qualification and continued process verification.

Page 39: Developments in regulatory requirements

© European Compliance Academy (ECA)

FDA

The FDA have ‘adopted’:• three annex

documents to ICH Q4B (4A, 4B and 4C).

• The annexes relate to the microbiological control of non-sterile doses.

Page 40: Developments in regulatory requirements

© European Compliance Academy (ECA)

WHO and NHS

Page 41: Developments in regulatory requirements

© European Compliance Academy (ECA)

WHO

New publications / updates:• ‘WHO Expert Committee on Specifications for Pharmaceutical

Preparations’. • WHO Good Practices for Pharmaceutical Quality Control Laboratories

Guide to:- Management, infrastructure, materials, working procedures, and safety

• Annex 4 “Good Manufacturing Practices for Sterile Pharmaceutical Products”

To come in line with ISO 14644-1

Page 42: Developments in regulatory requirements

© European Compliance Academy (ECA)

NHS

Monitoring hospital and cleanroom gowns• The UK NHS have a useful illustrated guide to monitoring cleanroom

gowns for hospital pharmacies (EU GMP Grade B environments). The guide contains some useful pointers about selecting the locations for the microbiological contact plate monitoring and frequencies of testing.

Page 43: Developments in regulatory requirements

© European Compliance Academy (ECA)

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