managing post approval changes · 2017-01-12 · managing post approval changes: yesterday, today...

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Managing Post Approval Changes: yesterday, today and tomorrow 2015 PDA Manufacturing Science Workshop Pierre-Alain Ruffieux, PhD Head of Novartis Pharma Quality © 2015 Novartis AG 1 | 2015 FDA-PDA Post Approval Changes | Pierre-Alain Ruffieux | © Oct-2015 Novartis AG |

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Page 1: Managing Post Approval Changes · 2017-01-12 · Managing Post Approval Changes: yesterday, today and tomorrow ... Alternate testing site for . the release ... Approval . Implementation

Managing Post Approval Changes: yesterday, today and tomorrow 2015 PDA Manufacturing Science Workshop

Pierre-Alain Ruffieux, PhD Head of Novartis Pharma Quality

© 2015 Novartis AG 1 | 2015 FDA-PDA Post Approval Changes | Pierre-Alain Ruffieux | © Oct-2015 Novartis AG |

Page 2: Managing Post Approval Changes · 2017-01-12 · Managing Post Approval Changes: yesterday, today and tomorrow ... Alternate testing site for . the release ... Approval . Implementation

This presentation is based on publicly available information.

These slides are intended for educational purposes only and for the personal use of the audience. These slides are not intended for wider distribution outside the intended purpose without presenter approval.

The content of this slide deck is accurate to the best of the presenter’s knowledge at the time of production.

The views and opinions expressed in this presentation are those of the author and do not necessarily reflect the official policy or position of Novartis or any of its officers.

2 | 2015 FDA-PDA Post Approval Changes | Pierre-Alain Ruffieux | © Oct-2015 Novartis AG |

Page 3: Managing Post Approval Changes · 2017-01-12 · Managing Post Approval Changes: yesterday, today and tomorrow ... Alternate testing site for . the release ... Approval . Implementation

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The journey starts with a need for change ...

Initiation

Evaluation/ Planning

Submission

Approval

Implementation

Trigger

Alternate testing site for the release & stability of a finished product

| 2015 FDA-PDA Post Approval Changes | Pierre-Alain Ruffieux | © Oct-2015 Novartis AG |

Page 4: Managing Post Approval Changes · 2017-01-12 · Managing Post Approval Changes: yesterday, today and tomorrow ... Alternate testing site for . the release ... Approval . Implementation

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7th May 2014

Initiation

Evaluation/ Planning

Submission

Approval

Implementation

Trigger

Change Request Initiated

Current testing site Proposed testing site for release & stability Justification Record in internal systems

| 2015 FDA-PDA Post Approval Changes | Pierre-Alain Ruffieux | © Oct-2015 Novartis AG |

Setting of :

Page 5: Managing Post Approval Changes · 2017-01-12 · Managing Post Approval Changes: yesterday, today and tomorrow ... Alternate testing site for . the release ... Approval . Implementation

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10th July 2014

Initiation

Evaluation/ Planning

Submission

Approval

Implementation

Trigger

GMP status: Site not FDA Approved that requires successful FDA inspection therefore classified as Post Approval Supplement (PAS) CTD Module ‘Manufacturers’ to be updated Highlight need to complete method transfer prior to submission

Change Request Evaluation Complete

5 | 2015 FDA-PDA Post Approval Changes | Pierre-Alain Ruffieux | © Oct-2015 Novartis AG |

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5th December 2014

Initiation

Evaluation/ Planning

Submission

Approval

Implementation

Trigger

Execution

Method Transfer executed & approved Preparation of documentation for dossier update

| 2015 FDA-PDA Post Approval Changes | Pierre-Alain Ruffieux | © Oct-2015 Novartis AG |

Page 7: Managing Post Approval Changes · 2017-01-12 · Managing Post Approval Changes: yesterday, today and tomorrow ... Alternate testing site for . the release ... Approval . Implementation

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15th December 2014

Initiation

Evaluation/ Planning

Submission

Approval

Implementation

Trigger

Execution

| 2015 FDA-PDA Post Approval Changes | Pierre-Alain Ruffieux | © Oct-2015 Novartis AG |

Page 8: Managing Post Approval Changes · 2017-01-12 · Managing Post Approval Changes: yesterday, today and tomorrow ... Alternate testing site for . the release ... Approval . Implementation

8

After 11 months the journey ends ...

Initiation

Evaluation/ Planning

Submission

Approval

Implementation

Trigger

Execution

After a successful FDA inspection in 1st week of April, approval was received.

| 2015 FDA-PDA Post Approval Changes | Pierre-Alain Ruffieux | © Oct-2015 Novartis AG |

Page 9: Managing Post Approval Changes · 2017-01-12 · Managing Post Approval Changes: yesterday, today and tomorrow ... Alternate testing site for . the release ... Approval . Implementation

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...with the change implemented.

Initiation

Evaluation/ Planning

Submission

Approval

Implementation

Trigger

Execution

Implementation of the change

Starting from 15-Apr-2015: new set up in use

| 2015 FDA-PDA Post Approval Changes | Pierre-Alain Ruffieux | © Oct-2015 Novartis AG |

Page 10: Managing Post Approval Changes · 2017-01-12 · Managing Post Approval Changes: yesterday, today and tomorrow ... Alternate testing site for . the release ... Approval . Implementation

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10 | 2015 FDA-PDA Post Approval Changes | Pierre-Alain Ruffieux | © Oct-2015 Novartis AG |

LOOKS EASY AS PIE DOESN’T IT?

Page 11: Managing Post Approval Changes · 2017-01-12 · Managing Post Approval Changes: yesterday, today and tomorrow ... Alternate testing site for . the release ... Approval . Implementation

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1 Highly regulated industry

This is not as simple as it looks because....

| 2015 FDA-PDA Post Approval Changes | Pierre-Alain Ruffieux | © Oct-2015 Novartis AG |

Page 12: Managing Post Approval Changes · 2017-01-12 · Managing Post Approval Changes: yesterday, today and tomorrow ... Alternate testing site for . the release ... Approval . Implementation

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2 The requirements are different from country to country

This is not as simple as it looks because....

1 Highly Regulated Industry

| 2015 FDA-PDA Post Approval Changes | Pierre-Alain Ruffieux | © Oct-2015 Novartis AG |

Page 13: Managing Post Approval Changes · 2017-01-12 · Managing Post Approval Changes: yesterday, today and tomorrow ... Alternate testing site for . the release ... Approval . Implementation

13

2 The requirements are different from country to country

This is not as simple as it looks because....

1 Highly Regulated Industry

3 Approval & implementation timelines are different from country to country

| 2015 FDA-PDA Post Approval Changes | Pierre-Alain Ruffieux | © Oct-2015 Novartis AG |

Page 14: Managing Post Approval Changes · 2017-01-12 · Managing Post Approval Changes: yesterday, today and tomorrow ... Alternate testing site for . the release ... Approval . Implementation

14

130+ marketed brands

10,000+ stock keeping units

140+ countries supplied

14,000+ submissions per year to country Health Authorities

700+ submissions packages dispatched per year to countries

14 | 2015 FDA-PDA Post Approval Changes | Pierre-Alain Ruffieux | © Oct-2015 Novartis AG |

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15 | 2015 FDA-PDA Post Approval Changes | Pierre-Alain Ruffieux | © Oct-2015 Novartis AG |

Page 16: Managing Post Approval Changes · 2017-01-12 · Managing Post Approval Changes: yesterday, today and tomorrow ... Alternate testing site for . the release ... Approval . Implementation

16 16 | 2015 FDA-PDA Post Approval Changes | Pierre-Alain Ruffieux | © Oct-2015 Novartis AG |

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Change Control Yesterday, Today and Tomorrow

| 2015 FDA-PDA Post Approval Changes | Pierre-Alain Ruffieux | © Oct-2015 Novartis AG |

Page 18: Managing Post Approval Changes · 2017-01-12 · Managing Post Approval Changes: yesterday, today and tomorrow ... Alternate testing site for . the release ... Approval . Implementation

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What we’ve learned...

Yesterday 1

Today 2

Tomorrow 3

| 2015 FDA-PDA Post Approval Changes | Pierre-Alain Ruffieux | © Oct-2015 Novartis AG |

Data was maintained across multiple systems which required very high level of knowledge to either use or maintain the data

Change control process was

fragmented

Focus of the workflows was more on correct handoffs between line functions & information

Page 19: Managing Post Approval Changes · 2017-01-12 · Managing Post Approval Changes: yesterday, today and tomorrow ... Alternate testing site for . the release ... Approval . Implementation

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What we’ve seen...

Yesterday’s Challenge 1

Today 2

Tomorrow 3

| 2015 FDA-PDA Post Approval Changes | Pierre-Alain Ruffieux | © Oct-2015 Novartis AG |

Overview & traceabilty of change status & follow-up in country requires a lot of effort

Large volumes & different sets of data Resource intensive Handoffs between organizations &

systems increases the risk of transcriptions errors

As a consequence there was: risk of non-compliance

low incentive to make

more changes

Page 20: Managing Post Approval Changes · 2017-01-12 · Managing Post Approval Changes: yesterday, today and tomorrow ... Alternate testing site for . the release ... Approval . Implementation

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Based on yesterday’s learnings ...

Yesterday 1

Today’s fit for purpose 2

Tomorrow 3

A robust system that enables Pharma companies to manage all changes during the life cycle of a product

| 2015 FDA-PDA Post Approval Changes | Pierre-Alain Ruffieux | © Oct-2015 Novartis AG |

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Every project has its challenges ...

Yesterday 1

Today’s Challenge 2

Tomorrow 3

| 2015 FDA-PDA Post Approval Changes | Pierre-Alain Ruffieux | © Oct-2015 Novartis AG |

Need to build a new system to unify complex information systems & fragmented processes

Data migration could disturb ongoing

changes Requires investment (people &

money)

Requires broad retraining & refining

Page 22: Managing Post Approval Changes · 2017-01-12 · Managing Post Approval Changes: yesterday, today and tomorrow ... Alternate testing site for . the release ... Approval . Implementation

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What we’re implementing

Yesterday 1

Today 2

Tomorrow 3

Robust & exact process

Accuracy & completeness of data

Easy tracking

Clear roles & proper involvement Clear timelines

| 2015 FDA-PDA Post Approval Changes | Pierre-Alain Ruffieux | © Oct-2015 Novartis AG |

Page 23: Managing Post Approval Changes · 2017-01-12 · Managing Post Approval Changes: yesterday, today and tomorrow ... Alternate testing site for . the release ... Approval . Implementation

We want to....

| 2015 FDA-PDA Post Approval Changes | Pierre-Alain Ruffieux | © Oct-2015 Novartis AG | 23

Quickly adapt to new demand & business

Have the regulatory relevant product data managed in a single information system.

Have an easy overview on all product lifecycle events in a single information system

Correctness & Usability/Learnability

Ensure Integrity & Reliability

Enhance Efficiency & Security

Page 24: Managing Post Approval Changes · 2017-01-12 · Managing Post Approval Changes: yesterday, today and tomorrow ... Alternate testing site for . the release ... Approval . Implementation

...and this is multiplied by number of supplied countries....

Let’s have a closer look...

| 2015 FDA-PDA Post Approval Changes | Pierre-Alain Ruffieux | © Oct-2015 Novartis AG | 24

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This is replicated for each product....

The n regulatory relevant information for one product is stored as follows....

Products

Page 25: Managing Post Approval Changes · 2017-01-12 · Managing Post Approval Changes: yesterday, today and tomorrow ... Alternate testing site for . the release ... Approval . Implementation

System-driven with single source of data truth

CTD Dossier

we’ve implemented a fixed workflow process...

25

System-driven with single source of data truth

System-driven with single source of data truth

Approval

The authorization process captures submission strategies

Phase-Gate Based

Execution

Submission

Changes in parallel or consolidated based on required implementation schedules

Implementation

Closed loop change implementation with notification back to requesting initiator

Evaluation

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Change Notifications

Initiation

Change request e.g. Specifications, Production process, Artwork, Master Data

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Products | 2015 FDA-PDA Post Approval Changes | Pierre-Alain Ruffieux | © Oct-2015 Novartis AG |

Page 26: Managing Post Approval Changes · 2017-01-12 · Managing Post Approval Changes: yesterday, today and tomorrow ... Alternate testing site for . the release ... Approval . Implementation

Clear benefits on the execution...

Increase ACCURACY of data & EFFICIENCY of data maintenance

Increase PREDICTABILITY & SPEED

in implementation of Product Lifecycle events

Increase CAPABILITY of the organization & FLEXIBILITY to handle new demand and business growth

26 | 2015 FDA-PDA Post Approval Changes | Pierre-Alain Ruffieux | © Oct-2015 Novartis AG |

Page 27: Managing Post Approval Changes · 2017-01-12 · Managing Post Approval Changes: yesterday, today and tomorrow ... Alternate testing site for . the release ... Approval . Implementation

27

Yesterday 1

Today’s fit for purpose 2

Tomorrow 3

What the future could hold...

| 2015 FDA-PDA Post Approval Changes | Pierre-Alain Ruffieux | © Oct-2015 Novartis AG |

Page 28: Managing Post Approval Changes · 2017-01-12 · Managing Post Approval Changes: yesterday, today and tomorrow ... Alternate testing site for . the release ... Approval . Implementation

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Our hope for a bright future...

Yesterday 1

Today’s fit for purpose 2

Tomorrow 3

| 2015 FDA-PDA Post Approval Changes | Pierre-Alain Ruffieux | © Oct-2015 Novartis AG |

One common standard facilitating submission of a single harmonized package globally Enabling the move from control

based bureaucracy to knowledge-based management of the changes

Risk-based approach and the possibility to manage minor changes through company’s Quality Management System

Page 29: Managing Post Approval Changes · 2017-01-12 · Managing Post Approval Changes: yesterday, today and tomorrow ... Alternate testing site for . the release ... Approval . Implementation

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Yesterday 1

Today’s fit for purpose 2

Tomorrow’s Challenge 3

| 2015 FDA-PDA Post Approval Changes | Pierre-Alain Ruffieux | © Oct-2015 Novartis AG |

Countries not ready to give-up on their prerogatives

International standards are implemented without removing local standards

What would be our hope for tomorrow...

We still need to ensure collaboration between industry, regulators & patient associations

Page 30: Managing Post Approval Changes · 2017-01-12 · Managing Post Approval Changes: yesterday, today and tomorrow ... Alternate testing site for . the release ... Approval . Implementation

What is ongoing...

| 2015 FDA-PDA Post Approval Changes | Pierre-Alain Ruffieux | © Oct-2015 Novartis AG | 30

ICH Q12 should facilitate predictability & efficiency of post-approval change management, thus supporting innovation and ensuring sustained product supply.

Page 31: Managing Post Approval Changes · 2017-01-12 · Managing Post Approval Changes: yesterday, today and tomorrow ... Alternate testing site for . the release ... Approval . Implementation

In conclusion

| 2015 FDA-PDA Post Approval Changes | Pierre-Alain Ruffieux | © Oct-2015 Novartis AG | 31

....ultimately potentially impacting the capacity of the industry to deliver products to patients.

Post Approval Change is a relatively simple process on the surface... ... but requirements vary significantly from country to country in terms of reporting levels, amount of documentation and approval timelines.

This represents a significant barrier to continuous improvement & a challenge in maintaining compliance...

IT systems can facilitate the variability of the process but don’t remove the regulatory complexity....

Page 32: Managing Post Approval Changes · 2017-01-12 · Managing Post Approval Changes: yesterday, today and tomorrow ... Alternate testing site for . the release ... Approval . Implementation

| 2015 FDA-PDA Post Approval Changes | Pierre-Alain Ruffieux | © Oct-2015 Novartis AG | 32

In conclusion

We aspire to move away from pre-approval “control-based” system to “science-based” knowledge where changes are implemented on a “tell & do” basis and reviewed during routine inspection.

Page 33: Managing Post Approval Changes · 2017-01-12 · Managing Post Approval Changes: yesterday, today and tomorrow ... Alternate testing site for . the release ... Approval . Implementation

ACKNOWLEDGEMENTS

| 2015 FDA-PDA Post Approval Changes | Pierre-Alain Ruffieux | © Oct-2015 Novartis AG | 33

Ursula BUSSE Raylene DYSON Ronan FARRELL Fedra LIMONCINI Maria SOLER-NUÑEZ Klyde TAKALINE