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ISPE Annual Meeting 29 October – 1 November 2017 San Diego, CA 1 Combination Product Updates, Initiatives, and Case Studies Steven B. Hertz, P.E. Consumer Safety Officer, FDA/CDER/OPQ ISPE Annual Meeting & Expo, October 30 th 2017 2 1: CP Overview 2: CDER Updates 3: CP Application Info 4: Case Studies 5: Summary Agenda ISPE Annual Meeting & Expo, October 30 th 2017

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ISPE Annual Meeting29 October – 1 November 2017

San Diego, CA

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Combination Product Updates, Initiatives, and Case Studies

Steven B. Hertz, P.E.Consumer Safety Officer, FDA/CDER/OPQ

ISPE Annual Meeting & Expo, October 30th 2017

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1: CP Overview

2: CDER Updates

3: CP Application Info

4: Case Studies

5: Summary

Agenda

ISPE Annual Meeting & Expo, October 30th 2017

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San Diego, CA

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ISPE Annual Meeting & Expo, October 30th 2017

2013“Indifference”, “Down”, “No Way”, “Help, Help”, “In Hiding”, “Sad”…

2017“Smile”, “Just Breathe”, “Unthought Known”, “It’s Okay”!!!

Pearl Jam’s CP tour

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CP Overview1

• 21 CFR Part 4 (Subpart A, CGMP)

regulation https://goo.gl/qjZZfY

preamble https://goo.gl/6GWHiB

guidance https://goo.gl/GtGLsk

ISPE Annual Meeting & Expo, October 30th 2017

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San Diego, CA

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CP Overview1

• This presentation will focus on…

drug/device CPs (21 CFR 211/820)

drug PMOA (BLAs, NDAs, ANDAs)

single entity CPs

finished CP manufacturing

pre and post approval CP CGMP issues

ISPE Annual Meeting & Expo, October 30th 2017

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CP Overview1

• 21 CFR Part 4.4(b)(1)

Drug CGMP OS w/ QSR call‐outs

820.20 (mgmt responsibility)

820.30 (design controls)

820.50 (purchasing controls)

820.100 (CAPA)

820.170 & 820.200 (installation & servicing [as applicable])

ISPE Annual Meeting & Expo, October 30th 2017

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CP Overview1

• 21 CFR Part 4.4(b)(2) QSR OS w/ drug CGMP call‐outs 211.84 (incoming testing)

211.103 (yield calculation)

211.137 (expiration dating)

211.165 (finished product testing)

211.166 (stability testing)

211.167 (special testing)

211.170 (reserve samples)

ISPE Annual Meeting & Expo, October 30th 2017

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CDER Updates2

• PDUFA VI, GDUFA II, BsUFA II streamlined CP review to 

enhance coordination and transparency between FDA and industry

• ORA Program Alignment improved resource allocation for 

inspections and facility evaluation

ISPE Annual Meeting & Expo, October 30th 2017

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San Diego, CA

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CDER Updates2

ISPE Annual Meeting & Expo, October 30th 2017

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CDER Updates2

• Integration of FDA Facility Evaluation and Inspection Program for Human Drugs: A Concept of Operations

https://goo.gl/xDe1jR

• Additional resources

https://goo.gl/jgWWah

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• Management Responsibility (820.20)

summary of how a firm’s management has established responsibility

provide a description of the functions and responsibility of each facility

CP Application Info3

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• Design Control (820.30)

explain how you utilized the design control process to develop the CP

provide a description of your design control procedures

CP Application Info3

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• Design Control (820.30)

provide a summary of the plan used to design the CP, and explain how the design control process was used to develop the CP

may integrate into existing systems (see case #1)

CP Application Info3

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• Purchasing Controls (820.50) provide a summary of the procedure(s) 

for purchasing controls describe your supplier evaluation 

process

define how you maintain records of acceptable suppliers and how you address the purchasing data approval process

explain how you will balance purchasing assessment and receiving acceptance

CP Application Info3

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• Purchasing Controls (820.50)

explain how the procedure(s) will ensure that changes made by contractors/suppliers will not affect the final CP

CP Application Info3

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• Purchasing Controls (820.50)

provide a description of how you apply the purchasing controls to the suppliers/contractors used in the manufacturing of the CP (e.g., through supplier agreement)

CP Application Info3

ISPE Annual Meeting & Expo, October 30th 2017

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• Corrective and Preventative Action (820.100) summarize the procedure(s) for your 

CAPA system identification of sources of quality 

data and analysis of these data to identify existing and potential causes of nonconforming practices and products

investigation of nonconformities and their causes

CP Application Info3

ISPE Annual Meeting & Expo, October 30th 2017

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• Corrective and Preventative Action (820.100)

summarize the procedure(s) for your CAPA system

identification and implementation of actions needed to correct and prevent recurrence of nonconformities

verification or validation of the actions taken

CP Application Info3

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• 21 CFR Part 4 controls not implemented

CP manufacturing development

firm had claimed it implemented a QbD approach with defined QTPPs

firm failed to integrate design controls in this approach (no 820.30 gap analysis)

Case #14

ISPE Annual Meeting & Expo, October 30th 2017

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• 21 CFR Part 4 controls in place, but not compliant

CP manufacturing design changes

“…your firm failed to implement its established procedure for design validation.”

“…your firm failed to conduct design validation of the device constituent part of this CP, as required by SOP.”

Case #24

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San Diego, CA

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• 21 CFR Part 4 controls in place, but inadequate CP management responsibility 820.20 applies to device constituent 

parts as well as the CP mgmt rep must have appropriate 

authority to ensure CGMP/QSR requirements are 

established and maintained performance of QS is reported to executive 

mgmt

820.20 vs ICH Q10 Sec. III vs 211.22

Case #34

ISPE Annual Meeting & Expo, October 30th 2017

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• 21 CFR Part 4 controls in place, but inadequate

CP manufacturing design

“…your firm has not completed any validation testing of the design of [the CP] in order to ensure that the products conform to the defined intended uses.”

Case #44

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• 21 CFR Part 4 controls in place, but inadequate

CP manufacturing design

“…you have not reviewed or updated the risk analysis... [therefore] …you have not provided adequate risk analysis in your design validation to ensure that the products conform to their defined intended uses.”

Case #44

ISPE Annual Meeting & Expo, October 30th 2017

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• 21 CFR Part 4 controls in place, but inadequate

CP manufacturing CAPAs

“…your firm does not adequately analyze processes to identify existing and potential causes of nonconformities related to product or other quality problems.”

Case #44

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San Diego, CA

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• 21 CFR Part 4 controls in place, but inadequate

CP manufacturing CAPAs

“Your firm does not use appropriate statistical methodology for process capability in order to analyze the quality of production machinery output at critical process steps and to detect recurring quality problems.”

Case #44

ISPE Annual Meeting & Expo, October 30th 2017

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• 21 CFR Part 4 controls in place, but inadequate

CP manufacturing CAPAs

“Your firm does not employ appropriate statistical methodology for analyzing complaint trends to identify recurring quality problems and/or existing and potential causes of nonconforming product.”

Case #44

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San Diego, CA

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Summary5

• If you have CP questions about X, contact Y

• Application info  Center RPM

• Inspection observations  ORA (CDER will assist if needed) 

• CP guidance and policy  OCP

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Summary5

[email protected]

(301) 796‐3203

ISPE Annual Meeting & Expo, October 30th 2017

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San Diego, CA

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