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QUALITY ASSURANCE WORKBOOK FOR PHARMACEUTICAL
MANUFACTURERS
Michael Jahnke
PDABethesda, MD, USA
DHI Publishing, LLCRiver Grove, IL, USA
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10 9 8 7 6 5 4 3 2 1
ISBN: 1-930114-81-8Copyright © 2005 Michael Jahnke. All rights reserved.
All rights reserved. This book is protected by copyright. No part of it may be reproduced, stored in aretrieval system or transmitted in any means, electronic, mechanical, photocopying, recording, or otherwise,without written permission from the publisher. Typeset in the United Kingdom by Dolffin. Printed in the UnitedStates of America.
Where a product trademark, registration mark, or other protected mark is made in the text, ownership ofthe mark remains with the lawful owner of the mark. No claim, intentional or otherwise, is made by reference to anysuch marks in the book.
While every effort has been made by the publisher and the author to ensure the accuracy of theinformation contained in this book, the organization accepts no responsibility for errors or omissions. The viewsexpressed in this book are those of the editors and authors and may not represent those of either Davis HealthcareInternational or the PDA, its officers, or directors.
PDA3 Bethesda Metro CenterSuite 1500Bethesda, MD 20814United States301-986-0293
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United Stateswww.DHIBooks..com
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iii
CONTENTS
Contents iiiPreface xiiiBiography xvii
INTRODUCTION 1
Principles and Duties of Production 3Principles and Duties of Quality Control 3Principles and Duties of Quality Assurance 4Quality Management, Quality Assurance and Quality Control 5
THE QUALITY MANAGEMENT SYSTEM OF A PHARMACEUTICAL COMPANY 9
The Basis of a QM System-The DIN EN ISO 9001 9Quality Management Sections 11
QUALITY MANUAL 13
Quality Manual of the Company 15Table of Contents 16 Part 1: Declaration of Principles of the Quality Policy 17Part 2: Definitions 17Part 3: Organisational Structure 18Part 4: Functional Measures 22
SECTION 1: MANAGEMENT RESPONSIBILITY 23Introduction 23Regulations 23Job Descriptions 24
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Job Description: Quality Assurance 25Aim of the Position 25Most Important Responsibilities/Duties 26Job Description: Quality Control Manager (Qualified Person) 27Aim of the Position 27Most Important Responsibilities/Duties 27Organisational Structure 29
SECTION 2: QUALITY MANAGEMENT SYSTEM 31
Introduction 31Regulations 31First Level: Quality Manual 32Second Level: Quality Management System Procedures 32Third Level: Standard Operating Procedures (SOPs) 33Fourth Level: Rules and Regulations 33
SECTION 3: CONTRACT REVIEW 35
Introduction 35Regulations 35Responsibilities 36
1. Secrecy Agreement 362. (Contract) Manufacturing Agreement 373. Quality Assurance Agreement 44
SECTION 4: DESIGN AND DEVELOPMENT 53
Responsibilities 53
SECTION 5: CONTROL OF DOCUMENTS AND RECORDS 55
Responsibilities 56SOP: Documentation Requirements-Design and Structure of StandardOperating Procedures (SOPs) and other Quality Manual Documents 56
SOP Header 57Indexing by Central Documentation Unit 57Layout Requirements 57Identification of Revision Needs 59Approval and Release of Documents 59
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Distribution and Identification of the Original Document 60Example of Receipt Form 60Example of a Destroy Form 60Storage and Archiving of Records and Documents 61Distribution of Quality Relevant Documents 61Indexing System 61
SECTION 6: PURCHASING 63
Introduction 63Regulations 63Vendor Evaluation 64Responsibilities 65SOP: Supplier Evaluation 65
1. Purpose 652. Responsibilities 653. Description/Implementation 67
SOP: Implementation of Supplier Audits 691. Purpose 692. Responsibilities 693. Description/Implementation 71
Supplier Audit Checklist 74
SECTION 7: CONTROL OF CUSTOMER-SUPPLIED PRODUCT 101
Introduction 101Regulations 101Responsibilities 101
Description of Execution 102
SECTION 8: PRODUCT IDENTIFICATION AND TRACEABILITY 103
Introduction 103Regulations 103Responsibilities 104
Example Description of Execution 104
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SECTION 9: PROCESS CONTROL 107Introduction 107Regulations 107Responsibilities 108
SECTION 10: INSPECTION AND TESTING 109
Introduction 109Regulations 109Responsibilities 110
Typical Description of Execution 110
SECTION 11: CONTROL OF INSPECTION, MEASURING ANDTEST EQUIPMENT 113
Introduction 113Regulations 113Responsibilities 114
SECTION 12: INSPECTION AND TEST STATUS 117
Introduction 117Regulations 117Responsibilities 117
SECTION 13: CONTROL OF NON-CONFORMING PRODUCTS 119
Introduction 119Regulations 119Responsibilities 120
Example Description about Management of Defective Products 120SOP: Processing of Complaints 121
Implementation 122Receiving Reports of Medicine-Related Risks 122Essential Initial Information 123Obtaining Information 123Blocking of Remaining Products 124Documentation 124Checking (Simulation) of the Structured Procedure 124
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SECTION 14: CORRECTIVE AND PREVENTATIVE ACTION 125
Introduction 125Regulations 125Responsibilities 125
Highlighting Errors and Potential Quality Deviations 126SOP: Deviation Management 127
Deviation Report Form 131
SECTION 15: HANDLING, STORAGE, PACKAGING AND DISTRIBUTION 133
Introduction 133Regulations 133Responsibilities 133
SOP: Handling, Storage, Packaging and Dispatch of Solid and Sterile Products 134
SECTION 16: CONTROL OF QUALITY RECORDS 139
Introduction 139Regulations 139Responsibilities 140
SECTION 17: SELF INSPECTION AND AUDITING 141
Introduction 141Regulations 141Scheduling and Planning Audits 142
Auditors 142Conducting the Audit 142Reporting Findings 142Corrective and Preventive Action 143Review 143SOP: Self Inspection (Quality Audit) 143Planning 144Quality Audit Procedure 144Measures Following a Quality Audit 145SOP: Handling (Regulatory) Inspections 145
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SECTION 18: TRAINING 161
Introduction 161Regulations 161Responsibilities 164
Establishing the Training Requirement 164Internal and External Training Measures 164Types of Training 166Trainer Qualification 167Training Materials 167Stipulating the Content of the Training Programme 168Training Duration and Time 169Outer Framework of the Training Event 169Monitoring Success 169Documentation 170Organisation of a Training System 170The Efficiency of a Training System 171Summary and Outlook 172
Example Documentation of Training and Instructions Report about Execution of Instruction Measures 173
SECTION 19: SERVICING 175
SECTION 20: STATISTICAL TECHNIQUES 177
Introduction 177Regulations 177Responsibilities 178
Comments Regarding the Procedure 178
SECTION 21: HYGIENE 179
Introduction 179Regulations 179Responsibilities 179General Aspects 180
Staff Hygiene 180Production Hygiene 181
Example: Sterile Production Hygiene Protocol 181Aim of the Hygiene Protocol 181Scope of the Hygiene Protocol 181
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Health and Safety 181Cleanroom Concept 182Room Layout in Sterile Production 182Requirements for Premises, Ventilation Techniques and Equipment 183Lockers 183Washrooms 183Media 183Staff Hygiene 183Access Regulations 184Dress Code 184Skin and Hand Hygiene 184Medical Monitoring 184Training 185Production Hygiene 185The Cleaning and Disinfecting of Equipment and Premises 185
SECTION 22: FACILITIES, UTILITIES AND ENGINEERING (SITE MASTER FILE) 189
Introduction 189Regulations 189Example: Site Master File 189
1. General Information 1912. Personnel 1943. Premises and Equipment 1954. Documentation 1985. Production 2016. Quality Control 2047. Contract Manufacture and Analysis 2058. Distribution, Complaints and Product Recall 2059. Self Inspection 205
SECTION 23: VALIDATION 207
Introduction 207Validation Master Plan 207
Company Description 208Company Validation Policy 208Legal Regulations and Guidelines 208Aim of the Validation Master Plan 209Responsibilities 209Validation Concept 210Process Validation (PV) 213
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Cleaning Validation 217Revalidations 220Maintenance 220Validation Status/Validation Programme 221Technology Transfer 221Risk Analyses 224
ANALYTICAL TRANSFER PROTOCOL 225MANUFACTURING TRANSFER PROTOCOL 233Hazard Analysis and Critical Control Points (HACCP) Risk Analysis in Product Specific Validation 243
Introduction 243HACCP Analysis 244Product Specific Validation Plan (PVP) 245
Example: Summary Technology Transfer Report of Product 255Introduction 255General Part 255Analytical Transfer Protocol (ATP) 255Manufacturing Transfer Protocol (MTP) 256Risk Analysis According HACCP 256Final Evaluation of the Technology Transfer Process 257
SECTION 24: CHANGE CONTROL AND ANNUAL PRODUCT REVIEW 259
Introduction 259Regulations 259Responsibilities 260
Example: Change Control Management 260Formal Procedure for Changes 263Application of a Change (Section 1 and 2) 263
SOP Annual Product Review 270Scope 270Abbreviations 270Responsibilities 270Regulations 271
SECTION 25: CONTINUOUS IMPROVEMENT SYSTEM 275
Introduction 275Regulations 275Responsibilities 275
Quality System 276Design Control 277
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Document Control 277Purchasing 277Change Control 277Control of Customer-Supplied Products 277Process Control 277Inspection and Test Status 277Control of Non-conforming Product 278Corrective and Preventive Action 278Handling, Storage, Packaging, Preservation and Delivery 278Internal Quality Audit 278Training 278Statistical Techniques 278Hygiene 279Facilities, Engineering 279Validation 279
FURTHER READING 281
INDEX 287
LIST OF FIGURES
Figure 1 Interrelationship between QA, QC and Pharmaceutical Production 2Figure 2 Model of a Quality Management System 5Figure 3 Process Oriented Quality Management System 7Figure 4 Possible Organisation Chart within a Quality Management System 29Figure 5 Document Structure of a Quality Management System 33Figure 6 GMP Training in the Form of a Lecture 172Figure 7 Documentation SOP Flow Chart 199Figure 8 Flow Diagram of Manufacturing and In-Process Controls - Site 1 238Figure 9 Flow Diagram of Manufacturing and In-Process Controls - Site 2 239
LIST OF TABLES
Table 1 Basis of a Quality Management System-Comparison between DIN ENISO 9001 and PIC-GMP Guideline 10Table 2 Matrix Example to Define Functions and Responsibilities 49Table 3 The Layout Requirements for SOP Documentation 57Table 4 An Example of Indexing of Relevant Documents 61Table 5 Summary Self-Inspection Report 146
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Table 6 Example of Actions on Corrective or Preventative Measures 148Table 7 Allocation of Areas to Clean Categories 182Table 8 Number of Employees Engaged in Various Activities 192Table 9 List of Contact Details and Outside Activities 193Table 10 Preparation, Revision and Control of Documents 200Table 11 Risk Analysis According to HACCP (Hazard Analysis and Critical Control Points) 246
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PREFACE
This Quality Assurance Workbook for Pharmaceutical Manufacturers presentsstrategies for the set up and management of a Quality Management system within thepharmaceutical industry. Based on the structure of DIN EN ISO 9000, a series ofQuality Management sections are shown and it is made clear that these must berealised and continuously improved. These sections regulate the responsibility forquality, show how necessary it is to plan processes at an early stage, what is requiredin order to attain a high production standard and how it may be maintained. Allchapters are presented individually and partly supplemented with practiced order-of-events experience (Standard Operation Procedures [SOPs]).
Starting with the close relationship of Quality Assurance with GoodManufacturing Practice (GMP) and Quality Control and Pharmaceutical Production, aQuality Management system for the pharmaceutical industry is presented and anexample Quality Manual is described. Within the 25 chapters the key issues of a goodQuality Manual are presented and practices are described that have been developedwithin a pharmaceutical manufacturing company.
Starting with Management Responsibility, advice is presented on how to providejob descriptions and define management responsibilities. The Quality ManagementSystem chapter deals with the establishment, documentation, implementation andmaintenance of a Quality Management system, e.g., how to handle manufacturingprotocols, testing instructions, measures for calibration and maintenance, etc.
A detailed description of the set up and review of contracts such as SecrecyAgreement, (Contract) Manufacturing Agreement and Quality Assurance Agreementand the measures for amendments thereof are provided. This is followed bydescriptions of the process of the planned and documented Research and Development(R&D), ranging from planning, definition of inputs, documentation of the results andinspection and certification of the design, to design validation, which defines thetransition into the field of process control.
Control of documents and records is of paramount importance, thusdocumentation requirements, e.g., design and structure of SOPs and other Quality
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Manual documents are described. Measures for Purchasing are presented andsupplemented by SOPs dealing with vendor qualification programs and auditchecklists. The next chapter deals with Control of Customer-Supplied Product inwhich specification requirements of starting materials, packaging materials, etc., andsystematic verification, storage and control are described.
Classification of products is important in all phases of production, quality control,and delivery. The requirements for identification and recording for traceability arepresented within the topic of Product Identification and Traceability. Quality relevantinstructions for process steering and Process Control are provided. All manufacturingprocesses need to be conducted under fully validated conditions and followingestablished specifications. The purpose of the chapter on Inspection and Testing is todescribe the systematic testing procedure for compliance with stipulated qualityrequirements. This ensures that tested materials are used in the manufacturing processand are subsequently processed and released as an end-product for launch providedthat they satisfy the specifications stipulated in advance. The status of the materialsand products must be considered in relation to the results of past and future qualitytests.
The chapter about Control of Non-conforming Products is provided to show howto process complaints and to trace back raw data. Practical advice is also providedabout Corrective and Preventive Action dealing with deviation management anddeviation report form. The provisions for identifying, collecting, recording andarchiving quality records are described in the chapter about Control of QualityRecords.
Since auditing is a fundamental element of a Quality Management system acompany must have an audit procedure and program in place to verify conformity ofoperations with the principles of Quality Assurance, and the relevant regulatoryrequirements. The chapter on Self Inspections and Auditing deals with regulationsabout how to conduct audits from the point of view of Quality Assurance, RegulatoryAgencies (legal authorities) and contractors. Detailed SOPs are provided foradaptation.
In addition to the need for qualified equipment in the pharmaceutical industry,international and national conditions also demand and regulate staff qualifications(training). The chapter on Training provides detailed information aboutresponsibilities, practical aspects on training, e.g., qualification of trainer, trainingmaterials, example documentation of training and instructions, etc.
Subsequent chapters deal with the important topics of Servicing and StatisticalTechniques and this is followed by a chapter on Hygiene and maintaining HygienicConditions with regard to the regulations governing personnel and production hygiene.
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The chapter on Facilities, Utilities, and Engineering details the regulations andgives an example of the content and structure of a Site Master File and alsoinformation about Validation of both manufacturing and analytical methods. Thestructure of a Validation Master Plan and required contents of chapters is discussedfollowed by introduction into risk analysis according to the HACCP (Hazard Analysisand Critical Control Points) concept and measures for Analytical and ManufactureTransfer Protocols.
Change is inevitable and if there is to be improvement it must be planned,controlled and coordinated if chaos and confusion are to be avoided. Measures toadequately control change are provided within the chapter on Change Control andAnnual Product Review, which contains example SOPs and formulae dealing withchange control management and annual product reviews. Finally a philosophy of theContinuous Improvement of a Quality Management system is discussed.
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AUTHOR BIOGRAPHY
Dr Michael Jahnke was born on 4 August 1961 in Gronau (Leine) near Hanover inGermany. He is married and has two children. His scientific career started in 1981 atthe Technical University of Braunschweig, Germany, and University of Bielefeld,where he passed his Diploma – Pre examination in Biology. Between 1984–1987 hestudied Microbiology at the University of Hanover, Germany, where he achieved hisDiploma in Biology (B.Sc. Biol.). In 1990 he obtained his doctorate on naturalsciences (Dr. rer. nat./Ph.D.) at the Institute of Microbiology/University of Hanover onthe topic of mineralisation of xenobiotics.
Dr Jahnke started his professional career in 1990 when he became the Head ofDepartment (Biology) at the IBR Forschungs GmbH, working on ecotoxicology,biology, and Quality Assurance. From 1994–2002 he became Head of DepartmentQuality Control/Microbiology at Hameln Pharmaceuticals GmbH, a contractmanufacturer of parenteral pharmaceutical drugs. In 2001 Dr Jahnke startedpublishing workbooks about Environmental Monitoring in Pharmaceutical Areas,Media Fill Validation and Environmental Monitoring during Aseptic Processing andMicrobiological Monitoring of Pharmaceutical Process Water.
At present he is Head of Quality Assurance at Wülfing Pharma GmbH, a contractmanufacturer of sterile and non-sterile pharmaceutical drugs. He continues his workon risk analysis in pharmaceutical drug manufacturing, hygienic risks caused bymicroorganisms and topics about Quality Assurance.
Dr Jahnke has achieved certification as a Specialist Microbiologist SM (AAM)Consumer and Industrial Microbiology – Pharmaceutical/Medical Device/Cosmetics,is a member of the Parenteral Society and Deutsche Gesellschaft für Hygiene undMikrobiologie (DGHM) and contributes to the Editorial Board of European Journalof Parenteral & Pharmaceutical Sciences of the Parenteral Society, UK and theEditorial Board of Journal of Pharmaceutical Science and Technology of theParenteral Drug Association, USA.
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