Good Pharmaceutical Manufacturing Practice Rationale and Compliance © 2005 by John Sharp Good Pharmaceutical Manufacturing Practice Rationale and Compliance John Sharp CRC PR ESS Boca Raton London New York Washington, D.C. © 2005 by John Sharp PH1994_book.fm Page iv Friday, September 10, 2004 12:03 PM Library of Congress Cataloging-in-Publication Data Sharp, John, 1930– Good pharmaceutical manufacturing practice : rationale and compliance / by John Sharp. p. cm. Includes bibliographical references and index. ISBN 0-8493-1994-3 (alk. paper) 1. Drugs—Standards—United States. 2. Drugs—Standards—European Union Countries. 3. Pharmaceutical industry—United States—Quality control. 4. Pharmaceutical industry— European Union Countries—Quality control. 5. Drugs—Law and legislation—United States. 6. Drugs—Law and legislation—European Union Countries. I. Title. RS189.S524 2004 362.17’82’0973—dc22 2004050322 This book contains information obtained from authentic and highly regarded sources. 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Trademark Notice: Product or corporate names may be trademarks or registered trademarks, and are used only for identification and explanation, without intent to infringe. Visit the CRC Press Web site at www.crcpress.com © 2005 by John Sharp No claim to original U.S. Government works International Standard Book Number 0-8493-1994-3 Library of Congress Card Number 2004050322 Printed in the United States of America 1 2 3 4 5 6 7 8 9 0 Printed on acid-free paper © 2005 by John Sharp PH1994_book.fm Page v Friday, September 10, 2004 12:03 PM PREFACE Worldwide, there are more than 20 different official regulatory statements, national and international, on Good Manufacturing Practice (GMP) for pharmaceutical (or “drug” or “medicinal”) products. These regulatory statements may be termed “regulations,” “guides,” or “guidelines,” and of the 20 or so of them, 2 stand out as being the most influential and most frequently referenced: The United States Current Good Manufacturing Practice Regulations (cGMPs) and the European Commission’s “Good Manufacturing Practices for Medicinal Products for Human and Veterinary Use” (the EC GMP guide). The full titles of these documents are as follows: 1. Code of Federal Regulations 21 CFR, Part 210: Current Good Manufacturing Practice in Manufacturing, Processing, Packing or Holding of Drugs; Gen- eral. CFR, and Part 211: Current Good Manufacturing Practice for Finished Pharmaceuticals. Revised April 1, 2002 (may be viewed on FDA website, www.fda.gov). For the purposes of this book, and for convenience, 21 CFR Part 210 and Part 211 will be referred to as the US cGMPs. 2. “The rules governing medicinal products in the European Union, Volume 4, Good Manufacturing Practices, Medicinal Products for Human and Vet- erinary Use” (European Commission, Directorate General — Industry, Phar- maceuticals and Cosmetics), 1998 Edition. Updated September 27, 2002. Published in Luxembourg by the Office for Official Publications of the European Communities (may be viewed at http://pharmacos.eudra.org/F2/ eudralex/vol-4/pdfs-en/). The English version of this text is also published in full as part of the U.K. Medicines Control Agency’s (MCA) “Rules and Guidance for Pharmaceutical Manufacturer’s and Distributors 2002,” London, The Stationery Office, 2002, ISBN 011 322559 8. The object of this book is to present the major substance of these two publications in a way that will permit a comparative consideration of the reasoning behind each of the main requirements and to offer suggestions for their practical implementation. v © 2005 by John Sharp PH1994_book.fm Page vi Friday, September 10, 2004 12:03 PM There is another set of related guidelines, which are given in full in the above MCA publication. These are the Guidelines on Good Distribution Practice (GDP) of Medicinal Products for Human Use. These guidelines were issued in support of the European Directive 2001/83/EC, which introduced the requirement for wholesale dealers to obtain a formal authorization to engage in such activities. The relevant paragraph (77/1) in that directive reads: Member States shall take all appropriate measures to ensure that the wholesale distribution of medicinal products is subject to the possession of an authorisation to engage in activity as a wholesaler in medicinal products, stating the place for which it is valid. Although these regulatory texts are freely available in the public domain and no formal permission is required to quote from them, I would like to express my personal thanks to both the US FDA and the European Commission for making them so readily available. While every attempt has been made in this book to offer advice and guidance that will assist manufacturers in regulatory compliance, it would be foolhardy to claim that it will ensure survival of all levels of regulatory scrutiny. Further, while substantial portions of both the US cGMPs and the EC GMP Guide are quoted here, the full texts are not presented. To ensure compliance, reference must be made to the full original texts. Note: Although the correct current title of the interstate partnership that exists in Europe is the European Union (EU), readers of this book will notice references to the titles of earlier manifestations of this assembly, notably the European Economic Community (EEC) and the European Community (EC, also used to signify the European Commission). This is because these earlier titles are still in use, both in common European parlance, and in the titles of various European directives and guidelines. The policy adopted for the purposes of this book is to use for the title of a document the one by which it is most commonly known. John Sharp September 2004 © 2005 by John Sharp PH1994_book.fm Page vii Friday, September 10, 2004 12:03 PM THE AUTHOR John Sharp, BSc, CChem, FRSC, Hon. MRPharmS, CBiol, MiBiol, FIQA, worked nearly 20 years in the pharmaceutical industry — in the practice and management of the chemical analysis, QA/QC, production, and distribution of most major categories of medicinal products and of the bulk production of a number of active substances. He joined the U.K. Medicines Inspectorate in 1971 and was promoted to principal inspector in 1972. In addition to his inspection duties, he compiled and edited the 1977 and 1983 editions of the U.K. Guide to Good Pharmaceutical Manufacturing Practice or “The Orange Guide,” which later formed the basis for the EC/EU GMP Guidelines. Since leaving the Inspectorate in 1985, he has held appointments with the Association of the British Pharma- ceutical Industry (as project manager) and has returned briefly to the Industry (as technical director of Waverley Pharmaceutical). Since 1987, Sharp has run his own consultancy business. He is the author of more than 70 published papers, books, booklets, and manuals on many aspects of pharmaceutical technology, QA/QC, etc. (including three entire modules in the Manchester University Advanced Pharmaceutical Training series and four modules for the ABPI NVQ Operator Training series). He has presented papers at technical, professional, and academic seminars and symposia in Britain, Continental Europe, Canada, the U.S., Africa, and Asia. He is a member of the Editorial Board of the European Journal of Parenteral and Pharmaceutical Sciences, and a referee for the U.S. Parenteral Drug Association’s Journal of Pharmaceutical Science and Technology. Sharp is an honors science graduate of London University, a fellow of the Royal Society of Chemistry (and for many years a member of the RSC’s panel of assessors for qualified persons), an honorary member of the Royal Pharmaceutical Society (for services to Pharmacy in the field of GMP), a member of the Institute of Biology, a fellow of the Institute of Quality Assurance, an honorary life member of the Parenteral Society, and an honorary life member of the Pharmaceutical BFS Operators Association. In 1996 he received the U.S. PDA’s Korczynski Award for international contributions to the pharmaceutical sciences. In 2003 he received the U.K. Parenteral Society’s George Sykes Memorial Award for his paper on sterile products manufacture. He is a member of the Middlesex County Cricket Club and the Harlequin Football Club. vii © 2005 by John Sharp PH1994_book.fm Page ix Friday, September 10, 2004 12:03 PM TABLE OF CONTENTS Chapter 1 Introduction: Status and Applicability of US Regulations/ EU Guidelines — General Quality Issues................................1 Chapter 2 Personnel, Organization, and Training................................19 Chapter 3 Premises/Buildings and Facilities.........................................59 Chapter 4 Contamination and Contamination Control....................... 85 Chapter 5 Equipment...............................................................................99 Chapter 6 Materials Control..................................................................113 Chapter 7 Production and Process Controls.......................................149 Chapter 8 Packaging and Labeling Control.........................................171 Chapter 9 Holding and Distribution.....................................................191 Chapter 10 Laboratory Controls.............................................................211 Chapter 11 Records and Reports............................................................253 Chapter 12 Returned and Salvaged Drug Products...............................325 Chapter 13 Sterile Products Manufacture — Basic Principles.............329 Chapter 14 GMP and Quality Assurance in Sterile Products Manufacture .........................................................................371 Chapter 15 Validation — General Principles.........................................405 Chapter 16 Validation — Applications...................................................439 Chapter 17 Self-Inspection and Quality Audit.......................................469 Chapter 18 US cGMPs and EC GMP Guide — Concluding Comparison .........................................................................485 ix © 2005 by John Sharp PH1994_book.fm Page 1 Friday, September 10, 2004 12:03 PM 1 INTRODUCTION: STATUS AND APPLICABILITY OF US REGULATIONS/ EU GUIDELINES — GENERAL QUALITY ISSUES The main objective of this book is to consider and compare the principle requirements of Good Manufacturing Practice (GMP), most notably in: (cid:1) The US Current Good Manufacturing Practice for Finished Pharmaceu- ticals regulations (the “US cGMPs”) (cid:1) The Guide to Good Manufacturing Practice for Medicinal Products of the European Union (the “EC GMP Guide”) This book will also discuss the rationale behind these requirements and will propose ways and means of complying with them. The approach generally adopted for this book, after the following consid- eration of the status and applicability of these two major regulatory statements on GMP, is to base each chapter on one of the subparts of the US cGMPs (Organization and Personnel, Buildings, Equipment, etc.), which are quoted (often in a somewhat abridged version) and then followed by the (also often abridged) corresponding sections of the EC GMP Guide. These quotes are then followed by a comparative discussion, which enlarges on the regulatory requirements and proposes steps toward implementation and then compliance. The reader should note that, although the quotes are verbatim, they may not represent the full original regulatory texts, which should be consulted when- ever necessary. 1 © 2005 by John Sharp PH1994_book.fm Page 2 Friday, September 10, 2004 12:03 PM 2 (cid:1) Good Pharmaceutical Manufacturing Practice: Rationale and Compliance STATUS AND APPLICABILITY US cGMPs Part 210 — Current Good Manufacturing Practice in Manufacturing, Processing, Packaging, and Holding of Drugs: Sec. 210.1 Status of current good manufacturing practice regulations. (a) The regulations set forth in this part and in parts 211 through 226 of this chapter contain the minimum current good manufacturing practice for methods to be used in, and the facilities or controls to be used for, the manufacture, processing, packing, or holding of a drug to assure that such drug meets the requirements of the act as to safety, and has the identity and strength and meets the quality and purity characteristics that it purports or is represented to possess. (b) The failure to comply with any regulation set forth in this part and in parts 211 through 226 of this chapter in the manufacture, processing, packing, or holding of a drug shall render such drug to be adulterated under section 501(a)(2)(B) of the act and such drug, as well as the person who is responsible for the failure to comply, shall be subject to regulatory action. Sec. 210.2 Applicability of current good manufacturing practice regulations. (a) The regulations in this part and in parts 211 through 226 of this chapter as they may pertain to a drug and in parts 600 through 680 of this chapter as they may pertain to a biological product for human use, shall be considered to supplement, not supersede, each other, unless the regulations explicitly provide otherwise. In the event that it is impossible to comply with all applicable regulations in these parts, the regulations specifically applicable to the drug in question shall supersede the more general. (b) If a person engages in only some operations subject to the regulations in this part and in parts 211 through 226 and parts 600 through 680 of this chapter, and not in others, that person need only comply with those regulations applicable to the operations in which he or she is engaged. EC GMP Guide — Foreword The Pharmaceutical Industry of the European Community maintains high stan- dards of Quality Assurance in the development, manufacture and control of medicinal products. A system of Marketing Authorisations ensures that all medicinal products are assessed by a Competent Authority to ensure compliance with contemporary requirements of safety, quality and efficacy. A system of Manufacturing Authorisations ensures that all products authorised on the Euro- pean market are manufactured only by authorised manufacturers, whose activ- ities are regularly inspected by the Competent Authorities. Manufacturing Authorisations are required by all pharmaceutical manufacturers in the Euro- pean Community whether the products are sold within or outside of the Community. Two directives laying down principles and guidelines of good manufacturing practice (GMP) for medicinal products were adopted by the Commission in © 2005 by John Sharp PH1994_book.fm Page 3 Friday, September 10, 2004 12:03 PM Introduction: Status and Applicability of US Regulations/EU Guidelines (cid:1) 3 1991, the first for medicinal products for human use (Directive 91/356/EEC), the second one for veterinary use (Directive 91/412/EEC). Detailed guidelines in accordance with those principles are published in the Guide to Good Manufacturing Practice which will be used in assessing applications for man- ufacturing authorisations and as a basis for inspection of manufacturers of medicinal products. The principles of GMP and the detailed guidelines are applicable to all oper- ations which require the authorisation referred to in Article 16 of Directive 75/319/EEC and in Article 24 of Directive 81/851/EEC as modified. They are also relevant for all other large-scale pharmaceutical manufacturing processes, such as that (sic) undertaken in hospitals, and for the preparation of products for use in clinical trials. All Member States and the Industry itself are agreed that the GMP requirements applicable to the manufacture of veterinary medicinal products are the same as those applicable to the manufacture of medicinal products for human use. Certain detailed adjustments to the GMP guidelines are set out in two annexes specific to veterinary medicinal products and to immunological veterinary medicinal products. The Guide is presented in chapters, each headed by a principle. Chapter 1 on Quality Management outlines the fundamental concept of Quality Assurance as applied to the manufacture of medicinal products. Thereafter each chapter has a principle outlining the Quality Assurance objectives of that chapter and a text which provides sufficient detail for manufacturers to be made aware of the essential matters to be considered when implementing the principle. In addition to the general matters of Good Manufacturing Practice outlined in the 9 chapters of this guide, a series of annexes providing detail about specific areas of activity is included. For some manufacturing processes, different annexes will apply simultaneously (e.g., annex on sterile preparations and on radio pharmaceuticals and/or on biological medicinal products). A glossary of some terms used in the Guide has been incorporated after the annexes. The first edition of the Guide was published in 1989, including an annex on the manufacture of sterile medicinal products. The second edition was published in January 1992 … [it] … also included 12 additional annexes. The basic requirements in the main guide have not been modified. 14 annexes on the manufacture of medicinal products have been included in this third edition.… The Guide is not intended to cover security aspects for the personnel engaged in manufacture. This may be particularly important in the manufacture of certain medicinal products such as highly active, biological and radioactive medicinal products, but they are governed by other provisions of Community or national law. © 2005 by John Sharp