Professional Documents
Culture Documents
Process
Validation
A Life Cycle Approach
TABLE OF CONTENTS
Southern California PDA Chapter Section
Focus Theme: A Lifecycle Approach to Process Validation
A Lifecycle Approach to Process Is Your Environmental Monitoring
10 Validation: Interpreting the 2011 FDA
Process Validation Guidance
26 Program Risk-Based?
Marsha Stabler Hardiman, Senior Consultant
Ravi Samavedam, General Manager Concordia ValSource, LLC
BioSPEQ, Inc.
Company Spotlight
Skingenix, Inc. Prolacta Bioscience, Inc.
57 Shaleen Parekh, General Manager and Prinicipal
BioSPEQ, Inc.
59 Ruchika Raval
Vice President, PDA Southern California Chapter
President, Global BioPharm Regulations
VARANT SHIRVANIAN
CO-EDITOR-IN-CHIEF,
SoCAL PDA STUDENT CHAPTER,
KECK GRADUATE INSTITUTE
DAPHNE DARMAWAN
WEB EDITOR,
SoCAL PDA STUDENT CHAPTER,
KECK GRADUATE INSTITUTE
SARA HERRMANN
ASSOCIATE EDITOR,
SoCAL PDA STUDENT CHAPTER,
KECK GRADUATE INSTITUTE
JOEL GREGGAIN
ASSOCIATE EDITOR,
SoCAL PDA STUDENT CHAPTER,
KECK GRADUATE INSTITUTE
KEKOA IOBST
ASSOCIATE EDITOR,
SoCAL PDA STUDENT CHAPTER,
KECK GRADUATE INSTITUTE
NEXUS Vol. 1 Issue 1
Contributors
AUTHORS JOANNA D. NAYMARK
President, SoCal PDA Student Chapter
ROBERT BRUSH Keck Graduate Institute
Business Development Manager
Thermo Fisher Scientific SHALEEN PAREKH
General Manager and Principal
SNEHA DESHPANDE BioSPEQ, Inc.
Engineer II
BioSPEQ Inc. RUCHIKA RAVAL
Vice President, SoCal PDA Chapter
WEIBING DING, Ph.D. President
Prinicpal Scientist, Materials Science Global Biopharm Regulations
Amgen, Inc.
DEBRA REED
IGOR GORSKY Vice President
Senior Consultant Liberty IRB
Concordia ValSource, LLC
MICHAEL RUBERTO, Ph.D.
MARSHA STABLER HARDIMAN President
Senior Consultant Material Needs Consulting, LLC
Concordia ValSource, LLC
RAVI SAMAVEDAM
JOHN HOLMGREN General Manager
President, SoCal PDA Chapter BioSPEQ, Inc.
Director Quality/Validation
Global Pharmaceutical Services, Irvine STEVE SPEER
Allergan, Inc. Associate Director, West Region
ProPharma Group
DEAN ISILDAKLI
Engineer I PAIGE STEIN
BioSPEQ, Inc. Manager of Media Relations
Keck Graduate Institute
MICHAEL JARPE, Ph.D.
KGI Advisory Council APRIL YANG
Vice President, Biopharmaceuticals Co-leader, SoCal PDA Student Chapter Mentorship Team,
Allergan, Inc. Keck Graduate Institute
This initiative was undertaken to serve the following: (1) provide a tool that expands upon tech-
nical topics and enhances knowledge among PDA members and our industry, (2) provide a vehicle
that allows the opportunity for professionals at various levels in their career to publish and expand
the industry, (3) promote and strengthen the awareness of resources to enhance this network in
our industry, and (4) create a platform for highlighting aspects in our industry and among our
professionals that lend to collaboration and professional development. We feel proud of our first
publication, as we believe that these objectives have been successfully met.
Sustainability… This has obviously taken a significant amount of time for all that have been in-
volved in this exciting initiative. In order to sustain this journal, the NEXUS PDA Committee needs
volunteers that have passion for directing and contributing to the evolution of this publication. If
you want to learn about what is involved in volunteering for this exciting initiative, please contact
me: brian@biospeq.com, (909) 714-3155.
We’ve had a lot of fun working on this publication. We truly hope that you enjoy it, and in some
way help us in supporting its sustainability.
Thank you,
Brian Underhill
General Manager and Principal
BioSPEQ, Inc.
NEXUS Vol. 1 Issue 1
Creating the NEXUS Journal as its founding co-editor has truly been a unique experience. It has
taught me valuable lessons in leadership and teamwork, enriched my professional development,
and helped me establish lasting friendships and professional relationships that I will take with me
into my professional career in the Life Sciences. As I prepare to graduate from KGI this May, I’m
confident that the KGI NEXUS team will strive to perpetuate this journal to new heights on the way
to maximizing its value potential for the Life Sciences industry.
I must thank my editorial team: Daphne Darmawan, Joel Greggain, Sara Herrmann, and Kekoa
Iobst whose diligence and dedication have made the vision of the NEXUS Journal a reality. I’d like
to thank Joanna Naymark (President, PDA SoCal Student Chapter) and the PDA Student Chapter
officers for their contributions and support throughout this project. Also, I want to thank the authors
of this inaugural issue for sharing their valuable experiences and insights with our readers. Finally,
I’d especially like to thank Brian Underhill, for his mentorship and direction. Working with him has
taught me that the magnitude of success is limited only by one’s drive and imagination, and I feel
very fortunate to have worked with him on the NEXUS.
Thank you,
Varant N. Shirvanian
News & Media Project Leader
PDA SoCal Student Chapter
Keck Graduate Institute
NEXUS Vol. 1 Issue 1
Call for
Authors
Each NEXUS Journal issue will contain a focus theme, which will have multiple
articles surrounding this topic. In addition to the “focus theme,” each issue will also
contain other sections (subject matter experts, recent technical advances, company
spotlight, PDA event highlight, Highlighting Industry Professionals, etc.).
Advertising
Opportunities
The NEXUS Journal Team is also accepting advertisements for each issue. If you
or your organization would like to advertise in the next issue of the NEXUS, or learn
more about our media package, please contact:
10
TABLE OF CONTENTS
Focus Theme
BY RAVI SAMAVEDAM
GENERAL MANAGER
BioSPEQ, INC.
A Lifecycle Approach
to Process Validation
I
n January 2011, the FDA Guidance for In-
dustry - Process Validation: General Prin-
11
impact of this guidance. The increased empha- quality products, via extensive characterization
sis on process knowledge and understanding the and development studies. Process knowledge
variability, underscores the need to understand and understanding sources of variability is critical
the inter-dependencies of various activities that to this effort. Design of experiments (DOE) ap-
encompass the commercialization process of
proaches is often used at this stage to understand
drugs.
multivariate interactions between inputs and
Process Validation (PV) is defined per the outputs. Risk analysis tools are recommended to
2011 FDA guidance on PV as “the collection and screen potential variables for DOE studies to re-
evaluation of data, from the process design stage duce the number of studies performed, yet maxi-
throughout production, which establishes scien- mizing process understanding. It is not a regulato-
tific evidence that a process is capable of consis- ry expectation that the process be developed out
tently delivering quality products”. to failure, but rather developed to establish the
operating space for ongoing manufacturing.
A lifecycle approach to process validation
with enhanced focus on process knowledge and Studies performed at this stage need to be
understanding is recommended per this guid- based on sound scientific principles and should
ance. Specifically, the guidance refers to three follow good documentation practices, but do not
inter-related stages as being the components of necessarily need to be conducted under cGMP
the lifecycle approach to PV: conditions. Certain studies such as impurity and
viral clearance studies, however, are considered
Stage 1 – Process Design: The commercial man- critical enough that they require quality oversight
ufacturing process is defined during this stage and should be treated separate from other early
based on knowledge gained through characteri- process design experiments. Process design typ-
zation, development and scale-up activities. ically also includes pilot or large scale studies, in
Stage 2 – Process Qualification: During this stage, addition to bench scale experiments. This is es-
the process design is evaluated to determine if pecially true when scale dependent parameters
the process is capable of reproducible commer- exist, that cannot be adequately studied using
cial manufacturing. small scale models. It is important at this stage to
understand the capability and limitations of large
Stage 3 – Continued Process Verification: Ongo- scale equipment for routine manufacturing to en-
ing assurance is gained during routine production sure control strategies recommended at the end
that the process remains in a state of control. of stage 1 are appropriate.
12
13
14
Protocols that are prospectively approved by PPQ protocol. In addition, such batch should be
appropriate departments and the quality unit is put on stability and be highly scrutinized for any
a requirement for PPQ batches. These protocols customer complaints and defect reports.
should contain the manufacturing conditions,
process parameters and ranges, as well as PPQ For companies employing process analytical
success criteria, based on sampling and testing technologies (PAT) for real time monitoring and
for product quality and process consistency. It is control of process parameters, the approach to
expected that the sampling plan is adequate to stages 1 and 2 should focus more on the mea-
address inter-batch and intra-batch consistency. surement systems and control aspects of the at-
In addition, the protocol should contain instruc- tributes.
tions for addressing excursions against the proto-
col requirements, status of stage 2a activities as
STAGE 3: CONTINUED
PROCESS VERIFICATION
well as the status of the analytical methods to be
used for testing the PPQ batches. The conditions The objective of stage 3 in the PV lifecycle is
during PPQ batch should be representative of a continual assurance that the validated state of
normal operations expected for routine commer- the manufacturing process and related systems is
cial manufacturing. The results of the execution maintained. During this stage, process parame-
of the protocols should be summarized in final re- ters that are indicative of product quality and pro-
ports analyzing the testing results, discussion of cess consistency are expected to be monitored
any excursions observed and the overall conclu- and analyzed. It is recommended that a statistical
sions of the PPQ effort. approach to process control be established in or-
der to adequately measure the level of process
The guidance document provides the provi- control and variability of the manufacturing pro-
sion for potentially releasing PPQ batches prior cess. In addition, stage 3 activities could serve as
to the completion of the PPQ activities. Majority an early warning system of adverse variability in
of the time, it is expected that all PPQ activities
are completed prior to release and distribution STAGE 3 – CONTINUED PROCESS
of product. In certain circumstances, such as or- VERIFICATION ACTIVITIES
phan drugs, drug with short half lives or those in • Monitoring and analysis of process parame-
limited supply (causing limited number of batch- ters and quality attributes
es produced), concurrent release of PPQ batches • Estimation of process capability and process
may be accomplished. This requires that the PPQ control
protocol provide the rationale and criteria for re- • Ongoing maintenance and calibration
lease of such batches prior to the completion of • Re-qualification activities
all PPQ activities (e.g. minimum number of suc-
STAGE 3 – CONTINUED PROCESS
cessful runs required to be completed for the pro-
VERIFICATION OUTPUTS
cess to be considered qualified). The data from
• Verification of process control
the batches in questions must meet standard
• Process improvement opportunities
cGMP requirements, any regulatory approval cri-
• Maintenance of qualified state for facilities,
teria and the lot release criteria established in the
equipment and utilities
NEXUS Vol. 1 Issue 1
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16
TABLE OF CONTENTS
Focus Theme
Risk and Statistics Serve as Tools for
Solving Variation Riddles and Creating
Robust Processes
This article was originally published in the April 2013 PDA Letter and is
republished with permission.
H
ow much variation is acceptable in risk management. For it to be effective, risk
our products and processes? For such tools need to be introduced early in Stage
a simply stated question, the answer 1. This initial application will better help in-
can be quite complex, especially when ap- dustry understand and control the amount of
plied to drug product Stage 2 testing (Pro- variation in its products and processes, the
cess Performance Qualification, or PPQ). It is source of its origin and its ultimate impact
a question industry needs to begin answer- on the patient. In essence, we are trying to
ing at the initiation of Stage 1 activities, with create a means by which we can develop,
risk management as the key tool and driver and ultimately measure, the robustness of
NEXUS Vol. 1 Issue 1
17
our products and processes. But first we must define the maximum amount of variation we
are willing to accept in our product attributes for these robust products and processes to be
developed. This requires a full embrace of the new lifecycle approach to process validation.
How do we get there? “Line of Sight” is how we can describe the manner in which varia-
tion can be assessed along the lifecycle. The amount of testing we perform during Stages 2
and 3 needs to have a clear path back to the attributes of the products we wish to deliver. It
must also have a risk-based statistical justification (2).
Why employ this approach? When we can measure, reduce and control variation, gains
will be seen on both the operational and quality assurance sides of the business. Production
and process yields will increase with reductions in variation. As yields increase, profitability
advances will be seen. From a quality-system standpoint, reduction in variation will correlate
to reductions in events like deviations, OOS, and CAPA (Figure 1).
18
utilized is shown in Table 1. While there are different manners in which product quality at-
tributes are identified as “critical,” the answer eventually comes down to a “yes or no” for
criticality. The attribute simply is or is not a CQA with “Potential CQAs” moving up to critical
or down to noncritical as product and process knowledge increases.
Source: Technical Report 60: Process Validation: A Lifecycle Approach, Page 53.
19
can look at three product attributes for a large molecule being filled into a syringe (potency/
bioactivity, plunger glideability and pH). All have all been classified as CQAs. A simple risk
assessment has been performed to determine the relative criticality for each (see Table 2).
The analysis of this product example shows that we must test and assess potency/bioactivity
to a higher level than pH. This is the point at which we are starting to determine the maximum
amount of variation we will allow in our product and process, which creates a baseline mini-
mum amount of robustness. It is now something we can target and begin to measure.
As the relative criticality has been assessed, there should be standard methods within or-
ganizations to tie these severity rankings to a statistical level. Using a typical confidence of
95%, we have applied 99%, 95% and 90% minimum population acceptance levels to high,
medium and low severity bands respectively (see Table 3). What this means, practically, is
the three CQAs in our example must meet at the least, with 95% confidence, the population
levels shown. We now have assigned the minimum level of robustness we will allow for the
CQAs.
Table 3. Example CQA Contin-
uum of Criticality Analysis with
Detailed Statistical Levels As-
signed.
Although we have assigned statistical levels that tie Line of Sight back to the relative risk levels of
the CQAs, we have not determined their risk-based sample sizes. The number of samples will be de-
termined by the manner in which the data the CQA is presented. If the data is continuous, we will have
NEXUS Vol. 1 Issue 1
20
to take fewer samples than if the data is discrete (pass/fail). An example of how to select sample sizes
using ISO 16269–6 is provided in Table 4 (4).
Table 4 . CQA Criticality Based PPQ Sampling for Drug Product, Combination Products, or Medical Devices
Sources: Technical Report 60: Process Validation: A Lifecycle Approach, 54, 84, and ISO 16269–6 Statistical interpre-
tation of data–Part 6: Determination of statistical tolerance intervals.
The amount of testing performed during development and clinical batches may assist in pooling of
the samples. For example, if a given CQA output is shown to be substantially equivalent batch to batch,
samples can be taken across each batch and pooled together, rather than performing the testing by just
sampling within each batch. For a high severity CQA, Figure 3 provides a decision tree that shows the
difference in samples required if the data collected is discrete or continuous, pooled or not. As you can
see, the range can be significant (Note, the decision to pool should not be taken lightly, care must be
taken to justify this action). But, the earlier in the lifecycle this analysis is performed and understood,
the easier it is to plan.
Moving backwards in the lifecycle…the samples sizes we selected were based upon standard statis-
tical methods using the type of data and variation seen in development, and tied to a relative severity
level of the product quality attributes assessed to be critical to quality. This is our Line of Sight – this is
how we begin to control variation and create robust products and processes.
21
agement team at Concordia ValSource and a 3. Technical Report No. 60: Process Validation: A Lifecy-
member of PDA’s Science Advisory Board and cle Approach; Parenteral Drug Association: 2013. www.
the PDA Letter Editorial Committee. pda.org/bookstore (accessed March 14, 2013).
22
TABLE OF CONTENTS
Focus Theme
Cleaning Validation:
Points to Consider
BY DEAN ISILDAKLI
ENGINEER I
BioSPEQ, INC.
T
he objective of cleaning validation is tablishment of cleaning acceptance criteria,
to demonstrate that cleaning methods cleaning validation and ongoing monitoring.
employed for reusable Biopharmaceu- The following sections summarize some crit-
tical product contact equipment is effective ical points to consider for each of these as-
in removing residues from routine process- pects of a cleaning validation program.
ing operations. These residues are inherent
to the manufacturing process and insuffi- Small parts and disassembled equipment
cient cleaning processes pose the risk of tend to require detailed SOPs to describe
carryover to a subsequent batch/product. how they are cleaned, rinsed, dried, and
Cleaning validation is designed to ensure the stored. This may be done with a parts wash-
NEXUS Vol. 1 Issue 1
23
er, which is the preferred method, or with a ment is held after use and before start of
manual cleaning method, which is not gener- cleaning) etc. The output of the study should
ally recommended because of the potential be a preliminary assessment of cleanability
exposure to strong cleaning agents and the of the residue using the proposed cleaning
inherent variability in the cleaning method. solution. Such studies are typically followed
by at-scale studies to ensure scalability of
Tanks, chromatography systems, and fer-
the cleaning mechanism.
menters can be connected to Clean-in-place
(CIP) circuits that are either portable or part In order to claim sufficient cleaning, a ro-
of the manufacturing facility. The appropri- bust sampling and testing regimen needs to
ate cleaning and rinsing agents can also be be in place. The sampling and testing em-
bagged and attached to the skid or part of ployed should incorporate methods that can
a facility’s CIP storage system. Many tanks detect the soilant, cleaning agents and any
have spray balls connected to the top of microbial proliferation. Typical tests em-
the tank where cleaning and rinsing solu- ployed in the Biopharmaceutical industry in-
tions are sprayed into the tank. Spray balls clude visual inspection, Total Organic Carbon
24
also take into consideration aspects of the lized to reduce the burden of performing
sampling technique, such as swab surface these studies. Examples of such approaches
area, equipment surface area, etc. It is not include performing studies on certain rep-
uncommon for companies to equate the ac- resentative or worst case equipment among
ceptance criteria to that of the attributes of a group/family of equipment that have the
the final rinse solution (for example, WFI), same soil and cleaning process. In such in-
such as TOC, bioburden, endotoxin, conduc- stances, the rationale should be based on
tivity etc. It is however still recommended science-based claims documented prospec-
that a carryover calculation be performed to tively in cleaning validation documentation.
ensure such limits employed are adequate
In cases in which the same equipment is
from a potential contamination risk stand-
utilized for either multiple products or soils,
point.
a worst case soilant approach may be uti-
Carryover calculations involve the high- lized. This is typically preceded by an eval-
est amount of a product from one batch that uation of all the soils for cleanability. Some
can get carried over into a batch of the next factors to be considered include solubility of
product and can potentially cross contami- the residues in the cleaning agent, routine
nate another drug. Several factors are in- manufacturing conditions such as dirty hold
volved in this calculation, including the av- times, ability of the sampling technique to
erage product contact surface area of that recover residues, etc. The output of these
specific piece of equipment, the highest evaluations typically include an establish-
possible batch of the next drug product that ment of a worst case soilant that can used as
flows through the piece of equipment, and a representatives of all the residues evaluat-
the largest effective dose of the first prod- ed as part of these studies.
uct.
After completion of cleaning validation,
Cleaning validation studies are typically it is required to implement a cleaning mon-
performed concurrent to manufacturing op- itoring program that is capable of assuring
erations, since such studies require an eval- adequate cleaning on an ongoing basis.
uation of the cleaning process after soiling Some important aspects of such as program
the tank with the relevant residue. During include periodic sampling and testing simi-
these studies it not uncommon to employ lar to cleaning validation. Review of clean-
worst case methodologies such as reducing ing failures/deviation, review of product
the cleaning agent concentration, incorpo- changeover events and any testing should
rating a target maximum dirty hold time pri- be summarized in periodic review documen-
or to start of cleaning, reducing the cleaning tation to demonstrate continued verification
duration compared to routine operations etc. of adequate cleaning. It is also necessary to
incorporate proper assessment of impact to
During cleaning validation, bracketing
cleaning processes are part of the change
and/or worst case approaches may be uti-
control program.
NEXUS Vol. 1 Issue 1
25
TABLE OF CONTENTS
NEXUS Vol. 1 Issue 1
26
TABLE OF CONTENTS
Focus Theme
Is Your Environmental
Monitoring Program
Risk-Based?
BY MARSHA STABLER HARDIMAN
SENIOR CONSULTANT
Concordia ValSource, LLC
A
s part of the product lifecycle, data
needs to be collected to ensure that
the manufacturing process remains in
control. Performing routine Environmental
Monitoring (EM) of your manufacturing pro-
cess allows for the collection and evaluation
of data about the contamination levels in
your controlled environments. EM of con-
trolled areas in healthcare manufacturing is The way that EM sample locations were
not a new concept. Healthcare companies selected has progressed over the years from
have been performing non-viable air partic- random sampling to grid sampling (where
ulate and viable air and surface particulate clean rooms were set up by dividing up a
monitoring for years. Global regulations re- room based on its area and selecting X num-
quiring EM for aseptic manufacturing pro- ber of sample locations). The most common
cesses are published in documents such as random sampling scenario looked something
the FDA Aseptic Processing Guideline, Annex like this: viable/non-viable locations were in
1 and the Japan Aseptic Processing Guide. the center of the room and in all four room
What is new in regards to EM is the applica- corners (maybe on a work bench near these
tion of risk to EM programs for the selection five locations). Floor contact plate samples
of sample site locations and for the determi- were likely in the center of the room and
nation of sampling frequencies. all four corners. Wall contact plate surface
NEXUS Vol. 1 Issue 1
27
samples were taken in the center of each their new cleanroom qualification protocols
wall. It was not uncommon to see ceiling and would then cut back the number of rou-
samples collected at lower frequencies than tine EM sample locations at the end of the
floors and wall samples. A move towards qualification based on results/data.
grid sampling occurred once ISO 14644-1,
Advance to current day. Healthcare has
“Cleanrooms and Associated Controlled En-
adopted risk management and risk-based
vironments – Part 1: Classification of Air
decision making. In regards to EM, compa-
Cleanliness” came into existence in 1999.
nies now need to ensure that their EM pro-
Some companies increased the number of
grams are risk based. Many EM programs are
routine EM samples (for both viable and
still set up in the random sampling or grid
non-viable) to match the required minimum
sampling format and companies are reas-
number of samples from the formula sup-
sessing their current EM programs in order to
plied in the standard:
develop risk-based ones. So how do you en-
28
tional team brainstorming session to identify these activities. This floor assessment in-
potential microbial risk factors for the new formation coupled with the known microbi-
products and processes. A fishbone (Ishi- al contamination risks in the manufacturing
kawa) diagram is a great tool for this activ- process will allow for selection of sample
ity. At this stage, there is no need to assess locations to best address these risks. Once
current planned controls or mitigations. It these prior activities are complete, selection
simply helps to identify anything and every- of EM sample locations can be made based
thing that may cause a microbial contamina- on risk of microbial contamination. The ra-
tion concern. The next step is to perform a tionale for selection of each sample location
formal microbial contamination risk assess- should be documented. All above mentioned
ment (FMEA (Failure Mode and Effects Anal- activities are documented and remain living
ysis) or HACCP (Hazard Analysis Critical Con- documents that should be revised as needed
trol Points) are tools that can be used for this or when changes are made.
activity) to identify microbial contamination
risks and planned mitigations of these risks EXISTING EM PROGRAM – REVISING
for the products and production processes. SAMPLE LOCATIONS
This risk assessment shall be performed with If a company has been performing EM
a cross-functional team, utilizing the results with random or grid based sampling, then
of the brainstorming activity and identifying they will have prior knowledge and data that
all controls and mitigations that will be in was not available in the new EM program
place to address the potential failure modes scenario described above. Often times, com-
and determine if a control strategy is in place panies will have many years’ worth of data
for each one. and prior knowledge. This data and knowl-
Once the product and process microbial edge about product and process microbial
risks are identified and evaluated, the next contamination risk is very helpful and serves
step is to perform an assessment on the man- as an input into the risk evaluation process.
ufacturing floor to review the personnel flow, The first step in reassessing a current EM pro-
material flow, and production activities. This gram is performing a review of the current
assessment will utilize the knowledge gained EM program data to assess currently known
about contamination risks during the FMEA problem locations as well as low risk loca-
or HACCP. The most important part of select- tions which rarely detect any colony forming
ing risk based sample locations for your EM units. The company likely already has formal
program is understanding the people and risk assessments identifying the product and
material flows. In most cases, the people in process microbial risk areas; therefore, the
the controlled environments are the greatest fishbone diagrams and formal risk assess-
risk of introduction of microbial contamina- ments mentioned above do not need to be
tion; therefore, sample locations should be created. However, these assessments need
selected to reflect and capture data around to be reviewed for accuracy. If these assess-
ments of microbial contamination are not al-
NEXUS Vol. 1 Issue 1
29
ready in place, they need to be performed at Taking the time to fully understand the
this stage as per the new EM program section products and processes in relation to the mi-
above. These assessments will be used as an crobial risks will ensure that a company’s EM
input to the selection of risk based sample program is value added. Once sample loca-
locations. As in the first scenario, an assess- tions are selected, sampling frequency can be
ment of the production floor needs to take easily determined based on risk. One com-
place to observe personnel flow, material mon and useful took for this is a risk ranking.
flow and production steps so that areas of For example, if an FMEA was used to assess
highest microbial risk can be determined. microbial contamination risk, the resulting
The historical data from the current EM pro- RPN numbers can be divided up to reflect
gram will aid in the microbial risk determi- low, medium and high risk (highest scoring
nations. Also, data from bioburden or oth- numbers = highest risk, middle scored num-
er utility testing will add knowledge. This bers = medium risk, and low scoring numbers
information needs to be assessed together = lowest risk). The higher the risk, the more
to determine and justify the new risk-based frequent the sampling can be. The rationale
sample locations. Once the data review, risk for the sampling frequency should also be
assessment review and floor assessment ac- documented. Finally, once sample sites and
tivities are complete, selection of EM sam- frequencies are selected, it is very important
ple locations can be made based on risk of to ensure that proper training is given to the
microbial contamination. The rationale for Microbiologists responsible for EM to ensure
selection of each sample location should be that they fully understand the importance of
documented. Prior sample locations which risk in EM programs.
are low risk may be eliminated or moved to
other higher risk locations in the clean room
area. New sample locations may be added.
Each sample location for the prior and new
locations should have a detailed rationale
as to why it is being kept, removed, moved
or added based on risk. All above mentioned
activities are documented and remain living
documents that should be revised as needed
TABLE OF CONTENTS
or when changes are made.
NEXUS Vol. 1 Issue 1
30
TABLE OF CONTENTS
Focus Theme
Application of Risk Management in
the Process Validation Lifecycle for
Biopharmaceutical Manufacturing
BY SNEHA DESHPANDE
ENGINEER II
BioSPEQ, INC.
T
aspects of commercialization and continued
he ability to take calculated risks is crit-
manufacturing of drug products. The follow-
ical to the success of any organization.
ing table summarizes some of regulations and
Effective Risk management improves
guidance documents that are applicable to the
performance, reduces waste and is focused
process validation lifecycle for biopharmaceu-
on doing things right the first time. Managing
ticals and medical devices2. A large majority of
potential threats and failure modes provide a
these documents reiterate the importance of
competitive advantage to any organization1. A
quality risk management.
good risk management program requires con-
tinuous analysis and communication, irrespec- Risk is defined as the combination of the
tive of where it is applied. Utilization of risk probability of occurrence of harm and the
management tools in the process validation severity of that harm4. ICH Q9 provides some of
lifecycle for Biopharmaceutical manufacturing the risk management tools that could be utilized
is a regulatory expectation as well as a means in the Biopharmaceutical industry. Flowcharts,
for companies to focus on the right areas to en- Check Sheets, Process Mapping, Cause and
sure product quality and patient safety. Effect Diagrams are used to organize data and
facilitate identification of risk factors. Failure
Regulatory agencies have, over the years,
Mode Effects Analysis (FMEA) and Failure Mode
increased their emphasis on risk management
Effects and Criticality Analysis (FMECA) can be
NEXUS Vol. 1 Issue 1
31
used to analyze and evaluate potential failure other tools exist and can be utilized in lieu of
modes. Individual failure modes can also be those shown here.
analyzed using Fault Tree Analysis (FTA). Hazard
1. Establish a cross functional team involving
Analysis and Critical Control Points (HACCP)
subject matter experts and trained person-
Regulation Reference nel from stakeholders within the company.
21 CFR part 210 Current Good Manufacturing Practice Specific risk owner and risk facilitator should
in Manufacturing Processing, packing,
or Holding of Drugs be assigned at this point. It is important to
21 CFR part 211 Current Good Manufacturing Practice
for Finished Pharmaceuticals
FDA Guidance Document Process Validation: General Principles
and Practices3
GHTF Guidance Document Quality Management Systems: Process
Validation Guidance
ASTM E 2500-07 Standard Guide for Specification,
Design, and Verification of Pharmaceu-
tical and Biopharmaceutical Manufac-
turing Systems and Equipment
ICH Q9 Quality Risk Management4
Annex 15 to EU guide to GMP Qualification and Validation5
WHO Technical Report Series, Supplementary Guidelines on Good
No. 937, Annex 4 Manufacturing Practices: Validation6
PIC/S Pharmaceutical Inspection Co-opera-
tion Scheme
ISPE ISPE baseline guides and GAMP guides
PDA Technical Reports PDA Technical Reports for different
validations
ISO 14971:2007 (E) Medical devices -- Application of risk
management to medical devices
FDAAA 2007 Food and Drug Administration Amend-
ments Act of 20077
is another tool that is identified in ICH Q9 to identify objective and scope of risk assess-
analyze and evaluate risk. ments, and related roles and responsibilities
of the team in the early stage of planning.
The following diagram from ICH Q9 shows
the various aspects of a sound quality risk 2. Risk owner(s) should present the preliminary
management program. risk assessment methodology to the team for
buy-in and common understanding.
A sound quality risk management program
3. Process/product understanding is a critical
includes the following four broad aspects - Risk
pre-requisite to risk assessments. In order
Assessment, Risk Control, Risk Communication
to minimize subjectivity, science and data
and Risk Review.
based decision should be made. The data
Identified below are steps that can part of can be gathered from different sources such
the risk assessment aspect quality risk man- as historical batch data, standard operat-
agement. The example tables included8 are for ing procedures, control documents, product
a FMEA/FMECA type of exercise, however, many specifications, annual product reviews, pri-
NEXUS Vol. 1 Issue 1
32
or relative risk assessments if any, etc. The each risk based on the following example
evaluation of risk to quality should be based table. This interim score takes into account
on scientific knowledge and ultimately link two factors – Severity and Likelihood of oc-
to the protection of the patient. currence. The actual ratings and categories
4. Risk assessment worksheets should include used needs to be agreed upon and pre-de-
details of potential risk/harm, different termined prior to the risk assessment exer-
modes of failure, available controls/mitiga- cise. The example shown here has outputs
tions and potential severity, likelihood and that are qualitative, but can be used quan-
detectability of risk. Significant brainstorm- titatively as well by multiplying the rating
ing efforts lead to effective risk assessments. numbers.
5. Identification of risks can be based on a va- 8. Based on the above interim scoring and the
riety of sources such as product complaints, detectability for each risk, a final risk score
known critical points, historical or scientific can be assigned, such as in the example table
knowledge etc. Once identified, each risk below. The outputs shown here are qualita-
must be scored based on severity, likelihood tive, however a quantitative Risk Prioritiza-
of occurrence and detectability. tion Number (RPN) can also be generated by
multiplying the three factors – severity, like-
6. Internal standard risk rating scales for sever-
lihood and detectability for each risk. The
ity, likelihood and detectability of potential
various risks can then be categorized based
risk should be prepared and documented.
on an RPN threshold that is agreed upon as
Example of a risk rating scale is included in
the cut-off point for various risk levels.
the following table. It is important that all
participants of the risk assessment process 9. Once the risks are categorized based on lev-
agree to the same risk rating scale prior to els, the ones that are considered high risk or
evaluating risk factors. above a certain RPN threshold, risk control
needs to be applied. Risks that are consid-
7. An interim risk score can be developed for
ered low may be accepted as is.
Scale Type Value Defintion Potential to Cause Risk
Exceed specification limits. Reject lot because of potential to com-
10 Severe
promise patient safety
Severity 7 Exceed other non-specification limits. Lot-tied investigation Major
4 Observed trend with no limit excursion. Non lot-tied investigation Moderate
1 No limit excursion or trends. No investigation Minor
10 Expected to occur > 50% of the time Frequent
Occur- 7 Expected to occur > 10% to < 50% of the time Likely
rence/
Likelihood 4 Expected to occur > 1% to < 10% of the time Occasional
1 Expected to occur < 1% of the time Unlikely
10 No way to detect Absolutely uncertain
7 Not detectable until after current process step is complete Remote
Detection
4 Detectable during current process step Moderate
1 Detectable before next processing step High
NEXUS Vol. 1 Issue 1
33
10 - High/ High/
Medium Medium High Low Medium High High
Frequent Critical Critical
34
TABLE OF CONTENTS
Focus Theme
LifeCycle Approach
to Validation of
Water Systems
T
he key to control of any process lies in BY IGOR GORSKY
understanding of its variability. How SENIOR CONSULTANT
much do we know about variation of our Concordia ValSource, LLC
processes or systems and are we in the state
of control? These questions need answers to
pursue success in execution of our processes.
rigorous application of Risk Management tools
Understanding, detection, response and
during Stage 1 (Process Design Stage) that
control from input through output of variation
will help the industry to assess, understand
consumed a focus of recent revision to the
an ultimately control the level of variation in
FDA Process Validation Guidance to Industry1
systems and processes.
(Figure 12). So how does one go about control of
variation? To do that one has to enable a Risk A set of Risk Management tools which will
Management System3. To be highly effective a aid us in our pursuit of robust design is outlined
Risk Management System needs to be initiated in a “Line of Sight” first introduced by Dr. Mike
early on during the design of a process or a Long4. It is how we can describe the manner in
system. As shown in Figure 1 the lifecycle of which the variation can be assessed throughout
the process is divided into three stages. It is a the lifecycle.
1. Guidance for Industry Process Validation: General Principles and Practices, U.S. Food and Drug Administration: January
2011 www.fda.gov/downloads/Drugs/GuidanceComplianceRegulatoryInformation/Guidances/ucm070336.pdf
2. Basemen, H. Parenteral Drug Association (PDA) Process Validation Process Validation Training Course, 2013
3. Technical Report No. 60: Process Validation: A Lifecycle Approach; Parenteral Drug Association: 2013. www.pda.org/book-
store (accessed March 14, 2013)
4. Risk and Statistics Serve as Tools for Solving Variation Riddles, Mike Long, PDA Letter, April 2013.
NEXUS Vol. 1 Issue 1
35
Figure 1.
The “Line of Sight” methodology is Water System from the Process Design (Stage
comprised of the following steps5: 1), through Performance Qualification (PQ)
(Stage 2) to Continued Verification (Stage 3)
1. Define system’s or process Critical Quality
Attributes (CQAs) monitoring activities which we should use for
2. Analyze CQAs criticality to maintain, improve and optimize our system.
3. Establish statistically based sample sizes The following Figure 3 shows a typical flow of
per criticality of the CQA the Water System’s lifecycle documentation.
4. Justify sample size for Performance
Qualification (Stage 2) and Continued Next we identify Water System’s Critical
Verification (Stage 3) Process Parameters (CPPs) and Critical Quality
Attributes (CQAs). This is a necessary task to
The “Line of Sight” methodology applies
identify impact of CPPs on CQAs (Refer to
to any pharmaceutical process or system. We
Table A). This task is important for establishing
will see that it is well suited for such critical
a baseline of Purified Water testing results
utility system as Purified Water. The design of
(Stage 1), Performance Qualification testing as
typical Purified Water system is illustrated in
well as future Continued Verification (Stage 3)
Figure 2. To start a “Line of Sight” methodology
monitoring.
we should first outline the lifecycle of the
5. Technical Report 60: Process Validation: A Lifecycle Approach, 51-55, Long, M. Baseman, H. and Henkels, W.D. “FDA’s New
Pro¬cess Validation Guidance: Industry Reaction, Questions, and Challenges,” Pharmaceutical Technology, Volume 35, Sept
2011. Risk and Statistics Serve as Tools for Solving Variation Riddles, Mike Long, PDA Letter, April 2013.
NEXUS Vol. 1 Issue 1
36
Figure 3.
NEXUS Vol. 1 Issue 1
37
Table A.
In addition to identification of CCPs, CQAs and their correlation during the design stage one
of the main decisions is one on the temperature at which system is operated, water is stored and
finally used. Table B is designed to aid in making an appropriate decision for the intended use of
the system. It also provides pros and cons of each system’s design so that appropriate procedures
could be properly drafted.
Table B.
38
After designing the system, it installation and operation needs to be qualified and sampling
regimen for Performance Qualification needs to be selected. Table C shows typical locations of
system sampling sites and Table D6 outlines Performance Qualification (Stage 2) strategy.
Softener Hardness
Oxidation/Reduction
Potential (ORP), Free
Carbon Bed
Chlorine, Ammonia, Total
Microbial Count
Conductivity, TOC, Total
Vapor Compression or Multi Effect
Microbial Count and
Still, Pretreatment with RO/CEDI
Endotoxin
Multimedia Filter Pressure, Particulates
Softener Hardness
Electrodeionization (EDI)
Reverse Osmosis and/or
pH Adjustment pH
De-Chlorination Oxidation Reduction
Potential (ORP), Total &
Carbon
Free Chlorine and Total
Bisulfite Microbial Count
Inlet and Outlet
Reverse Osmosis Conductivity, Flow Rate
and Total Microbial Count
Conductivity, TOC and
EDI
Total Microbial Count
Table D6.
Performance Qualification Phases
Duration Main Objectives Sampling
CPOP Operating Ranges Finalization
II 2-4 weeks Demonstrate Consistency with Finalized SOPs Every Location Twice a Week
Additional 10 to 11 Demonstrate Extended Performance, Establish Every Location Once a Week, One
III
months Continued Monitoring and Trending Location Daily
39
After qualifying the system we should revised Guidance for Process Validation. FDA’s
utilize knowledge gained from Performance Guidance tells us that we should be assuring
Qualification (Stage 2) to continue measuring process stability and capability.
system quality attributes during Continued
First we should be plotting monitored
Verification (Stage 3) also called monitoring. The
attributes onto a run chart. Run charts or line
typical metrics for this stage not only include
graphs display any process performance over
analysis of CQAs but also review and analysis of
time. Upward and downward trends and large
other important pieces of information, such as
oscillations are easily spotted and could be
• Deviations, immediately investigated further. The run charts
• Change Controls, shows an attribute values on the vertical y-axis
• Preventative Maintenance and as they are plotted against given time period on
• Sanitization Cycles. horizontal x-axis.
In conjunction with review of testing results For example, two run charts in Figure 4 show
robust review and analyses of above metrics will performance of Purified Water system. Total
provide valuable information of system’s state Organic Carbon (TOC) and Conductivity are two
of control. In addition, this holistic review will major Purified Water Critical Quality Attributes
provide basis for future changes, improvements that are plotted on the timeline. In these charts
and optimizations. we can clearly see that the process normally
To facilitate proactive and rigorous oscillates. There are a number of statistical
monitoring of Purified Water system’s quality parameters we can observe on these charts
attributes we recommend using statistical but most importantly we can visually observe
process control much like it is discussed in FDA’s shifts in the process and predict future failures.
It helps us assessing process stability.
0.0030
0.8
Conductivity
TOC
0.0025 0.7
0.0020 0.6
0.0015 0.5
1 5 10 15 20 25 30 35 40 45 50 1 5 10 15 20 25 30 35 40 45 50
Observation Observation
Number of runs about median: 27 Number of runs up or down: 30 Number of runs about median: 28 Number of runs up or down: 36
Expected number of runs: 26.0 Expected number of runs: 33.0 Expected number of runs: 26.0 Expected number of runs: 33.0
Longest run about median: 8 Longest run up or down: 4 Longest run about median: 5 Longest run up or down: 3
A pprox P-Value for C lustering: 0.612 A pprox P-Value for Trends: 0.153 A pprox P-Value for C lustering: 0.716 A pprox P-Value for Trends: 0.847
A pprox P-Value for Mixtures: 0.388 A pprox P-Value for Oscillation: 0.847 A pprox P-Value for Mixtures: 0.284 A pprox P-Value for Oscillation: 0.153
Figure 4.
NEXUS Vol. 1 Issue 1
40
The capability of a process is a measure and standard deviation. The process capability
of the proportion of in-specification items is represented by a term Cpk. It calculates a
the process produces when it is in a state of difference between the target of the process and
statistical control. It should be noted, that the upper and lower specification limit divided
process capability and process performance by three (3) times standard deviation (σ). The
are two different things. When assessing Cpk is a measure of short term process capability
process performance we are interested in how while the long term capability is represented by
the actual performance measures against the the term Ppk. The long term process capability
specification (limit), while process capability accounts for a long term variation and is more
measures if the process is capable of producing predictive of how the process will perform over
when it is in a statistical state of control. For time. Generally a value of Ppk that is greater
a valid process capability calculations, the data than 1.33 is acceptable to represent a capable
being assessed must be from a process that is process and a Ppk value of greater than 1.5 is
in a state of control, with respect to its’ mean desirable. Figures 5 and 6 illustrate usage of
Run Chart of TOC (2nd System) Run Chart of Conductivity (2nd System)
0.0055 1.4
Conductivity (2nd System)
0.0050 1.3
1.2
TOC (2nd System)
0.0045
1.1
0.0040
1.0
0.0035
0.9
0.0030
0.8
0.0025
0.7
0.0020
0.6
1 5 10 15 20 25 30 35 40 45 50 1 5 10 15 20 25 30 35 40 45 50
Observation Observation
Number of runs about median: 14 Number of runs up or down: 30 Number of runs about median: 22 Number of runs up or down: 36
Expected number of runs: 26.0 Expected number of runs: 33.0 Expected number of runs: 26.0 Expected number of runs: 33.0
Longest run about median: 11 Longest run up or down: 4 Longest run about median: 8 Longest run up or down: 3
A pprox P-Value for C lustering: 0.000 A pprox P-Value for Trends: 0.153 A pprox P-Value for C lustering: 0.126 A pprox P-Value for Trends: 0.847
A pprox P-Value for Mixtures: 1.000 A pprox P-Value for Oscillation: 0.847 A pprox P-Value for Mixtures: 0.874 A pprox P-Value for Oscillation: 0.153
Figure 5.
Process Capability of TOC (2nd System) Process Capability of Conductivity (2nd System)
00 52 04 56 08 60 12 64
.0 0. 0 0. 1 0. 1 0. 2 0. 2 0. 3 0.3
-0 -0.00 0.24 0.48 0.72 0.96 1.20
O bserv ed P erformance E xp. Within P erformance E xp. O v erall P erformance O bserv ed P erformance E xp. Within P erformance E xp. O v erall P erformance
P P M < LS L 0.00 P P M < LS L 0.10 P P M < LS L 0.00 P P M < LS L 0.00 P P M < LS L 0.00 P P M < LS L 22.36
P P M > U S L 0.00 P P M > U S L 0.00 P P M > U S L 0.00 P P M > U S L 20000.00 P P M > U S L 0.00 P P M > U S L 233.91
P P M Total 0.00 P P M Total 0.10 P P M Total 0.00 P P M Total 20000.00 P P M Total 0.00 P P M Total 256.27
Figure 6.
NEXUS Vol. 1 Issue 1
41
run charts and process capability analyses as we recommend them for Continued Verification (Stage
3) of system’s validation lifecycle. As we can see in an example shown on Figure 5 the process had
shifted on approximately 10th day as the TOC and Conductivity readings started to climb. There
could be multiple reasons for this shift. What is the most important lesson is that the run chart
monitoring helps us initiating an investigation early on prior to encountering “out of specification”
readings. So the run chart monitoring allows for an early detection of upward shifts.
Additionally, when analyzing process capability charts (Figure 6) of the process shown in Figure
5 they exhibit dramatic increase in variability and we can also observe that Conductivity now is
shifted closer to the Upper Control Limit (USL). This is an example of the system not capable to
meet a specification. As to the reasons for the shift in process capability there could be many. The
point is to prevent this shift by monitoring, statistically plotting results and correlating CQA values
with preventative and routine maintenance events as well as performing sanitization and other
necessary activities.
By utilization of statistics we can predict failures, prevent lengthy investigations and product loss
as well as improve and optimize our systems. Table E summarizes post-Performance Qualification
activities which are aided be structured routine statistical control monitoring programs.
TABLE OF CONTENTS
NEXUS Vol. 1 Issue 1
42
TABLE OF CONTENTS
Recent Technical Advances
Thermo Fisher Scientific TruScan RM Instrument:
Anti-Counterfeiting, Detecting Counterfeit Drugs
BY ROBERT BRUSH ARTICLE PROJECT MANAGER:
BUSINESS DEVELOPMENT MANAGER MIKE SHELLY, WESTERN REGIONAL SALES MANAGER
LIFE SCIENCES, DOE & INGALLS
THERMO FISHER SCIENTIFIC
W
ith increasing regulatory pressures for real-time identification. Utilizing la-
and the drive toward lean manufac- ser-based Raman spectrometry, TruScan an-
turing, pharmaceutical manufactur- alyzers screen pharmaceutical materials in
ers need efficient ways to perform accurate the field while providing results as reliable
incoming raw material identification. The as a laboratory.
Thermo Scientific™ TruScan™ RM is a hand-
The TruScan device collects a “spectral
held chemical analyzer that enables phar-
fingerprint” of the medicine in seconds and
maceutical manufacturers as well as govern-
compares it to a reference spectrum of an
mental and non-governmental organizations
authentic sample from a validated, digital
to rapidly screen counterfeit pharmaceutical
library of medicines and pharmaceutical
substances on the spot, effectively “bringing
ingredients. TruScan analyzers utilize an
the laboratory to the field.”
embedded decision engine containing
Designed for users with interests in se- proprietary algorithms for the comparison.
curing the pharmaceutical supply chain all These sophisticated mathematical equations
the way from raw materials to finished prod- offer a pass or fail result in seconds based
ucts, the TruScan platform is an important upon the statistical consistency of the
advancement in handheld instrumentation “spectral fingerprint” with the authentic
NEXUS Vol. 1 Issue 1
43
44
The current device is a second generation 2013. The new device, with its associated
analyzer; it was released three years ago. We workflow, streamlines many of the regulatory
strive to improve upon our software to make parameter choices required by multinational
the operator’s experience as easy, efficient pharmaceutical organizations in lieu of fixed
and effective as possible. Earlier this year, in controls to ensure Good Manufacturing Prac-
the latest software release for TruScan RM, tices (GMP). Point, shoot and identify is an
we enhanced our database performance to exciting and effective mode of operation.
handle over ten thousand reference signa- Simplifying the analyzer makes it easier to
tures. This was required by regulatory agen- implement and operate and has been well
cies desiring to catalog all the medicines received by early adopters who have experi-
being prescribed in their countries. We also enced the device in action.
improved the robustness of the automatic
Thermo Scientific TruScan analyzers are
report generation feature to more elegantly
bringing the laboratory to the field, enabling
handle slower electronic networks encoun-
commercial and regulatory users to rapidly
tered in many markets where the technology
identify counterfeit substances. Our TruScan
infrastructure may be weak.
instrument is part of the wider portfolio of
One of the many important applications our analytical testing instruments, which
for TruScan analyzers is screening of anti-ma- include bench top instruments like the
larial drugs in Africa, where malaria claims Thermo Scientific™ Nicolet™ iS™50 FT-IR
hundreds of thousands of lives every year. Spectrometer or the Thermo Scientific™
Substandard and fake drugs affect every- DXR™ Raman Microscope, which enable
one as drug resistant disease becomes more users to perform confirmatory sample
common due to the counterfeit epidemic. testing in the laboratory. Together, our
Screening programs based upon TruScan an- material identification instruments enable
alyzers and parallel laboratory verification users to first perform in field testing prior to
instituted in Nigeria claim to have reduced performing a more exhaustive analysis in the
the prevalence of fake anti-malarial medi- laboratory, as needed.
cines from the marketplace by 65% over the
Thermo Fisher Scientific is the world
past five years. Thermo Fisher Scientific is
leader in serving science. Our mission is to
working with global standard-setting bodies
enable our customers to make the world
to place analyzers in countries such as Gha-
healthier, cleaner and safer. With revenues
na to help further educate African authori-
of $13 billion, our scale and depth of capa-
ties and promote the quality of medicines
bilities enable Thermo Fisher to provide our
imported into as well as manufactured in
customers with the technology and support
Sub-Saharan Africa.
to solve complex analytical challenges, im-
We currently distribute the TruScan RM prove patient diagnostics and increase labo-
analyzer throughout Africa and just launched ratory productivity.
a more economical version called the Ther-
mo Scientific™ TruScan™ GP in November of
TABLE OF CONTENTS
NEXUS Vol. 1 Issue 1
45
TABLE OF CONTENTS
T
oday, an Independent Review Board (IRB) any location, has revolutionized study review.
is challenged more than ever before. The It promotes the most accurate, detailed and
challenge with accelerated innovation is cohesive review of a study. Liberty is able to
that there are far more protocol review, pa- tailor these in-depth reviews per their clients
tient safety discussions and ethics discussions needs, providing them with an unprecedented
than in the past twenty years. With multiple quality of service and personalized protection
weekly IRB board meetings, and an extensive for their research participants.
repertoire of expert board members, whose
Today, document transmission to board
attendance is often times a challenge to syn-
members and clients is immediate and secure
chronize, Liberty IRB has implemented several
through our Freedom portal. Pre-review of
innovative communication tools for connecting
the study begins the day we receive it. This
with such experts.
facilitates a faster turnaround time for quicker
Liberty IRB has implemented several in- results to our clients. Liberty IRB has also re-
novative communication tools for connecting duced use of paper 70% by providing review
with industry experts. Using innovative tech- of meeting materials electronically.
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Liberty IRB, Inc. is a female owned and op-
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and specialists during meetings. Users are able
located in DeLand, Florida. Liberty has had full
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dertaken effectively. This is accomplished by
Phase I-IV pharmaceutical, device, biologic, be-
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the IRB member is located. Technologies like
NEXUS Vol. 1 Issue 1
46
TABLE OF CONTENTS
T
he manufacture of biopharmaceutical
products is performed under GMP (Good
Manufacturing Practice) procedures (1) .
The process must be designed (Quality by
Design, QbD) (2) to reproducibility provide a
safe and effective product; the process must Any substances in the API which are not
also be validated (3) . The biopharmaceutical API are either a contaminant or an impurity.
product is defined as an active pharmaceuti- An impurity is “any component present in
cal ingredient (API) which “…. Is any compo- the drug substance or drug product that is
nent that provides pharmacological activity not the desired product, a product-related
or other direct effect in the diagnosis, cure, substance, or an excipient including buffer
mitigation, treatment, or prevention of dis- components. It may be either process- or
ease, or to affect the structure or any func- product-related” while a contaminant is “any
tion of the body of man or animals.” (4) . The adventitiously introduced materials (e.g.,
API can be either a drug or a biologic and is chemical, biochemical, or microbial species)
formulated into the final drug product prior not intended to be part of the manufacturing
to use. process of the drug substance or drug prod-
NEXUS Vol. 1 Issue 1
47
uct.” There is considerable interest in the 1. The use of reducing agents in the man-
measurement of impurities in APIs and final ufacturing of immunoglobulin conjugates
(14)
drug products (5)(6) .
2. The processing of difficult to recover
Impurities and contaminants are always proteins, often, recombinant proteins ex-
of importance as such indicate the quality pressed in bacterial cells (15) .
of the manufacturing process but are of par-
ticular regulatory concern where there is an DISULFIDE REDUCING REAGENTS IN SULFHYDRYL
effect on product efficacy or safety. In the CONJUGATION
case of the two products discussed in the
In the case of the immunoglobulin conju-
current document, dithiothreitol (DTT) and
gates, there is, in addition to the reduction
tris(2-carboxyethyl)phosphine (TCEP), there
of disulfide bonds to cysteinyl residues, the
is little information to suggest concern for
necessity of the preservation of cysteine in
product safety. Dithiothreitol seems to have
the reduced state such that it is available for
an beneficial antioxidant effect in vivo and
formation of a covalent bond with a conju-
in isolated tissue culture system (7) (8) (9) but
gate which could be a drug or a chelate con-
was reported to enhance mercury toxicity (10) .
taining a radioisotope. Similarly, the preser-
ity in one of two different, but closely relat- While it should be possible, in some cases, to
ed, applications: label a cysteine residue on an antibody with-
NEXUS Vol. 1 Issue 1
48
out reduction of additional disulfide bonds, residues via protein engineering for modifi-
reducing agents such as dithiothreitol (DTT) cation by maleimides can markedly improve
or tris(2-carboxyethyl)phosphine (TCEP) are product quality (32) .
used to reduce disulfide bonds to provide
The individuality of monoclonal antibod-
more sites for bioconjugate formation. An-
ies and fragments thereof such as F(ab’) and
other possibility is the insertion of a cyste-
Fab can not be overemphasized. Thus, while
ine residue into a recombinant monoclonal
there are some general principles, each man-
antibody by genetic engineering (22) (23) . This
ufacturing situation must be addressed as
later approach may provide more specificity
unique. For example, the presence of a tri-
for the attachment of drugs but still would
sulfide in a monoclonal antibody has been
require the presence of reducing agents such
shown to require a higher amount of TCEP
as TCEP to maintain sulfhydryl groups.
to achieve satisfactory yield of a bioconju-
A reducing reagent such as DTT or TCEP gate (33) . This trisulfide modification can be
can be used for the cleavage of disulfide controlled by feeding strategies, particularly,
bonds in an immunoglobulin or immuno- cysteine concentration in the feed medium
globulin fragment to generate a cysteinyl was found to be directly correlated to trisul-
residue available for modification (24) . The fide level in the product (34) . It is clear that
interchain disulfide bonds are preferentially the development of monoclonal antibody
reduced compared to the intrachain disul- therapeutics will use QbD (35) (36) (37) (38) (39) .
fide bonds. Lyon and coworkers (24) ob-
served that the interchain disulfide bonds REDUCING REAGENTS IN INCLUSION BODY
are distal from both the CDR (complementar- RECOVERY
ity determining region) which interacts with The second major use of reducing agents
the antigen (25) and Fc domain which inter- in biotechnology is in the manufacture of
acts with effector cells such lymphocytes biopharmaceutical proteins in bacterial ex-
(26) . It is useful to note that 2-mercaptoetha-
pression systems such as Escherichia coli (40)
nol was used to distinguish between IgG and (41) . A highly productive method for the ex-
IgM antibody responses. An IgG response is pression of recombinant proteins in bacterial
not inhibited by 2-mercaptoethanol while expression systems involves inclusion bod-
an IgM response is inhibited (27) (28) (29) . The ies (42) (43) present in the periplasmic space.
reduction of monoclonal antibodies can be Inclusion bodies are insoluble, aggregated
effectively controlled (30) (31) and it is likely mass of proteins which need to be denatured
that the successful processing of monoclonal under reducing conditions and allowed to
antibodies to yield bioconjugate products slowly reoxidize into their native, biological-
will be a proprietary process. The leading ly active conformations (44) (45) (46) . Both the
functionalization for conjugation to a free chaotropic agent and reducing agent are re-
sulfhydryl is maleimide chemistry. Maleim- moved during the process of refolding which
ides are very specific for reaction with thiol usually uses dialysis. One advantage to this
groups and the rational insertion of cysteine approach is the relative ease of purification
NEXUS Vol. 1 Issue 1
49
of inclusion bodies (47) . This latter study also COMPANION REAGENTS – OXIDIZING
illustrates the ability of the method for puri- REAGENTS IN PROTEIN CHEMISTRY
fication of the inclusion body to remove tox-
ic materials; in this case, endotoxin. OXIDIZED DTT (DTTOX; TRANS-4,5-DIHYDROXY-1,2-
DITHIANE) – BIOVECTRA CAT#1364
A COMPARISON OF DTT & TCEP FOR USE IN
Oxidized DTT can promote the refolding
BIOTECH APPLICATIONS
of proteins that have been denatured and
TCEP and DTT appear to be the reagents reduced. It has been used to identify inter-
of choice for commercial biotechnology. mediates in the protein refolding process (55)
Tris-(2-carboxyethyl)phosphine (TCEP) is (56) (57) (58) .
clusion bodies. Both reagents are relatively cause: it occurs naturally in humans, so is of
easy to work with, being water soluble and lesser concern as an impurity than alterna-
active at pHs that are amenable to biotech tives; and, has been found to be effective in
applications. TCEP is somewhat more stable this application. This reagent may find addi-
than DTT in aqueous solution (48) (49) . TCEP tional utility in the stabilization of disulfide
shows a higher rate of reduction at acidic type cleavable linkers in formulated ADC
pHs (50) . DTT requires the deprotonation of drug products, although these products have
its thiol group to the thiolate anion to initiate not yet been commercially observed.
reduction (51) . This property reduces the rate
at which DTT can reduce disulfides as the pH
drops below the thiol-thiolate pKA (52) .
DTT TCEP
Irreversibly
No Yes
Oxidized
Redox Potential -0.33 (53) -0.29 (54)
Reactivity w/
Yes Limited (31)
Maleimide
Preferred Inclusion Body Thiol
Application Recovery Conjugation
pH Optimum Basic N/A
NEXUS Vol. 1 Issue 1
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51
35. A New Roadmap for Biopharmaceutical Drug Product Develop- 47. Endotoxin-Free Purification for Isolation of Bovine Viral Diar-
ment: Integrating Development, Validation, and Quality by De- rhoea Virus E2 Protein from Insoluble Inclusion Body Aggre-
sign. Martin-Moe, S, et al., et al. 2011, J. Pharm. Sci, pp. 3031- gates. Cavallaro, AS, et al., et al. 2011, Microb. Cell Factories, p.
3043. 10:57.
36. Quantitative Impurity Analysis of Monoclonal Antibody Size Het- 48. A Comparison Between the Sulfhydryl Reductants tris(2-car-
erogeneity by CE-LIF: Example of Development and Validation boxyethyl)phosphine and dithiothreitol for use in Protein Chem-
Through a Quality-by-Design Framework. Michaels, DA, Parker, M istry. Getz, EB, et al., et al. 1999, Anal. Biochem., pp. 73-80.
and Salas-Solono, O. 2012, Electrophoresis, pp. 815-826. 49. Tris(2-carboxyethyl)phosphine stabilization of RNA: Comparison
37. Quality by Design: Impact of Formulation Variables and Their with Dithiothreitol for Use with Nucleic Acid and Thiophosphor-
Interactions on Quality Attributes of a Lyophilized Monoclonal yl Chemistry. Rhee, SS and Burke, DH. 2004, Anal. Biochem, pp.
Antibody. Awotwe-Otoo, D, et al., et al. 2012, Int. J. Pharm, pp. 137-143.
167-175. 50. A Procedure for Quantitative Determination of Tris(2-Car-
38. Proteins Behaving Badly: Emerging Technologies in Profiling Bio- boxyethyl)phosphine, an Odorless Reducing Agent More Stable
pharmaceutical Aggregation. Hamrung, Z, Ratray, NJ and Pluen, A. and Effective Than Dithiothreitol. Han, JC and Han, GY. 1994,
2013, Trends Biotechnol., pp. 448-458. Anal. Biochem., pp. 5-10.
39. Developability Studies Before Initiation of Process Develop- 51. Rates of Thiol-Disulfide Interchange Reactions Between Mono-
ment: Improving Manufacturability of Monoclonal Antibodies. and Dithiols and Ellman’s Reagent. Whitesides, GM, Lilburn, JE
Yang, X, et al., et al. 2013, Mabs, pp. 787-794. and Szajewski, RP. 1976, J. Org. Chem, pp. 322-338.
40. A General Expression System for Functional Analysis of cD- 52. A Potent, Versatile Disulfide-Reducing Agent from Aspartic Acid.
NA-Encoded Proteins. Larsson, M, et al., et al. 1996, Protein Expr. Lukesh, JC, Palte, MJ and Raines, RT. 2012, JACS, pp. 4057-4059.
Purif., pp. 447-457. 53. Dithiothreitol, a New Protective Reagent for SH Groups. Cleland,
41. Recent Developments in Bacterial Protein Glycan Coupling WW. 1964, Biochemistry.
Technology and Glycoconjugate Vaccine Design. Terra, VS, et al., 54. Fluorescence-based Detection of Thiols in-Vitro and in-Vivo Us-
et al. 2012, J. Med Microbiol, pp. 919-926. ing Dithiol Probes. Pullela, PK, et al., et al. 2006, Anal. Biochem.
42. Properties of Recombinant Protein-Containing Inclusion Bodies 55. Kinetic and Thermodynamic Analysis of the Conformational
in Escherichia coli. Kane, JF and Hartley, DL. 1991, Bioprocess Folding Process of SS-Reduced Bovine Pancreatic Ribonuclease
Technol., pp. 121-145. A Using a Selenoxide Reagent with High Oxidizing Ability. Arai,
43. Both Bane and Blessing -- Inclusion Bodies. Geisow, MM. 1991, K, Kumakura, F and Iwaoka, M. 2012, FEBS Open Bio., pp. 60-70.
Trends Biotechnol., pp. 368-369. 56. Two New Structured Intermediates in the Oxidative Folding of
44. Refolding Solubilized Inclusion Body Proteins. Burgess, RR. RNase A. Welker, E, et al., et al. 1999, FEBS Lett., pp. 477-479.
2009, Methods Enzymol., pp. 259-282. 57. Structural Determinants of Oxidative Folding in Proteins. Welker,
45. Technical Refolding of Proteins: Do we have Freedom to Oper- E, et al., et al. 2001, Proc. Natl. Acad. Sci. USA, pp. 2312-2316.
ate? Eiberle, MK and Jungbauer, A. 2010, Biotechnol. J., pp. 547- 58. Regeneration of Bovine Pancreatic Ribonuclease A: Identifica-
559. tion of Two Nativelike Three-Disulfide Intermediates involved in
46. Concepts and Tools to Exploit the Potential of Bacterial Inclusion
Bodies in Protein Science and Biotechnology. Gatti-Lafranconi, P,
et al., et al. 2011, FEBS J, pp. 2408-2418.
TABLE OF CONTENTS
NEXUS Vol. 1 Issue 1
52
TABLE OF CONTENTS
B
POG is a cross industry collaboration of quality and patient safety. Yet right now, there is
biopharmaceutical manufacturers with the no specific FDA guidance on how to perform ex-
aim of creating and sharing operational tractables study on single-use systems, leading to
best practices in drug substance manufacturing, inconsistency among individual end user submis-
process development and fill finish. In the Drug sions. User experience also shows that most sup-
Substance phorum, virtually every large biophar- pliers’ current extractables data packages are to-
maceutical company is represented and, over 600 day not technically adequate for most processes
subject matter experts work in 12 active work- evaluation and not consistent between suppliers.
streams, of which one is Disposables. BPOG’s For example, model solvents and testing condi-
mission is to accelerate the rate of the journey to tions are not representative enough for expected
industrial maturity. Although BPOG is not a stan- process conditions, and extractables data is not
dards body and is representative of users not comparable between suppliers and too often it is
suppliers, it works with and through other bodies not as comprehensive as users require. In addi-
to realize change. tion, the SUS Integrator has different extractables
data from different component suppliers, which
The BPOG extractables working group was
makes it impossible for the integrator to provide
set up in 2013 in recognition of the fact that ex-
NEXUS Vol. 1 Issue 1
53
consistent supplier data to the end users and in tent set of extractables data are readily available
a form that makes the extractables data easy to to biopharmaceutical end users. The protocol
use and comparable. This situation necessitates covers the methods used for extractables studies,
end users to perform additional studies resulting provision of extractables data for single use sys-
in the same components being tested multiple tems, sample preparation, reporting of test article
times. The implementation of SUS is also being sampling conditions, and data reporting. This data
slowed by increasing regulatory scrutiny with will enable end users to evaluate safety and per-
commercial applications because of the inconsis- form risk assessment, which is related to product
tency of extractables data available for a product. quality and patient safety. It will also enable com-
ponent selection with comprehensive extract-
A standardized extractables protocol (SEP)
ables data along with other validation package
would be a win-win situation for suppliers, end
information. The data may be augmented with
users and regulators. For suppliers, the benefits
leachables evaluation for regulatory submission.
include: a consensus industry end user require-
However, this does not replace stability studies
ment for extractables; having one extractables
for final product.
protocol to follow, which gives a clear and com-
mon reporting format; a solid starting point for SCOPE
the creation of future regulatory guidance; and
The protocol covers the methods used for ex-
increased sales through wider adoption and fast-
tractable studies, provision of extractable data
er implementation of SUS across the biopharma-
for single-use systems, sample preparation, and
ceutical industry.
reporting of test article sampling conditions. The
For end users, the advantages are: having a protocol applies to, but is not limited to, the fol-
consensus extractables protocol which enables lowing disposable components:
users to screen and select SUS products efficient-
• Bags used for storage, mixing and as bioreactors
ly and effectively; a solid starting point for risk • Tubing and tubing connectors
based assessment; consistent expectations with • Aseptic connectors / disconnectors
respect to the data that will be available from • Filters, both process and sterilizing-grade
suppliers; reliable/consistent extractables data; • Disposable sensors
and ability to make rapid early decisions to use • Filling needles
SUS in developmental path and sequential imple-
There are two ways to report extractables data
mentation for clinical and commercial production.
for an assembly, provide data for each individual
For regulators, a standardized extractables proto-
component, or perform the study on the assembly
col would help reduce their review time and set a
as a whole and report the data. This protocol
starting point for generation of pertinent regula-
is limited to the former because individual
tory guidance.
component is well defined.
OBJECTIVES
A Summary Extractables Statement to an end
The objective of this protocol is to support a user as part of the qualification data of an SUS
lifecycle approach being taken by SUS suppliers assembly or component will report materials of
and to ensure that a comprehensive and consis- construction of the test article and test article
NEXUS Vol. 1 Issue 1
54
sample conditions which include method of be reported. For extractables study on each
sterilization used (worst case), g irradiation component, it is recommended to test at least
conditions (dosimeter value and total cycles), two samples, each from a different lot.
autoclave conditions (time, temperature, and
TEST DESIGN
total cycles), thickness (bag and tubing), duration
from film manufacturing to sterilization, and The extractables study is specific to each
duration from sterilization to extraction. The part component. Samples will be prepared with
number and lot number of the test article must a minimum of 6:1 (cm2/ml) surface area to
55
volume ratio as a worst case [1] except for filters, There are four tables to detail the recom-
which should have a minimum of 1:1 (cm2/ mended analytical instruments and detectors
mL) effective filtration area to volume ratio. For conditions, which serve as starting points.
other special products that could not practically
1. Table I: LC-PDA-MS
meet 6:1 (cm2/ml) surface area to volume ratio,
• Column, mobile phases, gradient, UV range
the highest possible surface area to volume (200-400 nm), standards, reporting limit
ratio should be used and justified based on the • Criteria: LOQ, LOD, spiked recovery, precision
product’s intended use. Table 1 summarizes the
2. Table II: GC-MS
recommended extraction conditions. • Column, scan range (30- 400 amu), standards,
internal standards, reporting limit, liquid-liq-
For each test, a negative control is obtained as
uid extraction solvent and procedure
the background. When the negative control study
• Criteria: LOQ, LOD, spiked recovery, precision
is performed, the same test set up is used but
without the test article. 3. Table III: HS-GC-MS
• Column, scan range (30- 600 amu), standards,
The model solvents include 0.5N NaOH, 5M internal standards, reporting limit, liquid-liq-
NaCl, 50% Ethanol, 0.1M Phosphoric acid, 1% uid extraction solvent and procedure
• Criteria: LOQ, LOD, spiked recovery, precision
Polysorbate 80, and WFI neutral.
4. Table IV: ICP-MS or OES
The time points and temperatures include • LOQ, LOD, and suggested elements for screen-
less than 30 minutes at 25oC, 24 hours at 40oC, ing.
and 7 or 21 or 70 days at 40oC.
For full content of the protocol, please contact
The above extraction solvents, times and
BPOG via email at gerry@biophorum.com or
temperatures to be used in extractables studies
tony@biophorum.com.
have been established, via surveys to end users,
to cover the range of biopharmaceutical process-
es and have been set in accordance to the ASTM
F1980 Standard Guide for Accelerated Ageing of
Sterile Medical Device Packages [2] to bracket
worst-case situations.
ANALYTICAL METHODS
The analytical techniques include:
• pH measurement
• Conductivity
• TOC (when feasible)
• Metal ions: ICP-MS or OES
• Volatiles: HS-GC-MS
• Semi-Volatiles: GC-MS
• Non-Volatiles: LC-PDA-MS
NEXUS Vol. 1 Issue 1
56
ABBREVIATIONS REFERENCES:
BPOG: BioPhorum Operations Group 1. USP<88> Biological reactivity tests, in vivo, USP 37 –
NF32, http://www.usp.org
SUT: Single-Use Technologies
2. ASTM F1980-07(2011) Standard Guide for Accelerated
SUS: Single-Use Systems Ageing of Sterile Medical Device Packages, http://www.
SEP: Standardized Extractables Protocol astm.org/Standards/F1980.htm
WFI: Water For Injection
TOC: Total Organic Carbon
ICP-MS or OES: Inductively Coupled Plasma – Mass
Spectrometry or Optical Emission Spectrometry
HS-GC-MS: Headspace Gas Chromatography Mass
Spectrometry
LC-PDA-MS: Liquid Chromatography Photodiode
Array Detector Mass Spectrometry
LOQ: Limit of Quantitation
LOD: Limit of Detection
57
TABLE OF CONTENTS
Company Spotlight
Skingenix, Inc.
BY SHALEEN PAREKH
GENERAL MANAGER AND PRINCIPAL
BioSPEQ, INC.
M
any of you have undoubtedly met Eric
Wang, MD, CCRP, RAC at one of the PDA
chapter events or other trade events in
Southern California. This is, in fact, how we (Bio-
SPEQ, Inc.) met Dr. Wang, Executive Vice Presi-
dent of Skingenix, Inc., a company focused on
the development of wound healing pharmaceu-
tical products. Over the past couple of years, we
have been able to support Skingenix operations
by creating a basis of design for new construc- Pictured: Eric Wang, M.D., CCRP, RAC,
tion at their facility in Ontario, CA. Executive Vice President, Skingenix, Inc.
58
Growth factor therapy and bioengineered tis- when those roles are only sporadically required.
sues are considered as advanced wound care for When outsourcing, he has found that the steep
those unhealed wounds. However, in the last 20 learning curve is also financially cumbersome.
years, the healing rate remains very low (15%, Another disadvantage of outsourcing is the loss
25%, 30% at 8, 12, and 20 weeks of treatment, of in-house knowledge or “company memory”.
respectively). As consultants in the regulated industries, we
have found other clients with similar challenges
Skingenix’s investigational new drug for
in balancing contractor vs. FTE.
DFUs, a topical use ointment product, contains
a complex of botanical extracts, which can pro- A unique challenge that botanical drug mak-
mote self-healing in various kinds of wound. The ers face is that their raw materials are procured
recently completed multicenter Phase II study from farms in the United States. Although other
showed that, compared to standard of care, the regulatory bodies (e.g. WHO, EU) have regula-
new drug doubled the healing rate in 8 weeks tions and guidelines for Good Agricultural and
of treatment. Another advantage is that the new Collection Practices (GACP), the FDA has not
drug is very easy to use at home by patients or yet provided guidance for pharmaceuticals that
a caregiver. source raw materials from farms. Specifically,
this hinders the industry to easily obtain their
Dr. Wang started with Skingenix in late 2006.
raw materials from local farmers.
As Executive Vice President, he is responsible
for leading strategic business development ini- When asked how the PDA could further sup-
tiatives as well as the assessment of the compa- port companies like Skingenix, Dr. Wang men-
ny’s product development strategy and perfor- tioned a more formal training program, poten-
mance. In addition, his current responsibilities tially including a certification process, would be
have stretched from medical (clinical study helpful. In addition, he wishes that focus groups
design, planning and monitoring) to regulatory be created for non-mainstream products (like
(FDA submissions and interactions) and quality topical drugs). These Subject Matter Experts
(chemistry, manufacturing and controls). (SME) groups could potentially help him to navi-
gate the requirements of sterility procedures for
Previously, Dr. Wang had been in medical
topical medications. These focus groups could
practice as a clinician and academic researcher
also help Dr. Wang decipher the QA requirement
for about 10 years in China and Japan, before
differences for R&D through clinical trials and
moving to industry in the United States. He has
commercial production.
found that this transition, from a drug prescriber
to a drug developer, has been very advantageous As a PDA member, Dr. Wang has benefitted
in using his medical background to bridge medi- from PDA educational and networking events, in-
cal needs with medical product development. troducing him to many industry experts (includ-
ing ourselves) from whom he has been able to
One of the major challenges Dr. Wang fac-
receive professional services. So, the next time
es in his current role is the balance between
you run into Dr. Wang at one of the local South-
in-house expertise and contractor/consultant
ern California events, please feel free to intro-
assistance. As a virtual company, supporting
duce yourself. I’m sure your collaboration with
a large overhead of full time staff (Operations,
him will be mutually beneficial.
QA, Engineering, etc.) is not financially viable
TABLE OF CONTENTS
TABLE OF CONTENTS
Company Spotlight
Prolacta Bioscience, Inc.
BY RUCHIKA RAVAL
P
rolacta Bioscience, Inc. (Prolacta) is the pio- VICE PRESIDENT, PDA SOUTHERN CALIFORNIA CHAPTER
neer in standardized human milk-based nu- PRESIDENT
tritional products for premature infants in GLOBAL BIOPHARM REGULATIONS
the neonatal intensive care unit (NICU). Prolacta
believes that there is no adequate replacement
for human breast milk, particularly for pre-term
infants. As a privately held, for-profit and scien-
tifically driven company, committed to improving
premature infant nutrition, Prolacta is using human
milk to change the standard of care in the NICU.
Mothers who have a surplus of breast milk can help
save the country’s most fragile infants by donating
their extra breast milk through milk donor banks.
Use of Prolacta’s fortified human milk has result-
ed in reduction in sepsis and NEC (necrotizing en-
terocolitis) for neonates. When neonates, who did
not grow well, were given Prolacta’s fortified milk
they had much better outcome. Historically, forti-
fication of human milk was done with powder pre- Pictured: Scott Eaker, Vice President,
pared from Cow’s milk. Prolacta’s milk fortification Quality, Prolacta Bioscience, Inc.
is with human milk itself and does not use animal
products.
NEXUS Vol. 1 Issue 1
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NEXUS Vol. 1 Issue 1
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61
there is a case to be made for a national reim- etc.,” informs the Vice President of Quality at
bursement. The shift to accountable care in the Prolacta, Mr. Scott Eaker. Scott joined Prolacta 7
current situation is favorable, even though ini- years ago, bringing experience in recombinant
tial cost is higher than standard of care (donor proteins. The most rewarding aspect for Scott
milk, partially cow fortified milk, or mom’s milk). is to help in create an industry that was once
simplistic (moms donating milk to other mom)
Prolacta envisions a tremendous growth
and transition it into a mature sector that re-
for future. The senior executive leadership
sembles biotech. He pointed to Isabell a pa-
has background in plasma fraction as they all
tient Prolacta helped when she was 22 weeks
founded the firm gaining experience at Baxter’s
old. Her mom died of cardio myopathy and so
plasma fractionation plant. Using model similar
Isabella could not receive her mother’s milk.
to Baxter, Prolacta is researching how to devel-
With Prolacta’s fortified milk, she survived and
op a pipeline of co-products that are likely to
is doing well.
be produced with the fortifier. For example a
second product, human milk cream. The specif- Prolacta has become a brand that has set
ic use would be to increase caloric density for a benchmark. Increasingly, breast milk donor
the pre-term infant using the same liter of milk. registries now have a sign “Prolacta qualified
donor” as an icon to recognize breast milk do-
Another area of growth is ex-US markets.
nated by mothers who are part of Prolacta’s do-
Currently the focus is entirely US, but market in
nor registry and therefore screened for several
Canada and Europe is also changing. Human
health hazards.
milk is viewed differently from regulatory per-
spective. In the US, milk is regulated as food. I asked Mr. Eaker, whether Prolacta gets a re-
When regulated as food, one does not think of quest for compassionate use? He informed that
all the implications of a biological raw materi- since alternative therapies are in place such a
al such as breast milk. For example, food raw request is rare. He recalls only one instance
material does not have requirements for do- where a couple from Canada made a request.
nor qualification. Prolacta has been a forward While other nutritional supplements are avail-
thinking firm that has voluntarily embraced bi- able, this couple was adamant to use fully hu-
ologic GMPs where necessary and augmented man milk for their child. Prolacta put together
the food GMPs. Continuous improvement is the a documentation package and in 17 days deliv-
quality concept. For example, when develop- ered product to the infant in Canada. Fulfilling
ing an assay testing method for contaminants, such requests, is a huge burden for a small firm
Prolacta uses the same stringency of validation like Prolacta. Scott Eaker‘s Quote is “Lead the
as the plasma industry. Industry for neonatal safety and well-being. If
we improve outcome of pre-mature infant – it
“Guess what – if you do the right thing,
is good for moms and babies. What is good for
price a little higher product, the market will
them is also good for Prolacta.”
bear the cost. We screen each breast milk do-
nor for many chemicals like tobacco, oxytosin,
and communicable diseases like HIV, Hepatitis TABLE OF CONTENTS
NEXUS Vol. 1 Issue 1
62
TABLE OF CONTENTS
O
PQRI Parenteral and Ophthalmic Drug Product
n February 27th, PDA’s Southern Cali-
E&L Working Group.
fornia chapter held its Q1 2014 Edu-
cational Program. The event featured a Amgen in Thousand Oaks was the host loca-
technical seminar as well as industry exhibitors tion for the speaker and provided the webcast
and networking opportunities with industry to two other host venues: Avid Bioservices in
colleagues. The topic of the technical seminar Tustin and Carefusion in San Diego. Over 120
was “Making Sense of the New Extractables and attendees were able to join the program with-
Leachables Best Practices for Parenteral Prod- in their local area. Given the large geographi-
ucts … A Blueprint for Success!” presented by Dr. cal territory for the Southern California chapter
Michael Ruberto, President of Material Needs and infamous freeway traffic, the combination
Consulting. He has been an active member of of the webcast format and company site hosts
working groups developing best practices for has provided our members with a low cost, con-
characterizing and evaluating the safety of con- venient opportunity to gain knowledge from in-
tainer closure systems and packaging for sever- dustry experts.
NEXUS Vol. 1 Issue 1
63
The chapter extends its gratitude to the event exhibitors for each host venue:
• NSF Health Sciences – Amgen, Avid Bioservices & Carefusion
• Veltek – Amgen
• Azbil Biovigilant – Avid Bioservices
• Eurofins Lancaster Laboratories – Avid Bioservices
• Technical Safety Services – Carefusion
The success of the event can be attributed to the chapter officers, volunteers, the host compa-
nies, the exhibitor representatives and the speaker. The following individuals warrant recognition
for their efforts toward the chapter objectives: Stefany Goldman, Program Director; Randy George,
Membership Chair; Brian Underhill, President-Elect; Bonnie Ward, VP- San Diego; Ruchika Raval,
VP- Orange County/Los Angeles; Stephanie Powers-Kurtz, Treasurer; and Program Volunteers: Vicki
Deason, Erica Schelin, Bruce Davis, Tony Steinberg, Dilip Parikh and Kelly Templeton. We also want
to acknowledge the support from Trevor Swan and Katie Ruiz at PDA National, who continue to
provide outstanding administrative assistance for these events.
I
would like to thank the Southern California PDA
Chapter for inviting me to present “Making Sense
of the New Extractables and Leachables Best
Practices for Parenteral Products…A Blueprint for
Success” at its February meeting. I was very excit-
ed about the opportunity to discuss some of the Ex-
tractables and Leachables (E&L) trends that we will
BY: MICHAEL RUBERTO, Ph.D. be seeing in 2014 to such a large audience at three
PRESIDENT different sites: Thousand Oaks, Orange County, and
MATERIAL NEEDS CONSULTING, LLC San Diego. The cornerstone of these trends will
center around the new USP general chapters that
recommend a three-stage approach to establish the
NEXUS Vol. 1 Issue 1
64
suitability for use of packaging materials using from these materials, and finally the commer-
a combination of enforceable and informational cially packaged drug products. Your members
general chapters. This approach includes a ma- can view these draft documents on the USP
jor modernization of USP <661> now entitled website at www.usp.org.
“Plastic Packaging Systems and Their Materials
My personal opinion is that the information
of Construction” along with the publication of
and data generated about the materials, sys-
two new chapters, USP <1663> “Assessment
tems, and packaged drug products will allow
of Extractables Associated with Pharmaceuti-
our industry to take a materials based approach
cal Packaging/Delivery Systems” and <1664>
to E&L evaluations of our packaging systems.
“Assessment of Drug Product Leachables Asso-
This can start with a partnership between ven-
ciated with Pharmaceutical Packaging/Delivery
dors of packaging components and pharmaceu-
Systems”. Furthermore, the Product Quality Re-
tical companies to share relevant compositional
search Institute (PQRI) has also published new
information and compendia testing data. Once
“best practices” for performing extractables
the polymers and their ingredients are known,
and leachables assessments on parenteral and
a forecast of potential extractables and leach-
ophthalmic drug products. In my presentation,
ables can be made based on the solvating prop-
I discussed the details of these documents and
erties of the drug and the conditions of use,
emphasized that USP <661.1> will provide
such as the temperature and duration of con-
much needed compositional information on the
tact. Next, a specific extractables testing plan
formulations or ingredients used in the plastic
can be developed that will identify either pos-
materials themselves, before they are extruded
sible or probable leachables depending on the
and molded into the container closure systems.
extraction conditions used in the testing. Tar-
USP <661.2> then provides the testing require-
get compounds are then selected from a review
ments for the plastic containers or systems that
of the extractables testing data and validated
are constructed from these well characterized
methods can be developed for the leachables
polymers and it is in this chapter that the refer-
study. It is important to perform correlations
ences are made to the new E&L general chap-
between the forecasted and actual leachables
ters <1663> and <1664>.
and extractables data to identify any potential
These E&L general chapters are not pre- material / drug compatibility issues or possible
scriptive in nature nor do they establish spec- unexpected leachables.
ification or acceptance criteria. What they do
If any of the Southern California PDA mem-
provide is a framework for the design, justifica-
bers have any questions regarding my recent
tion, and execution of E&L testing that is based
presentation or require any help with material
on some of the best practices previously pub-
selection, design and evaluation of E&L stud-
lished by the PQRI E&L Working Groups. The
ies, or implementing complete E&L programs in
ultimate goal of this three-stage approach is
their companies, I can be contacted at Michael.
a well-characterized container closure system
ruberto@materialneedsconsulting.com
through a separate evaluation of the materi-
als (polymers) themselves, the systems formed
TABLE OF CONTENTS
NEXUS Vol. 1 Issue 1
65
The PDA Southern California Student Chapter at KGI would like to invite experienced
industry professionals to be special guest speakers at one of our many professional
events for the 2014-2015 academic year. Some of our chapter events include:
66
TABLE OF CONTENTS
Focus Theme
Process Validation Guidance:
Legacy Products
BY STEVE SPEER
ASSOCIATE DIRECTOR, WEST REGION
PROPHARMA GROUP
A
s a member of ProPharma Group’s con-
However, it is apparent that many individ-
sulting team, I attend many biotech-
uals and organizations struggle with how to
nology and pharmaceutical industry
apply the guidance for legacy products, es-
affiliated meetings. It is never a difficult
pecially those that were developed without
task to strike up a conversation regarding
the thoroughness and benefits of the Stage
FDA’s 2011 guidance document “Process Val-
1 activities described above. The Critical
idation: Guidance for Industry”.
Process Parameters (CPPs) and Critical Qual-
What I’ve learned is, by now, most ity Attributes (CQAs) of bio-pharmaceuti-
industry professionals understand the cal manufacturing processes are not always
3-stage approach: known or understood for legacy products.
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It is not difficult to intuit what the pro- lected and analyzed in a cognizant effort to
cess parameters are for most units of a man- develop better understanding of process ca-
ufacturing process. Generally they involve pabilities, CQAs, and CPPs. To compensate
temperature, time, flow rates, pressures, and for missed Stage 1 opportunities, an organi-
numerous other discreet input settings or zation can only rely on past and future data
output readings on the process equipment to effectively achieve process control. For
that are employed in a manufacturing pro- example, an organization may employ the
cess. But what is the criticality of each of following to gather data and build process
those process parameters? Certainly, do not knowledge:
expect a regulatory agency to answer that
• Data collection and trending for each and
question for you. Biopharmaceutical firms every batch; use this data is establish a
that developed their manufacturing process process capability ratio or index.
are expected to have conducted the neces-
• Historical data reviews for older batches
sary experimentation, whether employing a
design of experiments methodology or other • Product reviews – noting variances and
strategy, to document the parameters which capturing data
68
Illustration courtesy of Ref: Grace E. McNally FDA (Guide Leader) Sept 15, 2010
The approach is illustrated above. high impact systems and functions within
systems that are critical to product quality
To successfully achieve meaningful “ret- and patient safety
roactive” Stage 1 process design and control
• Have in place a coherent and effective
understanding, an organization must:
Knowledge Management System
• Understand the sources of variation
Gaining this knowledge is the foundation
• Be able to detect the presence and degree of building and implementing a process con-
of variation
trol strategy. By leveraging the use of sta-
• Be able to understand the impact of varia- tistically relevant tools, an organization can
tion on the process and product continue to drive continuous improvement
• Control the variation commensurate with changes into the commercial process while
risk monitoring and verifying the effectiveness
• Understand CQAs; The critical process as- of those changes and their impact on CQAs.
pects should be identified, specified and
An incomplete process understanding
verified as this serves as the basis for sci-
hinders effective and efficient compliance,
ence and risk based decisions and assures
and realization of business productivity
the system is designed and verified to be
fit for intended use. It is best to focus on benefits.
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Focus Theme
Process Validation,
No More Sleepless Nights
E
arly in my career, “process validation”
always made me nervous. This was the
final test demonstrating that a process
could be approved. I did not want this to be
the one thing that kept our important drug
from getting to the patients that needed it.
Why was I so nervous? The answer was that
in those days we developed mostly by trial
and error. We had a “hunch” of what a good
process would be and started from there. If
a unit operation worked a few times in a row,
we moved on to the next. As the process
came together, we tried it as a whole. Again,
if it worked a few times, we were happy. As
we gained process experience with more
runs and saw how the process ran at scale,
we could see where the weaknesses were
and fixed them as they came up. Our pro-
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cess experience was mostly with the process All of this allows us to focus all process
parameters run at their set points. This was development efforts throughout develop-
the data set we often used to enter process ment and create a “design space” within
validation. We would run three full batches which we have confidence that the critical
and hope for the best. quality attributes will be met as long as the
key process parameters are within experi-
Fast-forward several years and we now mentally and statistically derived ranges.
recognize that quality by design (QbD) prin-
ciples used during process development im- One point on regulatory expectations: al-
prove confidence in the success of process though agencies have allowed product appli-
validation. In addition to being a science- cations to present the ‘traditional’ method of
and risk-based approach to process develop- process validation, in my opinion, QbD rep-
ment, QbD lends us a framework to conceive, resents good science and a way of prospec-
execute and report our process development tively understanding the critical process tar-
studies, and lends a previously absent rigor gets. This leads to the best possible process
to this vital area. QbD is outlined in several and process understanding, which is always
US and European guidances (i.e. ICH Q8 on the goal.
Pharmaceutical development, and ICH Q11
on Development and manufacture of drug Obviously, time and resource constraints
substances). can limit the amount of work that can be
done at any given stage. The goal is not to
Using QbD principles, we look ahead to be perfect, but to apply as many of these
what the process must be able to deliver principles as possible throughout process
in the commercial phase and create a path development, and I guarantee the result will
to that goal. This starts with a clear quality be fewer sleepless nights during process val-
target product profile, from which we derive idation.
the critical quality attributes that must be
achieved to ensure the product is safe and
“USING QbD PRINCIPLES, WE LOOK AHEAD
efficacious. We can then perform risk as-
sessments against these targets to identify TO WHAT THE PROCESS MUST BE ABLE TO
potential weak spots and allow us to focus DELIVER IN THE COMMERCIAL PHASE AND
on the most critical areas for improvement. CREATE A PATH TO THAT GOAL.”
From there, carefully planned statistical ex-
perimental design, in the form of design of
experiments (DOE), can be used to reduce
the number of experiments needed to make
decisions on process set points and ranges.
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Student Initiative
BY APRIL YANG
CO-LEADER OF SoCAL PDA STUDENT
CHAPTER MENTORSHIP PROGRAM
KECK GRADUATE INSTITUTE
T
he PDA Southern California Student
Chapter would like to invite experi-
enced professionals in the biotech in-
dustry to become mentors for Master of Bio-
science (MBS) and Postdoctoral Professional
Masters in Bioscience Management (PPM)
students at the Keck Graduate Institute in
Claremont, California. The PDA Mentorship
Program works to connect enthusiastic and
bright graduate and postdoctoral students
with experienced professionals in the life
sciences and biotech industry. The pro-
gram’s goal is to facilitate relationships that
will help shape the careers of our student
chapter members, and allow professionals to
shape the future of the industry.
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The SoCal PDA Student Chapter’s Mentorship Team, pictured right to left:
Maria Fillipou (MBS ‘14), Gurvir Sidhu (MBS ‘15), and April Yang (MBS ‘15)
This is a great opportunity to influence gram. The event will take place during the
the next generation of bioscience leaders. fall semester and only the students that have
Mentors are asked to share their experiences been matched, as a part of the program, will
and provide advice or guidance for their men- be invited. Mentors will also have the oppor-
tees. Communication between participants tunity to be featured on the SoCal PDA Stu-
is required twice a year, with the freedom to dent Chapter website and the Nexus Journal.
initiate additional communication as deter-
mined by the mentor and mentee. Mentors Our student PDA members look forward to
will also have the opportunity to network connecting with you.
with industry professionals both within and
outside of their specialty.
For additional information please contact
Both prospective mentors and student April Yang at ayang13@students.kgi.edu.
mentees will be interviewed and profiled
to help align expertise and interests. Stu-
dents will have the opportunity to interact
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with their mentor during an event organized
by the PDA Student Chapter Mentorship Pro-
NEXUS Vol. 1 Issue 1
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BY JOANNA D. NAYMARK,
PRESIDENT, SoCAL PDA STUDENT CHAPTER
KECK GRADUATE INSTITUTE
T
he 2013-2014 academic year was the
second operating year of the Southern
California Student Chapter of the Par-
enteral Drug Association. In our second year,
we were proud to continue and build on some
of the successful events first hosted in our
inaugural year. The goals of the events we
hold on campus are to provide valuable in-
dustry exposure and networking opportuni-
ties to our student PDA members, ultimately
creating experiences that benefit students.
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Academic Partnerships
Keck Graduate Institute
At the Intersection of Science and
Commerce
BY PAIGE STEIN
MANAGER OF MEDIA RELATIONS
KECK GRADUATE INSTITUTE
A
member of the Claremont Colleges, The two-year MBS program takes a pio-
Keck Graduate Institute (KGI) is known neering approach to educating industry-ready
for offering a highly innovative and spe- professionals. The curriculum, which mixes ad-
cialized education to graduate students inter- vanced science courses with classes in finance,
ested in pursuing a career in the life sciences. marketing and international business, provides
Founded in 1997, KGI was originally comprised students with a thorough understanding of
of the School of Applied Life Sciences (SALS). how the bioscience industry operates, includ-
Today, KGI also includes a School of Pharma- ing the scientific, intellectual property and reg-
cy (founded in 2013) and the Minerva Schools ulatory issues that dominate the industry. At
at KGI (founded in 2013). A focus on entre- the same time, the program also builds profes-
preneurism, globalism and applied learning is sional skills essential to the industry workplace
common to all three schools. including public speaking, team leadership and
dynamics, and project management. Students
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STARTING A MOVEMENT WITH THE FIRST PSM Traditional research and teaching jobs in
academia are becoming harder and harder to
Launched in 2000, KGI’s MBS program was
find. The reality is particularly apparent in the
one of the first Professional Science Master’s
STEM fields where only 10- 20 percent of PhDs
(PSM) degrees. The PSM degree has since been
and postdoctoral fellows can expect to find
adopted by the graduate education community
tenure-track jobs in academia. In response to
nationwide in an effort to produce the kinds of
that reality, KGI created the Postdoctoral Pro-
science and engineering professionals need-
fessional Masters (PPM) program in Bioscience
ed to keep the United States globally com-
Management for postdoctoral students with
petitive. Today, there are more than 300 PSM
backgrounds in science and engineering. This
programs established at 140 PSM-affiliated in-
newly-accredited master’s degree helps PhD
stitutions throughout the U.S. and abroad. KGI
scientists and engineers acquire the business
and the PSM have been featured in The New
and management skills needed to pursue se-
York Times, U.S. News and World Report and
nior management positions within the life sci-
Scientific American, among other leading pub-
ence industry or to embark on entrepreneurial
lications.
“THE VALUE KGI DELIVERED TO ME IN TERMS OF SKILL AND CAPABILITY DEVELOPMENT WAS SUBSTANTIAL.
IT GOES WITHOUT SAYING THE COURSE CONTENT WAS WORLD-CLASS, BUT IT WAS THE INTANGIBLE ASPECTS
OF KGI’S PROGRAM THAT HAVE REALLY POSITIONED ME FOR SUCCESS WITH MY CAREER. WHAT I MEAN BY
INTANGIBLES IS ALL OF THE HYPER-REALISTIC, COMPETITIVE AND APPLIED SITUATIONS KGI PUTS THEIR STU-
DENTS THROUGH. THESE INTANGIBLES, ALONG WITH THE COURSE WORK ITSELF, ARE QUITE UNIQUE AND, IN
MY EYES, SOMETHING YOU CAN’T FIND ELSEWHERE.”
- Jeff Liepman, MBS’07, Senior Vice President, Promidian
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“I WAS SURE MY EDUCATION AT KGI WOULD BE RELEVANT TO MY CAREER, BUT I ASSUMED IT WOULDN’T
PLAY MUCH OF A ROLE UNTIL AFTER I GRADUATED FROM MEDICAL SCHOOL. HOWEVER, COURSES I TOOK
IN PHARMACEUTICAL DISCOVERY AT KGI COVERED A LOT OF THE PHARMACODYNAMICS AND PHARMACO-
KINETICS I’M LEARNING HERE. AND, WHEN WE TALK ABOUT THE COSTS OF HEALTH CARE, I AM DRAWING
ON SKILLS AND CONCEPTS I LEARNED IN KGI CLASSES LIKE INTRODUCTION TO BIOSCIENCE INDUSTRIES
AND GLOBAL HEALTH POLICY.”
- Erin White, first-year medical student, Quinnipiac University
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Thank You!
Thank you for reading the inaugural
issue of the NEXUS Journal. We hope
it will become a valuable resource for
our readers and that its contents prove
informative and insightful.