SUPLEMEN I PEDOMAN CARA PEMBUATAN OBAT YANG BAIK 2006 SUPPLEMENT FOR GUIDELINES ON GOOD FIRST

MANUFACTURING PRACTICES 2006

Badan Pengawas Obat dan Makanan RI

National Agency Drug and Food Control Republic of Indonesia 2009

SUPLEMEN I PEDOMAN CARA PEMBUATAN OBAT YANG BAIK FIRST 2006 SUPPLEMENT FOR GUIDELINES ON GOOD
MANUFACTURING PRACTICES 2006

Badan Pengawas Obat dan Makanan RI National Agency of Drug and Food Control Republic of Indonesia 2009

National Agency Drug and Food Control Republic of Indonesia 2009

HAK CIPTA DILINDUNGI UNDANG-UNDANG Dilarang memperbanyak buku ini sebagian atau seluruhnya, dalam bentuk dan dengan cara apapun juga, baik secara mekanis maupun elektronis, termasuk fotocopy, rekaman, dan lain-lain tanpa izin tertulis dari penerbit.
KATALOG DALAM TERBITAN BADAN PENGAWAS OBAT DAN MAKANAN

Suplemen I Pedoman Cara Pembuatan Obat yang Baik 2006
Jakarta : Badan POM, 2009 Hlm. 115 + 6 : 17 x 24 cm.

PENGANTAR

PREFACE

Dalam rangka pemutakhiran Pedoman Cara pembuatan Obat yang Baik (CPOB) tahun 2006, perlu diterbitkan Suplemen terhadap Pedoman Cara Pembuatan Obat yang Baik yang merupakan pemutakhiran, penambahan dari persyaratan sesuai Standar Internasional yang berlaku. Suplemen Pedoman CPOB ini adalah Suplemen yang pertama diterbitkan untuk melengkapi Pedoman CPOB 2006. Suplemen Pedoman CPOB ini mengacu pada Standar Internasional antara lain WHO Technical Report Series (TRS) yakni TRS 937/2006, WHO guidelines, IAEA – RAS/02/09 Good Manufacturing Practices for Medicinal Products PIC/S 2006 dan Good Manufacturing Practices for Medicinal Products PIC/S 2009. Suplemen 1 dari Pedoman CPOB ini berisi aspek yang belum tercantum dalam Pedoman CPOB tahun 2006 seperti Cara Pembuatan Radiofarmaka yang Baik, Penggunaan Radiasi Pengion dalam Pembuatan Obat, Sampel Pembanding dan Sampel Pertinggal, Cara Penyimpanan dan Pengiriman Obat yang Baik serta pemutakhiran Pedoman CPOB tahun 2006 sehingga sesuai PIC/S guidelines tahun 2009 yang terdiri dari Manajemen Mutu, Pembuatan Produk Cairan, Krim & Salep, Pengambilan Sampel Bahan Awal dan Bahan Pengemas dan Aneks 1. Pembuatan Produk Steril. Khusus Bab 1. Manajemen Mutu dan Aneks 1 yang dibahas pada Suplemen Pedoman CPOB ini, menggantikan Bab 1 dan aneks 1 yang tercantum pada Pedoman CPOB tahun 2006, sedangkan penyesuaian yang lain merupakan tambahan terhadap Pedoman CPOB tahun 2006. Pedoman Cara pembuatan radiofarmaka

Due to establish a current Good Manufacturing Practices (GMP) Guidelines 2006 edition, necessary to develop a GMP Supplement by updating with the current international requirement. This GMP Guidelines Supplement is the first published supplement in order to complete the GMP Guidelines 2006 edition.

References used for developing This GMP Guidelines Supplement are WHO Technical Report Series (TRS) TRS 937/2006, WHO guidelines, IAEA – RAS/02/09 Good Manufacturing Practices for Medicinal Products PIC/S 2006 and Good Manufacturing Practices for Medicinal Products PIC/S 2009. This Supplement 1 of the GMP Guidelines consist of some aspects that haven’t covered in GMP Guidelines 2006 edition, such as Good Radiopharmaceutical Manufacturing Practices, The Use of Ionizing Radiation in The Manufacture of Medicinal Product, Reference and Retention Sample, Good Storage and Dispatch Practices, and updates of GMP Guidelines 2006 edition so it becomes in line with PIC/S Guidelines 2009 edition that includes Quality Management, Manufacturing of Liquid, Cream, and Ointment, Sampling of Starting and Packaging Material, Reference and Retained Sample, Annex 1. Manufacture of Sterile Pharmaceutical Products. Particular for Chapter 1. Quality Management and Annex 1 described in this supplement are the substitutes to Chapter 1 and Annex 1 in the GMP Guidelines 2006 edition, while other chapters are the addendum of GMP Guidelines 2006 edition.

Good

radiopharmaceutical

manufacturing

yang baik yang terdapat dalam suplemen ini menjadi pedoman bagi industri/rumah sakit yang memproduksi sediaan radiofarmaka. Selanjutnya kami ucapkan terima kasih dan penghargaan kepada semua pihak, khususnya Tim Nasional CPOB Badan POM RI yang telah memberikan bantuan, dukungan dan partisipasi aktif baik secara langsung maupun tidak langsung dalam penyusunan Suplemen 1 dari Pedoman Cara Pembuatan Obat yang Baik ini.

practices in this supplement will guide the pharmaceutical industry/hospital which is concerned in radiopharmaceutical product manufacturing. We also would like to express our gratitude and appreciation to all involved contributors particularly to the NADFC National GMP Team for the valuable contribution and active participation in developing this GMP Guidelines Supplement 1.

Deputi Bidang Pengawasan Produk Terapetik dan NAPZA, Deputy for Therapeutic Products, Narcotics, Psycotropics and Addictive Substances Control,

Dra. Lucky S. Slamet, M. Sc. NIP: 19530612 198003 2 001

TIM PENYUSUN
Pengarah : 1. Kepala Badan POM 2. Deputi Bidang Pengawasan Produk Terapetik dan NAPZA Ketua : Direktur Pengawasan Produksi Produk Terapetik dan PKRT Advisor Products,

TEAM
: 1. Head of National Agency of Drug and Food Control 2. Deputy of Therapeutic Narcotics, Psychotropics and Addictive Substances Control Chairman : Director for Control of Production of Therapeutic Products and Household Products

Aggota Members

Tim Ahli Expert

DAFTAR ISI

TABLE OF CONTENT

PENGANTAR ................................. DAFTAR ISI....................................

Halaman i iv

PREFACE....................................... TABLE OF CONTENT……………... SUPPLEMENT TO CHAPTER 1 – QUALITY MANAGEMENT…….…..

Page i iv 1 1 2 4 5 7 9 11

SUPLEMEN BAB 1 – MANAJEMEN MUTU.............................................. Prinsip ....................................... Pemastian Mutu ........................ Cara Pembuatan Obat yang Baik (CPOB) ..................................... Pengawasan Mutu .................... Pengakjian Mutu Produk........... Manajemen Risiko Mutu............. SUPLEMEN BAB 6 –

1 1 2 4 5 7 9 11

Principle………………………….. Quality Assurance………………. Good Manufacturing Practices For Pharmaceutical Products (GMP) Quality Control…………………… Product Quality Review………… Quality Risk Management……… SUPPLEMENT TO CHAPTER 6 –

PEMBUATAN PRODUK CAIRAN, KRIM DAN SALEP ………………. Prinsip…………………………… Produksi………………………… SUPLEMEN BAB 7 – PENGAMBILAN SAMPEL BAHAN AWAL DAN BAHAN …………….. Prinsip………………………….. Bahan Awal……………………. ANEKS 1 – PEMBUATAN PRODUK STERIL………………… Prinsip………………………….. Umum…………………………... Klasifikasi Ruang Bersih dan Peralatan Udara Bersih………. Pemantauan Ruang Bersih dan Sarana Udara Bersih…………. Teknologi Isolator…………….. Teknologi Peniupan/Pengisian/ Penyegelan Produk yang Disterilisasi Akhir. Pembuatan secara Aseptik…... Personil………………………… Bangunan dan Fasilitas……… Peralatan……………………… Sanitasi………………………... Air……………………………… Pengolahan…………………... Sterilisasi……………………… Filtrasi Obat yang tidak Dapat Disterilkan Dalam Wadah Akhirnya………………………. Indikator Biologis dan Kimiawi. Penyelesaian Produk Steril….. Pengawasan Mutu……………. ANEKS 8 – PEMBUATAN RADIOFARMAKA........................ Ruang Lingkup………………... Prinsip………………………….. Otoriita Pengawasan…………. Personilia……………………… Bangunan dan Peralatan……. Produksi……………………….. Produksi Steril………………… Pelabelan……………………… Catatan Produksi dan Distribusi

11 11

MANUFACTURE OF LIQUIDS, CREAMS AND OINTMENT……….. Principle…………………………. Production………………………. SUPPLEMENT TO CHAPTER 7 – SAMPLING OF STARTING AND PACKAGING MATERIALS........... Principle…………………………. Starting Materials………………. ANNEX 1 – MANUFACTURE OF STERILE PHARMACEUTICAL….. Principle…………………………. General………………………….. Clean and air Device Classification……………………. Clean Room and Clean Air Device Monitoring……………………….. Isolator Technology…………….. Blow/Fill/Seal Technology……… Terminally Sterilized Products… Aseptic Preparation…………….. Personnel……………………….. Premises………………………… Equipment………………………. Sanitation……………………….. Water……………………………. Processing……………………… Sterilization……………………… Filtration of Pharmaceutical Products Which Cannot be Sterilized in Their Final Container Biological and Chemical Indicators Finishing of Sterile Products Quality Control ANNEX 8 – MANUFACTURE OF RADIOPHARMACEUTICALS…… Scope………………………….… Prinsip…………………………... Regulatory Control…………….. Personnel………………………. Premises and Equipment…….. Produksi………………….……... Sterile Production……………… Labeling…………………….…... Production and Distribution Records……………………..…..

11 11

12 12 12 14 14 14 16 17 22 23 23 24 25 28 31 32 33 34 38 45 47 48 48 50 50 51 52 55 62 65 69

12 12 12 14 14 14 16 17 22 23 23 24 25 28 31 32 33 34 38 45 47 48 48 50 50 51 52 55 62 65 69

Pengawasan Mutu…………… Distribusi dan Penarikan Kembali Produk…………….... Dokumentasi…………………. Proteksi dan Keselamatan terhadap Radiasi ....…………. Persyaratan Minimum untuk Pelulusan Produk .…………. Persyaratan Minimum untuk Pelulusan Fasilitas...………… Radiofarmasi Rumah Sakit…. Glosarium..………… ..……... ANEKS 10 – PENGGUNAAN RADIASI PENGION PADA PEMBUATAN OBAT................. Pendahuluan.......................... Tanggung Jawab.................... Dosimetri................................ Validasi Proses....................... Commissioning Fasilitas......... Bangunan............................... Pemrosesan........................... Dokumentasi........................... Pemantauan Mikrobiologi....... ANEKS 11 – SAMPEL PEMBANDING DAN SAMPEL PERTINGGAL............................. Ruang Lingkup........................ Prinsip..................................... Durasi Penyimpanan................ Jumlah Sampel Pertinggal dan Sampel Pembanding............... Kondisi Penyimpanan.............. Kontrak Tertulis....................... Sampel Pembanding-Umum... Sampel Pertinggal-Umum....... Sampel Pembanding dan Pertinggal untuk Obat Impor... Sampel Pembanding dan Pertinggal Bila Industri Farmasi ditutup....................... ANEKS 12 – CARA PENYIMPANAN DAN PENGIRIMAN OBAT YANG BAIK.................................

70 78 79 80

Quality Control……………..….. Distribution and Recalls….….... Documentation……………..….. Radiation Protection and Safety Minimum Requirement for Product Release…………..…………….. Facility for Release-Minimum Requiremen…………..………… Hospital Radiopharmacy…..….. Glossary ANNEX 9 USE OF IONISING RADIATION IN THE MANUFACTURE OF MEDICINAL PRODUCTS…..... Introduction……………………... Responsibility…………………… Dosimetry……………………….. Validation of Process………….. Commissioning of the Plant…... Premises………………………… Processing………………………. Documentation…………………. Microbiological Monitoring…….. ANNEX 11 – REFERENCE AND RETENTION SAMPLE……………. Scope……………………………. Principle…………………………. Duration of Storage…………….. Size of Retention and Reference Samples……………. Storage Condition……………… Written Agreement…………….. Reference Sample-General Points…………………………… Retained Sample-General Points………………………………. Reference and Retention Samples for Imported Products………… Reference and Retention Samples in Case of Closedown of A Manufacturer………………… ANNEX 12 – GOOD STORAGE AND DISPATCH PRACTICES……………………....

70 78 79 80

80

80

87 87 87 88 89 90 94 94 96 97

87 87 87 88 89 90 94 94 96 97

98 98 98 100 100 101 101 102 102 103 103

98 98 98 100 100 101 101 102 102 103 103

105

105

Prinsip...................................... Umum...................................... Personil................................... Organisasi dan Manajemen.... Manajenem Mutu.................... Bangunan dan Fasilitas Penyimpanan......................... Penerimaan............................ Kondisi Penyimpanan dan Transportasi........................... Kendaraan dan Perlengkapan Wadah Pengiriman dan Pelabelan............................... Pengiriman............................. Dokumentasi.......................... Keluhan.................................. Kegiatan-Kegiatan Kontrak.... Inspeksi Diri............................ ANEKS 13 – PARAMETRIC RELEASE……………………….. Prinsip....................................... Parametric Release…………… Parametric Release untuk Produk Sterile………………….. Glosarium……………………….

105 105 106 106 107 108 108 109 109 110 111 112 113 113 114 117 117 117 117 121

Principle………………………… General………………….……… Personnel………………………. Organization and Management. Quality Management………….. Premises, Warehousing and Storage…………………….. Receipt…………………….……. Storage Condition and Transportation………….……… Vehicle and Equipment.…….… Shipment Containers and Container Labelling…….……… Dispatch………………….…….. Documentation………….…….. Complaint…………….….…….. Contract Activities……….…….. Self Inspection…………………. ANNEX 13 – PARAMETRIC RELEASE……………………… Principle………………………… Parametric Release…………… Parametric Release for Sterile Products………………………. Glossary……………...............

105 105 106 106 107 108 108 109 109 110 111 112 113 113 114 117 117 117 117 121

SUPPLEMENT BAB 1

SUPPLEMENT CHAPTER 1

MANAJEMEN MUTU

QUALITY MANAGEMENT

PRINSIP Industri farmasi harus membuat obat sedemikian rupa agar sesuai den gan tujuan penggunaannya, memenuhi persyaratan yang tercantum dalam dokumen izin edar (registrasi) dan tidak menimbulkan risiko yang membahayakan penggunanya karena tidak aman, mutu rendah atau tidak efektif. Manajemen bertanggung jawab untuk pencapaian tujuan ini melalui suatu “Kebijakan Mutu”, yang memerlukan partisipasi dan komitmen dari semua jajaran di semua

PRINCIPLE The Pharmaceutical Industry must manufacture pharmaceutical products so as to ensure that they are fit for their intended use, comply with the requirements of the marketing authorization and do not place patients at risk due to inadequate safety, quality or efficacy. The attainment of this quality objective is the responsibility of senior/top management who determines the “Quality Policy”, requires the participation and commitment by staff in all departments and at all levels within the

departemen di dalam perusahaan, para pemasok dan para distributor. Untuk mencapai tujuan mutu secara konsisten dan dapat diandalkan, diperlukan sistem Pemastian Mutu yang didesain secara menyeluruh dan diterapkan secara benar serta menginkorporasi Cara Pembuatan Obat yang Baik termasuk Pengawasan Mutu dan Manajemen Risiko Mutu. Unsur dasar manajemen mutu adalah : a) suatu infrastruktur atau sistem mutu yang tepat mencakup struktur organisasi, prosedur, proses dan sumber daya; dan tindakan sistematis yang diperlukan untuk mendapatkan kepastian dengan tingkat kepercayaan yang tinggi, sehingga produk (atau jasa pelayanan) yang dihasilkan akan selalu memenuhi persyaratan yang telah ditetapkan. Keseluruhan tindakan tersebut disebut Pemastian Mutu.

company, by the company's suppliers and by the distributors. To reliably achieve the quality objective there must be a comprehensively designed and correctly implemented system of Quality Assurance incorporating Good Manufacturing Practice and thus Quality Control and Quality Risk Management. The basic elements of the quality management are: a) an appropriate infrastructure or quality system encompassing the organizational structure, procedures, processes and resources; b) systematic actions necessary to ensure adequate confidence that a product (or service) will satisfy given requirements for quality. The totality of these actions is termed Quality Assurance.

b)

Semua bagian sistem Pemastian Mutu hendaklah didukung dengan ketersediaan personil yang kompeten, bangunan dan sarana serta peralatan yang cukup dan memadai. Tambahan tanggung jawab legal hendaklah diberikan kepada kepala Manajemen Mutu (Pemastian Mutu). 1.1 Konsep dasar Pemastian Mutu, Cara Pembuatan Obat yang Baik (CPOB), Pengawasan Mutu dan Manajemen Risiko Mutu adalah aspek manajemen mutu yang saling terkait. Konsep tersebut diuraikan di sini untuk menekankan hubungan dan betapa penting konsep tersebut dalam produksi dan pengawasan produk.

All parts of the Quality Assurance systems should be adequately resourced with competent personnel, and suitable and sufficient premises, equipment and facilities. There are additional legal responsibilities for the head of Quality Management (Quality Assurance). 1.1 The basic concepts of Quality Assurance, Good Manufacturing Practices, Quality Control and Quality Risk Management are inter-related aspects of quality management. They are described here in order to emphasize their relationships and their fundamental importance to the production and control of pharmaceutical products. QUALITY ASSURANCE 1.2 Quality Assurance is a wide ranging concept which covers all matters which individually or collectively influence the quality of a product. It is the sum total of the organized arrangements made with the object of ensuring that pharmaceutical products are of the quality required for their intended use. Quality Assurance therefore incorporates Good

PEMASTIAN MUTU 1.2 Pemastian Mutu adalah suatu konsep luas yang mencakup semua hal baik secara tersendiri maupun secara kolektif, yang akan memengaruhi mutu dari obat yang dihasilkan. Pemastian Mutu adalah totalitas semua pengaturan yang dibuat dengan tujuan untuk memastikan bahwa obat dihasilkan dengan mutu yang sesuai dengan tujuan pemakaiannya. Karena itu Pemastian

Mutu mencakup CPOB ditambah dengan faktor lain di luar Pedoman ini, seperti desain dan pengembangan produk. Sistem Pemastian Mutu yang benar dan tepat bagi industri farmasi hendaklah memastikan bahwa : a) desain dan pengembangan obat dilakukan dengan cara yang memerhatikan persyaratan CPOB dan Cara Berlaboratorium Pengawasan Mutu yang Baik; b) semua langkah produksi dan pengendalian diuraikan secara jelas dan CPOB diterapkan; c) tanggung jawab manajerial diuraikan dengan jelas dalam uraian jabatan; d) pengaturan disiapkan untuk pembuatan, pemasokan dan penggunaan bahan awal dan pengemas yang benar; e) semua pengawasan terhadap produk antara dan pengawasan-selama-proses (in-process controls) lain serta validasi yang diperlukan dilakukan; f) pengkajian terhadap semua dokumen yang terkait dengan proses, pengemasan dan pengujian bets, dilakukan sebelum memberikan pengesahan pelulusan untuk distribusi. Penilaian hendaklah meliputi semua faktor yang relevan termasuk kondisi pembuatan, hasil pengujian dan/atau pengawasan-selama-proses, pengkajian dokumen produksi termasuk pengemasan, pengkajian penyimpangan dari prosedur yang telah ditetapkan, pemenuhan persyaratan dari Spesifikasi Produk Jadi dan pemeriksaan produk dalam kemasan akhir; g) obat tidak dijual atau dipasok sebelum kepala Manajemen Mutu (Pemastian Mutu) menyatakan bahwa tiap bets produksi dibuat dan dikendalikan sesuai dengan persyaratan yang tercantum dalam izin edar dan peraturan lain yang berkaitan dengan aspek produksi, pengawasan mutu dan pelulusan produk; h) tersedia pengaturan yang memadai

Manufacturing Practices plus other factors outside the scope of this Guide such as product design and development. The system of Quality Assurance appropriate for the manufacture of pharmaceutical products should ensure that: a) pharmaceutical products are designed and developed in a way that takes account of the requirements of GMP and Good Practices for Quality Control Laboratory (GPCL); b) production and control operations are clearly specified and GMP adopted; c) managerial responsibilities are clearly specified in job description; d) arrangements are made for the manufacture, supply and use of the correct starting and packaging materials; e) all necessary controls on intermediate products, and any other in-process controls and validations are carried out; f) all documentation relating to the batch processing, packaging and testing of each batch of finished product has been reviewed before authorizing release for distribution, assessment should embrace all relevant factors, including production conditions, results of inprocess testing, a review of manufacturing (including, packaging) documentation an assessment of deviations from specified procedures, compliance with Finished Product Specification, and examination of the final finished pack; g) pharmaceutical products are not sold or supplied before the head of Quality Management (Quality Assurance) has certified that each production batch has been produced and controlled in accordance with the requirements of the marketing authorization and any other regulations relevant to the production, control and release of pharmaceutical products; h) satisfactory arrangements exist to ensure, as far as possible, that the

untuk memastikan bahwa, sedapat mungkin, produk disimpan, didistribusikan dan selanjutnya ditangani sedemikian rupa agar mutu tetap dijaga selama masa edar/simpan obat; i) tersedia prosedur inspeksi diri dan/atau audit mutu yang secara berkala mengevaluasi efektivitas dan penerapan sistem Pemastian Mutu; j) pemasok bahan awal dan pengemas dievaluasi dan disetujui untuk memenuhi spesifikasi mutu yang telah ditentukan oleh perusahaan; k) penyimpangan dilaporkan, diselidiki dan dicatat; l) tersedia sistem persetujuan terhadap perubahan yang berdampak pada mutu produk; m) prosedur pengolahan ulang dievaluasi dan disetujui; dan n) evaluasi mutu produk berkala dilakukan untuk verifikasi konsistensi proses dan memastikan perbaikan proses yang berkesinambungan.

pharmaceutical products are stored, distributed and subsequently handled so that quality is maintained throughout their shelf life; i) there is a procedure for self inspection and/or quality audit which regularly appraises the effectiveness and applicability of the quality assurance system; j) suppliers of starting materials and packaging materials are evaluated and approved to meet the company's established quality specifications; k) deviations are reported, investigated and recorded; l) there are systems of approving changes that may have an impact on product quality; m) reprocessing procedures for products are evaluated and approved; and n) regular evaluations of the quality of pharmaceutical products are conducted with the objective of verifying the consistency of the process and ensuring its continuous improvement. GOOD MANUFACTURING PRACTICES FOR PHARMACEUTICAL PRODUCTS (GMP) 1.3 GMP is that part of Quality Assurance which ensures that products are consistently produced and controlled to the quality standards appropriate to their intended use and as required by the marketing authorization and product specification. GMP is concerned with both Production and Quality Control. The basic requirements of GMP are that: a) all manufacturing processes are clearly defined, systematically reviewed in the light of experience and shown to be capable of consistently manufacturing pharmaceutical products of the required quality and complying with their specifications; b) critical steps of manufacturing processes, control and supports and their significant changes are validated; c) all necessary facilities for GMP are provided including :  appropriately

CARA PEMBUATAN (CPOB)

OBAT

YANG

BAIK

1.3 CPOB adalah bagian dari Pemastian Mutu yang memastikan bahwa obat dibuat dan dikendalikan secara konsisten untuk mencapai standar mutu yang sesuai dengan tujuan penggunaan dan dipersyaratkan dalam izin edar dan spesifikasi produk. CPOB mencakup Produksi dan Pengawasan Mutu. Persyaratan dasar dari CPOB adalah: a) semua proses pembuatan obat dijabarkan dengan jelas, dikaji secara sistematis berdasarkan pengalaman dan terbukti mampu secara konsisten menghasilkan obat yang memenuhi persyaratan mutu dan spesifikasi yang telah ditetapkan; b) tahap proses yang kritis dalam pembuatan, pengawasan proses dan sarana penunjang serta perubahannya yang signifikan divalidasi; c) tersedia semua sarana yang diperlukan

SUPLEMEN BAB 6

SUPPLEMENT TO CHAPTER 6

CAIRAN KRIM DAN SALEP

LIQUIDS, CREAMS AND OINTMENT

PRINSIP Produk cairan, krim dan salep sangat rentan terhadap pencemaran mikroba dan pencemaran lain selama pembuatan. Dengan demikian tindakan khusus harus dilakukan untuk mencegah tiap pencemaran. Catatan: Pembuatan produk cairan, krim dan salep harus dilakukan menurut CPOB atau dengan suplemen lain yang relevan. Suplemen ini hanya menekankan hal-hal spesifik dalam pembuatan produk ini.

PRINCIPLE Liquids, creams and ointments may be particularly susceptible to microbial and other contamination during manufacture. Therefore special measures must be taken to prevent any contamination. Note: The manufacture of liquids, creams and ointments must be done in accordance with the GMP and with the other supplementary guidelines, where applicable. The present guidelines only stress points which are specific to this manufacture. PRODUCTION 1. The quality of materials received in bulk tankers should be checked before they are transferred to bulk storage tanks. 2. Materials likely to shed fibres or other contaminants, like cardboard or wooden pallets, should not enter the areas where products or clean containers are exposed.

PRODUKSI 1. Kualitas bahan yang diterima dalam tangki hendaklah diperiksa sebelum ditransfer ke dalam tangki penampung produk ruahan. 2. Bahan yang memungkinkan melepas serat atau cemaran lain, seperti kardus (cardboard) atau palet kayu, hendaklah tidak dimasukkan ke dalam area di mana produk atau wadah bersih terpapar ke lingkungan.

Suplemen BAB 7 – Pengawasan Mutu Control

Supplement of Chapter 7 – Quality

SUPLEMEN BAB 7

SUPPLEMENT TO CHAPTER 7

PENGAMBILAN SAMPEL BAHAN AWAL DAN BAHAN PENGEMAS
PRINSIP Pengambilan sampel merupakan kegiatan penting di mana hanya sebagian kecil saja dari suatu bets yang diambil. kesimpulan yang absah secara keseluruhan tidak dapat didasarkan pada pengujian yang telah dilakukan terhadap sampel nonrepresentatif. Oleh karena itu cara pengambilan sampel yang benar adalah bagian yang esensial dari sistem Pemastian Mutu. Catatan: Pengambilan sampel dijelaskan pada Bab 7 Pedoman CPOB, Butir 7.21 sampai dengan 7.22. Suplemen ini memberikan petunjuk tambahan pada pengambilan sampel bahan awal dan bahan pengemas.

SAMPLING OF STARTING AND PACKAGING MATERIALS
PRINCIPLE Sampling is an important operation in which only a small fraction of a batch is taken. Valid conclusions on the whole cannot be based on tests which have been carried out on nonrepresentative samples. Correct sampling is thus an essential part of a system of Quality Assurance.

Note: Sampling is dealt with in Chapter 7 of the Guide to GMP, items 7.21. to 7.22. These supplementary guidelines give additional guidance on the sampling of starting and packaging materials.

BAHAN AWAL 1. Pengambilan sampel boleh dilakukan terhadap sebagian dari jumlah keseluruhan wadah bila telah tersedia prosedur tervalidasi yang menjamin bahwa tidak satu pun wadah bahan awal yang keliru diidentifikasi pada labelnya. 2. Validasi tersebut hendaklah mencakup minimal aspek – aspek berikut: a) sifat dan status pabrik pembuat dan pemasok serta pemahaman mereka tentang ketentuan CPOB pada industri farmasi; b) sistem Pemastian Mutu pabrik pembuat bahan awal; c) kondisi pembuatan pada saat bahan awal tersebut diproduksi dan diperiksa; d) sifat bahan awal dan produk jadi yang akan menggunakan bahan awal

STARTING MATERIALS 1. It is permissible to sample only a proportion of the containers where a validated procedure has been established to ensure that no single container of starting material will be incorrectly identified on its label. 2. This validation should take account of at least the following aspects: a) nature and status of the manufacturer and of the supplier and their understanding of the GMP requirements of the pharmaceutical industry; b) the Quality Assurance system of the manufacturer of the starting material; c) the manufacturing conditions under which the starting material is produced and controlled;

Suplemen BAB 7 – Pengawasan Mutu Control

Supplement of Chapter 7 – Quality

tersebut. Dengan pengaturan seperti pada kondisi di atas, dimungkinkan suatu prosedur tervalidasi yang mengecualikan keharusan pengujian identitas bagi tiap wadah bahan awal dapat diterima untuk: a) bahan awal yang berasal dari pabrik yang hanya membuat satu bahan; b) bahan awal diterima langsung dari pabrik pembuat atau dalam wadah tertutup asli dari pabrik pembuat yang telah dibuktikan kehandalannya dan telah diaudit secara berkala oleh Bagian Pemastian Mutu dari industri farmasi atau suatu badan terakreditasi. Adalah tidak mungkin suatu prosedur dapat divalidasi secara memuaskan dalam hal: a) bahan awal yang dipasok oleh perantara misal broker, di mana pabrik pembuat tidak dikenal atau tidak diaudit; b) bahan awal digunakan untuk produk parenteral.

d) the nature of the starting material and the medicinal products in which it will be used. Under such arrangements, it is possible that a validated procedure exempting identity testing of each incoming container of starting material could be accepted for: a) starting materials coming from a single product manufacturer or plant; b) starting materials coming directly from a manufacturer or in the manufacturer's sealed container where there is a history of reliability and regular audits by the manufacturer's Quality Assurance System or by an officially accredited body. It is improbable that a procedure could be satisfactorily validated for: a) starting materials supplied by intermediaries such as brokers where the source of manufacture is unknown or not audited; b) starting materials for use in parenteral products.

Suplemen BAB 7 – Pengawasan Mutu Control

Supplement of Chapter 7 – Quality

Notes: (*) These are average values. 1 For settle plates purposes (**) Individual classification may be in Grade A zones, a minimum sample volume of 1 m³ should be taken per sample location. For exposed for less than 4 hours Grade A the airborne particle classification is ISO 4.8 dictated by the limit for particles ≥5.0 µm. For Grade B (at rest) the airborne particle classification is ISO 5 for both considered particle sizes. For should (at rest & operation) of particulate and microbiological 15 Appropriate alert and action limits Grade Cbe set forinthe results the airborne particle classification is ISO 7 and ISO 8 exceeded operating procedures should prescribe corrective action. monitoring. If these limits are respectively. For Grade D (at rest) the airborne particle classification is ISO 8. For ANEKS 1 classification purposes EN/ISO 14644-1 methodology defines both the minimum number of sample locations and the sample size based on the class limit of the largest considered particle size and the method of evaluation of the data collected. ISOLATOR TECHNOLOGY

PEMBUATAN PRODUK STERIL

16 The utilization of isolator technology to minimize human interventions in processing areas may result in a significant decrease in the risk ofcounters with a short length of sample tubing manufactured products from the 2 Portable particle microbiological contamination of aseptically should be used for classification environment. There are many of the relatively higher rate of and transfer of particles ≥5.0 m inand the purposes because possible designs of isolators precipitation devices. The isolator remote PRINSIP background sampling systems with designed so that the required air quality for the respective zonesused be environment should be long lengths of tubing. Isokinetic sample heads should be can in realized. Isolators are constructed of various materials more or less prone to puncture and leakage. Transfer unidirectional airflow systems. Produk steril hendaklah dibuat dengan devices may vary from a single door to double door designs to fully sealed systems incorporating sterilization persyaratan khusus dengan tujuan mechanisms. memperkecil risiko pencemaran mikroba, partikulat dan pirogen, and sangat tergantung 17 The transfer of materials into yangout of the unit is one of the greatest potential sources of contamination. dari ketrampilan, pelatihan dan sikap for In general the area inside the isolator is the local zone darihigh risk manipulations, although it is recognized that 3 “In operation” classification may be demonstrated during normal operations, simulated laminar air personil not exist in the working zone of all such devices. The air classification required for the flow may yang terlibat. Pemastian Mutu sangatlah penting dan pembuatanworst case simulation application. It should be controlled and background operations or dependsmedia fills as ofproduk environment during on the design the isolator and its is required for this. EN ISO 14644provides information Grade D. steril harus at leaston testing to demonstrate for aseptic processing be sepenuhnya mengikuti secara continued compliance with the assigned cleanliness classifications. ketat metode pembuatan dan prosedur yang ditetapkan dengan seksama dan appropriate 18 Isolators should be introduced only after tervalidasi. validation. Validation should take into account all Pelaksanaan proses akhir example the quality of the air inside and outside (background) the critical factors of isolator technology, for atau pengujian produk jadi tidak dapat dijadikan sebagai and isolator, sanitation of the isolator, the transfer processsatu- isolator integrity. satunya andalan untuk menjamin sterilitas CLEAN ROOM lain. atau aspek be carried out routinely and include frequent leak 19 Monitoring should mutuAND CLEAN AIR DEVICE MONITORING testing of the isolator and glove/sleeve system. 4 Clean rooms and clean air devices should be routinely monitored in operation and the monitoring locations based on a formal risk analysis study and the results obtained during the UMUM classification of rooms and/or clean air devices. 1 SEAL TECHNOLOGY steril hendaklah BLOW / FILL/ Pembuatan produk dilakukan di area bersih, memasuki area ini hendaklah melalui ruang penyangga untuk personil dan/atau peralatan machines in Area 20 Blow/fill/seal units are purpose built dan bahan. which, in one continuous operation, containers are formed bersih hendaklah zones,and then monitoring by the one undertaken for the 5 For granulate, filled particle sealed, all from a thermoplastic Grade Adijaga tingkat kebersihannyashould be automatic machine. full duration of critical sesuai standar kebersihan yang ditetapkan processing, including equipment assembly, except where justified by contaminants in the process dan would damage the particle counter or present a hazard, e.g. live organisms and radiological that dipasok dengan udara yang telah melewati filter such cases monitoring during routine equipment set up operations should be hazards. In dengan efisiensi yang sesuai. undertaken prior to exposure to production which is fitted simulated operations should shower 21 Blow/fill/seal equipment used for asepticthe risk. Monitoring during with an effective Grade A air also be 2 Berbagai kegiatan AC environment, provided that Grade a frequency and used.suitable sample performed. The Grade zone should be monitored at such A / B clothing is with The equipment may be installed in at least a Gradepersiapan komponen, pembuatan produk dan pengisian events and size that all of products for terminal sterilization system deterioration would be a Grade D used for the productioninterventions, transienthendaklah any should be installed in at leastcaptured and dilakukan di ruangalert limits di dalam area It is accepted that it may not always be possible to alarms triggered if terpisah are exceeded. environment. 14 Where low operations produk steril bersih. Kegiatan comply ≥5.0 the particle and microbial of fill when filling is using methods such as demonstrateasepticpembuatan m particles monitoring number frequent in progress, microbial The environment shouldlevels of with are performedat the point should belimits “at rest” and thedue to the settle digolongkan dalam air kategori yaitu; dapat only of particles or droplets surface sampling (e.g. swabs and contact plates). Sampling numbergenerationwhen in operation. and from the product itself. limit plates, volumetric dua methods produk pertama used in operationdisterilkan dalam yang should not interfere with zone protection. Results from monitoring should be considered when reviewing akhir, wadah akhir dan disebut juga sterilisasibatch documentation for finished product release. Surfaces and personnel should be monitored after critical kedua produk yang diproses secara aseptik operations. Additional microbiological monitoring is also required outside production pada sebagian atau semua tahap. operations, e.g. after validation of systems, cleaning and sanitation. 22 Because of this special technology particular attention should be paid to at least the following: a) 3 Area bersih and qualification, equipment design untuk pembuatan produk b) steril It digolongkan berdasarkansimilar system be used for Grade B zones although the sample validationrecommended that of cleaning-in-place and sterilization-in-place, 6 is and reproducibility a karakteristik lingkungan yang dipersyaratkan. Tiap kegiatan frequency may be decreased. The importance of the particle monitoring system should be c) pembuatan membutuhkan tingkatofkebersihanthe equipment isthe adjacent Grade A and B zones. background clean effectiveness in segregation between located, determined by theroom environmentthe which ruangan yang sesuai be monitored at such a frequency and with suitable sample size that The Grade B zone should dalam keadaan d) changes training and clothing, and and any system deterioration wouldMANUFACTURE OF operator in levels of contamination be captured MANUFACTURE OFand alarms Recommended limits for microbiological monitoring of clean areas during operation RADIOPHARMACEUTICALS PEMBUATANOF IONISING RADIATION IN USE RADIOFARMAKA triggered if alert limits are exceeded. CARAinterventions in the critical zone of the equipment including any STERILE PENYIMPANAN DAN PENGGUNAAN RADIASI to the PENGGUNAAN RADIASI e) aseptic assembly prior THE MANUFACTURE GOOD STORAGE YANG SAMPEL PENGION DALAMAND PEMBANDING PENGIRIMAN OBATAND PARAMETRIC of filling. PARAMETRIC RELEASE PENGION DALAM REFERENCE commencement RELEASE PHARMACEUTICAL PRODUCTS OF MEDICINAL a network 7GLOSARIUM monitoring systems may consist of independentPEMBUATAN OBAT Airborne particle particle counters; DISPATCH PRACTICES PEMBUATAN OBAT SAMPLE GLOSSARY GLOSARIUM GLOSSARY BAIK DAN SAMPEL PERTINGGAL a RETENTION of sequentially accessed sampling points connected by manifoldPRODUCTS to a single particle counter; or

Where remote sampling systems are used, the length of tubing and the radii of any bends in the tubing components and most the context of be done in at least a tubing. environment in order 23 Preparation of must be considered inproducts should particle losses in theGrade D The selection of the monitoring system particulate contamination, suitable presented by sterilization. Where in the to give low risk of microbial and should take account of any risk for filtration and the materials used there is manufacturing operation, of microbial contamination, for example, because the product actively unusual risk to the product becausefor example those involving live organisms or radiopharmaceuticals. supports microbial growth or must be held for a long period before sterilization or is necessarily processed not mainly in closed vessels, preparation should be done in a Grade C environment. 8 The sample sizes taken for monitoring purposes using automated systems will usually be a function of the sampling rate of the system used. It is not necessary for the sample volume to be the same as that used for formal classification of clean rooms and clean air devices. 24 Filling of products for terminal sterilization should be done in at least a Grade C environment.

9 In Grade at unusual risk the monitoring of the the m particle for example because the on a 25 Where the product is A and B zones,of contamination from ≥5.0environment, concentration count takesfilling operation is particularthe containers as itwide-necked or are necessarily exposed for more than of few seconds slow or significance are is an important diagnostic tool for early detection a failure. The occasional indication of ≥5.0 μm particle zone may be false counts due to electronic noise, stray before sealing, the filling should be done in a Grade Acountswith at least a Grade C background. light, coincidence, etc. However consecutive or regular counting of low levels is an indicator of a possible contamination event and should be investigated. Such events may indicate early failure of the HVAC system, filling equipment failure or may also be diagnostic of poor practices during machine setup ASEPTIC PREPARATION and routine operation.
26 Components after washing should be handled in at least a Grade D environment. Handling of sterile 10 The particle limits given in subjected to sterilization or filtration be achieved after a short starting materials and components, unless the table for the “at rest” state shouldthrough a micro-organism“clean in the process, should minutes (guidance A environment with Grade B background. retaining filter later up” period of 15 - 20 be done in a Grade value) in an unmanned state after completion of operations. 27 Preparation of solutions which are to be sterile filtered during the process should be done in a Grade C environment; if not filtered, the preparation of materials and products should be done in a Grade A environment with a Grade B background. 11 The monitoring of Grade C and D areas in operation should be performed in accordance with the principles of quality risk management. The requirements and a Grade A environment with a 28 Handling and filling of aseptically prepared products should be done in alert/action limits will depend on the nature Grade B background. of the operations carried out, but the recommended “recovery time” should be attained. 12 Other characteristics such as temperature and relative humidity depend on the product and nature of the operations carried out. These parameters should not interfere with the defined 29 Transfer of partially closed containers, as used in freeze drying, should, prior to the completion of stoppering, cleanliness standard. be done either in a Grade A environment with Grade B background or in sealed transfer trays in a Grade B environment. 13 Examples of operations to be carried out in the various Grades are given in the table below (see also paragraphs 28 to 35): 30 Preparation and filling of sterile ointments, creams, suspensions and emulsions should be done in a Grade A environment, with a Grade B background, when the product is exposed and is not subsequently filtered. PERSONNEL 31 Only the minimum number of personnel required should be present in clean areas; this is particularly important during aseptic processing. Inspections and controls should be conducted outside the clean areas as far as possible. 32 Personnel required to work in clean and sterile areas should be selected with care to ensure that they may be relied upon to observe the appropriate disciplines and are not subject to any disease or condition which would present any microbiological hazard to the product. 33 All personnel (including those concerned with cleaning and maintenance) employed in such areas should receive regular training in disciplines relevant to the correct manufacture of sterile products, including reference to hygiene and to the basic elements of microbiology. When outside staff who have not received such training (e.g. building or maintenance contractors) need to be brought in, particular care should be taken over their instruction and supervision.

34 Staff who have been engaged in the processing of animal tissue materials or of cultures of microorganisms other than those used in the current manufacturing process should not enter sterile-product areas unless rigorous and clearly defined entry procedures have been followed.

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