Professional Documents
Culture Documents
THE TECHNICAL DIRECTOR MUST SIGN THIS FORM, WILL BE RETURNED IF NOT COMPLY WITH
THAT REQUIREMENT.
Documentation can be presented in both Spanish and English. It will be necessary to attach the
respective translation, if presented in a language other than the above.
The correct entry of the information requested in this form is essential for the evaluation and
condition to respond in the shortest possible time. The indication in the respective boxes "see
CD", or "see Annex" is not appropriate and only obstructs the evaluation. The annexes are
considered only as complementary information.
Aassociated tariff codes:
4150050
4150054
4150051
4150055
GENERAL INFORMATION
NOTE: The type of modified release of the active ingredient should be according to the "Guide for the
denomination for pharmaceutical products in Chile"
TYPE OF ACCREDITATION
Mark with an X according type of validation to be performed and complete the form only according to
the indicated option.
According to resolution:
1.1 Res. Ex N°2274/12 - D. Ex. Nº 634/13
1.2 Res. Ex N°1531/13
1.3 Res. Ex N°2803/09
1. Abbreviated validation Res. 2274/12 - Decree Ex N° 634/13
Attachment forms of the biobatch are requested.
Name Country
GMP certificate number
Inspected plant address
GMP issue date
Certificate validity
NOTE: If the Biobatch or Bioexemption batch are of an older fabrication and is not covered by the
valid GMP, it will be necessary to also present another GMP certificate that covers that period of
manufacturing.
1.1.2.Valid Pharmaceutic Product Certificate (CPP). ((Must accredit that the product is
commercialized in the regulated country by the agency that authorizes the GMP certificate and that it’s quali-
quantitative formula is the same that the product brought to Chile).
Name Country
CPP Certificate number
Manufacturing plant registered in the CPP
Name Country
CPP issue date
CPP validity
Formulary F-VPP 01 version 7.1
Indicate
If the answer is NO, you must indicate the number
YES/NO commercialization
of the Approved Resolution of the modification of
country
formula of this institute (read instructions at the
beginning of this form)
¿Is the same Quali-Cuantitative formula ?
(YES/NO)
Reference number of
If the answer is NO, you should apply for change of the Analitycal Date of application
the formulation to ISP. Modification (AM)
1.1.3 If the validity of the CPP does not cover the manufacture of the biolote or batch bioexemption,
you must also attach a production form for a current batch.
Batch code
Manufacturing date
Manufacturing Plant address
1.2 Abbreviatted validation by Res. Ex N°1531/13
Purified Water
Sterile Water
Compress Air
Gases (N2)
Formulary F-VPP 01 version 7.1
1.
2.
2.1.
2.2. Cleanliness validation. (Complete the box with the required information, also the documents that
support this information must be attached)
2.3. Analytic Methodology. (Complete the box for each analytic methodology used, also the documents
that support this information must be attached).
NOTE: For modified release dosage forms attach the analytical methodology of the dissolution test
performed to verify the type of release.
2.4. Manufacturing equipment. (Complete the following box with the equipment used in the manufacture
of the batches to validate)
2.5. Process control equipment. (Complete the following box with the process control equipment used in
the manufacture of the batches to validate)
2.6. Quality control instruments and equipment. (Complete the following box with the instruments used
in the manufacture of the batches to validate)
Quality control Performance Date of approval of the Valid period Date of maintenance
instruments Rating Report Report prior to the of the and/or calibration prior
and equipment Code (PQ) production of the lots document to the manufacturing of
for the validation the validated batches
2.7. Of the process flow diagram. (Indicate if the flow diagram is detailed in the validation protocol and/or in
the validation report. The documents that support this information must be attached).
YES NO Where
Flow diagram is
attached
NOTE: For modified release dosage forms, the process flow chart shall indicate the step (s) in which
the excipient (s) in charge of modifying the release of the active ingredient is included.
2.8. Risk analysis. (In the following bow you must indicate if risk analysis is present in the protocol and/or
report; then according to the risk evaluation, indicate the critical stage and quality attributes corresponding,
to control de critical points. Example: content uniformity, hardness, friability, valuation, dissolution, etc.)
2.9. Sampling plan as in the protocol. (In the following box you must detail the sampling plan to be realized
in the process of manufacture of the batches to validate. Where? How? When?).
Critical stage Sampling location How was realized the Sampling frequency
sampling
2.10.Acceptance criteria. (In the following box you must complete the analysis to be done in each critical stage
with their respective acceptance criteria).
2.11.Data statistical analysis. (Indicate in the table below the results of statistical analysis according to
Technical Note No. 4, using a table for each critical parameter evaluated and attach the
appropriate file format Excel protected against modification).
Minimum value
Quartile 1
Quartile 2
Quartile 3
Maximum value
Average
IC 95%
Cp
Cpk
p-value for the difference of the mediums
(one way ANOVA test) calculated F and
tabulated F
p-value for the homogeneity of the variances
(Bartlett test)
Note: The interbatch statistical analysis of the results will be evaluated as an informative condition, you
should only demonstrate that the process is capable and it’s under statistical control.
2.12. Process deviation documentation. (Complete the following box only in case that there is process
deviation; in that case attach de corresponding documentation).
3. Regulatory requirements
3.1. Fórmula cuali-cuantitativa y especificaciones de producto terminado. (For records processed in
the following table only complete the columns for the formula described in the validated batches).
Note: The last approved Q-Q formula resolution should be the same as the formula of the validated
batches. Including the solvents used and eliminated during the process, if they are note declared, you
should request the respective formula modification to this Authority before submitting this form and
attaching the receipt of the request. Failure to comply with this requirement will not be evaluated
background.
NOTE: Indicate the viscosity only in those cases where it is necessary to achieve the correct
determination of the raw material used.
3.3. Stability . (Complete the following table. Must attach the respective documentation )
Note: Only applies when the validated batches have been undergone to stability studies.
YES NO
The validation batches have been submitted to
stability studies.
Authorized effectiveness period
3.4. Validation of product packaging . (Important: Complete the following table only if you have the
validation of primary conditioning.
1.- I declare under oath that the data provided in this form, as well as the accompanying
records, are true and complete.
2.-I am aware of the provisions of article 210 of the penal code, which states that: "whoever
before the authority or his agents perjurare or give false testimony in matters that are not
contentious, will suffer minor prison sentences in their degrees Minimum to medium and fine
of six to ten monthly tax units. "
Fecha: ____/____/_____.
CHANGES CONTROL
Version 3.2 Version 4.1 12-1-14 Change of format. The modifications consist in
the order that the information must be wrote in
Formulary F-VPP 01 version 7.1
the form.