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Pharmaceutical

Commentary

ign &
turing

The role of microbiology in the design


and development of pharmaceutical
manufacturing processes

Keywords:  growth potential • hold times • microbiological control • microbiology Anastasia Lolas*
• microorganisms • pharmaceuticals • process design • process development *Visionary Pharma Consulting LLC,
Olney, MD, USA
+1 301 774 2616
The role of microbiologists in pharmaceu- Back to the basics alolas@ visionarypharma.com
tical development and manufacturing has When expectations and practices seem to
become more visible in recent years due drift away from science and reach scien-
to the QbD and risk-based approaches tifically unjustifiable terrain, we need to go
promoted by regulatory authorities and ‘back to the basics’ and the science of applied
industry [1] . Microbiology, microbiologi- microbiology. This is even more necessary
cal control and contamination control are when regulatory expectations impose sci-
indispensable in the manufacture of sterile entifically insupportable requirements and
and nonsterile products as well as biologic expectations. Training and mentoring micro-
drug substances, as evidenced by multiple biologists in the basic principles of microbiol-
conference presentations and publications. ogy is critical. Microorganisms do not visit
Terms such as objectionable microorgan- facilities out of nowhere; there is a source
isms, organisms of concern, alert and action associated with their origin and introduc-
limits, environmental monitoring and steril- tion into a facility and manufacturing pro-
ity are dominating our daily work. Lack of cess. Once introduced, favorable conditions
sterility assurance is the number one reason are required for a microorganism’s growth.
for recalls of sterile drug products, and pres- Such conditions must be evaluated to under-
ence of objectionable organisms is the num- stand whether this microorganism could rep-
ber one reason for recalls of nonsterile prod- resent a hazard to the product and patient.
ucts [2,3] . While no one disputes the role of Microbiological control centers primarily on
microbiologists in the design and develop- preventing the introduction of microorgan-
ment of pharmaceutical manufacturing pro- isms into a manufacturing process. If intro-
cesses, microbiologists still appear ‘confined’ duction cannot prevented, then control is
in the laboratory of the manufacturing facil- achieved by destruction, removal, inhibition
ity long after a process has been established of microorganisms, or a combination of these
and approved. They are not visible as equal approaches. Drug product sterility is based
partners in the development process along on destruction or removal of microorganisms
with chemists and pharmacists. However, and is indicated for products that bypass the
microbiology issues frequently arise and human body’s natural defenses (e.g., paren-
critical decisions must be made. The science teral administration). In the case of nonster-
of microbiology and its applications have a ile products, APIs, excipients and biologic
large impact on microbiological and con- drug substances, small amounts of microor-
tamination-control strategies for robust and ganisms are acceptable provided that they do
consistent processes with infrequent failures not replicate in the final material during stor-
and contaminations. End-product testing is age and provided that these microorganisms
no longer considered acceptable for assuring are not pathogenic and do not create other
part of
product quality. objectionable conditions. Nonsterile drug

10.2217/PBP.14.6 © 2014 Future Science Ltd Pharm. Bioprocess. (2014) 2(2), 125–128 ISSN 2048-9145 125
Commentary  Lolas

products are acceptable for routes of administration assessment, however, is indispensable for microbio-
that pass through the human body’s defenses (e.g., oral logical control as it provides a system for identifying
administration). and assessing microbial hazards to prevent them from
Product quality cannot be achieved through end- occurring in the process and affecting product quality.
product testing as an extremely small amount of prod- Hazard Analysis Critical Control Point (HACCP) has
uct is sampled and tested. Furthermore, the test meth- been used as the primary risk assessment tool in other
ods are limited in their detection and quantitation industries to predict introduction and persistence of
capabilities. Microorganisms are living entities and are microorganisms in the manufacturing process. This is
not homogeneously distributed. Their detection and an area where microbiologists must receive good train-
measurement represents detection and measurement ing to be able to serve as experts in the conduct of risk
at a specific time point only as conditions can change assessments to design processes that are sufficiently
following sampling and testing. Retesting of the same controlled to achieve microbiological product quality.
material may not provide the same result.
Microbial growth potential
Conditions for microorganism survival, All materials and components should be evaluated for
growth & persistence their microbial growth potential – their ability to pro-
Microorganisms are living entities, and therefore, mote and sustain microbial growth. This is integral for
highly variable. Like other living entities, they have process design and validation.
specific requirements for survival and growth. They The microbiological quality of raw materials can
need water and nutrients as well as favorable pH and vary depending on their origin, starting materials and
temperature conditions. The longer they stay under manufacturing process. In addition, shipping and dis-
these conditions, the happier they are and will thrive. tribution conditions can have an adverse effect on qual-
When conditions become unfavorable, some will die, ity, if not appropriately managed. Frequent questions
some will form spores, some will shrink their cell that arise pertain to microbial and endotoxin limits
size and some may find other ways to survive such as and specifications for APIs and excipients. A microbi-
biofilm formation. As a general rule of thumb, most ologist should be engaged early on during development
microorganisms will grow and be happy in mild tem- to conduct a risk assessment along with members from
perature conditions in an aqueous environment near other disciplines to determine the appropriate microbi-
neutral pH. When these conditions are not met, they ological quality of these raw materials and the risk for
may die or survive (in a different form or without microbial growth. Special attention should be provided
growth) awaiting more favorable conditions to occur. to the origin of materials, particularly animal-derived
Some microorganisms can produce toxins and other materials that can harbor viruses. Drying, heating and
by-products when they are actively growing and reach solvent steps in the manufacture of the raw material can
a certain threshold or mass. These toxins can remain reduce microbial load. Certain materials are naturally
in the material and may require specific means to be inhibitive to microbial growth and this should be con-
destroyed or removed, so that the toxins are not present sidered in the acceptability of the material for the pro-
in the final drug product. Many microorganisms can cess and for developing a monitoring/testing program
also produce enzymes that may degrade the drug sub- with scientifically justifiable acceptance criteria.
stance or drug product over time. Even if a microor- The drug product formulation itself should be eval-
ganism is not present in the final material but was pres- uated for its potential to support microbial growth
ent at some point and was provided with the nutrients depending on its composition and route of administra-
to thrive, its by-products may be present in the final tion. The risk increases for aqueous formulations. In
material, if not destroyed or removed. One example is general, tablets and capsules are not conducive to micro-
bacterial endotoxin, which can be produced by certain bial growth due to their low water activity – there is not
actively growing microorganisms and can be destroyed enough unbound water to be used for microorganism
by depyrogenation. growth. A microbiologist should be enlisted early on to
conduct studies to determine how different organisms
Risk assessment for microbial hazards behave in the formulations under development. These
Quality risk management in the pharmaceutical studies can be a USP <51> test or modified versions of
industry is still rather new. A guidance was introduced this test using lower inocula and different intervals for
in 2005 [4] and the pharmaceutical industry is under enumeration of microorganisms [5–7] . ATCC strains but
the implementation phase. Therefore, the level of also typical environmental isolates should be evaluated,
sophistication, systematic use and tangibility of results if possible. Growth or survival of each microorganism
seen in other industries have not yet materialized. Risk should be determined. Based on these studies, aqueous

126 Pharm. Bioprocess. (2014) 2(2) future science group


The role of microbiology in the design & development of pharmaceutical manufacturing processes  Commentary

multidose drug product formulations may not require validated. A vessel that stays dirty for too long may
a preservative, or low preservative amounts may be suf- not be appropriately cleaned using the routine cleaning
ficient, if there are bactericidal or bacteriostatic proper- cycle. Modified cleaning may be required to remove
ties. A bioburden-based approach may be employed for all residue depending on the type of residue. Biofilm
moist heat sterilization instead of an overkill approach can be developed that is very difficult to remove. If the
that may not be suitable for product stability leading material in the vessel is growth-promoting, it may limit
to a terminal sterilization process versus an aseptic fill the maximum dirty hold time. Equipment may need
manufacturing process. A terminal sterilization process to be cleaned immediately.
is less variable and can be more effectively controlled
because it is less open to the environment and there are In-process testing
fewer personnel interventions compared with a typical A microbiologist should be consulted early in phar-
and manual aseptic process. Worst case and bracketing maceutical development to discuss the points where
approaches can be followed for process validation by a process should be monitored. While for drug prod-
selecting the most growth-promoting materials. uct manufacture these points are standardized (e.g.,
The composition of other materials and/or solutions prefiltration bioburden for aseptic process, bioburden
used in a manufacturing process should also be consid- prior to sterilization for terminal moist heat), they are
ered for their potential to support microbial growth. For not for other processes, particularly for biologic drug
example, coating solutions used in tablet manufacturing substance. In addition, the bioburden and endotoxin
processes can be conducive to microbial growth depend- limits may not be clearly defined. What is an appropri-
ing on the storage conditions. Solutions used in drug ate limit? What happens if an alert limit is exceeded?
product manufacturing processes before providing the What if an action limit is exceeded? There are frequent
final formulation may also promote microbial growth questions and discussions regarding these topics.
depending on the storage conditions. In biologic drug Another topic of great interest is that of acceptable
substance operations, there are multiple solutions that types of microorganisms in a process. What types of
are typically growth promoting such as in-process inter- organisms are acceptable prior to sterilization or prior
mediates following harvest of the bioreactor, bioreactor to filtration? What types of organisms are acceptable
media and buffer solutions used in purification steps. for nonsterile drug product or biologic drug substance?
Knowing the most growth-promoting solution assists in This is where the term ‘objectionable organisms’
designing the process appropriately and validating hold is employed for nonsterile drug product or the term
times using worst case and bracketing approaches. Fur- ‘organisms of concern’ used by some biotechnology
thermore, bactericidal or bacteriostatic solutions may companies for drug substance manufacture. Numerous
not require frequent in-process monitoring or may not articles have been published on this topic [8,9] . Having
need to be monitored at all. More filtration steps may be a microbiologist participating in the development team
necessary to control bioburden in a biologic drug sub- can help address these questions and define the crite-
stance process or an aseptic process (prior to sterile filtra- ria for the specific process and product. Objectionable
tion), if solutions tend to promote growth and there are organisms and organisms of concern may vary from
open operations or connections where microorganisms product to product and process to process depending
can be introduced into the process stream. on the growth requirements and process conditions.

Hold times Personnel & facility/process environment


Hold times are critical for any pharmaceutical manu- A risk assessment conducted with a microbiologist
facturing process as they provide an opportunity for and other disciplines should assess each manufactur-
microorganisms to grow. The microbial growth poten- ing process for potential entry of microorganisms and
tial of the solution should be known. The temperature determine environmental monitoring locations. Envi-
conditions and length of hold time will affect micro- ronmental monitoring should be connected to open
bial growth. Small-scale studies can be conducted to operations and interventions that can introduce micro-
determine optimal conditions for growth. If growth is bial hazards into the process stream and equipment.
supported, cold storage may be required and length of Should such introduction occur, the environmental
hold time may be short. If growth is not supported, the monitoring results can help identify the root cause.
solution may be held at room temperature or for longer
periods. Maximum hold times will need to be verified Microbiological stability
at scale during manufacturing. Microbiological stability and integrity of the drug sub-
Dirty hold times of equipment are especially critical stance and drug product should be determined over
for all manufacturing processes and are expected to be its shelf life. Container-closure integrity is critical for

future science group www.future-science.com 127


Commentary  Lolas

preventing microorganisms from entering the drug right direction for many important formulation design
substance or product and maintaining microbiologi- and manufacturing process design decisions. Limits
cal quality. For nonsterile materials, quality should be and acceptance criteria for microbiological quality
verified during stability to assure that microorganisms can be determined for drug substance, excipients and
present at the beginning of storage did not have an drug product based on risk. Process validation can be
adverse effect on microbiological quality throughout designed to include the most growth-promoting solu-
the shelf life. tions and conditions that promote microbial growth.
For sterile products that are reconstituted with dilu- Furthermore, microbial risks to the process can be
ent or further diluted and then held prior to admin- assessed in a preventive and not reactive mode. Micro-
istration, in-use studies should be conducted to biological control is primarily based on prevention.
determine whether potential low-level contamination Remediation is time consuming, costly and may not
during reconstitution or dilution followed by the hold be successful at first. Pharmaceutical development and
period and hold temperature would result in micro- process design require the contribution of multiple
organism growth. Such studies should be conducted disciplines to assure product quality. Microbiological
early in development as sometimes they can affect the product quality cannot be achieved without the partic-
type of diluent to be used. The goal is to design a prod- ipation of a microbiologist trained in basic and applied
uct that even if a patient or practitioner accidentally microbiology.
contaminates prior to administration and then holds
for the maximum time period, will not cause harm to Financial & competing interests disclosure
the patient because the diluent and product supported The author has no relevant affiliations or financial involvement
growth and the organisms grew to high levels during with any organization or entity with a financial interest in or fi-
the hold period. nancial conflict with the subject matter or materials discussed
in the manuscript. This includes employment, consultancies,
Summary honoraria, stock ownership or options, expert testimony,
Having a microbiologist participate early in the drug grants or patents received or pending, or royalties.
development team can result in product knowledge No writing assistance was utilized in the production of this
regarding microbiological quality and can stir in the manuscript.

References 5 US Pharmacopeia. USP Chapter <51> Antimicrobial


effectiveness test. In: USP 36/NF 31 (Volume 1). The United
1 US Department of Health and Human Services, Food and
States Pharmacopeial Convention, Inc. Rockville, MD, USA,
Drug Administration. Pharmaceutical CGMPs for the 21st
54–55 (2013).
Century – A Risk-Based Approach. US FDA, MD, USA.
(2004). 6 Lolas AG, Metcalfe JW. Evaluation of the microbial growth
potential of pharmaceutical drug products and quality by
2 Higgins B. Staying ahead of the curve: proactive
design. PDA J. Pharm. Sci. Technol. 65(1), 63–70 (2011).
pharmaceutical microbiology. Presented at: PDA 8th Annual
Global Conference on Pharmaceutical Microbiology. Bethesda, 7 Metcalfe JW. Microbiological quality of drug products after
MD, USA, 21–23 (2013). penetration of the container system for dose preparation prior
to patient administration. Am. Pharm. Rev. 12(1), 84–89
3 Sutton S, Jimenez L. A review of reported recalls involving
(2009).
microbiological control 2004–2011 with emphasis on FDA
considerations of ‘objectionable organisms’. Am. Pharm. Rev. 8 Sutton SVW. What is an ‘objectionable organism?’ Am.
15(1), 42–57 (2012). Pharm. Rev. 15(6), 36–47 (2012).
4 International Conference on Harmonization of Technical 9 Daniels R et al. The use of thorough microbial impact
Requirements for Registration of Pharmaceuticals for assessment to control bioburden on a particular process step
Human Use. ICH Quality Risk Management Q9. during manufacturing of biologic products. Am. Pharm. Rev.
International Conference on Harmonization (2005). 15(7), 24–29 (2012).

128 Pharm. Bioprocess. (2014) 2(2) future science group

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