Aseptic Production 3 Flashcards

1
Q

Sterility test

A
  • Only test available
  • Inadequate, as only assures that the part of the batch sampled is sterile
  • Relies on assurance that the batch was produced under homogenous conditions
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2
Q

Sterility test - GMP states:

A

“The sterility test applied to the finished product should only be regarded as the last in a series of control measures by which sterility is assured. The test should be validated for the product(s) concerned.”

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3
Q

Sterility test samples

A

• Samples should be representative of the whole batch
• Should include samples from parts of the batch particularly at risk
– Filled containers at beginning and end of batch run
– Heat sterilised in final containers – take from coolest part of the load

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4
Q

BP Sterility Test

A

Adopted by the European Pharmacopoeia
• Complex and requires dedicated facilities
– Grade A laminar airflow cabinet in Grade B
environment
– Expensive machinery (if producing small batches - cost not worth it)
– Robotics (automated)

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5
Q

BP Sterility Test - Two methods:

A
  • Membrane filtration
  • Direct innoculation
  • Membrane filtration is preferred method where possible
  • A very complicated procedure
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6
Q

Membrane filtration

A
• Filter product (mostly aqueous products) through 50mm disc 
• All equipment sterilised before use 
• Aseptic conditions throughout
• Transfer membrane to culture media 
– Aerobic bacteria
– Anaerobic bacteria 
– Fungi
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7
Q

Membrane filtration

• Incubate

A

– Aerobic and anaerobic bacteria for at least 7 days at 30‐35oC
– Fungi for at least 7 days at 20‐25oC

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8
Q

Direct innoculation

A
  • Preparation transferred directly into culture media (liquid agar used)
  • Must be at least 10x dilute for liquid preparations (to ensure any bacteria or micro-organisms are caught)
  • Incubate at same temperatures as membrane filtration for at least 14 days
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9
Q

Sterility testing in routine hospital manufacture

A

NOT DONE!!
• Manufacture to order, so no batches
– Therefore cannot sample
• Sterility test takes up to 14 days
– Products have to be given directly to patient
– Most products have short expiry dates
• Therefore must assure sterility in manufacture

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10
Q

Assuring sterility (Quality Assurance)

A
• Adherence to GMP 
– Aseptic process
– Quality control of materials
– Validate all processes
– Air quality must be checked regularly
– Routine environmental monitoring 
– Cleaning process
– Training to a certain standard
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11
Q

Asepsis definition

A

“The absence of harmful bacteria, viruses or other microorganisms”.

Similar to sterile

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12
Q

Aseptic definition

A

“Free from contamination caused by harmful bacteria, viruses or other microorganisms”

Describes techniques used

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13
Q

Medicines Act 1968

A

Stipulates that a manufacturer’s license is required to “manufacture or assemble a medicinal product”

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14
Q

Manufacture

A
  • Includes any process carried out in the course of making a product
  • Does not include dissolving or dispensing the product in, or diluting or mixing it with, some other substances used as a vehicle for administration

• Why is this second point important?
-it gets us out of the need of a manufacturing license

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15
Q

Assembly definition

A
  • Assemble is defined as: “Enclosing of the product in a container which is labelled before the product is sold or supplied or, where the product is already enclosed in a container in which it is to be sold or supplied, labelling the container before the product is sold or supplied in it.”
  • Aseptic dispensing is technically assembly under the Medicines Act 1968
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16
Q

Exemption from licensing

A

• Under Section 10(1) of the Act, the following activities may be done by or under the supervision of a pharmacist in a hospital:
– Preparing a medicine in accordance with a prescription given by a practitioner
– Dispensing a medicine in accordance with a prescription given by a practitioner
– Assembling a medicine
– Preparing a stock of medicines with a view to dispensing them in accordance with a prescription given by a practitioner

17
Q

Aseptic production in hospital pharmacy - Section 10 Exemption

A
  • Maximum 7‐day expiry
  • Prepared or directly supervised by Pharmacist
  • Must only be prepared against a legal prescription
  • Final check and release may be done together (person who does QC can also release it)
  • Release may be done by any locally approved Pharmacist
  • Standards must comply with local and QA regional audit
18
Q

Aseptic production in hospital pharmacy -

A

Specials Manufacturing Licence
-Expiry limited to stability evidence
-Prepared by suitably trained person following approved procedures
-Can be prepared for stock
-Final check and release MUST be done by
separate people
-Release may only be done by person registered by MHRA, e.g. Pharmacist or Qualified Person (QP)
-Standards must comply with MHRA inspection which is much more stringent
pharmacy