L6 - Pharmaceutical Inspection Topics of Special Interest Flashcards

1
Q

Types of Inspection

A

1) On-site inspection
- inspectors phy present

2) Remote inspection
- e-technology, aims to mimic on-site inspection in terms of format, time-frame & overall rigour

3) Desktop inspection
- mainly “paper-based”

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2
Q

Arrangement of Remote inspection

A
  • Agree on virtual conference (inspection) platform
  • Strong internet/wifi
  • Know the parties involved & their roles
  • Agree on time & duration, time zones
  • Confidentiality, security & access
  • Agree on safety arrangements
  • Deal with document system
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3
Q

Challenges of Remote inspection

A
  • E-tech limitations
  • Slower response time
  • Lack of body language
  • Limited resources at manufacturing sites
  • Difficult to inspect utilities & manufacturing operations
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4
Q

ASEAN MRA & its benefits

A
  • PIC/S framework as benchmark
  • Covers pharmaceutical products in FINISHED dosage forms
  • Prescription & OTC meds
  • -> Does NOT cover biopharmaceutical products & APIs

Benefits:

  • Avoids duplication of inspections within ASEAN
  • Save time resources $$$
  • Facilitates trade & quicker access to med products
  • Harmonise inspection standards with that of PICS
  • Increases attractiveness of ASEAN to regulators & investors
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5
Q

Objective of forming ASEAN JSC on GMP Inspection

A

To establish a register of ASEAN Listed Inspection Services (LIS)

  • Implements PICS fully
  • SG, MSIA, Thailand, Indonesia, Philippines
  • -> Ready to expand scope of MRA to include APIs & biopharmaceuticals
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6
Q

MRA (Mutual recognition agreement) vs mra (mutual reliance approach)

A

MRA:

  • Takes relatively long time to conclude
  • Negotiated under Free Trade Agreements (FTAs)
  • Involves regulators, lawyers/AGC, trade & industry representatives
  • Considerations given to pharm import/export volumes, political, legal, social & other trade/services impacts
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7
Q

PICS GMP Inspection Reliance

A
  • Have a MRA on GMP inspection in place
  • Recognition of GMP compliance status of a facility located within territory of a PICS Participating Facility
  • Recognition of inspection outcome by a hosting inspectorate which has been assessed under a robust framework
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8
Q

WHO Good Reliance Practices

A
  • Covers reliance activities in REGULATION of medical products
  • Spans entire product life cycle
  • Intended for all national regulatory authorities
  • Various approaches to reliance
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9
Q

What is reliance as described in WHO Good Reliance Practices?

A

Hall mark of an efficient regulatory authority & smart regulation

  • does not represent less stringent form of regulation
  • relying NRA remains independent, responsible & accountable
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10
Q

Benefits of remote inspections & reliance

A
  • Enables business continuity during Covid-19 (Only options for overseas manufacturers)
  • Decrease travel time
  • Accord for more flexibilities
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11
Q

What is Nanomedicines (& Nanotechnology)

A

Emerging group of therapies which aim to achieve breakthroughs in diagnosis & treatment of diseases

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12
Q

Advantages of Nanomedicines

A
  • Effective in targeting difficult-to-reach (tumour) sites
  • Reduced side effects
  • Smaller doses
  • Improved solubility & bioavailability

–> Due to its size shape & surface chemistry

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13
Q

GMP & Safety concerns of Nanomedicines

A

Free nanoparticles released into envt during manufacture & are a potential health & cross-contamination hazard

  • -> h/w they provide promising breakthroughs
  • -> Need a clear & globally acceptable regulatory framework to facilitate acceptance
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14
Q

Limitations of Conventional Product Testing

A
  • Only test on ‘representative’ sample size
  • Test only if you know the analyte & have a test method
  • Test only if test method is specific accurate & reliable
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15
Q

Limitations of Conventional QC Tests (QbT)

A
  • Only test on ‘representative’ sample size
  • Defaults only picked up at end of manufacturing process
  • QC tests not conducted in real time
  • -> $ of storage space during quarantine of bulky products

THEREFORE…
Developement of parametric release of terminally sterilised LVPs & QbD of other dosage forms by PAT

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16
Q

Advantages of QbD/PAR

A
  • Non-destructive
  • Higher Qa, deeper process understanding & better control
  • Real time release of products
  • Cost-savings for industry
17
Q

Challenges to QbD/PAR implementation

A
  • Limited understanding of QbD/PAR
  • High financial investment (though long-term savings)
  • Industry not accustomed to reviewing a validated process
  • Regulators not ready for QbD/PAR submissions
    (Used to older paradigm of QbT)
18
Q

Advantages of Continuous Manufacturing

A
  • Higher QA through at-line testing using non-destructive PAT/other technologies
  • Real time release of finished product (Save warehouse space)
  • Shortened batch processing time (Save $)
  • Smaller equipment & facilities
  • Integrated process (fewer steps)

OVERALL $ REDUCTION

19
Q

What is “batch”

A

Specific Qty of a product with uniform quality regardless of mode of manufacture

20
Q

Why is managing/inspecting API quality impt?

A

Quality of APIs, Purity

21
Q

Why is assuring API supply chain integrity impt?

A
  • Many players in supply chain
    (Increased chances for potential points of interference of APIs/product –> Falsified medications)
  • GMP/GDP compliance can help to:
    Assure quality, deter manipulation & detect adulterated products
  • International efforts to protect API supply chain integrity are ongoing & evolving