Pharmaceutical Quality Systems Flashcards

1
Q

Supply chain scenario structure

A
  1. Determine the Nature of the Question:
    Ascertain whether the query pertains to a standard process or involves complex challenges (CC).
  2. Gather Product and Supply Chain Information:
    Identify product specifics, including:
    Controlled Drugs (necessitating a Home Office license).
    Biological products (subject to independent batch testing by national laboratories).

(SMLGC-AQT-WISPD)

  1. Supply Chain MAP: Detailed visual representation outlining the flow of materials and products across all sites, from API manufacturing to final product distribution.
  2. MA: Verify Inclusion of All Sites in the Marketing Authorization (MA): Ensure that every manufacturing, packaging, testing, and certification site is explicitly listed in the MA.
  3. Confirm Authorizations, Licenses, and GMP Certifications:
    For each site, verify possession of appropriate credentials:
    API Site: Manufacturing authorization and, if applicable, API registration, CEP, ASMF, GMP.
    Manufacturing and Testing Sites: Manufacturing and Importation Authorization (MIA), GMP.
    Packaging Sites: Relevant authorizations for packaging operations, GMP.

QP Certification Site: MIA, GMP

Storage Facilities (optional): WDA (included in the Release site MIA)

Contract Lab for importation testing (optional): GMP cert (included in the Release site MIA)

  1. QTA:
    Implement written agreements with all sites, clearly delineating responsibilities and ensuring adherence to GMP standards.
  2. Audit Reports and QP Declarations:
    Obtain and assess recent audit reports for each site.
    Secure QP declarations for APIs and QP declarations for imported medicinal products (IMPs) from manufacturing sites, confirming GMP compliance.
  3. Written Confirmation for APIs:
    For APIs sourced from third countries (outside UK/EU), acquire written confirmation from the competent authority of the exporting country, verifying GMP compliance equivalent to EU standards.
  4. Importation Testing:
    If manufacturing occurs in third countries without a MRA, ensure importation testing is conducted within the UK/EU to confirm compliance with MA specifications. (include bulk; intermediate)
  5. Sampling Arrangements:
    Establish procedures for:
    Representative Sampling: Ensuring samples accurately reflect the batch.
    Reference Samples: basically EU/UK site unless MRA (written agreement required)
    Retention Samples: Storage at the release site, in line with Annex 19 of the EU GMP Guide.
  6. PQR arrangement:
    Schedule regular PQRs to evaluate the consistency of the manufacturing process and product quality across all sites.
  7. Stability Programme (On-going): Ensure continuous stability testing is conducted, with data accessible to the QP to verify product integrity throughout its shelf life.

13.Documentation check:
Maintain and review essential documents, including:
- Batch records (copy).
- CoA.
- CoC.
- Temperature records during distribution.

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2
Q

Scenario 1: You work as a QP, manufacturing site changes from UK to Turkey, API site changes from EU to China.

A
  1. Question regarding: Type of product, formulation, location of PKG, QC, Releasing sites, Storage site, Market)
  2. CC open and impact assessment on Licence, GMP, and Patient
  3. MA licence variation, Type 2 as API (but need discussion with regulatory affairs).
    2.1. Expect to see manufacturing licence from competent authorities (China and Turkey)
    2.2. EU GMP certificate or equivalent
    2.3. Audit reports and QP declaration for new API and mfg sites
    2.4. No written confirmation required (China-Turkey)
    2.5. expect to see importation testing at UK site, sampling, reference and retention sample storage location (UK), as Turkey not MRA).
    2.6. QTA in place
    3.API site specific
    3.1 CEP/ASMF
    3.2 technology/Analytical Method transfer (if any singing isn’t gap)
    3.3 Impuriry profile
    3.4 Nitorosaminrinrisk assessment
    3.5 Ongoing stability programme active
  4. API-FG site specific
    4.1 technology/analytical method transfer
    4.2. New stability batch with new API
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3
Q

Scenario2: API from India, manufactured and packed in Germany, stored and released in UK for UK market – what would you require?

A

0: PKG site? UK Release site has storage department? Type of product (CD/Biological)
1. Supply chain map
2. MA: all sites listed on the MA
3. Licence: appropreate mfg/testing licence from competent authorities
4. GMP: Each site has EU GMP or equivalent certificate
5. Written confirmation between India (non-white list) - Germany (EU)
6. Importation test: Not required as MRA
7. Audit reports for each aite available and QP dec for API
8. PQR accessible for QP for each site
9. Sampling inline with Annex 16; 21, reference sample at German QC (written agreement, QP accessible) site or UK MIA site, retention sample at UK release site as per annex 19.
10. On going stability study for api and finished product active
11. API site-CEP/ASMF, Risk assessment for Nitorosamin
12. QTA in place
13. Documents for daily QP duties- CoA, CoC, Temperatire log during transit, copy of batch documents available
MIA QP perspective; MA QP perspective; talk through the method transfer process; in depth conversation (impurities, method transfer, API registration, validations, key documents, licence variation etc.)

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4
Q

Scenario2 follow up: What is an RPi – what would they require?

A

RPI- responsible person import. At WDA site, RPI is responsible for check imported commercial product has been certified by EU QP as well as check the transit condition.

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5
Q

Scenario2 follow up: What the requirements of if product was being released for German market instead?

A
  1. EU QP certification
  2. FMD requirements: safety features(tamper evident and cerialisation) EU market
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6
Q

Scenario2 follow up: Question regarding serialisation, if the batch was commissioned. Would I accept and release in regard to the WF?

A

No - UK FMD requirements have been repealed byWF 2024.
Thus the batch has to be quarantined until the batch is decommissioned by EU site through EMVS = European Medicines Verification System.

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7
Q

Auditing a generics CMO – what would I review/ request prior to the audit?

A

Discuss SMF and PQR:
SMF, PQR, recent External audit reports, product lists for risk based approach for audit.

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8
Q

What are the contents of a PQR?

A

Finished product - EU GMP chapter 1 (ICH Q7 for API)
Review/trending of
1. failed batches
2. IPC results and QC test
3. significant Deciations, OOS/OOT
4.Major change control
5. major CAPA and efrectiveness
6. Recall and complaints
7. MA, licence variations
8. utilities, equipment qualification
9. On-going stability programme
10 TA
11 quality of startingmatrial including packaging materials

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9
Q

What are the contents of a SMF

A
  1. Address
  2. Product name
  3. PQS
  4. Facility and equipment
  5. Personnel, organizational chart
  6. Documentation
  7. Manufacturing method, validation, cleaning
  8. QC analytical method
  9. Outsourced activities
  10. Complaint and recall system
  11. Self inspection programme
  12. Appendix: contract lab, storage place
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10
Q

What guidance would you use to audit?

A

For finished product:
EU GMP chapter 1-9
Annexes as per the formulation
PIC/S aid memories

For API:
ICH Q7

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11
Q

Scenario3: API China, product India, packaging (primary and secondary) plus testing Germany. German site certifies for EU market. UK product sent to storage site – what do you need as a QP?

A

As part of my answer I mentioned that the German QP could certify and product could be brought into UK via WDA and RPI

  1. Confirm Product type, formulation, UK release site
  2. Supply chain map
  3. List all sites inMA
  4. All sites have appropriate manufacturing/Testing/Packaging/Release license from individual competent authority, such as MIA in German and UK and licence cover importation activity
  5. All sites have EU. GMP or equivalent certificate
  6. All sites audit report available and QP dec been done for API site
  7. QTA for all sites in place
  8. No written conformation required as API-MFG sites are India
  9. Importation testing at German site and product import from India. No importation testing required at UK site as EU is approved country.
  10. Sampling arrangement as annex 16 and 21, reference sample kept at German QC (with written agrement) or UK MIA site, retention sample at UK releasing site.
  11. API site: CEP certificate, Nitrosamine risk assessment
  12. Documents for daily QP duties: CoA, CoC, transport log, copy of batch documents for API; finished product batches.
  13. Confirm UK product pkg without serialization/decommissioned
  14. UK pkg with UK Only label in place
  15. PQR arrangement
  16. On going stability programmed for both API and FP
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12
Q

Scenario3 follow up: What checks the RPI do?

A

When importing medicinal products from the EU into Great Britain, the Responsible Person (import) (RPi) must perform several critical checks to ensure compliance with UK regulations. These responsibilities are detailed in the MHRA’s guidance on acting as an RPi . 

Key checks include:
1. Verification of QP Certification:
• Confirm that each batch has been certified by a Qualified Person (QP) in accordance with Article 51 of Directive 2001/83/EC. 
• Acceptable evidence includes:
• A batch certificate confirming QP certification.
• A copy of the ‘control report’ as per EU GMP Annex 16.
• A statement of certification confirming compliance with Article 51.
• Documentation from internal systems indicating batch certification.
• Confirmation that the final manufacturing step was performed by an authorised manufacturer in a listed country.
• Verification that the medicine was purchased from an authorised wholesaler after being placed on the market in the listed country.
2. Independent Batch Release Certification for Biological Products:
• For biological medicines requiring independent batch release, ensure that a certificate from the National Institute for Biological Standards and Control (NIBSC) or a Mutual Recognition Agreement (MRA) partner is available. 
• Acceptable evidence includes:
• A statement from the marketing authorisation holder confirming batch certification by NIBSC or an MRA partner.
• A copy of the batch certificate issued by NIBSC or an MRA partner.
• Confirmation from NIBSC that a batch certificate has been issued.
3. Supply Chain Security:
• Ensure that the imported product:
• Is not subject to a recall.
• Has not been reported as stolen.
• Is available within the licensed supply chain of the listed country.
• Maintain compliance with Good Distribution Practice (GDP) requirements for supplier qualification as set out in GDP 5.2. 

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13
Q

Scenario3 follow up: What would change if this was an IMP supply chain?

A

QP cert (Confirm batch certified in EU)
Supply chain (Confirm GMP & licence of manufacturing site
)
CTA & Ethics approval (Trial authorized; QP site matches CTA)
Written agreements (Sponsor-UK MIA(IMP), Sponsor-EU MIA(IMP), UK-Storage)
S (shipment/storage condition)
Reference Retention sample (written agreement must define in the Written agreement as well as timely access by MHRA )

When importing Investigational Medicinal Products (IMPs) into Great Britain from countries on the ‘approved country for import’ list (such as EU/EEA countries), the UK Manufacturing and Import Authorisation for IMPs (MIA(IMP)) holder must establish an oversight process to ensure compliance with UK regulations. This process is overseen by a Qualified Person (QP) and involves several critical checks: 
1. Verification of QP Certification:
* Confirm that each batch of IMP has been certified by a QP in the listed country before release for use in UK clinical trials. 
2. Supply Chain Documentation:
* Maintain comprehensive details of the manufacturing and distribution supply chain. 
* Ensure that the certifying site in the listed country holds the appropriate licenses and current Good Manufacturing Practice (GMP) certificates for the IMP dosage forms and associated activities. 
3. Clinical Trial Authorization Compliance:
* Have access to the UK clinical trial application form and any amendments to confirm the site responsible for final certification of the finished IMP. 
* Ensure that the clinical trial is authorized by the MHRA before the IMP is made available to investigators. 
4. Written Agreements:
* Establish clear written agreements outlining responsibilities and information provision between: 
* The sponsor and the UK MIA(IMP) holder responsible for import oversight.
* The sponsor and the listed country MIA(IMP) holder.
* The UK MIA(IMP) holder and any Great Britain storage and distribution hubs, if applicable.
5. Shipment and Storage Verification:
* Verify details of each IMP shipment to Great Britain, including recipient information, ensuring shipments are only made to approved trial sites as detailed in the UK trial application. 
* Review any deviations from stated storage conditions during shipment, along with decisions and rationales provided by the sponsor and certifying QP. 
6. Reference and Retention Samples:
* While additional samples are not specifically required to be stored in Great Britain, their storage location should be documented and accessible to the QP named on the UK MIA(IMP).

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14
Q

Scenario3 follow up: If the storage site had its own WDA would it also need to be listed on your license?

A

Short Answer (for QP Viva):

Yes — if the storage site is involved in QP certification (e.g. storing uncertified product prior to QP release), it must be listed on the MIA.
If the batch is already QP certified in the EU, and the UK storage site is only storing certified finished goods, then a WDA(H) is sufficient and the site does not need to be listed on the MIA.

Detailed Explanation:

  1. When must a storage site be listed on the MIA?

Per MHRA guidance and EudraLex Volume 4, a storage site must be listed on the MIA if it:
• Stores uncertified product (i.e. before QP certification)
• Forms part of the GMP chain
• Is used as part of QP certification/release activities

If the site is performing GMP-related functions (e.g. holding IMPs or finished goods prior to certification), it must be listed on the MIA/MIA(IMP).

  1. When is a WDA(H) sufficient?

If the site is:
• Only storing QP-certified (released) commercial product
• Only distributing released product within the UK
• Not involved in QP release or any manufacturing/testing

Then a WDA(H) is sufficient, and the site does not need to be listed on your MIA.

MHRA Guidance References:

a. MHRA Guidance – ‘Guidance for Importers’ (QP Oversight model)

“If a site is used for the storage of uncertified batches, it must be listed on the MIA and covered by the QP certification process.”

b. MHRA GDP and GMP guidance (2021–2023 updates):

“If a storage facility is used as part of the GMP supply chain for certification purposes, it must be included on the MIA. Storage of released product under WDA(H) does not require inclusion on the MIA.”

c. EU GMP Annex 16 (Section 1.5):

“The QP should have access to all relevant records and sites involved in batch processing and storage prior to certification.”

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15
Q

R & D site moving to your MIA site. What is your concern? follow up: Thinking about the storage site – what would you expect of a PQS for WDA?

A
  1. CC open
  2. Description of change and identify facility/equipment to share
  3. Risk assessment with ICH Q9
  4. Impact assessment for licence. GMP and patient ( product)
  5. Contamination control strategy and mitigation actions, such as segregation, effectiveness check.

Follow up question:
1. QMS (deviation, RCA, CAPA, cc system)
2. Personnel (organizational chart, training program etc)
3. Storage place enough capacity, not sorted on the floor, clean and tidy, temperature monitoring in place, PPM for facility and equipment in place
4. Documentation control (version control, senior approval)
5. Suppler/customer authorization system in place.
6. Recall/customer complaint system in place
7. Self inspection program active and current

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16
Q

Scenario 4: API in Brazil, Bulk manufactured in Japan, Packed and Release in UK. Will you consider accepting the bulk testing for your release.

A
  1. QC testing site? Type of Med (IMP/CD/Biological)? Formulation (as Japan is MRA, if within SCOPE?)?
    1.Confirm Supply Chain Map (BRZ white, JP MRA)
  2. All sites are listed in the MA
  3. All sites have appropriate licence for the activities
  4. All sites have EU GMP or equivariant
    5.All sites QTA in place
  5. All site Audit Report available
  6. QP dec been done for API in BRZ
  7. WC not required as API white list & not UK imported
  8. Importation Testing for Bulk not required as Japan is MRA country (If within MRA scope).
  9. Confirm sampling represent of the whole batch, reference sample can be stored in Japan (MRA) but need written agreement, and Retention sample kept at Releasing site (UK).
  10. Additional document check: API site - CEP/ASMF, Nitrosamine risk assessment
  11. PQR arrangement (API&FP)
  12. On-going Stability Test
  13. Documents for QP routine check: CoA, Temperature Log, Copy of Batch documents for API & FP
  14. Other Delegatable Duties: TSE, PQS etc
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17
Q

Scenario 4 follow up: What is the MRA with Japan?
what are the products excluded for batch testing acceptability from Israel?
What about the other countries?

A

JAPAN: Can omit importation testing excluding ATMP, Medical Gas, Human Blood
ISRAEL: Medical Gas, Homeopathic, Blood, ATMP

  • Australia
    Advanced Therapy Medicinal Products
  • Canada
    Medicinal products derived from human blood or blood plasma
    Advanced Therapy Medicinal Products
  • Israel
    Medicinal gases
    Homeopathic products
    Medicinal products derived from human blood or blood plasma
    Advanced Therapy Medicinal Products
  • Japan
    Medicinal gases
    Medicinal products derived from human blood or blood plasma
    Advanced Therapy Medicinal Products
  • New Zealand
    Advanced Therapy Medicinal Products
  • United States of America
    Vaccines
    Advanced Therapy Medicinal Products
    Medicinal products derived from human blood or blood plasma
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18
Q

Scenario 5: API in China, Bulk manufactured in Spain, Bulk packed and released in NI.
You are a virtual QP, please tell me what you need in place to certify the batch?

A

0:type of product (CD/Biological/IMP)? QC site?
Market?
1. Supply Chain Map to ensure location - APi (3rd), Bulk&Test(EU), pkg&release(uk)
2. those sites listed MA
3. All sites have appropreate licence and cover the mfg, testing and importation activities for the product
4. All sites have GMP cert or equivalent
5. Audit reports available
6. QP dec has done for APi aite
6.1 CEP/ASMF, Nitrosamine risk assessment
7. QTA in place for all aite
8. Writren conformation with each API batch
9. No importation testing required as bulk importing from EU (approved country)
10. Sampling arrangement, reference sample spn (written agreement) or NI site and retention sample at NI site.
11. PQR arrangement
12. On going stability study
13. If exported EU, WDA listenrelease aite MIA + EU QP eligibility +FMD requirements. If UK market, UK only label.
14. Secure IT system ensure QP access to all information for QP certification such as coa for api and FP, transportation temperature log, copy of batch records
15. Ensure system for remote certification such as sop, staff training, define the process of QP release register, control measure to prevent product released without qp release as per MHRA inspectrate blog and annex 16.
16. Ensure QP physically site visit regularly.

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19
Q

Scenario 5 follow up: Where would you find guidance on QP remote certification?

A

MHRA inspectrate blog

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20
Q

Scenario 5 follow up: Your company has sourced a second API supplier, now based in Brazil. What do you do?

A

1.CC open
2. Impact:
- Licence variation for MA - type 2 confirming regulatory affairs
- check the api supplier has appropreate api registration.
Check CEP cer
3. GMP impact: GMP cert or equivalent
4. Audit and qp declaration
5.Nitrosamin risk assessment
6. No written confirmation required as BRZ whitel list
7. Put new batch on - going stability programme woth the new API

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21
Q

Scenario 5 follow up: You have been notified that your API supplier has changed their solvent in their manufacturing process. What are your concerns?

A

0:
-was it controlled by CC? Was the change notified in advance as per QTA? - do we have batch with the new API at our site or already released? If any at aite, quarantine.
- any impact on MA , need variation?
-What is class of the solvent as in ICH Q3C?
- impurity profile?
- stability data any different?
- nitrosamineisk asseent done?
- impact on finished product - any difference + need our new bacth with the new solvent API?

  1. Change Control Management
    • Confirm that the change has been handled under a formal change control by the API manufacturer.
    • Check whether you were notified through the QTA (if in place).
    • Evaluate whether the change has been communicated to the MAH and whether regulatory variation is required.

  1. Solvent Classification (ICH Q3C)
    • Identify the new solvent and classify it under ICH Q3C:
    • Class 1: Known carcinogens — typically not acceptable
    • Class 2: Toxic solvents — require tight control
    • Class 3: Low toxic potential — less impact
    • Assess whether residual solvent limits need to be updated in the API specification.

  1. Impurity Profile and Control
    • Has the solvent change affected the impurity profile?
    • Check for new impurities, higher levels, or solvent-related degradants.
    • Review analytical data and updated CoAs.
    • Confirm if method revalidation was required or performed.

  1. Stability Data
    • Assess whether the change impacts API stability.
    • Request comparative stability data before and after the solvent change, especially if the new solvent has different reactivity or volatility.

  1. Impact on Finished Product
    • Determine whether the change could impact the critical quality attributes (CQAs) of the finished product.
    • Assess potential downstream effects on:
    • Dissolution
    • Assay/potency
    • Appearance or degradation profile
    • Check if finished product re-validation or equivalence studies are needed.

  1. Regulatory Filing Impact
    • Confirm if the change is considered a variation under the Marketing Authorisation (MA).
    • Likely a Type IB or II, depending on risk
    • Work with regulatory affairs to submit variation if required.

  1. QP Certification Readiness
    • Ensure full visibility of:
    • Change control documentation
    • Updated specifications and methods
    • Stability and impurity data
    • Only certify affected batches when satisfied that product quality is not compromised.

Final Viva Statement:

“This type of change would trigger a detailed quality and regulatory review. As QP, I would assess the solvent classification under ICH Q3C, its impact on the impurity profile, residual solvent levels, API stability, and any downstream effect on the finished product. I’d verify that the change was controlled via change control, reviewed under the QTA, and determine whether regulatory variation is required. I would only certify the batch once I am confident that the change does not compromise product quality or regulatory compliance.”

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22
Q

Scenario 6: You make antibiotic API in China, bulk manufacture, packaged and QC tested in USA, GB for certification for release to UK. As a QP what do you need to have in place to feel comfortable to certify?

A

0: product type:(CD/biologics/IMP)
1. Supply chain map (api: 3rd, mfg;pkg; qc: MRA), release: UK for UK market
2. All sites listed in MA
3. all sites have appropreate licence, registration and cover mfg, testing, packaging, release. Importation activities.
4. All sites have GMP or equivalent
5. Audit report available for all sites and QP dec completed
6. CEP cert/ASMF for API site and nitrosamin risk Assessment for API and FP sites.
7 QTA in place in all sites
8. No written confirmation as api not imported to uk
9.no importation testing as USA MRA
10. PQR available (api and fp)
11. On going stability study
12. Sampling arrangement. Reference sample at USA with written agreement, retention sample at releasing site UK.
13. Documents for daily qp duties- coa, temp log, copy of batch documents

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23
Q

Scenario 6 follow up: API now changes to a site in India, what do you now need?

A
  1. CC open
  2. Impact on licence: MA variation type 2 (confirm with regulatory affairs)
  3. Check new api site has appropreate licence for manufacturing, CEP cert
  4. Impact on GMP - new site has GMP or equivalent cert, audit report, PQR/recent external audit result, and qp declaration
  5. Impact on finished product:
    Impurity profile.Nitrosamine risk assessment, sptability study, put new FP batch on-going stability study woth th Rene API batch
  6. QTA in place
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24
Q

Scenario 6 follow up: You are manufacturing the API in China and you want to outsource. What do you need as a QP?

A
  1. Open cc
  2. Impact on MA: ma variation (type 2 confined byregukatiey affair)
  3. Check the cmo has appropreate licence to cover the api manufacturing and testing
  4. Check GMP certificate or equivalent
  5. Check CEP
  6. Audit as per ICH Q7 and QP dec
  7. Check if written confirmation required (3rd country - UK/EU)
  8. Impact on finished product: impurity profile, relevant use, synthesis passway, nitrosamin risk assessment, ongoing stability study
  9. QTA in place
  10. Supply chain map update
  11. Put new fd batch woth the new api for on going stability study
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25
Q

Scenario 6 follow up: What about a QTA and what are key things you need?

A
  • Retention and reference samples
    (who take samples? if 3rd, need technical justification including
    1. audit to ensure samples are representative of the batch
    2. Scientific study including description of sampling, description of transport condition of sample and batch, comparative study 3rd vs after importation, consider time interval between sampling and importation of the batch and generation of data support appropriate defined time.
  • How deviations, OOS/OOT results, changes, CAPA and complaints are communicated.
  • Defined timelines for notification.
  • QP access to documentation (audit reports, PQRs, stability data, etc.)
  • Process for handling regulatory variations (e.g. MA changes).
  • Auditing & Review
    Audit rights and frequency
  • Access to third-party audit reports
  • Periodic review meetings or KPIs
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26
Q

Scenario 7 – explain the requirements:
* API – China
* Bulk – Siberia
* Packaging – Northern Ireland
* Certification – England
* Market – UK/EU

A
  1. what type of product (CD, IMP, biological)?
    Market for EU cannot be certified - need EU QP arrangement at NI/EU site
  2. Supply chain map (API: 3rd, Bulk: 3rd, PKG: UK, Certification: UK for UK market)
  3. MA: all sites listed
  4. Licence: all sites have appropriate licence to cover the MFG, Testing, PKG certification ,and importation activities
  5. GMP or equivalent certificate
  6. Audit repots available for all sites and QP dec for API site completed
  7. No Written Confirmation required (china-Siberia)
  8. Importation testing for Bulk from Siberia need conducted at NI site (i.e. Testing facility; GMP certificate, under NI MIA licence list)
  9. Additional documents to check: CEP/ASMF at API site, Nitrosamine risk assessment
  10. QTA with all sites
  11. PQR access arrangement for API and FP sites
  12. On going stability study active on API and FP
  13. Control measure to prevent MIXUP batch for EU and UK
  14. PKG FMD requirements for EU, UK ONLY label for UK batch
  15. Documents for daily QP release: CoA, CoC, Copy of Batch documents for API and FP, making sure all OOS/OOT, Dev investigation completed, CC no negative impact on the batches.
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27
Q

Scenario 8: Commercial product – API manufactured in India, Nasal spray primary packaged in the UK, secondary packaged in Spain, Tested and Certified in the UK, for the French market and also for a non-EU country. What would you need to see in place?

A

0: Product type (CD, IMP, Biological), at Spain site need QC test + EU QP certification for batch for EU market. UK QP for only UK/non-EU country market. Where is the Non-EU market? MRA countries?
1. Supplier market: API 3rd, Bulk 3rd, PKG EU, QC test and QP certificate for UK market/Non-EU market
2. MA: all sites list on MA
3. Licence: all sites have appropriate licence for manufacturing, testing, pkg, release and importation
4. GMP or equivalent
5. Audit reports for all site available and QP dec complete for API site
6. No written confirmation required and API batch not directly imported to EU/UK
7. Importation testing required at UK, Spain
8. CEP/ASMF, risk assessment for Nitrosamine at API and FP sites
8.1. Sampling arrangement - if sample taken India mfg site, Written agreement required covering description of sampling ensure sample represent of the batch scientifically, comparable study India vs Uk site, consideration of time interval between sampling and export as per annex 16.
8.2. reference sample at UK QC site, retention sample at Release site as per annex 19.
9. QTA in place with all sites
10. Arrangement for PQR access for API and FP sites
11. On-going stability programme
12. Documents for daily QP release: CoA, CoC, copy of Batch documentations for API and FP, ensure OOS/OOT, dev investigation completed, CC has no negative impact on the batches

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28
Q

Scenario 8 follow up: Can the non-EU country accept your testing and certification?

A

If MRA country such as Japan, Israel, USA, Switzerland, Canada, Australia, Newzeland then they accept testing.

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29
Q

Scenario 8 follow up: What would you consider for excipients?

A

As per annex 16, risk assessment required for ensuring GMP grade.

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30
Q

Scenario 8 follow up: What do you know about nitrosamines?

A

Carcinogenic substance may cause cancer if taken long term. Nitrosamine can be synthesised during API/FD manufacturing. MAH has responsibility to conduct review their manufacturing processes to identify and, if found, to mitigate the risk of nitrosamine impurities being present, as per EC 726/2004.

31
Q

Scenario 9: API - India
Manufacturing/ testing / packaging / certification - UK
Market UK and EU
As a QP what concerns would you have over this supply chain.?

A

0: Product type (CD/Biological/IMP)? UK QP only responsible for UK market. For EU batch needs EU QP certification (+ importation testing at EU)
1. Supplier Map (India non-white list country/Non-MRA country)
2. ALL sites (manufacturing, testing, PKG and Release) have appropriate licence to cover the activities)
3. All sites have GMP or equivalent cert
4. Audit reports available for all sites and QP de completed for India Site
6. Written conformation required for each API batch importing from India to UK
7. Importation testing not required as MFG-PKG-Certification in the UK
8. Sampling arrangement, reference; retention sample location defined in QTA/Written agreement
9. QTA in place
10. PQR arrangement for API and FP sites
11. On going stability study
12. API site - CEP/ASMF
13 Risk assessment for Nitrosamine for API and FP site
14. Documents for daily QP release - CoA, CoC, Copy of batch record
15. How to access QPPV and location

32
Q

Scenario 9 follow up: Can you talk to us about the differences between UK and EU importation?

A

Due to Brexit, EU sees Uk as 3rd country but UK still recognise EU as MRA country. This means
Uk product imported to EU needs importation testing as well as EU QP certificate at EU MIA site, while EU product certified by EU QP can accept by WDA holder and RPI oversight.

33
Q

Scenario 10: API India. You are MIA/MAH in UK. Going to change UK mfg to India mfg (CMO). How?

A
  1. Open CC
  2. Impact on MA: variation - type 2 but need clarification with regulatory affairs
  3. Impact on Licence - CMO has appropriate licence for manufacturing; testing.
    CEP certificate/ASMF
  4. GMP certificate
    Written confirmation from Chinaese authotrities if API UK/EU imported.
    Audit report with ICH Q7 and QP dec
  5. FP impact - Impurity profile, Nitrosamine risk assessment, ongoing stability programme, new batch with new API for FP onp=going stability programme
  6. QTA in place, arrange for access to PQR
  7. Update supply chain map
34
Q

Scenario 11: API site is moving from UK to India. Finished product site is moving from UK to South Africa. What documents would you require and how would you manage this change?

A
  1. CC open
    2.confirm that API India not white list country.
    South Africa is not MRA country
  2. Impact on MA - variation for change (need Regulatory Affiairs clarification)
  3. Impact on Licence - has new API site & FP site appropriate licence to cover the manufacturing/testing/importation activities?
  4. GMP impact - EU GMP certificate or equivalent.
    Audit reports and QP declaration for both API and FP sites.
    No Written confirmation required between India-Sounth Africa
    Importation testing required between South Africa - UK. Sampling arrangement - who took sample? if South Africa does, sapling must represent the batch scientifically, comparable study South Africa vs Uk, commiseration around time interval between sampling and importation as in Annex 16.
    FP site: Technology; analytical method transfer for FP site, risk assessment for nitrosamine, on-going stability study
    API site: CEP, risk assessment for Nitrosamine, Impunity profile, on-going stability study
    QTA in place.
    PQR arrangement for API and FP sites.
    Up date supply chain map.
35
Q

Scenario 12: Finished product comes from South Africa to a 3rd party warehouse Distribution in UK and QP certification in UK. Who will take the samples, and what is the difference between Reference and Retention. What is WDA? How you hold it? (Supply chain question -> PQS+ API )

36
Q

Scenario 12 follow up: What is WDA? How you hold it?

A

WDA stands for Wholesale Dealer’s Authorisation.

It is a legal licence issued by the MHRA in the UK (or national competent authority in EU), which permits a company to procure, store, distribute, or export medicinal products in accordance with Good Distribution Practice (GDP).

There are two main types in the UK:

WDA(H) – for human medicines

WDA(V) – for veterinary medicines

How do you “hold” a WDA?

To “hold” a WDA means your organisation:

  1. Has applied for and been granted the authorisation by the MHRA.
  2. Maintains compliance with GDP, ensuring that:

-Only authorised medicinal products are handled.

-Products are stored and transported under appropriate conditions.

-The supply chain is secure, traceable, and auditable.

  1. Has a named Responsible Person (RP) on the licence who:
  • Ensures compliance with GDP.
  • Oversees the qualification of suppliers and customers.
  • Is responsible for handling complaints, returns, and recalls.
  • Maintains quality systems (e.g. training, deviation management, self-inspections).
  1. Ensures premises, equipment, and documentation meet GDP expectations (as per EU GDP Guidelines – 2013/C 343/01).
37
Q

What would you check when auditing a WDA holder?

A
  • PQS (Dev, CAPA, CC, self inspection etc)

-Bona fide checks of suppliers/customers

  • Temperature monitoring
  • GDP training
  • Transport validation
  • Recall capability
  • Documentation retention (minimum 5 years)
38
Q

Scenario 12 follow up: What things would you consider when going for a new API source?

A
  1. CC open
  2. MA impact - variation (type 2 but conform with regulatory affairs)
  3. Licence (appropriate licence, API registration)
  4. GMP cert or equivalent,
  5. Audit report and QP declaration
  6. consider Written Conformation if API batch directory imported to UK/EU
  7. Traceability, transport/storage condition, recall/customer complaint handle
  8. CEP/ASMF
  9. Risk assessment for Nitrosamine, impurity profile
  10. QTA in place
  11. PQR access
  12. Ongoing stability programme
  13. Supply chain Map
39
Q

Scenario 12 follow up: What I would consider to bring a new
API from India?

A
  • Bonafide check
  • Supply chain Map, confirming India is non-white list country
  • Appropriate manufacturing authorisation (licence) in place- Adult (in line with ICHQ7) and QP declaration
  • UK MIA site licence cover importation activity
  • Written confirmation if directly importing from India to UK
  • QTA in place
  • PQR arrangement
  • On going stability programme
  • New on-going stability batch for FP with the new API batch
40
Q

Scenario 12 follow up: API QP declaration -Whether you QP needed to be the one doing the audit?

A

No - as per EU GMP annex 16 says I can rely on 3rd party as long as the 3rd party has been approved through supplier authorise process to ensure their GMP audit competency.

The audit has to be done in line with ICH Q7 and report available and approved by the QP.

41
Q

Scenario 12 follow up: Impurity profile - What do you understand by the impurity profile of API?

A

The impurity profile of an API refers to the types and levels of impurities present in the API, including:
- Process-related impurities (from synthesis)
- Degradation products
- Residual solvents (as per ICH Q3C)
- Elemental impurities (ICH Q3D)
from Catalysts (e.g. platinum), reactor vessel (e.g. stainless), raw materials (e.g. calcium carbonate), water or environmental contamination
- Genotoxic impurities (ICH M7) nitrosamine

For a new API batch, I would compare the impurity profile against the approved specification in the MA/CTA and the toxicological limits defined in the relevant ICH guidelines.

42
Q

Any impurities that have been in discussion lately?

A

Nitrosamine:
- Found in Sartans, Ranitidine, Metformin, rifampicin
- Required control strategy per EMA & MHRA guidance

43
Q

Scenario 12 follow up: What would be the responsibilities of the API manufacturer for the control of nitrosamines?

A

As per EC 726/2004, ICH M7, MHRA guidance Marketing Authorisation Holders’ submission of Nitrosamine risk evaluation, risk assessment and confirmatory testing’.
1. Risk assessment in the API process
2. Risk mitigation action
3. Communicate with MAH

44
Q

Scenario 12 follow up: What would be my responsibilities as the MAH on controlling nitrosamines?

A

As per EC 726/2004, ICH M7, MHRA guidance Marketing Authorisation Holders’ submission of Nitrosamine risk evaluation, risk assessment and confirmatory testing’

  1. Comprehensive risk assessment: API synthetic route, formulation, excipients, packaging materials, storage condition
  2. Risk mitigation action: changing synthetic route, reformulation, change packaging material
  3. MA Variation
  4. On-going Monitoring
45
Q

Tell us different types of process validation

A
  1. Prospective Validation (Traditional Validation)

When:
- Before routine commercial manufacture starts

  • New product or process

Key Features:

  • Conducted on validation batches (usually 3 consecutive)
  • Based on a pre-approved protocol
  • Batches are not released until validation is complete
  1. Concurrent Validation

When:
- There’s an urgent need to release product before full validation data is available

  • E.g. rare/orphan drugs, clinical supply, product shortages

Key Features:
- Conducted during routine production

  • Real-time monitoring and risk-based justification required
  • Batches may be released before validation is completed, if justified
  1. Retrospective Validation (Legacy only)

When:
- Based on review of historical batch data

  • Only acceptable for legacy products (validated before current Annex 15)

Key Features:
- Involves statistical analysis of past batches

  • No longer acceptable for new products
  • Still relevant during inspections for older products
  1. Continuous Process Verification (CPV) (Lifecycle approach)

When:
- Used as part of ongoing process validation

  • Often applied to complex, modern processes (e.g. PAT, QbD)

Key Features:
- Relies on real-time data collection and analysis

  • Supports real-time release testing (RTRT)
  • Integrated into ICH Q8–Q10 principles
46
Q

Scenario 13: When I got to pilot batch/validation batches, asked me how I would validate it, whether I would use concurrent validation or prospective?

A

“It depends on the purpose of the batch and the stage of product development. In most cases, I would use prospective validation for pilot or validation batches, especially when establishing a commercial manufacturing process before routine production.

  1. Prospective Validation
    Definition: Validation is completed before routine commercial manufacturing starts.

Used when:
New product or process is being scaled up (e.g. pilot scale → commercial)

You’re performing process validation batches (often 3 consecutive successful batches)

Aligns with Annex 15 and ICH Q8–Q10 principles.

  1. Concurrent Validation
    Definition: Performed during routine production, with real-time monitoring.

Used when:

There is limited historical data (e.g. rare disease, low-volume product)

Product is needed urgently and cannot delay release

With regulatory justification and robust real-time oversight

But for a validation batch — unless urgency or rarity justifies it — this is not the preferred approach.

As a QP, I would:
Expect validation protocol and acceptance criteria pre-approved.

Ensure the process is defined, controlled, and monitored per Annex 15.

Review data from the pilot/scale-up batches before approving commercial process validation.

Only consider concurrent validation if justified by risk and regulatory alignment.

47
Q

Scenario 13 follow up: When would you consider doing con current validation?

A

When consider:

There is limited historical data (e.g. rare disease, low-volume product)

Product is needed urgently and cannot delay release

With regulatory justification and robust real-time oversight

But for a validation batch — unless urgency or rarity justifies it — this is not the preferred approach.

48
Q

Was there any difference if the API was sourced from US comparing to India?

A

White list countries: I JUS BACK

US is white list country, but India is not. This mean when API batch importing from non-white list country to UK/EU, require Written Conformation from India Authority.

49
Q

Where the reference samples/retained samples would be kept
(API+FP)?

A

EU GMP annex 16, 19 and 21 -
1. For Finished Products Manufactured in the UK or EEA
- Reference sample:
→ Stored at the site performing QC testing, ideally in the UK.
- Retention sample:
→ Stored at the site of QP certification (UK releasing site).

  1. For Products Imported from an MRA Country (e.g. Switzerland, Australia)
    (Annex 19, Section 7.2.1)
    - Reference sample:
    → May be retained at the MRA manufacturing site, if:
    Covered by a written agreement between the importer/QP and manufacturer.
    QP has timely access to the sample if required.
  • Retention sample:
    → Must be kept within the UK/EEA, preferably at the site of QP certification.

Additional Note: If reference samples are stored outside the EEA, separate retention samples must be kept within the EEA (Annex 19, section 8.2).

  1. For Products Imported from a Third Country (non-MRA)
    (Annex 19, Section 7.2.2 and Annex 21)
    Importation testing is required, so:
  • Reference sample:
    → Must be stored at the site performing QC testing (UK importation testing site).
  • Retention sample:
    → Must be stored within the UK, preferably at the site of QP certification.
  1. For API (Active Pharmaceutical Ingredient) Reference Samples (Annex 19, Section 7.2.3)
  • Reference samples of starting materials and packaging materials (e.g. APIs):
    → Should be kept at the original site where they were used in the manufacture of the product.

That means:
If the API was used in the EEA: the EEA site holds the API sample.

If outside EEA: the third-country site where the API was used retains the sample.

50
Q

What would you consider as a QP importing IMP to the UK?

51
Q

Please talk about the IMP QP oversight - what need to check?

52
Q

Scenario 14: You are a QP at an MIA site in the UK overseeing the certification of commercial batches of Oral Solid Dose.
API - Australia
DP & PKG - Australia. The finished product is being imported to the UK for certification, however site of importation is to your third party entity (i.e., not being imported directly to my MIA premises, instead to a storage and distribution facility). What would you expect to see to enable you to certify this product?

A
  • What exactly was the product, is it a controlled drug etc,
  • Annex 16 delegable duties expanded on here
  • WDA(H) requirements for the storage site
  • Named as storage site on my MIA, product stated in Annex 8 etc
  • Discussed MRA’s again for Australia and (Approved Country for Batch testing)
53
Q

Scenario 14 follow up: Same product as above, however the supply chain has now changed to the following:
API - China
Bulk tablet - UK
Primary PKG - USA
Secondary PKG - Republic of Ireland (and cert for EU Market)
Physical Importation & QP Certification - UK

What would you expect to see in the following supply chain?

A

They were rushing me along in this supply chain, my usual approach is to give in great detail the requirements for each site in the chain, they wanted the key differences from the earlier supply chain.

54
Q

Scenario 15: You work as a QP, manufacturing site changes from UK to Turkey, API site changes from EU to China.

A

-MIA QP perspective
-MA QP perspective

Talk through the method transfer process  in depth conversation (impurities, method transfer, API registration, validations, key documents, licence variation etc.)

55
Q

Batch specific variation vs unexpected variation discussion - explain the difference?

A

A batch-specific variation is typically a contained, understood variation within a single batch — it may still meet specification and be attributable to a known cause. In contrast, an unexpected variation is a departure from expected process or product behaviour, which could indicate a loss of control or an emerging trend — and as a QP, this would prompt a more comprehensive investigation, possibly escalating into trend review or even recall assessment depending on severity.

56
Q

Difference in IMP QP oversite and IMP QP declaration?

A

IMP QP over site - IMP product certified by EU QP.

IMP QP declaration - QP declaration for IMP product imported from non-approved country, ensuring the IMP has manufactured and tested under equivalent EU GMP condition.

57
Q

What is the SMF , where will you find the guidance, what are the contents in it. Discuss a lot about QMS requirement in the SMF, the licenses reference

A

“The Site Master File (SMF) is a regulated, high-level summary document prepared by the manufacturer to describe the GMP-related activities carried out at a pharmaceutical manufacturing site, including manufacture, packaging, testing, storage, and release.

It is submitted to regulatory authorities during licensing or inspections and provides a concise overview of the site’s quality management system, facilities, personnel, equipment, processes, and compliance history.

The SMF must be accurate, up to date, and part of the site’s QMS (Annex 15 and Volume 4 Part III guidance). It should not exceed 25–30 pages excluding appendices.”
Reference:

The format and content are defined in:
EU GMP Volume 4, Part III – “Explanatory Notes on the Preparation of a Site Master File” (SANCO/C8/AM/sl/ares(2010)1064603)
Key Sections of the SMF (as per EU GMP Part III):

  1. General Information
    Site name, address, GPS/DUNS code, contact info

Valid manufacturing authorisation (Appendix 1)

List of dosage forms (Appendix 2), GMP certificate (Appendix 3)

Summary of authorised activities (e.g. MIA/IMP scope)

  1. Quality Management System
    Overview of the QMS (e.g. ISO-based, ICH Q10 principles)

QMS elements: deviation handling, change control, CAPA, QRM, OOS/OOT

Product Quality Review (PQR) approach

Role and qualification of the QP / Authorised Person

Details of supplier qualification and falsified medicine prevention

Use of external labs, scientific advice (Appendix 4)

  1. Personnel
    Organisational chart (Appendix 5)

Number and roles of staff in QA, production, QC, and distribution

QP responsibilities for batch certification and product release

  1. Premises and Equipment
    Layout of site, flow charts (Appendix 6)

Cleanroom classifications and HVAC description

Water systems (WFI, PW) with schematics (Appendix 7)

Other utilities (compressed air, nitrogen, steam)

List of critical equipment (Appendix 8)

  1. Documentation System
    Overview of document control (paper vs. electronic)

Off-site archive arrangements, retrieval time, data integrity measures

  1. Production Activities
    Types of products manufactured (incl. IMPs)

Validation strategy (prospective, ongoing)

Policy on rework, reprocessing

Material handling, quarantine, and storage systems

  1. Quality Control
    Description of physical, chemical, microbiological, and biological testing

Reference to outsourced testing (if applicable)

  1. Distribution, Complaints, Product Defects & Recalls
    Overview of distribution routes (EU, non-EU)

Environmental control during transport (e.g. temperature)

Recall system and complaint handling procedures

  1. Self-Inspection System
    Frequency, scope, and follow-up of internal audits

Important Appendices:
Appendix 1 – MIA/IMP authorisation copy

Appendix 2 – Product list

Appendix 3 – GMP certificate

Appendix 4 – List of outsourced labs/CMOs

Appendix 5 – Organisation charts

Appendix 6 – Site layouts and material/personnel flow

Appendix 7 – Water system schematics

Appendix 8 – Critical equipment list

58
Q

How could you ensure that the API PQR data is correct?

A
  • QTA cover the aspect of accurate PQR
  • check External audit report
  • Periodical supplier review and audit
  • Comparison our PQR in API quality
59
Q

What do you need for an effective PQS and how would you set one up?

A
  • use reference ICH Q9, Q10 and EU GMP chapter 1
  • secure visible support from senior management to make sure enough resource for QMS management
  • define Quality Policy and objectives
  • Documented SOP with proper document control
  • set KPI for QMS for monitor performance
  • monitor trending data in regular meetings
  • periodical self-inspection; external audit and CAPAs
  • Use PQR
60
Q

What is a PQR and the contents?

A

reference - EU GMP chapter 1
Review of:
1. failed batch
2. QC tests results; ICPs results
3. Major deviations and investigations, CAPA effectiveness
4. CCs for mfg/testing process
5. CAPAs since last PQR and effectiveness check
6. Quality of staring material supplier including packaging
7. QTAs
8. Qualification status of relevant equipment, Utilities such as Hvac, water system
9. MA variations
10 Recall, complaints
11. on-going Stability programme
12. Validation status

61
Q

Your company are looking at acquiring a new (existing) manufacturing site. What would you assess as a QP?

A
  1. CC open and due diligence
    2 Impact on MA - variation (type2? need clarification with Regulatory Affairs)
  2. Impact on licence: new site holds appropriate MFG licence to cover the activities, importation
  3. Impact on GMP:
    - GMP certification,
    - Audit report
    - QP declaration (new mfg site)
    - Supplier Map update - importation testing arrangement if non-MRA country.
    - QTA in place
    - PQR access arrangement
    - Technology; analytical method transfer: Traditional validation
    - On-going stability programme - put first batch
62
Q

Cp and Cpk for an attribute in the PRA are 1.66 and 0.6 respectively. What does this tell you about the process?

A

“Cp and Cpk are process capability indices used to evaluate how well a process is performing relative to its specification limits.
Cp (Process Capability Index) measures the potential capability of the process — i.e. how wide the process spread is, assuming it’s centred between the upper and lower specification limits.
Cpk (Process Capability Index – adjusted for centering) measures the actual capability — taking into account how far the process mean is from the centre of the specification limits.

In this case:
Cp = 1.66 → suggests the process variation is acceptable (tight distribution), and the process could be capable if centred.
Cpk = 0.6 → shows the process mean is off-centre, and parts of the output are likely outside the specification limits.

The low Cpk indicates that the process is not currently capable of consistently producing product within specification.
The system is not robust enough, as a robust process typically requires both Cp and Cpk to be ≥ 1.33 (with ≥ 1.67 preferred in critical GMP environments).

As a QP, I would raise this concern in the PQR and expect a CAPA or investigation to address the shift in process centring and determine if it poses a quality risk.”

63
Q

What metrics from management review would increase your confidence in acting as a certifying QP at this site?

A

Review of
- failed batches
- Major Deviation, Investigation, CAPA effectiveness
- CC related in manufacturing and testing and CC effectiveness
- starting material suppliers quality
- Recall/customer complaints
- QTAs
- Qualification status of equipments, utilities like HVAC/Water system
- MA variation change
- On-going stability study and negative trend
- Post marketing commitments, licence variations
- CAPAs from last PQR and its effectiveness
- QC tests and IPCs results

64
Q

What types of validation are there?

A
  • Traditional (prospective)
  • Concurrent (limited occasion)
  • Continuous (continues manufacturing, QBD)
  • retrospective (no longer acceptable)
65
Q

Talk through a cleaning validation process?

A
  1. Risk-Based Approach and HBEL Integration
    Cleaning validation must be risk-based and scientifically justified.

A Health-Based Exposure Limit (HBEL) must be established for each product by a qualified, experienced toxicologist — as required by PIC/S Q&A #4 and MHRA.

This is the foundation for cross-contamination control, not just for setting cleaning limits, but also for assessing organisational and technical controls.

Use the HBEL to determine the Maximum Allowable Carryover (MACO), considering worst-case equipment/product interfaces and unit dose exposure.

The HBEL must drive the QRM process, not the other way around.

  1. Equipment Mapping & Risk Assessment
    Prepare an equipment train map, identifying shared equipment and flow paths.

Perform a cross-functional risk assessment involving Production, Engineering, QA, and QC.

Identify hard-to-clean parts, dismantling requirements, retention points, hold times, and campaign lengths.

Look at contamination risk at both batch and unit dose levels, using real drawings and floor plans (per MHRA blog).

Visual thresholds must be studied — don’t assume visual inspection alone is sufficient.

  1. Cleaning Method Development
    Select appropriate cleaning methods: manual, automated, or combination.

Perform cleanability assessments: solubility, potency, formulation type.

Define sampling strategy:

Swabbing for small or hard-to-clean areas.

Rinse for large surface areas or closed systems.

Validate analytical methods (LOD, LOQ) and prove recovery rates ≥70% on representative surfaces.

Perform visual residue limit (VRL) studies if visual inspection is proposed as a verification tool post-validation — and apply a margin of safety for variable lighting/conditions.

  1. Cleaning Validation Protocol
    Protocol must be approved prior to execution and include:

Acceptance criteria based on PDE/MACO

Sampling and analytical methods

Number of runs (more than 3 may be needed to account for variability in manual cleaning)

Hold time studies

Campaign limits

Training and competency assessment for cleaning operators

  1. Execution and Verification
    Document all cleaning steps and sampling with traceability.

Investigate any OOS results or failures via deviation process — include re-training and root cause analysis.

Verify success of cleaning using analytical methods, not just visual inspection.

Sole reliance on visual inspection is only acceptable if supported by a VRL study and HBEL margin of safety, as described in PIC/S Q&A #7.

  1. Post-Validation Control Strategy
    After validation:

Define ongoing verification strategy (e.g. periodic swab/rinse testing, especially for high-risk products or manual cleaning).

Continue using analytical testing at product changeover unless a robust risk-based justification is in place.

Cleaning validation is not a one-time activity — revalidation is triggered by:

New product introduction

Change in cleaning method, equipment, or cleaning agent

Facility layout change

Adverse trends in cleaning failures

  1. Integration into PQS
    Cleaning validation and cross-contamination control must be part of the site’s QMS and Quality Risk Management programme (ICH Q9).

The QRM process must:

Document organisational and technical controls

Avoid over-reliance on paper procedures — observe real practices during validation and inspection

Be periodically reviewed in line with process and product risk

66
Q

You are now going to move your existing production onto the new site. What are your concerns?

A
  1. cc open
  2. Supply chain map update - make sure if the new production site in teh UK/EU/MRA/Non-MRA country
  3. Impact on MA - variation
    4 Impact on Licence -new site hold appropriate licence
  4. GMP cert or equivalent
    5.1. Audit and QP declaration for new mfg site
  5. Product impact: val
67
Q

What is a Site Master File? What are its contents?

A

Model Answer: A summary of GMP activities at a site. Key sections include PQS overview, production operations, QC, premises, personnel, and self-inspection.
Tips: List all 6 chapters concisely. Don’t overtalk. Use structure: Chapter 1 – PQS, Chapter 2 – Personnel, et

68
Q

What is a QP Declaration and when is it required?

A

Model Answer: A QP Declaration confirms the API is manufactured under GMP. Required for all API manufacturing sites, including EU and third countries. Needed when submitting MA variations.
Tips: Differentiate from written confirmation (third countries only); QP Declaration is always needed.

69
Q

Scenario 16: API from Singapore, manufacturing/testing in France, packaging in Turkey, QP cert in UK – what do you need to ensure as QP?

A

Model Answer: Have a supply chain map. Check authorisations for all sites. Written confirmation for Singapore. Full retesting in UK due to Turkey being a third country. Review batch records, ensure QTA in place, consider stability data and Annex 16 sampling.
Tips: Bring in Annex 16 & 21. Reference & retention sample handling. Justify UK testing.

70
Q

Scenario 16 follow up: Singapore API site licence revoked. You’re the sole supplier. What do you do?

A

Model Answer: Start with concerns for GMP, MA, and patient safety. Do impact assessment, root cause, change control. Inform DHSC and EMA (via EMSP). Consider alternate supplier, assess impurity profile, initiate tech transfer and validation.
Tips: Always start with “My concern is patient safety.” Mention regulatory contact and cross-functional team input.

71
Q

Scenario 16 follow up: What documents support QP certification for a batch?

A

Model Answer:
* Certificate of Analysis (CoA)
* Certificate of Conformity (CoC)
* Manufacturing and packaging records
* Deviation and OOS investigations completed before certification
* Validation status of process and equipment
* Control report (for veterinary)
* Any Official Control Authority Batch Release (OCABR) if applicable

Tips:
* Structure your answer as a checklist to demonstrate systematic thinking.
* Emphasise traceability and completeness.

72
Q

Scenario 16 follow up: What’s the difference between a PQR and ongoing method validation?

A

Model Answer:
A PQR (Product Quality Review) is a periodic (usually annual) summary of product performance, including deviations, OOS, complaints, yield, and trends. Ongoing method validation (or continued method verification) ensures that analytical methods remain suitable through periodic review of system suitability, accuracy, precision, and robustness based on accumulated data.

Tips:
* PQR is product-focused; ongoing method validation is method-specific.
* Both may use statistical tools like Shewhart charts, control limits, Cpk/Ppk.

73
Q

Scenario 16 follow up: What is ongoing process verification (OPV), and how does it differ from a PQR?

A

Model Answer:
OPV is the real-time or continuous monitoring of process parameters to ensure control during routine production. PQR is a retrospective review. OPV may detect issues faster but may have limited historical context (e.g., rolling 100-batch trend). PQR can detect longer-term trends missed by OPV.

Tips:
* Mention ICH Q8 and Annex 15 for OPV.
* Highlight statistical tools: control charts, trend analysis, Cpk/Ppk, regression analysis.

74
Q

Scenario 16 follow up: You notice a downward trend in assay across 1,000 batches during a PQR that wasn’t picked up in rolling 100-batch CPV. What do you do?

A

Model Answer:
I would:
*Investigate potential root causes (e.g., raw material change, equipment drift).
*Assess the stability data to predict if product might go out of spec during shelf-life.
*Perform regression analysis on assay data.
*If extrapolated data shows OOS before expiry, initiate a recall (likely Class 2).
*If stable and justified, continue monitoring with a CAPA plan.

Tips:
*Differentiate between out-of-trend (OOT) vs out-of-spec (OOS).
*Reference EMA’s Q&A on trend detection.