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To: Associations
I am pleased to inform you of the release of a draft
guidance document entitled: Risk Classification of GMP
Observations which have been developed by the Good
Manufacturing Practices Committee of the Therapeutic
Products Programme. This Guidance Document is now available
on the Therapeutic Products Programme (TPP) Website at:
www.hc-sc.gc.ca/hpb-dgps/therapeut
The intent of this document is to classify the
observations noted during establishment inspections
according to their risk / gravity and to identify situations
considered unacceptable to TPP that will likely generate a
rating of Non-Conformity following the inspection.
Comments or suggestions regarding the content of this
document should be addressed to Ms. France Dansereau in the
Bureau of Compliance and Enforcement, by telephone at (613)
957-1492, by fax at (613) 952-9805, or by e-mail at
france_dansereau@hc-sc.gc.ca, by March 1, 2000.
Original signed By
Dr. Robert Peterson
For
Dann M. Michols
Director General
Risk Classification of
Good Manufacturing Practices
Version Number
Date issued
Date of implementation
Draft
December 31st, 1999
Health Canada
Therapeutic Products Programme
PURPOSE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
BACKGROUND . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
SCOPE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
DEFINITIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
PROCEDURE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
APPENDIX 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
PREMISES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
EQUIPMENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
PERSONNEL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
SANITATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
RAW MATERIAL TESTING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
MANUFACTURING CONTROL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
QUALITY CONTROL DEPARTMENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
FINISHED PRODUCT TESTING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
RECORDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
STABILITY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
STERILE PRODUCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7
7
7
7
7
8
8
8
8
9
9
9
APPENDIX 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
PREMISES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
EQUIPMENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
PERSONNEL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
SANITATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
RAW MATERIAL TESTING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
MANUFACTURING CONTROLS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
QUALITY CONTROL DEPARTMENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
PACKAGING MATERIAL TESTING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
FINISHED PRODUCT TESTING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
RECORDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
SAMPLES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
STABILITY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
STERILE PRODUCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
10
10
11
12
13
13
14
15
16
16
17
17
17
18
APPENDIX 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
PREMISES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
EQUIPMENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
PERSONNEL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
SANITATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
RAW MATERIAL TESTING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
MANUFACTURING CONTROL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
PACKAGING MATERIAL TESTING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
RECORDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
SAMPLES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
STABILITY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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19
19
19
20
20
20
20
21
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Health Canada
Therapeutic Products Programme
1.
2.
PURPOSE
1.1
To classify the observations noted during drug plant inspections according to their
gravity /risk.
1.2
1.3
To inform the industry of the situations that the TPP considers unacceptable and
that will generate a rating of Non-Conformity (NC) following an inspection.
BACKGROUND
During a drug plant inspection, deviations to the different interpretative sections of the Good
Manufacturing Practices (GMP) guidelines are noted by the inspector and these deviations
appear as observations in the inspection exit notice at the end of the inspection. A
judgement based on these observations is then made by the inspector and a rating of
conformity (C) or non-conformity (NC) is assigned. Attribution of a NC rating may have
serious financial consequences for a company, ranging from the implementation of
important corrective measures to the temporary suspension or termination of the
Establishment Licence (EL). Therefore, these situations of non-conformity have to be well
defined, unambiguous and directly supported by the applicable regulations.
3.
SCOPE
The definition of a drug in Canada covers a wide variety of products ranging from
pharmaceuticals to biologics as well as Natural Health Products such as homeopathics and
herbal preparations. This guideline covers all such products to which Division 2 of Part C
of the regulations applies. However, as mentioned in the introduction to the 1998 edition
of the GMP guidelines, the evaluation of the conformity to the GMPs will be commensurate
with the risk involved taking into account the nature and extent of the deviation in relation
with the category of products evaluated. Nonetheless, most of the situations involving
fraud, misrepresentation or falsification of products or data will generate a NC rating,
irrespective of the category of products involved.
The appendices attached to the present document describe the observations related to each
category of risk. Please note that the list of observations in each appendix is not exhaustive
and that additional observations may be added where appropriate.
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Health Canada
Therapeutic Products Programme
4.
DEFINITIONS
In addition to the definitions described below, other definitions described in SOP-0006 (GMP
inspection of drug establishment) may apply.
4.1
Observation
A deviation or deficiency to the GMP noted by an inspector during the inspection
of a drug establishment that is attached to the inspection summary of the firm in the
TPPIRS and that is confirmed in writing to the company in the exit notice at the end
of the inspection. The observations are classified as Critical, Major and Other and,
as described in the TPPIRS, are assigned a risk classification, ranging from 1 for
critical to 2 for major to 3 for other.
4.2
4.3
4.4
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Critical observation
4.2.1
4.2.2
Major observation
4.3.1
4.3.2
Other observation
4.4.1
4.4.2
Other observations are not listed as such (observations that are neither
critical or major are considered as other and will be assigned a Risk 3 in the
TPPIRS) but Appendix 3 contains a list of other observations that may be
raised to major depending of the situation.
Health Canada
Therapeutic Products Programme
4.5
Critical product
4.5.1
A critical product is one for which one or more of the following criteria
apply:
.
.
.
.
4.6
High risk products means products that may trigger a health risk even at
low levels, following cross-contamination. Those include but are not limited
to Penicillins and to certain cytotoxic and biological products.
PROCEDURE
5.1
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5.0
Risk 1 observations
.
When faced with such situation, the inspector will inform his/her
superior and discuss the appropriate course of actions that should
be considered to address the situation. An action plan specifying
the corrective measures to be taken as well as the time frame
necessary to implement these actions will be requested within an
appropriate target date from the company. In such situations
where in the opinion of the inspector the resulting products present
an immediate significant health hazard, appropriate actions such
as seizure, voluntary detention or suspension or termination of
manufacturing activities will be implemented or requested
immediately.
Health Canada
Therapeutic Products Programme
5.1.2
Risk 2 observations
Where an inspection generates Risk 2 deviations, a C rating will be
assigned in most situations. However, a NC rating could be attributed to
a company in the following situations:
5.1.3
Risk 3 observations
A C rating will be assigned in all situations where Risk 3 observations are
noted.
Winter 1999
Health Canada
Therapeutic Products Programme
APPENDIX 1
RISK 1 OBSERVATIONS
REGULATION
PREMISES
C.02.004
1.
2.
Inadequate segregation of manufacturing or testing areas for high risk products from other
manufacturing areas.
EQUIPMENT
C.02.005
1.
2.
Most of the equipment used for critical manufacturing operations not qualified after
December 31, 1999.
PERSONNEL
C.02.006
1.
SANITATION
C.02.007 and C.02.008
1.
Sanitation program not followed combined with dirty premises and equipment (evidence of
accumulation of residues/extraneous matter).
2.
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Health Canada
Therapeutic Products Programme
2.
MANUFACTURING CONTROL
C.02.011 and C.02.012
1.
2.
3.
Most critical production processes not validated after December 31, 1999.
4.
Recall
4.1
Absence of recall procedure combined with distribution practices that would not
permit to adequately recall a product (distribution records unavailable or not kept).
4.2
Improper quarantine and disposal practices that would allow recalled/rejected units
to be returned for sale.
2.
QC department not an independent unit, lacking real decisional power, with evidence that
QC decisions are overruled by production department or management.
2.
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Health Canada
Therapeutic Products Programme
RECORDS
C.02.020 to C.02.024
1.
2.
STABILITY
C.02.027 and C.02.028
1.
2.
STERILE PRODUCTS
C.02.029
1.
2.
PW and WFI systems not validated with evidence of problems such as high
microbial/endotoxin counts.
3.
4.
Aseptic filling operations maintained following unsatisfactory results obtained from media
fills.
5.
Batches failing initial sterility test released for sale on the basis of a second test without
proper investigation.
Winter 1999
Health Canada
Therapeutic Products Programme
APPENDIX 2
RISK 2 OBSERVATIONS
REGULATION
PREMISES
C.02.004
1.
2.
Accessory supplies (steam, air, nitrogen, dust collection, etc...) not qualified.
3.
HVAC and purified water system not qualified/T and humidity not controlled or monitored
where required ( ex. in warehouse for sensitive products without supporting stability data).
4.
Damages (holes, cracks or peeling paint) to walls / ceilings immediately adjacent or above
manufacturing areas or equipment where the product is exposed.
5.
6.
Surfaces finish (floors, walls and ceilings) that do not permit effective cleaning.
7.
8.
9.
10.
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Therapeutic Products Programme
EQUIPMENT
C.02.005
1.
Lack of maintenance resulting in equipment that does not operate within its
specifications.(8)
2.
3.
Tanks for manufacturing of liquids and ointments not equipped with sanitary clamps.
4.
5.
6.
Evidence of contamination of products by foreign materials such as grease, oil, rust and
particles from the equipment.(8)
7.
8.
No/inadequate precautions taken when equipment such as oven or autoclave contains more
than one product (possibility of cross-contamination or mix-ups).(8)
9.
10.
11.
Leaking gaskets.
12.
13.
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Health Canada
Therapeutic Products Programme
PERSONNEL
C.02.006
1.
2.
3.
4.
5.
6.
7.
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Therapeutic Products Programme
SANITATION
C.02.007 and C.02.008
1.
2.
No SOP for microbial/environmental monitoring, no action limits for areas where susceptible
products are manufactured (8).
3.
Cleaning procedure for production equipment not validated (including analytical methods).
4.
Reduce testing program in place without any data to certify the vendors/suppliers.
2.
3.
4.
5.
6.
7.
8.
No consideration for multiple receptions of the same lot/multiple lots comprising one
reception.
9.
10.
No ID done after receipt/Testing fro identity not done on each containers after manipulation
or repackaging by third party.
11.
12.
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Health Canada
Therapeutic Products Programme
MANUFACTURING CONTROLS
C.02.011 and C.02.012
1.
2.
3.
4.
5.
6.
7.
8.
9.
Lack of proper identification of in-process materials and production rooms resulting in a high
probability of mix-ups.(8)
10.
11.
Bulk and in-process drugs, RM and PM not held in quarantine til release by QC.
12.
13.
14.
15.
16.
17.
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18.
19.
20.
21.
Inadequate control of coded and non-coded printed packaging material (including storage,
dispensing, printing, disposal).
22.
23.
24.
2.
No SOPs approved and available for sampling, inspection and testing of materials.
3.
4.
5.
6.
7.
8.
SOPs covering operations that can affect the quality of a product such as transportation,
storage, etc...not approved by QC department.
9.
10.
11.
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Health Canada
Therapeutic Products Programme
Reduce testing program in place without any data to certify the vendors/suppliers.
2.
3.
4.
5.
6.
7.
8.
2.
Incomplete/inadequate specifications.
3.
Incomplete testing.
4.
5.
6.
7.
8.
Use of unique identifier principles not meeting the acceptable options described in the
interpretive document.(8)
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Therapeutic Products Programme
RECORDS
C.02.020 to C.02.024
1.
2.
SAMPLES
C.02.025 and C.02.026
1.
Retained samples not kept for products outside the scope of alternative sample retention
directive.
2.
Failure to submit retained samples within 48 hours when alternative sample retention
granted.
STABILITY
C.02.027 and C.02.028
1.
2.
No action taken following data showing that the products do not meet their specifications
prior the expiry date.
3.
4.
5.
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Health Canada
Therapeutic Products Programme
STERILE PRODUCTS
C.02.029
1.
2.
3.
Aseptic manufacturing suites under negative pressure compared to clean (C-D) areas.
Clean (C-D) areas under negative pressure to unclassified areas (8) .
4.
5.
6.
7.
8.
9.
10.
11.
12.
No consideration given to initial bioburden prior sterilization and no validated time limit
between start of manufacturing and sterilization or filtration.(8)
13.
14.
Inadequate inspection for particles and defects/No leak test for ampules.
15.
Samples for sterility not representative of the entire production/insufficient number of units.
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Health Canada
Therapeutic Products Programme
APPENDIX 3
RISK 3 OBSERVATIONS
REGULATION
PREMISES
C.02.004
1.
Doors giving access to exterior from manufacturing and packaging areas used by personnel.
2.
3.
4.
Damages (holes, cracks or peeling paint) to surfaces not directly adjacent or above exposed
products.
5.
Insufficient lighting
6.
7.
EQUIPMENT
C.02.005
1.
2.
3.
4.
5.
PERSONNEL
C.02.006
1.
2.
No organization charts.
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Therapeutic Products Programme
SANITATION
C.02.007 and C.02.008
1.
2.
Personnel responsible for the application of the cleaning procedures not identified.
3.
4.
MANUFACTURING CONTROL
C.02.011 and C.02.012
1.
2.
3.
4.
2.
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Therapeutic Products Programme
RECORDS
C.02.020 to C.02.024
1.
2.
3.
SAMPLES
C.02.025 and C.02.026
1.
2.
Insufficient quantity.
3.
STABILITY
C.02.027 and C.02.028
1.
2.
3.
4.
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