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Change Management Systems in


the Pharmaceutical Industry
by Janet Buecker and John Tuttle
“When you’re finished changing, you’re finished.”
~ Benjamin Franklin

This article Introduction 2. How should these changes be classified to

T
he pharmaceutical industry has long reflect their potential impact upon the cus-
describes the recognized the need to control and prop- tomer?
essential erly validate changes to pharmaceutical
elements of a engineering processes and materials, and the 3. How should these changes be communicated
resulting product changes. The FDA has pub- to the customer?
pharmaceutical
lished regulations [21 CFR 314.70] describing
supplier’s formal how changes to drug manufacturing processes The answer to the first question is that all
change must be reported to the Agency. Many pharma- changes that could potentially impact the cus-
management ceutical companies require formal change noti- tomer in any way must be managed and con-
fication agreements with suppliers as a condi- trolled. These changes include changes to the
system and the tion of doing business. This requirement in- form, fit, or function of the product, changes to
relationships cludes the notification of intended changes be- manufacturing or testing methods, and changes
among those fore their implementation by the supplier, and to labeling or packaging. Other types of changes
elements. the acceptance of any changes by the customer that must be managed and controlled are dic-
before they receive product that incorporates tated by regulatory requirements and customer
the change. Given the industry and regulatory expectations. Some pharmaceutical manufac-
focus on change control and change notification, turers want to be notified if the supplier’s batch
quality managers and purchasing managers size is changed by more than 20% or if the
have reported that many suppliers to the phar- supplier experiences a change in manufactur-
maceutical industry have not implemented for- ing yield of more than 10%. Other types of
mal change management policies and proce- changes, such as the transfer of manufacturing
dures that comply with the requirements and to a different location or a change in the supplier
expectations of drug manufacturers. This change of a critical component, are generally recog-
management system has been developed and nized as changes that require the supplier’s
refined through the process of supplying prod- surveillance and customer notification. These
ucts to the pharmaceutical industry for more changes also need to be validated.
than 40 years, and is the result of extensive This brings us to the second question con-
collaboration with many demanding customers. cerning classification of changes. It is appropri-
The change management system described in ate to classify changes to reflect the potential
this article pertains to pharmaceutical and impact that the change may have on the prod-
biopharmaceutical products, as well as to cer- uct, the process, or the customer. The classifica-
tain medical devices. Examples will illustrate tion of a change generally also reflects the
how a change management system should work amount of qualification required to validate the
in practice. change. The type and timing of a formal notifi-
cation to customers also depends on the classi-
Definition and Classification of fication of a change. Because no government
Changes regulation or industry-wide practice mandates
In defining a change management system, the or even describes how changes are to be classi-
first questions that a pharmaceutical supplier fied, such classifications are developed by phar-
must ask are: maceutical suppliers in collaboration with their
customers in order to satisfy the customers’
1. What kinds of changes are required in the needs. One such classification system uses three
product, its manufacturing process, or its levels of change to describe every type of change
QC/QA processes? that might be considered.
Change Management Systems

Major Changes mentation. A process re-validation protocol must be written,


Major changes have the potential to affect the customer’s reviewed, and approved before the implementation of any
process by reducing yields, increasing processing time, or major change. Customer notification should take place as soon
altering process parameters. Major changes can also can affect as the process change has been validated and the validation
product purity, stability, potency, safety, or efficacy. Custom- report approved. For major changes, it is good practice for
ers must be informed of and accept a major change before they change management procedures and policies to address the
receive product that reflects the change. It is often necessary need to give customers 12 to 24 months’ notice of the intended
for a customer to re-qualify in their process a component which change to allow them adequate time to qualify the changed
has undergone a major change. component in their process. This notification requirement
These types of changes generally affect the form, fit, or generally entails the supplier’s keeping inventories of both the
function of the product, or are associated with the transfer of old and the changed component available for this period of
manufacturing to another location. Changes in materials of time.
construction, suppliers, manufacturing methods, test meth- Now that different types of changes have been defined and
ods, or product specifications (outside original specification management policies and procedures have been established,
range) are considered major changes. all the areas where change management must be applied in
Product discontinuation also is considered a major change order to ensure a successful system must be identified. This
because it forces the customer to source and qualify an alterna- discussion will now review the essential elements of the change
tive product in their process. management program necessary for a reliable and efficient
customer-notification process.
Minor Changes Figure 1 shows the major areas and functions where change
Minor changes do not have the potential to affect the customer’s management procedures must be established and maintained.
product or process, other than by perhaps requiring paperwork Procedures defining change management in each of these
changes. Customers should be informed of, but need not accept, areas must be in place and understood by all employees who
a minor change before accepting a supplier’s product that work in a given area. As the diagram shows, inventory manage-
reflects the change. Minor changes are generally associated ment is a very important element of change management.
with packaging, labeling, or documentation. It is considered a Inventory management will be discussed several times as the
minor change when the specification range is narrowed, but is areas where change management must be applied.
still within the original range.
Change Management and Changes Notification
Non-Notifiable Changes for Purchased Materials
Non-notifiable changes are defined as changes that require Most pharmaceutical suppliers’ products start with materials
management oversight and control, but create no real or or components supplied by a vendor. Qualification of that
apparent change in the product or any of its aspects or proper- vendor should include the requirement that an effective change
ties. Examples of this type of change include adding Statistical management system is in place, and that the vendor is commit-
Process Control in the manufacturing process and replacing ted to notifying their customers of major and minor changes.
manufacturing equipment with like for like. Each vendor also should have a quality management system
Once change management has been defined and the types of that ensures the re-validation of their products and processes
changes classified, appropriate customer notification policies when a change is implemented. Signed agreements should be
and procedures should be established and followed. In a global in place between the pharmaceutical supplier and their ven-
multinational company that supplies product to the pharma- dors, stating the vendors’ commitment to change notification
ceutical industry, communication and employee training are and defining the types of changes that must be communicated
essential for the efficient functioning of a change management and how they will be communicated. Each vendor also must
program. Additionally, an employee’s job performance assess- have procedures in place to control inventory when a change is
ment should include an evaluation of how well the employee made. This practice would include control of component distri-
follows change management policies and procedures. Internal bution so that a component that has been changed is shipped
audits are a good tool to assess how well change management only to customers who have accepted the change. Vendor
is being managed. audits should verify that the proper policies and procedures
exist and are followed to ensure adequate change management
Change Management and Customer Notification and control of inventory and distribution.
Policies and Procedures
Formal change management procedures and a formal change Incoming QC and Inventory Control
notification policy are required to provide pharmaceutical of Starting Material
customers with adequate assurance that changes will not be Procedures must exist to ensure the correct handling of start-
implemented without proper notification and customer accep- ing material received from vendors. If a vendor has made
tance. A good change management and customer notification changes to their product, incoming QC and warehouse person-
procedure distinguishes between major changes that require nel at the pharmaceutical supplier must have procedures for
pre-notification and customer acceptance, and minor changes identifying and quarantining material that has changed, but
that do not need customer acceptance before implementation has not been fully qualified and approved by the pharmaceuti-
and product distribution. Although customer acceptance is not cal supplier. This is an area where a significant amount of
required for minor changes, customers should be notified when coordination is necessary between QC, purchasing, material
the change is implemented. handlers, and production at the pharmaceutical supplier.
Change management procedures must prescribe how all Material or components that are being changed by a vendor
proposed changes are reviewed and approved before imple- must be qualified in the process that uses the material or

2 PHARMACEUTICAL ENGINEERING • NOVEMBER/DECEMBER 2002


Change Management Systems

components. This requirement means that protocols must be inventory of the original unchanged starting material after the
developed and followed that allow manufacturing to use unap- qualification/validation has been approved.
proved material during qualification/validation runs. Product Pharmaceutical customers generally consider the following
made during the qualification/validation must be segregated changes made by their suppliers to be major and to require
from regular production and placed in quarantine until the notification and acceptance before they receive product that
qualification/validation has been approved. A material review reflects the change.
board normally determines the disposition of any remaining

Figure 1. Change management and customer notification.

NOVEMBER/DECEMBER 2002 • PHARMACEUTICAL ENGINEERING 3


Change Management Systems Change Management Systems

• Change in the vendor of a critical material or component of • Changes that affect the form, fit, or function of the product
the supplier’s product – the same material produced by – any change that could be perceived by a customer as a
different vendors may perform differently depending on the form, fit, or function change should be treated as a major
application. change.
• Changes that incorporate a different process technology
• Change in the supplier’s process that affects the form, fit, or during manufacturing
function of the supplier’s product – examples of these changes • Changes in materials of construction
include the use of new molds, different reaction vessels, • Changes that affect product specifications
different solvents, or different process technologies (such as
centrifugation rather than filtration or laser cutting rather Product Changes
than die cutting). Product and packaging changes on the part of a pharmaceuti-
cal supplier can represent significant changes in the product
• Change in materials of construction used by the supplier – configuration or design. These changes can constitute product
even a change from one polymer configuration to another modifications or result in new products. A prudent supplier
(for example, from high- to low-density polypropylene) should implements all major product design changes as new products.
be considered a major change. The original product may be discontinued after customers are
given adequate time to validate the new product.
• Change in the supplier’s manufacturing location – such a An example of such a change is the redesign of a product
change generally occurs when a manufacturing operation is used in pharmaceutical manufacturing to purify a parenteral
moved from one location to another. The same requirements drug. The redesign is implemented in response to the discon-
would apply to the establishment of a second manufacturing tinuation of a key raw material by the supplier’s vendor.
location for the identical product. Because this raw material is incorporated into a key compo-
nent of the supplier’s product, extensive qualification of the
• Changes to the supplier’s product specifications that are alternative component is completed by the supplier. The sup-
outside the original specification range. This situation could plier conducts a two-phase notification of their customers. The
allow product that the supplier had previously considered first phase notifies customers of the upcoming change, and
unacceptable to be within specification. states the date of its planned implementation. This notice
allows customers to purchase sufficient product in the current
Manufacturing Process Changes format to allow them to continue manufacturing their product,
Pharmaceutical suppliers that follow current Good Manufac- while qualifying the supplier’s replacement product in their
turing Practices (cGMPs) as defined by regulatory agencies, own process. The second notification from the supplier pre-
like pharmaceutical manufacturers, are expected to have rigid sents customers with data drawn from the supplier’s qualifica-
controls in place to ensure that their manufacturing process tion studies to assist customers in qualifying the redesigned
consistently results in product with the same attributes and product in their own processes. New catalog numbers are
performance (safety and efficacy). Any major process change assigned to the redesigned product to help both the supplier
requires revalidation of the process. Proper change manage- and their customers manage their inventories of old and
ment should ensure that all proposed changes are reviewed by redesigned product.
the appropriate functions (product management, quality as- Product changes that do not result in new products gener-
surance, RD&E, engineering, etc.) and levels of management. ally represent changes to product specifications, labeling, or
The following elements of change control may be considered packaging. Of these, changes to product specifications have the
standard requirements for major changes in the pharmaceuti- greatest potential to impact customers. Product specification
cal industry: changes generally fall into one of two categories:

1. documented justification for the change 1. major changes that either shift the specification range or
2. impact assessment of the change widen the range to allow the acceptance of product that was
3. management approval of the proposed change previously out of specification
4. implementation and validation of the change
5. management approval of the implementation and validation 2. minor changes that reflect a narrower specification range
6. regulatory and customer notification that falls entirely within the original specification range

The requirement for customer notification must be determined A specification change may not entail changes or additions to
before the change is approved. After the change is approved, a the supplier’s manufacturing process or product. Specification
validation protocol is written, if necessary, and approved changes may be implemented to better reflect process capabil-
before any validation work is started. Product made during the ity or product performance. These types of specification changes
validation of a change must be segregated and quarantined are generally made after a significant amount of historical data
until the validation has been completed and the validation indicates that a specification change is appropriate.
report approved. After the validation report has been ap- Major specification changes on the part of a pharmaceutical
proved, product that reflects major changes must be properly supplier require customer notification and acceptance of the
identified and controlled in the supplier’s inventory so that change before the customer receives product with the new
only customers who have accepted the change are shipped specification. Although minor specification changes may not
product that was made with the change. The same types of mandate customer acceptance, advance notification is advis-
changes that can affect starting materials also can affect able because user documentation must be changed, and this
manufacturing processes. process can take a significant amount of time.

4 PHARMACEUTICAL ENGINEERING • NOVEMBER/DECEMBER 2002 NOVEMBER/DECEMBER 2002 • PHARMACEUTICAL ENGINEERING 4


Change Management Systems Change Management Systems

Packaging Changes • Making a change that requires customers to re-validate a


All packaging changes that do not affect the pharmaceutical component in their process imposes on customers signifi-
supplier’s product configuration or the materials that are in cant costs and constraints of time and resources.
contact with the product are considered to be minor changes. If
the packaging material that is in contact with the product is • Changes that require revised documentation (work instruc-
changed, the compatibility of the packaging material and tions, acceptance criteria, purchasing specifications, etc.)
product materials of construction must be verified and vali- also can be costly and time consuming.
dated. This type of change is generally considered a major
change. Packaging changes are qualified and validated by • The customer’s need to qualify and validate the change in
subjecting the new packaging to appropriate shipping tests their process may leave open the opportunity to qualify and
followed by product inspection and testing. It is appropriate to validate other suppliers’ products at the same time.
notify pharmaceutical customers of any changes to the type of
packaging material, even if it is not in contact with the product, Managing change at the customer level is central to successful
to provide for proper waste disposal. Some countries now acceptance and implementation of a change by customers.
require the disclosure of the amounts and types of all materials There are a number of customer-related change management
that will ultimately be disposed of from a process. issues that a successful pharmaceutical supplier will address
in order to minimize the negative impact their changes can
Labeling Changes have on customers. The following considerations are important
Labeling changes that do not affect a supplier’s product claims elements that can help customers to accept and implement a
or specifications are considered minor changes. Customers change that has been imposed by a supplier:
may have to be notified of minor labeling changes before
receiving product with the changed labeling if customers’ • Updated list of Notification Key Contacts
internal documentation must be changed. A good example of a - Knowing who the right contacts are at the customer site
minor labeling change requiring pre-notification is a format or for notification of a change can make a big difference in
wording change to a Certificate of Quality. This document is how the change is handled by the customer. The supplier
routinely used in pharmaceutical customers’ incoming QC must know who is in the best position to manage a change
procedures to verify that the received product is the same as in their customer’s operation or organization. The appro-
product previously received. Copies of a reference Certificate of priate people (those who must be notified) will know
Quality are kept on file in incoming QC and matched against what must be done and how best to accomplish every-
Certificates of Quality received with each shipment. If the thing that must be done to accept and implement a
Certificate of Quality on file does not match exactly the Certifi- change.
cate of Quality received with a new shipment of product, a - Maintaining an updated list of customer key contacts for
complaint is raised, and the supplier’s product can be rejected change notification helps to streamline the notification
by the customer. process by avoiding the time-consuming effort of finding
out who must be notified every time a change must be
Inventory and Distribution Changes communicated. This also eliminates the aggravation and
A complete change management program also should address waste of time that customers would have to go through if
any changes that the supplier makes to the recommended the notification were sent to the wrong contact, either
storage conditions or shelf life of their product. The reduction never reaching its intended audience, or doing so too late.
of a shelf life claim should be considered a major change.
Changing recommended storage conditions to more rigid re- • Providing Data and Validation Information
quirements is an inventory consideration that also should be - Customers who must accept and implement a change
treated as a major change. Both types of changes must be imposed on them by a supplier benefit from having as
managed from a supplier’s warehouse and distribution per- much data and information as possible to determine the
spective as well as from a customer’s perspective. scope of the change and its implications for their process.
Inventory and distribution change management are key to Customers must know what has not changed, what has
the proper implementation of major changes. Product that was changed, and how it has changed.
made before and after the change must be segregated and - Information from the supplier’s validation of the change
controlled so that product reflecting the change is shipped only is also helpful and can obviate the requirement to vali-
to customers who have accepted the change. Instructions may date by the customer, thereby saving time and money.
be provided to customers identifying how inventory at their - There may be many reasons why re-validation is not
location should be handled. necessary. It is very important to state in the change
notification letter the rationale against the need for
Customers and Change Management revalidation. Data supporting the rationale should be
Pharmaceutical customers are an important aspect of change provided to support customers’ confidence that revalida-
management. Whether the change is major or minor, or re- tion in their process is not required.
quires pre-notification or simply a product insert, it is impor- - A summary of the supplier’s Qualification and Valida-
tant for pharmaceutical suppliers to manage their changes tion Report should be made available for customers to
with concern for their customers’ perspectives. One of the risks review and to include with their internal documentation
that a supplier faces is not making a beneficial change because supporting the change.
customer notification would be required. There are a number
of factors in the pharmaceutical industry that weigh against a • Define the steps that should be followed to accept and
suppliers making changes that would require customer notifi- manage the change
cation:
5 PHARMACEUTICAL ENGINEERING • NOVEMBER/DECEMBER 2002 NOVEMBER/DECEMBER 2002 • PHARMACEUTICAL ENGINEERING 5
Change Management Systems

- When communicating a change to a customer, describing References


the actions they should take to implement the change can 1. U.S. Food and Drug Administration, 21 CFR Part 314.70,
make the process very straightforward for the customer. Supplements and other changes to an Approved Applica-
Typical actions that should be specified are: tion, Revised as of April 1, 2000.
- how to identify product that incorporates the change
- what documentation must be changed 2. U.S. Food and Drug Administration, 21 CFR Part 211,
- operator training that may be required Current Good Manufacturing Practice for Finished Phar-
- what to do with existing inventory of the old product maceuticals.

• Provide materials, resources, and data to help implement 3. U.S. Food and Drug Administration, Compliance Program
the change
Guidance Manual 7346.832, Preapproval Inspections/In-
- For major changes that have significant implications,
vestigations.
formal presentations given by the supplier’s sales and
quality-assurance representatives can help customers
4. U.S. Food and Drug Administration Modernization Act of
better understand the implications of the change, its
1997, Public Law 105-115, 105th Congress.
effect on the particular customer, and what must be done
to accept and implement the change.
- Customers may need samples of the changed product to 5. U.S. Food and Drug Administration, Center for Drugs and
evaluate in their processes. Biologics and Center for Devices and Radiological Health,
- Providing a protocol for testing and evaluating the change Guideline on General Principles of Process Validation.
also may help the customer to implement a change.
- Historical QC data or process capability information may 6. Parenteral Drug Association, Current Practices in the Vali-
be needed to support a specification change. dation of Aseptic Processing, 2001, Technical Report No. 36.
- The supplier’s technical employees may have to assist
customers in implementing a change. About the Authors
Janet Buecker is a Product Manager for TFF
The Impact of Inadequate Control and Change ultrafiltration products in Millipore’s
Notification Biopharmaceutical Division. She has world-
The costs and risks associated with change control are consid- wide responsibility for purification products
ered preventive and must be weighted against the costs that used in the biotech, vaccine, and plasma frac-
could be incurred if changes are not managed properly. Costs tionation industries. Buecker has held posi-
and risks associated with improper change management are tions of increasing responsibility in academia and biotechnol-
considered avoidable failure costs. Significant failure costs ogy. She has previously been published in several scientific
related to inadequate change management include regulatory journals, including Nature. Buecker holds a BS in biology from
actions (483 citations, injunctions, and product seizures), prod- Washington University in St. Louis. Buecker can be contacted
uct recalls or field actions, and customer complaints. Failure by telephone at: (781) 533-2733 or by e-mail at:
costs from the same source also include the delays in the janet_buecker@millipore.com.
introduction of new products and in the qualification of new
facilities.The magnitude of these costs varies, but proper change
John Tuttle is Manager of Quality System
management can provide for their control.
Programs and Certification for Millipore’s
Biopharmaceutical Division. He has world-
Conclusion
wide responsibility for customer certification
Change is inevitable, and because continuous improvement is
of Millipore as a supplier, Global Customer
impossible without change, progress is built on change. The
Care complaint system, customer notification
key to making successful change in the pharmaceutical world
is to manage it, both from internal and external perspectives. of changes and division wide quality system programs. Tuttle
Change management must be established by pharmaceuti- served as management representative for the Division’s initial
cal suppliers, in collaboration with their customers, as formal ISO 9001 Quality System Registration with Lloyd’s Register
processes, from the supplier’s starting materials to the valida- Quality Assurance. He has been responsible for many quality
tion of changes to their processes and products, to the control- functions at Millipore, including corporate quality engineering
ling of inventory for products that have changed. Change manager of quality assurance for the Bedford, MA, and Jaffrey,
management also applies to communicating changes to cus- NH, operations. Tuttle holds a BS in chemistry from Lake
tomers and helping customers to accept and implement changes Forest College in Lake Forest, Illinois and a MS in biochemis-
to the products that their vendors supply. try from Michigan State University. He is a member of the
There are many facets of change management that must be American Chemical Society, American Society for Quality
coordinated and integrated into a formal change management Control, and the Parenteral Drug Association. Tuttle can be
program. The most effective change management program is contacted by telephone at: (781) 533-5680 or by e-mail at:
one in which both suppliers and customers participate in john_tuttle@millipore.com.
managing the process. If change is managed properly, every- Millipore Corporation, 80 Ashby Rd., Bedford, MA
one wins. 01730.
Reprinted with permission from Pharmaceutical Engineering, November/December 2002
6 PHARMACEUTICAL ENGINEERING • NOVEMBER/DECEMBER 2002 by The Reprint Dept., 800-259-0470 RP1050ENOO

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