Risk Management For Aseptic Processing
Risk Management For Aseptic Processing
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KEY POINTS
The following key points are discussed in this article:
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risk management program can help to reduce risk
while reducing wasted effort.
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components in a carefully controlled environment
using careful techniques to produce a sterile
product
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lack of post-processing sterilization increases the
risk of non-sterility, and because the severity of the
lack of sterility in a parenteral product is extremely
high
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the International Conference on Harmonisations
(ICH) Q9. It can be divided into four steps: Risk
assessment, risk control, risk communication, and
risk review.
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qualified experts
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assessment include failure mode and effects
analysis (FMEA), fault tree analysis, and hazard
analysis and critical control points (HACCP)
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accepting risk. A formal risk control plan may
be the output of a risk control plan as part of risk
communication.
Ed White
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basis as part of the quality management process
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determine project activities to reduce the risk
level. If reduction is not possible, there should be
additional in-process controls, additional testing,
and additional training to mitigate risk.
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determine high-risk processes. There should
be proportionately increased sampling, testing,
or more rigorous acceptance criteria to provide
greater assurance of process acceptability.
INTRODUCTION
Aseptic processes are some of the most difficult
processes in the pharmaceutical industry. Because
of the nature of aseptic processes, sterile products
produced aseptically present a significantly higher
risk to the patient than terminally sterilized products.
Because of the high level of risk, an effective quality
risk management program is necessary to protect the
patient.
An effective risk management program aids in
the careful control of the process, reducing the risk
of contamination at the same time it reduces wasted
effort in controlling risks that are not significant. This
column discusses some of the common techniques
used to manage risks for aseptically processed
products.
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Ed White
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qualification, and validation activities
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process to assist in the design of process validation
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The uses for quality risk management tools are
nearly limitless. A few examples of the uses of these
tools in aseptic processing include the following:
tEquipment and facility design. QRM tools
such as 3-D risk assessment (4) can be used to
identify high-risk equipment and facilities,
as well as low-risk equipment and facilities;
this will allow risk control efforts to focus on
eliminating the highest risks. Design of highrisk equipment and facilities can be enhanced
using input from tools such as failure mode and
effects analysis (FMEA) and fault tree analysis
to identify potential failure modes. This input
allows the equipment designer to add preventive
measures to the equipment design to reduce
the occurrence of, or even eliminate, potential
failure modes.
tEquipment and facility qualification. QRM
tools can be used to identify the critical aspects of
the aseptic processing equipment or facility that
need to be intensively qualified, and the low-risk
aspects of the equipment or facility. QRM tools
can also be used to determine the extent and
frequency of requalification efforts.
tChange control. QRM tools can be used to
identify high-risk equipment and facilities that
need to be maintained under strict change control,
as well as the equipment and facilities that can
be placed under a simpler engineering change
management program.
tP rocess validation. QRM tools can be
used to identify the key inputs, key process
parameters, and key outputs that need to be
monitored and controlled. This allows for
focused process validation that ensures that
process parameters that are critical to product
quality are appropriately validated.
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Risk Assessment
Risk assessment is the first portion of the quality
risk management process. It consists of identifying
potential hazards, analyzing hazards, and risks
associated with exposure to those hazards. A few key
points about the risk assessment process include the
following:
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of qualified experts from disciplines such as
engineering, quality assurance, validation, and
manufacturing, preferably facilitated by someone
familiar with the risk assessment process. This
team should clearly define the risk question. A
poorly defined risk question can lead to lack of
focus in the risk assessment.
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in the risk assessment: What can go wrong, how
likely is it to go wrong, and how severe are the
consequences?
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assessment are given under Risk Assessment
Tools. These tools share some of the key
characteristics of a risk assessment process:
Ed White
Figure 1: Risk management process (from ICH Q9).
Initiate
Quality Risk Management Process
Risk Assessment
Risk Identication
Risk Analysis
Risk Control
Risk control consists of developing a plan to reduce and/
or accept risks. The purpose of risk control is to reduce
risk to an acceptable level. The formality and effort of
risk control should be appropriate for the level of risk.
The following questions should be asked during this
phase:
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and resources?
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A risk control plan may be the output of the risk
control process. This plan may be included in a project
plan or validation master plan, as part of the risk
communication process.
Risk Communication
Risk communication is simply thatcommunication
of risks between decision makers and other interested
parties, either within or outside the company. This
may be done formally or informally, as appropriate for
the risk level of the product and process.
Risk Review
Risk review is simply periodic review of risks as part of
the ongoing quality management process. Examples
of where formal or informal risk review might be
performed include periodic management review, as
part of a change control program or as part of annual
product reviews. However it is performed, risk review
should be integrated into the quality management
system.
Risk Communication
Risk Evaluation
Unacceptable
Risk Control
Risk Reduction
Risk Acceptance
Output/Result of the
Quality Risk Management Process
Risk Review
Review Events
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Ed White
Figure 2: 3-D risk assessment matrix (4).
1) Working cell bank thaw and inoculum cell culture
2) Bioreactor cell culture and harvest
3) Purication
1
4) Bulk formulation and sterile ltration
2
1
4
Distance along
product stream
5) Post sterile
ltration, lling,
lyophilization,
packaging,
patient information,
delivery to patient
Distance from
product stream
2
3
4
Area of
greatest risk
System complexity
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monitoring indicates that a particular CCP is not
under control
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that the HACCP system is working effectively
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and records appropriate to these principles and
their application.
Table II illustrates an HACCP worksheet for the
filling of product into vials for a hypothetical biotech
company.
Ed White
Failure
Mode
Potential
Effects
Potential
Causes
Current
Controls
RPN Risk
Mitigation
Gaskets and
silicone tubing
changed
between products
to prevent crosscontamination
Gaskets
and
tubing not
changed
out
between
products
Residual
product could
remain in
tubing or
gaskets,
contaminating
next product
Operator error,
inadequate
instructions
None
125
Use documented
second operator
check to ensure
change over is
performed
CIP not
performed
Filler interlocked
to prevent use
without CIP/SIP
Current controls
are adequate
Excessive
temperature
on initial rinse
causes protein
denaturation
Over temperature
alarm and cycle
abort
Periodic testing
and calibration of
alarms
Automatic
chemical
addition fails
Conductivity
alarm to detect
failure to add
chemicals
30
Periodic testing
and calibration of
alarms
Filler is cleaned
in place to ensure
removal of
residual product
Filler not
cleaned
properly
Residual
product could
contaminate
next product
Anonymous Biotech
Firm Address
Equipment Description
Multi-product filler
Product Description
Are any
potential
hazards
significant?
Justification
Preventive measures
Fill product
into vials
Biological-microbial
contamination of
product
Yes
Non-sterile product
presents high patient
risk
Environmental controls
Personnel controls
Personnel and environmental monitoring
Yes
Physical-needle
strikes during filling
Yes
Setup tool
Automatic line stoppage
on needle strike
Yes
Chemical-protein
denaturation due to
foaming
Yes
Needle design
Bottom-up fill
Control fill pressure
Yes
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Ed White
Figure 3: Fault tree analysis diagram.
Product A
contaminated with
Product B
AND
Equipment Not
Cleaned
Product A and
Product B Share
Equipment
Surfaces
OR
Cleaning
Procedure Not
Performed
Cleaning
Procedure
Inadequate
Cleaning
Procedure Wrong
Cleaning
Chemistry Wrong
Equipment Failure
Distance
Distance
along prod- from
uct stream product
stream
System
complexity
Overall
score
Purified
water system
30
Distance
along
product
stream
Distance
from
product
stream
System
complexity
Overall
score
High-speed
aseptic filter
125
Ed White
Failure mode
Potential
effects
Potential causes
Current
controls
RPN
Risk mitigation
Initial rinse
of fill lines
Inadequate flow
rate through
system
Monitor
and alarm
flows
15
N/A
Partially blocked
needle(s)
None
75
Needle design
does not allow
adequate flow
through filling
manifold
None
125
CONCLUSION
Quality risk management is an essential tool for
qualification of aseptic processes. It is not just a
tool for CGMP compliance; it offers real benefits
to the validation process by identifying risks
and ensuring that critical risks are controlled.
By focusing managing risks to the patient,
pharmaceutical manufacturers can ensure that
the right resources are applied at the right place
at the right timeimproving patient safety while
eliminating unnecessary validation efforts.
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Ed White
Distance
along
product
stream
Distance
from product
stream
System
complexity
Overall
score
Chilled
water system
Distance
along
product
stream
Distance
from product
stream
System
complexity
Overall
score
60
Distance
along
product
stream
Distance
from product
stream
System
complexity
Overall
score
Automated
lyophilizer
125
REFERENCES
API
CCPs
CIP
CSV
DCS
FMEA
FTA
HACCP
IQ
OQ
PDA
PQ
PW
QRM
SIP
UV
WFI
WHO