Whats New in the FDAs Pharmaceutical Inspectorate and

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What’s New in the FDA’s Pharmaceutical Inspectorate and Risk Based Systems Inspection Rick Perlman

What’s New in the FDA’s Pharmaceutical Inspectorate and Risk Based Systems Inspection Rick Perlman Chair Food, Drug, and Cosmetic Division ASQ

“Everything that can be invented has been invented” Charles H Duell Commissioner, US Office

“Everything that can be invented has been invented” Charles H Duell Commissioner, US Office of Patents urging President Mc. Kinley to abolish his office in 1899

What is the Pharmaceutical Inspectorate Ø FDA developed certification program Ø High level Pharmaceutical

What is the Pharmaceutical Inspectorate Ø FDA developed certification program Ø High level Pharmaceutical Investigators Ø Primarily used for complex processes or high risk drug products

History of the PI Ø Certification started in 1994 Ø Resulted from Industry asking

History of the PI Ø Certification started in 1994 Ø Resulted from Industry asking for a more consistent inspection activity Ø Will continue as long as needed/funded

Purpose Ø Training and development to maintain qualified staff Ø Structured approach to obtain,

Purpose Ø Training and development to maintain qualified staff Ø Structured approach to obtain, maintain and apply competencies

Objective Ø Assurance that investigators have the skills and knowledge to perform their jobs

Objective Ø Assurance that investigators have the skills and knowledge to perform their jobs

Certification Areas Ø Drugs Ø Blood Ø Seafood Ø Medical Devices

Certification Areas Ø Drugs Ø Blood Ø Seafood Ø Medical Devices

Types of Drug Certification Ø Level III

Types of Drug Certification Ø Level III

Certification - Level I Ø Mandatory Ø New hire Investigators Ø Training completed in

Certification - Level I Ø Mandatory Ø New hire Investigators Ø Training completed in first 12 months Ø Demonstrate competency via audit of results

Level I Training Ø Web Based Ø Classroom – Basic Food and Drug Law

Level I Training Ø Web Based Ø Classroom – Basic Food and Drug Law – Evidence Development – Investigative Interviewing – Quality Auditing

Level I Audit Criteria Ø Supervisor looks for – General Investigative practices – Evidence

Level I Audit Criteria Ø Supervisor looks for – General Investigative practices – Evidence • Ability to recognize, identify, and collect evidence to support findings – Communication • Verbal • Written – Professionalism

Certification - Level II Ø Not mandatory Ø Requirements – Minimum of 25% in

Certification - Level II Ø Not mandatory Ø Requirements – Minimum of 25% in Drugs – Submit documentation to Level II Drug Certification Board – Pass performance audit – Recertify every 3 years (18 CEUs)

Prerequisites - Level II Ø Level I Certified Ø Training – Drug manufacturing and

Prerequisites - Level II Ø Level I Certified Ø Training – Drug manufacturing and quality control – Pre-Approval Inspections – Industrial Sterilization (Drugs and Devices) – Computer Systems Validation – API manufacturing

Certification Board - Level II Ø National Expert Ø Experienced Field Investigator Ø Experts

Certification Board - Level II Ø National Expert Ø Experienced Field Investigator Ø Experts – CDER – CVM Ø Field Manager Ø DHRD Specialist

Level II Audit Criteria Ø Compliance Assessment Ø Evidence Ø Verbal Communication Ø Professionalism

Level II Audit Criteria Ø Compliance Assessment Ø Evidence Ø Verbal Communication Ø Professionalism

Certification - Level III Ø The Pharmaceutical Inspectorate Ø Not Mandatory Ø Planning for

Certification - Level III Ø The Pharmaceutical Inspectorate Ø Not Mandatory Ø Planning for ~ 50 members by FY 07

Level III Eligibility Ø Minimum 3 years inspecting Drug Firms Ø Certified as Level

Level III Eligibility Ø Minimum 3 years inspecting Drug Firms Ø Certified as Level II – Must pass six system Audit Ø Endorsed by District/Office Management Ø Selected or nominated by Level III Certification Board

Level III - How? Ø Submit request to Supervisor Ø Submit Certification Packet to

Level III - How? Ø Submit request to Supervisor Ø Submit Certification Packet to Certification Board Ø Concurrence from District Management Ø Screened by Certification Board

Level III Certification Board Ø 2 Field Investigators (National Experts) operating at Level III

Level III Certification Board Ø 2 Field Investigators (National Experts) operating at Level III Ø 2 Experts – CDER – CVM Ø DFI program Expert Ø ORA Field Management Ø DHRD

Level III Candidates Ø Mainly Investigators with experience and training in pharmaceutical manufacturing Ø

Level III Candidates Ø Mainly Investigators with experience and training in pharmaceutical manufacturing Ø Report directly to ORA District Office Ø Spend ~80% of time in drug inspection, both Foreign and Domestic

Level III - Expected Competencies Ø Regulating Pharmaceutical Quality in relation to the FDA’s

Level III - Expected Competencies Ø Regulating Pharmaceutical Quality in relation to the FDA’s mission Ø Risk Management Ø Advanced Quality Systems Ø Pharmaceutical Science

Level III - Expected Competencies Ø Current Regulatory Programs/Procedures Ø Technology Ø Investigations

Level III - Expected Competencies Ø Current Regulatory Programs/Procedures Ø Technology Ø Investigations

Level III - Admission Ø Packet successfully reviewed Ø Pass: – Screening – Training

Level III - Admission Ø Packet successfully reviewed Ø Pass: – Screening – Training Ø Participate in Center details Ø Pass final evaluation

Level III - When Ø First course completed in 2005 Ø Second course 2006

Level III - When Ø First course completed in 2005 Ø Second course 2006

Level III - Courses Ø Quality Systems Ø Risk Assessment and Management Ø Critical

Level III - Courses Ø Quality Systems Ø Risk Assessment and Management Ø Critical Thinking Ø Quality by Design Ø PAT Ø Design of Experiments Ø ICH Guidances Ø Process Capability Ø Technology Transfer Ø CAPA

Level III Expectations Ø Continual learning to enhance their expertise Ø Develop and implement

Level III Expectations Ø Continual learning to enhance their expertise Ø Develop and implement formal training for – FDA – Industry – State/Local Officials

Level III Expectations Ø Develop/Evaluate in their area of expertise – Programs – Policies

Level III Expectations Ø Develop/Evaluate in their area of expertise – Programs – Policies – Procedures in their area of expertise Ø Auditors for Level III Drug Certification

Risk Management Ø ICH Q 9 – Quality Risk Management – Adopted November 9,

Risk Management Ø ICH Q 9 – Quality Risk Management – Adopted November 9, 2005

Risk Ø Evaluated on – Product, Process, Facility – Controls – Robustness of Quality

Risk Ø Evaluated on – Product, Process, Facility – Controls – Robustness of Quality System

Risk Ø Regulatory Oversight based on – Applications – Post Approval Changes – GMP

Risk Ø Regulatory Oversight based on – Applications – Post Approval Changes – GMP Inspections

Risk - Desired State Ø Barriers to continuous improvement are removed – manufacturing –

Risk - Desired State Ø Barriers to continuous improvement are removed – manufacturing – product quality Ø Meaningful Specifications Ø Common understanding of risk Ø Industry and Regulators on same page – focused on highest risks – understanding of residual risks

Risk - ICH Q 9 Ø Provides a guidance document for understanding Ø Defines

Risk - ICH Q 9 Ø Provides a guidance document for understanding Ø Defines common terms Ø Facilitates – movement toward ‘desired state’ – communication – movement from ‘fire fighting’ to risk management

Why ICH Q 9 Ø To ensure a common understanding of Quality Risk Management

Why ICH Q 9 Ø To ensure a common understanding of Quality Risk Management by both industry and regulators

What ICH Q 9 Provides Ø A common language and process Ø Potential methodologies

What ICH Q 9 Provides Ø A common language and process Ø Potential methodologies for Quality Risk Management Ø Where Quality Risk Management can add value

What ICH Q 9 Provides Ø Broad risk concepts and principles Ø Principles for

What ICH Q 9 Provides Ø Broad risk concepts and principles Ø Principles for implementation Ø Elements of the process Ø Not a single tool but the right tool for the job Ø Tools

What ICH Q 9 Is Not Ø A ‘cookbook’ for risk management Ø Specifics

What ICH Q 9 Is Not Ø A ‘cookbook’ for risk management Ø Specifics for your situation Ø Exhaustive treatment of theory Ø A list of all potential methods

FDA’s Risk Based Inspections Ø Matrixed Approach Ø Based on – product type –

FDA’s Risk Based Inspections Ø Matrixed Approach Ø Based on – product type – potential harm – population size

Systems Based Inspection Ø Six Systems – Quality – Materials – Laboratory Controls –

Systems Based Inspection Ø Six Systems – Quality – Materials – Laboratory Controls – Production – Packaging and Labeling – Facilities and Equipment

Risk Based Inspection Ø Depends on potential risk of your product/process Ø Compliance History

Risk Based Inspection Ø Depends on potential risk of your product/process Ø Compliance History Ø Inspection History Ø Number of systems – minimum of 2 (always Quality System)

Thank You!

Thank You!

Questions?

Questions?