The Harmonized PAT Solution Application of Risk Based Tools Process Analytical Technology Strateg

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    Jeffrey A. Priem

    Cubist Pharmaceuticals

    The Harmonized PAT Solution:Application of Risk-Based Tools & PATStrategies in Pharmaceutical Product

    Manufacture

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    Page 2PDA Boston December, 2004

    Presentation Objectives

    Provide Overview of FDAs PAT Initiative

    Provide Overview of Risk Management & RiskAssessment Tools

    Provide PAT Strategy for Pharma Industry

    Present Case Example on PAT Strategy

    Take Home Message

    PAT = Process Understanding + Risk Mitigation

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    Page 3PDA Boston December, 2004

    PAT Elements Process Understanding

    Principles & Tools PAT Tools

    Multivariate Data Acquisition & Analysis tools

    Process Analyzers

    Process Control Systems Risk-Based Approach

    Integrated Systems Approach

    Real Time Release

    PAT A Framework for Innovative Pharmaceutical Development,Manufacturing, & Quality Assurance, Sept 2004

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    Page 4PDA Boston December, 2004

    PAT Challenges

    Technology

    Regulatory Driver

    Product Pipelines

    Automation

    Product Characterization

    Process Understanding, Variation, Specificity,

    Robustness, Technology, & RegulatoryUncertainty

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    Page 5PDA Boston December, 2004

    Risk, Risk Assessments & RiskManagement

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    Page 6PDA Boston December, 2004

    Risk Assessment:

    ApplicationsRisk Assessment Application

    Reactive SituationProactive Situation

    Risk AssessmentProject Type

    Crisis Management Merger & Acquisition

    Feasibility

    Mature Process Risk Mitigation Re-Engineering (Middle ofDevelopment Lifecycle)

    Drug Development Remediation Drug Development

    Crisis Management

    Regulatory Issues

    Complaints & Adverse Events

    Consent Decree & Warning Letter

    Due Diligence

    GCP & GMP Assessment

    New Product (Beginning ofLifecycle)

    Financial

    Process

    Product

    (Patient Focus)

    Regulatory

    Risk AssessmentProject Type

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    Page 7PDA Boston December, 2004

    Quality System Applications & Risk

    Assessments

    DrugDevelopment

    Product

    Traceability

    Purchasing

    Controls

    AcceptanceTesting

    Production &Process

    ControlsChange

    ControlCAPA Root Cause

    Analysis

    ComplaintsProcessValidation Process Design

    EnvironmentalControl

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    Page 8PDA Boston December, 2004

    Risk Analysis Approaches Risk Matrixes

    Probability vs. Severity = High, Medium,

    or Low

    Risk Definition & Categorization

    Level I =

    Level II =

    Level III =

    Pre-Defined Question & Decision

    Tree If then, else

    Occurrence

    Severity

    HighRiskM

    edium

    Risk

    Low Risk

    text

    Do Control Measure(s) exist for theidentified hazard?

    Could the identified hazard(s) occur inexcess of acceptable level(s) or could itincrease to an unacceptable level(s)?

    Will a subsequent step eliminate theidentified hazard(s) or reduce its likely

    occurrence to an acceptable level?

    Not ACCP

    Is control at this stepnecessary forIntended Use(SQUIPP)?

    Modify Step, Processor Product

    NoYes

    Yes

    Yes

    Yes

    No

    Critical Control Point

    No

    Does this step eliminate or reduce thelikely occurrence of a hazard to an

    acceptable level?

    No

    Yes

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    Page 9PDA Boston December, 2004

    Risk Assessment Tools FMEA - Failure Modes Effects Analysis

    FMECA - Failure Modes Effects & CriticalityAnalysis

    FTA - Fault Tree Analysis

    HACCP - Hazard Analysis Critical Control Points

    And

    Combination Methods Tools & Approaches

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    Page 10PDA Boston December, 2004

    Combination Methods Overview Key Questions to Ask &

    Understand

    What is the Risk Focus? What are the Risk Requirements?

    What are the Risk Metrics to bequantified & Measured?

    What is the Outcome of the Exposure?As well as

    What is it you need?

    How do you plan to do it?

    What is the ultimate outcome?

    What are the challenges?

    Balance RA Tools

    vs. RA Approaches

    Format

    Content

    Context

    Intent

    Implementation

    Integration

    Effectiveness

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    Page 11PDA Boston December, 2004

    Risk Assessment Application

    Crisis Management M&A

    Feasibility

    Mature Process Risk Mitigation Re-Engineering (Middle ofDevelopment Lifecycle)

    Design Control (Middle of DesignLifecycle or After Design)

    Product Development

    Design Control (Beginning ofLifecycle)

    Crisis Management

    Regulatory Issues

    Consent Decree

    Warning Letter

    FDA-483

    Due Diligence

    GMP Assessment

    New Product (Beginning ofLifecycle)

    Reactive SituationProactive Situation

    Risk Management:

    Applications

    Financial

    Process

    Product

    Regulatory

    Risk Assessment

    Categories

    (Project Type)

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    Page 13PDA Boston December, 2004

    The Harmonized PAT Solution

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    Page 14PDA Boston December, 2004

    RegulatorsOrganizationCustomer

    The Simplified Process Model

    PerformanceRequirements DRIVE

    MetricsMeasurementMonitoring

    ProcessRequirements Performance

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    Page 16PDA Boston December, 2004

    Harmonized PAT

    Real Time Release

    Integrated SystemsApproach

    Risk-Based Approach

    Process Understanding

    PAT Tools

    Multivariate DataAcquisition & AnalysisTools

    Modern ProcessAnalyzers / processanalytical chemistrytools

    Process & Endpointmonitoring & controltools

    Continuous

    Improvement & KM

    PAT Elements

    Implement

    teststrategies

    OptimizeProcess

    ImplementOptimizationpoints

    ApplyTechnology

    Identify critical attributes

    Identify automationattributes

    Identify monitoring &control elements

    Obtain Knowledge of

    product & processspecifications &requirements

    Provide understanding ofQS interfaces

    Analyze risk at product,

    process, & quality systemsperspective

    Define Mitigation Strategy

    Provide Risk

    Based DecisionProcesses

    ProvideRationale onwhere to applyTechnology

    ProvideFramework tofacilitate ProcessUnderstanding &Decision MakingProcess

    ProvideFramework toexecute Risk-based strategies

    ProcessOptimization

    ProcessAnalysis

    ProcessUnderstanding

    Risk Management

    PAT Strategy

    Real Time Release

    Integrated SystemsApproach

    Risk-Based Approach

    Process Understanding

    PAT Tools

    Multivariate DataAcquisition & AnalysisTools

    Modern ProcessAnalyzers / processanalytical chemistrytools

    Process & Endpointmonitoring & controltools

    Continuous

    Improvement & KM

    PAT Elements

    Implement

    teststrategies

    OptimizeProcess

    ImplementOptimizationpoints

    ApplyTechnology

    Identify critical attributes

    Identify automationattributes

    Identify monitoring &control elements

    Obtain Knowledge of

    product & processspecifications &requirements

    Provide understanding ofQS interfaces

    Analyze risk at product,

    process, & quality systemsperspective

    Define Mitigation Strategy

    Provide Risk

    Based DecisionProcesses

    ProvideRationale onwhere to applyTechnology

    ProvideFramework tofacilitate ProcessUnderstanding &Decision MakingProcess

    ProvideFramework toexecute Risk-based strategies

    ProcessOptimization

    ProcessAnalysis

    ProcessUnderstanding

    Risk Management

    PAT Strategy

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    Page 17PDA Boston December, 2004

    PAT Application Example

    Technology Transfer & Process

    Validation

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    Page 18PDA Boston December, 2004

    Process

    Understanding Identify product

    requirements

    Define how they werederived

    Quantify robustness& adequacy

    Correlate Attributesto Interfaces

    Process

    System Component

    ProcessSpecification

    Identification

    Process Map

    Identify Each Process StepIdentify Elements for Variation:

    Equipment, Measurement,Personnel, Methods, Materials,Environment, Controls &Monitoring

    Process Flow ProcessIdentify Process Step Outcome

    Map Key Inputs: Data /Information and Procedures /guidanceMap Process Outputs &DeliverablesIdentify Quality System

    Interfaces, PerformanceMeasures, & Milestones

    Process Flow Diagram

    Harmonized PAT Solution

    Activity Key Elements

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    Page 19PDA Boston December, 2004

    Process Understanding

    Process Identification Deliverable Matrix of those Elements of Variation

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    Page 21PDA Boston December, 2004

    Process Analysis Define Product

    Risks

    Identify ProcessRisks

    Identify QualitySystem Risk Areas

    Correlate Risks toMitigationStrategies

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    Page 22PDA Boston December, 2004

    Process Analysis

    Process Risk AssessmentProcess Fault Tree Analysis

    Failure ofSterility

    QC Test Eq1149 out ofCalibration

    FermentationProcess

    SamplingProcess

    QC Test Equip1149 Failure

    Tree Example

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    Page 23PDA Boston December, 2004

    Process Analysis

    Process HACCP Deliverables

    Time

    Levelof

    Detail&

    Effort

    Hazard

    Identification

    Hazard

    Analysis

    CriticalControl

    Points

    HACCP

    Plan

    Focus is on thoseCritical Elements

    of the Process!

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    Page 24PDA Boston December, 2004

    Process Analysis

    Quality System Risk Quantification

    Scale High: 8.0 to 10 Medium: 4.0 to 7.9Low: 0 to 3.9

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    Page 25PDA Boston December, 2004

    Process

    Optimization Define Analysis

    Areas

    ImplementCorrective ActionPlan

    ExecuteOptimizationStrategies

    ImplementTechnology &Solutions

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    Page 26PDA Boston December, 2004

    Forward approvedchange to

    implementation teamleader

    Create a ChangeImplementation Plan

    If appropriate, establisha method for

    determining theeffectiveness of the

    change

    Is the ChangeImplementationPlan approved?

    Proceed with plan andprovide progress

    updates according toschedule

    Complete ChangeImplementation Plan

    Submit documentationof completed

    implementation to

    Change ControlManager

    Is changeeffectiveness

    monitoringrequired?

    No

    Yes

    Hasimplementationbeen completed?

    Collect &evaluateeffectiveness data

    Was changeeffective?

    Submit CRF to CCMforMCF closure

    Close MCF

    No

    Yes

    No

    Yes

    Yes

    No

    End

    Prepare forseniormanagement periodic

    summary reports.

    MFG Process

    Pro

    cessFlow

    Diagram

    &P

    rocessM

    ap

    DeviationManagement

    Change ControlMFG Process

    Out ofSpecifications

    Cross-FunctionalImplications

    Systems-Based Model & Top-DownApproach

    Integrated Quality Systems

    Pre-Planned Linkages for RiskManagement & Performance

    MeasurementDeviation

    Managemen

    t

    Change

    Control

    Outof

    Sp

    ecifications

    MFGPr

    ocess

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    Page 27PDA Boston December, 2004

    Implementation Measure

    Control & Monitor Analyze

    Review

    Refine

    RevisePerformance

    Requirements

    DRIVE

    Again

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    Page 28PDA Boston December, 2004

    Risk Management Define

    Scope

    Approach

    Interfaces

    Outcome

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    Page 30PDA Boston December, 2004

    Risk Management & Drug Development Lifecycle

    BasicResearch

    BasicResearch Pre-Clinical

    Pre-Clinical ProductLaunch

    ProductLaunch

    Marketingand Sales

    Marketingand Sales

    ClinicalClinical

    I II III III

    B

    IVProductionProduction

    Product Lifecycle:

    Discovery Development Manufacturing Distribution

    Top Down ApproachRisk Management &Product Lifecycle

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    Page 31PDA Boston December, 2004

    Risk Management System

    Protocol Failure:Validation,

    Stability, ActionImplementation

    OOS Results

    Deviations FromProcedure

    Clinical StudyFailures

    Complaints

    Adverse Events

    AuditObservations

    N...

    Deviation Mgmt/ NCMR

    Data observedof Exception

    Preliminaryevaluation &Investigation

    CAPA

    AdverseTrends in data

    Dataexceptions

    Preliminaryevaluation &Investigation

    Action analysis

    team review forlevel III &optional Level II

    Review

    Formal

    Investigation, actionidentification &

    authorization forLevel II/III Results

    RegulatoryReview for Level

    III & OptionalLevel II Review

    Actionimplementation

    PlanningProtocol

    Creation &Implementation

    Action Database

    AuditsEffectivenessAssessmentFollow-up

    Level I

    Level I

    Level II/III Level II/III

    Level II

    InputsObservation Records &

    PreliminaryInvestigation

    Formal Investigation& Action Identification

    ActionImplementation

    Action Database &Follow-up

    Level II / III

    Reference: "Risk Management Basics", DeSain, Vercimak, Sutton

    Product Design

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    Page 32PDA Boston December, 2004

    Risk Management System

    Protocol Failure:Validation,

    Stability, ActionImplementation

    OOS Results

    Deviations FromProcedure

    Clinical StudyFailures

    Complaints

    Adverse Events

    AuditObservations

    N...

    Deviation Mgmt/ NCMR

    Data observedof Exception

    Preliminaryevaluation &Investigation

    CAPA

    AdverseTrends in data

    Dataexceptions

    Preliminaryevaluation &Investigation

    Action analysis

    team review forlevel III &optional Level II

    Review

    Formal

    Investigation, actionidentification &

    authorization forLevel II/III Results

    RegulatoryReview for Level

    III & OptionalLevel II Review

    Actionimplementation

    PlanningProtocol

    Creation &Implementation

    Action Database

    AuditsEffectivenessAssessmentFollow-up

    Level I

    Level I

    Level II/III Level II/III

    Level II

    InputsObservation Records &

    PreliminaryInvestigation

    Formal Investigation& Action Identification

    ActionImplementation

    Action Database &Follow-up

    Level II / III

    Reference: "Risk Management Basics", DeSain, Vercimak, Sutton

    Product Design

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    Page 33PDA Boston December, 2004

    Outcomes

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    Page 34PDA Boston December, 2004

    PAT ApplicationProject Outcomes

    Improved Product Quality

    Optimization of Processes & Interfaces Reduction in Production Cycle Time

    Variation Mitigation

    Process Epiphany: The Ah Ha! Factor Cost Savings & Optimized Resources

    Technology

    Personnel

    ROI

    Defendable Compliance vs. Minimal Compliance

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    By:

    Jeff Priem

    Tel: 781.860.8661

    Email: [email protected]

    The Harmonized PAT Solution:Application of Risk-Based Tools & PATStrategies in Pharmaceutical Product

    Manufacture