Continued Process Verification in
ALK A/S
How to handle part 3 of the validation life cycle?
           Linda Bech Pihl, Senior chemist at ALK
Short presentation
M.Sc. Civilengineering,              1994-1999
Immunology Oct. 1993
      2006 - ??                      Test method validation               1999 - 2005
                                     Test equipment qualification
                                     2004 - 2013
    Risk Assessment
    Process validation                                                 Computer System Validation
    Continued Process Verification
                                     Process equipment qualification
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Companies
•   1994 - 2002 ALK A/S (Pharmaceutical)
•   2002 – 2006 Novo Nordisk A/S (Pharmaceutical)
•   2006 – 2010 Coloplast (Medical device)
•   2010 - ??    ALK A/S (Pharmaceutical)
•   Six sigma black belt training completed 2009
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Process validation life cycle
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Guideline US - the beginning of CPV
       Process Validation Guide, Jan-2011
       “Process validation is the collection and evaluation of data from the
       process design stage throughout production, which establishes scientific
       evidence that a process is capable of consistently delivering quality
       products”
       The goal of the third validation stage is continual assurance that the
       process remains in a state of control (the validated state) during
       commercial manufacture
    http://www.fda.gov/downloads/Drugs/GuidanceComplianceRegulatoryInformation/Guidances/UCM070336.pdf
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Guideline US
    An ongoing program to collect and analyse product and process data that
    relate to product quality must be established.
    The data collected should include relevant process trends and quality of:
    • incoming materials or components
    • in-process material
    • finished products.
    The data should be statistically trended and reviewed by trained
    personnel. The information collected should verify that the quality attributes
    are being appropriately controlled throughout the process.
    We recommend that the quality unit meet periodically with production staff to
    evaluate data, discuss possible trends or undesirable process variation, and
    coordinate any correction or follow-up actions by production.
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How to implement CPV?
US: Procedures should describe how trending and calculations are
to be performed and should guard against overreaction to an
individual event
A SOP must be established defining:
1. Prerequisite
2. State of control
      Variation
      Overreaction
      Capability
3. CPV activities
      Protocol
         Sampling
         Periodic assessment incl. participant
      Report
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1. Pre-requsisties for CPV
•   Risk assessment has been performed
•   Control strategy has been written and approved
•   Success full PPQ has been performed
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2. State of control - variation
Knowledge of process variation – common or special cause
• Common cause variability can be reduced, but can not be eliminated
• Special cause variability is based on special root causes and can be
  eliminated. You might use 5 x WHY
Control Charts are the only tools to
differentiated between common and special
cause variability
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2. State of control - variation
                                                11,5
A pattern that may be seen over time.           10,5
                                                                               Data points
                                                                               Center line
Example 1 shows a stable process without         9,5                           LCL
any data points outside the limits and it        8,5
                                                                               UCL
                                                          1 3 5 7 9 11 13 15
contains only common cause variation.
                                                12
Example 2 contains two data points outside      11                             Data points
                                                10                             Center line
the limits and the cause leading to them         9                             LCL
should be investigated.                          8
                                                                               UCL
                                                         1 3 5 7 9 11 13 15
Example 3 although all the data points are      11,5
                                                 11
within the limits a trend is observed and the   10,5                           Data points
cause of trend should be investigated            10                            Center line
                                                 9,5                           LCL
                                                     9                         UCL
 Prevent overreaction                            8,5
                                                          1 3 5 7 9 11 13 15
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2. State of control - process capability
Process capability is the repeatability and consistency of a manufacturing
process relative to the requirements in terms of specification limits (LSL
and USL) of a product parameter. This measure is used to objectively
measure the degree to which a process is or is not meeting the
requirements.
Cp is a simple process capability index that relates the allowable spread of
the spec limits (difference between the USL, and the LSL) to the measure
of the actual, or natural, variation of the process, represented by 6 sigma
(σ), where sigma is the estimated process standard deviation.
The Cpk compares the distance of the mean of the process to the nearest
specification limit with the process variation, and any number above 1,33
illustrates that there are at least 3 standard deviations from the mean to
nearest specification limit.
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 3. CPV activities
The validated state obtained from the PPQ is to be maintained by a series
of activities during the period the product is on the market.
The key element of the CPV is documented reviews of the process
performance. Conclusions drawn from these reviews may lead to an
update of the CPV-protocol.
The documented reviews also give a documented evaluation of impact of
changes to the process and can identify opportunities for process
improvement together with PQR.
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3. CPV activities - protocol content
Purpose
Continual assurance that the process remains in a state of control (the
validated state) during commercial manufacture
Prerequisite
Finalized PPQ, Control strategy incl. risk assessment
Responsible
Production- establish protocol, statistically trained, prepare for CPV
meetings
QA – participate in CPV meetings, evaluate data, discuss possible trends
or undesirable process variation, and coordinate any correction or follow-
up actions
Interval
Periodically- based on a risk assessment
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3. CPV activities - protocol content
Method for detection variation and capability
Control charts, trend rules, Cpk calculation, inter and intra batch variation
- Start by defining which CPP’s, IPC’s and CQA’s are included
Data
Samples from incoming materials, In-process and finished product
Handling of observations
Use change request system implemented in the firm
Sampling
Define whether extended sampling are needed
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     3. CPV activities - protocol content
Practical example
      Products, changes and                                                   Equipment, utilities
      deviations, see section                                                and facility, see section
                                     CPV for XXX drug substance
                10                                                                       9
                                                                                       Extended
       Control charts, see      SOP updates, see       Holding time study,
                                                                                     sampling, see
         section 12.1             section 12.2          see section 13.9
                                                                                       section 14
         CPP, se section 11.1
         IPC, se section 11.2
        CQA, se section 11.3
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3. CPV activities - protocol content
Protocol example:
Section 9: Equipment, Utilities and facility
Equipment, Utility and facilities are not included in this CPV.
Manufacturing of XXX is a legacy process. Equipment was qualified at
retrieval [17;24;31] and yearly calibration and maintenance is performed
[25]. Further regular equipment reviews are performed [17;24;31].
Manufacturing takes place in existing facilities, qualification status can be
found in department validation plan [17;31]. The manufacturing environment
is in control in accordance with [18;19]. WFI and clean steam systems are
controlled, see [20]. Pressurized air is in control [21].
An overview of equipment, utility and facilities is listed in the control strategy
[11].
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3. CPV activities - protocol content
Protocol example
Section 10 - Product, Changes and Deviations
 OOS/OOT, deviations and CC-cases related to the manufacturing
 process are evaluated in the PQR [22;23], this is evaluated to be
 sufficient for securing process control with regard to these parameters.
 Evaluation of incoming source material is not part of the PQR, and hence
 will be incorporated in the CPV. During yearly CPV all new batches of
 source material must be listed [1].
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3. CPV activities - protocol content
Protocol example
•    Section 14 – Extended sampling
      • Describes in details extended sampling to perform during CPV (e.g
        intrabatch variation)
•    Section 13.9 - Holding time study
      • During risk assessment and PPE work –inadequate holding time
        studies (cGMP) were identified, this section describes how to
        generate holding time data.
•    Section 12.2 – SOP update
      • During risk assessment and PPE work, the need for collection of
        more parameters were identified. This section describes which
        procedures to update to secure data collection going forward.
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     3. CPV activities - protocol content
 Protocol example
 Control charts – CPP’s (and IPC’s and CQA’s)
Process       Process
                              Input     Purpose of CPV                          Comment
Step          Parameters
(1)                                   In [5] a control limit of 15.56 – 16.38
Dissolution                           g SM was calculated, based on 25          Batch Size (input of
                                      data points. This is as stated in [1]     SM), see section 13.1
              Batch size              enough data for final control limit,
                             Report                                             SOP update, see
              (input of SM)           hence purpose of CPV is to
                                      implement control limits in               section 12.2
                                      manufacturing SOP’s, and as a             Control Chart, see
                                      control chart.                            section 12.1.
                                      It’s a manual shaking, so enhanced
              Stirring speed          control will be added by including
                                                                                SOP update, see
              during         Protocol check for everything is dissolved,
                                                                                section 12.2
              solution                and no foam formation in
                                      manufacturing SOP’s.
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     3. CPV activities - protocol content
     Control chart example
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     3. CPV activities - report
Reporting – after each batch
Paper binder in production area – encompassing:
•     Sheet for noting all batches including used source materials
•     Print out of all control charts
•     Test-sheets for extended testing
•     Test-sheets for performed training
After each batch data are entered by hand in all control charts, and
sheets for noting batch numbers and source materials, double
control of entered data is performed.
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3. CPV activities - report
Yearly (only yearly for this product due to low manufacturing
frequency)
•    Data from all year are entered into excelsheet.
•    Data are reviewed and excelsheets are closed for changes (doc.
     System)
•    Updated control sheets are printed and replaces old control
     charts
•    CPV report form filled out.
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3. CPV activities - report
Strategy: Make it simple!!!!
The report must be written during the review meeting.
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3. CPV activities - report
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3. CPV activities - report
Recalculation of the final control limits is acceptable if all the
following conditions apply simultaneously:
• The change is positive e.g. tighter limits, higher yield, lower
    impurity level
• The root cause is known and acceptable
• There is assurance that the change is going to be permanent
• At least 20 samples confirm the new process (NB! – 20
    independent samples)
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Implementation of CPV
- Legacy processes
By Senior Chemist, Linda Bech Pihl, Global Product Support, ALK
What is a legacy process?
Legacy Process   A process that has been in commercial use for more
                 than 2 decades, and where development
                 documentation according to current standards is not
                 available
Legacy Product   A product that has been manufactured for commercial
                 use for more than 2 decades, and where product
                 development documentation according to current
                 standards is not available
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Challenge
                          inadequate
Lacking
            X
                Still expected to fullfill
                demands
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Solution?
     Use historical knowledge
     • 30-40 years of manufacturing experience
     • Approx. 20 years welldocumented
       experience (In ALK)
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Solution – Drug Substance
          Product Validation Plan (PVP)                           Crit. material
                                                                 Crit. equipment
           Risk
       Assessment                                                Crit. Controlled
     (Patient safety)                                              documents
                                                           CQA
                                      PP
                                    Severity
        PPE (vers. 1)
                                                     CPP
             Retrospective                                                          Control
               Validation                                                           Strategy
             (protocol and
                report)
                                               IPC
                        PPE (vers. 2)
                    CPV protocol and CPV report
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Learnings
• Ease the PQR process (data collection on-going)
• Ease the handling of deviations
• Increased process knowledge for responsible chemist in
  production and QA
• Established system for handling of additional samples in a
  validated process
• Process capability results have been an eye-opener
• Takes a lot of time to collect data and review data
• Difficult to use the results for process improvements
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Extra slides
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CPV versus on-going process verification
     The term continued process verification is used in US and the term on-
     going process verification is used in EU.
     These terms are considered to be equal.
     Ongoing process verification should be conducted
     under an approved protocol and a corresponding
     report should be prepared to document the results
     obtained. Statistical tools should be used, where appropriate, to
     support any conclusions with regard to the variability and capability
     of a given process and ensure a state of control
     Ongoing process verification should be used throughout the product
     lifecycle to support the validated status of the product as
     documented in the Product Quality Review. Incremental changes
     over time should also be considered and the need for any additional
     actions, e.g. enhanced sampling, should by assessed.
                      http://ec.europa.eu/health/files/eudralex/vol-4/2015-10_annex15.pdf
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2. State of control - variation
 The typical form of a control charts sets control limits at plus/minus three standard
 deviations.
 Upper control limit (UCL) = mean + 3 x STD
 Lower control limit (LCL) = mean - 3 x STD
 That means if the process is in statistical control, the risk of a point falling outside the
 limits by chance is 3 per 1000. The process is influenced by chance 99.73 % of all
 results do fall within 3 STD
 Setting control limits
 • At the beginning of CPV there are typically not enough data to set the final
    UCL and LCL, the obtained data from the batches produced after PPQ, are
    evaluated against interim limits established in PPQ or similar
    documentation.
 • Interim UCL and LCL limits are recalculated with all data results for the
    parameter until it is determined that there is enough data to set the final
    limits. This will typically require >20 batches (historical and commercial).
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2. State of control - variation
Statistical rules for control chart
                                                            Aberration
                                                             or mean
                 One point is above UCL or below
       1.                                                      shift.
                               LCL
                                                             Special
                                                              cause
                        Six points in a row, all             Trend or
       2.
                       decreasing or increasing                drift
                     Nine points in a row on same
        3.                                                    Mean shift
                            side of centerline
If one of this rules apply it indicates the presence of special cause
variability
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