[FDA/CDER Header]

                            HUMAN DRUG CGMP NOTES

                             (Volume 4, Number 1)
                                       
                                  March, 1996

           (A Memo on Current Good Manufacturing Practice Issues on
                          Human Use Pharmaceuticals)


   Issued By:     The Division of Manufacturing
                  and Product Quality, HFD-320
                       Office of Compliance
             Center for Drug Evaluation and Research

   Project Manager: Paul J. Motise, HFD-325



   IN THIS ISSUE:

   Motise's Notebook

   Policy Questions On:

       -    Laboratory Issues

        1)  Does FDA have a CGMP policy on use of recycled
        solvents for HPLC columns?

        2)  Is dissolution testing past the Stage 1 level
        significant enough to be cited on FDA-483s?

        3)  Is routine product pH testing required for
        Endotoxin (LAL) Assays?

       -   On Stability (Policy Questions on
           Stability)

        1)  Is it acceptable for a firm to export expired
        drugs for charity?

        2) How should the start of the expiration dating
        period be calculated for repackaged drugs?



   HUMAN DRUG CGMP NOTES                   March 1996



       -   Gas What? (Policy Questions on Medical Gases):

        1)   May a firm use industrial grade nitrogen as a
        blanketing agent during the manufacturing of a drug
        product?
     
        2)  Is it acceptable for the owner of a vessel to
        apply a small sticker to denote its ownership, even
        though the vessel is filled by a different firm that
        is identified in the vessel's labeling?

       -   What are the respective roles of ORA (field) and
           CDER staff in performing reviews of chemistry
           data in new drug applications?

   Toward The Electronic Government:

      1)  What is the status of the Electronic Signature
      Rule (Proposed Part 11)?

      2)  Federal Register on the Internet

   Division of Manufacturing and Product Quality Subject
   Contacts


   Attachment:

   FAX FEEDBACK (Your input requested)


   MOTISE'S NOTEBOOK:

   Welcome to the first edition of our fourth year of Human
   Drug CGMP Notes, our periodic memo on CGMP for human use
   pharmaceuticals.  As always we welcome your FAX FEEDBACK
   responses and appreciate your suggested topics for
   coverage.  In addition, feel free to call, write, or send
   us e-mail, as several of you have done.  We also welcome
   brief articles FDAers may wish to contribute.   Subjects
   should be CGMP related.  Your input  would be especially
   valuable if it addresses emerging new technologies.

   Although the document is fully releasable under the
   Freedom of Information (FOI) Act, our intended readers
   are FDA field and headquarters personnel.  Therefore, we
   cannot extend our distribution list for the paper edition
   to people outside the agency.  The primary purpose of
   this memo is to enhance field/headquarters communications
   on CGMP policy issues and to do so in a timely manner.
   This document is a forum to hear and address your CGMP
   policy questions, update you on projects in the works,
                                      2



   HUMAN DRUG CGMP NOTES                   March 1996

   provide you with inspectional and compliance points to
   consider that will hopefully be of value to your day to
   day activities, and clarify existing policy and
   enforcement documents.

   We intend to supplement, not supplant, existing policy
   development/issuance mechanisms, and provide a fast means
   of distributing interim policy.

   Appended to each edition of the memo is a FAX FEEDBACK
   sheet to make it easier for us to communicate.  In
   addition to FAX (at 301-594-2202), you can reach us by
   interoffice paper mail, using the above address, by phone
   at (301) 594-1089, or by electronic mail.

   If you would like to receive the electronic version of
   this document via electronic mail, let us know (see the
   check-off line in FAX FEEDBACK).

   Thanks!

                                Paul J. Motise


   POLICY QUESTIONS:

   Laboratory Issues

      1)  Does FDA have a CGMP policy on use of recycled
      solvents for HPLC columns?

   References: See 21 CFR 211.67, Equipment Cleaning and
   Maintenance, and 211.160(b), General Requirements

   The agency has no specific policy on recycled HPLC
   solvents above and beyond the CGMP requirements regarding
   suitability of laboratory equipment and analytical
   methods.  Therefore, it would be acceptable to use
   recycled solvents which do not interfere with analytical
   results or equipment operation.

   A potential problem to avoid with using recycled solvents
   is the possible retention of drug residues that could
   interfere with analytical findings.  To minimize the
   chances of such interference some firms prudently
   restrict reuse of solvents to testing only one drug
   product.   It's also a good idea to segregate recycled
   from virgin solvents.


      2)  Is dissolution testing past the Stage 1 level
      significant enough to be cited on FDA-483s?

   Reference: 21 CFR 211.165(a), Testing and release for
                                      3



   HUMAN DRUG CGMP NOTES                   March 1996

   distribution.

   The Center has received several inquiries from industry
   regarding the interpretation of dissolution
   specifications as outlined in the USP    general chapter
   on Dissolution <711> [and the chapter on Drug Release
   <724>].  The inquiries stemmed from FDA-483 observations
   issued by  field investigators citing dissolution testing
   past the Stage 1 (S1) level as indications of product
   failure and/or lack of process control.  This has
   prompted several pharmaceutical companies to ask the
   Agency to set "wider" dissolution specifications which
   will allow all batches  manufactured to pass at the S1
   level.  The CDER/OGD Office of Clinical Pharmacology and
   Biopharmaceutics works with firms to set dissolution
   specifications based on the in vitro results of the
   batch(es) used in clinical and/or bioavailability
   studies.  This is done to ensure the same level of
   bioavailability for future batches.  If "wider"
   dissolution specifications are set, this assurance is
   lost.

   Similar situations have come to this division's attention
   by way of regulatory case review, where, as part of the
   GMP violations cited, 483    observations such as "Lack
   of failure investigation(s) for lot(s) ... which failed
   dissolution testing at the S1 level." or "Lack of process
   control for ...product due to dissolution failure at the
   S1 level." are made.

   Having to test a drug product through the three stages
   [S1, S2 and S3] for dissolution does not,  by itself,
   indicate that there is a problem with the product, nor
   does it indicate that there are problems with control of
   the manufacturing process.  The USP clearly states in the
   "Interpretation" section of the chapter on dissolution
   <711> [and the chapter on drug release <724>], "Unless
   otherwise stated in the  individual monograph... Continue
   testing through the three stages unless the results
   conform at either S1 or S2....".

   Depending on the context of the occurrence of dissolution
   testing past the S1 level, other 483 observations would
   be more appropriate.  For  example, if a large percentage
   of all batches  manufactured, within a specific period,
   have to be tested past the S1 level, a more appropriate
   483 observation would be "Failure to determine why
   batches manufactured during this specific period had to
   be tested through to S2 or S3."  Another example is if a
   large percentage of batches manufactured suddenly have to
   be tested through S2 or S3, after only rarely having to
   be tested past S1; a more appropriate observation would
   be "Failure to determine why a majority of recently
   manufactured batches now have to be tested through to S2
                                      4



   HUMAN DRUG CGMP NOTES                   March 1996

   or S3."  Such observations could be made assuming that:
            1>   Initial dissolution testing for the product
   in question only rarely proceeded past S1 and is now
   always proceeding to S2 or S3; and,
            2>   The firm failed to recognize the
   possibility of a process or testing problem by this
   change in the dissolution profile of  its product.

   [This issue was also addressed in the March 1995 issue of
   Human Drugs CGMP Notes]

   Division Contact (for above questions): Monica Caphart,
   HFD-325, 301-594-0098, e-mail CAPHARTM@cder.fda.gov


      3)  Is routine product pH testing required for
      Endotoxin (LAL) Assays?

   References: See 21 CFR 211.167, Special testing
   requirements

   No, not unless a firm has committed to such testing in a
   new drug application.  Measurements of pH on routine
   endotoxin samples each time a specimen is tested are not
   required for a validated method.  The positive product
   control on routine testing, which must be included during
   each test, will fail if the specimen pH is out of
   control.

   We do recommend you review the firm's endotoxin
   validation and compare this with the finished product
   release pH range to make sure the validation lots covered
   the upper and lower limits used to release product.  If
   the validation lots covered only a narrow range this
   would be an appropriate issue for a CGMP citation, rather
   than the lack of pH testing of each test specimen.

   Contact for Further Info:  Michael J. Verdi, HFD-322,
   301-594-0095, e-mail: verdim@cder.fda.gov



   On Stability (Policy Questions on Stability Issues):

      1)  Is it acceptable for a firm to export expired
   drugs for charity?

   Reference: 21 CFR 211.137(a) and (d), Expiration Dating

   No.  While we recognize the dire need for drugs in
   distressed parts of the world, once the expiration date
   has passed there is no assurance that the drugs have the
   safety, identity, strength, quality and purity
   characteristics they purport or represent to possess.  As
                                      5



   HUMAN DRUG CGMP NOTES                   March 1996

   such, expired drugs are adulterated within the meaning of
   section 501 (a)(2)(B) of the FD&C Act, and section 301 of
   the Act prohibits the introduction or delivery for
   introduction into interstate commerce any drug that is
   adulterated.

   Firms may wish to extend the labeled expiration date,
   thus making them suitable for export, provided that any
   extension of the expiration dating is supported by
   appropriate stability studies.  Any extension of the
   expiration dating should be of sufficient duration to
   ensure that the drugs do not again reach their expiry
   before their anticipated use.


      2)  How should the start of the expiration dating
   period be calculated for repackaged drugs?

   Reference: 21 CFR 211.137, 211.111, and 211.166; CPG
   7132b.10, 7132b.11, 7132.13; CPGM 7356.002b

   The CGMP regulations require that drug repackagers use an
   expiration date on repackaged drugs that is based on
   scientific evaluation and/or testing of the drug in the
   container-closure in which the drug is to be marketed.
   However, in a limited number of situations a repackager
   may extrapolate from the expiration date on the original
   manufacturer's container, an expiration date that is
   suitable for the repackaged drug, without conducting
   additional stability studies.  Such situations are
   described in the guidance referenced above.

    Where an expiration dating period is derived from
   stability studies conducted on the repackaged drug,  the
   repackager should develop controls to ensure that an
   appropriate expiration dating period is assigned at the
   time of repackaging.  For example, it may be appropriate
   to assign a two-year expiration date to a drug that is
   one-month old at the time of repackaging, whereas it may
   not be appropriate to assign a two-year expiry when the
   same drug is repackaged after it has been held in the
   original manufacturer's container for substantially
   longer than one-month, and after the container has been
   opened numerous times.

   Contact for Further Info: Barry Rothman, HFD-325, 301-
   594-0098, e-mail: rothmanb@cder.fda.gov.



   Gas What? (Policy Questions on Medical Gases):

      1) May a firm use industrial grade nitrogen as a
   blanketing agent during the manufacturing of a drug
                                      6



   HUMAN DRUG CGMP NOTES                   March 1996

   product?

   Reference: 21 CFR 211.110(a) and(c), Sampling and testing
   of in-process materials and drug products;  211.165(a),
   Testing and release for distribution

   Unless the industrial grade product is analyzed for all
   possible impurities and contaminants, it would be
   unacceptable to use industrial grade products in the
   manufacturing of pharmaceutical drugs.

   The filling of medical and industrial grade nitrogen
   whether it be gaseous or liquid is quite unique.  The
   problems we have seen are usually not with the product
   itself, but rather with the container closure system,
   i.e., the high pressure cylinder and  hazardous
   substances to which they have been exposed.
    
   Industrial cylinders are widely distributed throughout
   all types of industry, and are routinely exposed to
   hazardous substances, some of which are extremely toxic,
   i.e., hydrocarbons, arsenic compounds, chlorine, etc.
   Therefore, it would be nearly impossible to determine
   what a specific cylinder had been exposed to and to
   analyze for that specific contaminant.

   On the other hand, medical gas cylinders are prepared
   under carefully controlled conditions to ensure that the
   drug product meets the requirements of both FDA and the
   USP, and are not exposed to contamination from industrial
   sources.  Each high pressure cylinder undergoes rigorous
   pre-qualifying inspections and examinations with one of
   the most significant being the vacuum evacuation step,
   prior to filling a product.

   According to USP23, the General Notices, Tests and
   Assays, Foreign Substances and Impurities, it is
   impossible to include in each monograph a test for every
   impurity, contaminant, or adulterant that might be
   present.  Tests suitable for detecting such occurrences
   should be employed in addition to the tests provided in
   the individual monograph.

   Refer to the June 1995  HUMAN DRUG CGMP NOTES for
   nitrogen produced via pressure swing adsorption and
   cryogenic nitrogen.

      2) Is it acceptable for the owner of a vessel to apply
   a small sticker to denote its ownership, even though the
   vessel is filled by a different firm that is identified
   in the vessel's labeling?

   Reference: 21 CFR 211.130, Packaging and labeling
   operations, 201.1, Drugs; name and place of business of
                                      7



   HUMAN DRUG CGMP NOTES                   March 1996

   manufacturer, packer, or distributor.

   Yes, a firm may place a small sticker, commonly referred
   to as a possession/ownership sticker, on a vessel as long
   as the sticker does not obstruct required labeling.  In
   addition, the sticker must not be misleading.  For
   example, it should be qualified by a statement such as,
   "This empty vessel or this vessel when empty is the
   property of, or belongs to, `Firm X, address, and
   telephone number.'"

   Contact for Further Info:  Duane Sylvia, HFD-325, 301-
   594-0095 e-mail: sylviad@cder.fda.gov.



   What are the respective roles of ORA (field) and CDER
   staff in performing reviews of chemistry data in new drug
   applications?

   Reference:  Letter of October 14, 1994, issued jointly by
   the Director of CDER and the Associate Commissioner for
   Regulatory Affairs, to all NDA, ANDA and AADA Applicants

   CDER and ORA personnel review the same chemistry data,
   but from different perspectives.  CDER reviews chemistry
   data for scientific/technical adequacy and
   appropriateness, and evaluates submitted test methods and
   finished product specifications.  ORA personnel audit the
   same chemistry data to verify authenticity and data
   accuracy at the applicant's location.

   It is consistent with the referenced letter for field
   personnel to place comments on FDA 483's regarding
   authenticity and accuracy of data, even when that data
   has already been reviewed by CDER.  However, be sure to
   discuss with CDER reviewers any test methods,
   specifications and chemistry data you find questionable.
   Such discussions should ideally occur before a 483 is
   prepared.  ORA staff should contact CDER reviewers when
   an applicant:

      (1)  may have inadvertently omitted chemistry
   information from an application; or

      (2)  has already responded to a deficiency letter on
   the same matter and the response is questionable.

   It is vital that when field personnel find inadvertently
   unsubmitted chemistry information, they promptly alert
   CDER reviewers who will evaluate the significance of the
   omission.

   When ORA and CDER agree about the significance of the
                                      8



   HUMAN DRUG CGMP NOTES                   March 1996

   findings, CDER review chemists will decide as to whether
   the matter should be noted in a deficiency letter and/or
   an ORA prepared 483.  Note that field personnel must
   never cite deficiency letter items as FDA 483
   observations unless specifically directed by a CDER
   review chemist.

   Contact for Further Info: Randall Woods  HFD-324, 301-
   827-0062, e-mail: woodsr@cder.fda.gov.



   TOWARD THE ELECTRONIC GOVERNMENT:

      1)  What is the status of the Electronic Signature
   Rule (Proposed Part 11)?

   Reference: Electronic Records; Electronic Signatures, 21
   CFR Part 11, Proposed Rule, Federal Register of August
   31, 1994, 59 FR 45160

   We have begun preliminary clearance of a final rule
   Federal Register notice.  We cannot at this point predict
   the exact outcome and publication date.  However, the
   rulemaking remains a high priority in CDER and the
   agency.

   A total of 49 respondents, representing all FDA regulated
   industries as well as other interested parties, submitted
   544 discrete comments that addressed almost every part of
   the proposed regulations.  The 49 included 11 trade
   associations that also reflected the same industry
   spectrum.  However, most respondents represented the
   pharmaceutical industry.


      2)  Federal Register on the Internet

   The Federal Register (F/R) is now available on the
   Internet s  World Wide Web.  In addition to 1996 notices,
   the U.S. Government Printing Office (GPO) has posted the
   1995 and 1994 editions in a searchable database.  (Also
   included are the Congressional Record,  Congressional
   Bills, and information in 1400 Federal Depository
   Libraries.)

   The Internet address for the free service is:
   HTTP://WWW.ACCESS.GPO.GOV/SU_DOCS/ .

   You can read and download the current daily F/R as ASCII
   (American Standard Code for Information Interchange) or
   PDF (Adobe s  Portable Document Format) files.  To view
   PDF files you ll need Adobe s Acrobat  Reader software, a
   widely distributed freebie.  Notices in PDF format look
                                      9



   HUMAN DRUG CGMP NOTES                   March 1996

   exactly like pages in the paper Federal Register.

   Full text database searches are fast and flexible,
   allowing for boolean operators (e.g., AND, OR), wildcard
   word roots, hunts of multiple databases back to 1994, and
   results of up to 200 hits (records that contain your
   search term.)

   Search results reports are comprehensive.  They show the
   selected database(s), the number of hits, a time stamp
   (year, month, day, hour, minute and second), and a
   warning that the report is a temporary file that self-
   destructs (at GPO) after about one hour.  A brief
   description of each hit states the F/R cite (e.g.,
   FR31AU94), title, file size, and hyperlinks for TEXT (to
   download the full text in ASCII), SUMMARY (to download
   the ASCII file of only the notice s Summary section), and
   PDF (to download full notices back to 1995 in a PDF
   file.)

   Be aware of a few limitations.  The 1994 database lacks
   page numbers.  Page numbers (ranges), volume and issue
   numbers are given for 1995 onward.  The TEXT link search
   results files display your search terms in bold
   characters, but  SUMMARY and PDF formats don t (Acrobat
   Reader can highlight a search term offline, however).
   Graphics in 1994 notices are in TIFF format and must be
   downloaded separately.  Graphics in newer notices are
   embedded in PDF files.

   You should find this service a valuable tool that helps
   you stay current, and obtain F/R notices in convenient
   formats for your own files and for answering industry and
   public requests.

   Division Contact For Further Info:  Paul J. Motise, HFD-
   325, 301-594-1089, e-mail: motise@cder.fda.gov.




   P. Motise 3/1/96
   DOC ID CNOTESW6.396











                                      10



   HUMAN DRUG CGMP NOTES                   March 1996


            DIVISION OF MANUFACTURING AND PRODUCT QUALITY, HFD-320
                               SUBJECT CONTACTS

   Applications Integrity Policy  LuAnn Pallas       594-0098
                                  Bruce Hartman      827-0062

   Aseptic Processing             John W. Levchuk    594-0095

   Biotechnology                  Walter Brown       594-1089

   Bulk Drugs                     Edwin Rivera       594-0095
                                  Rick Friedman         "

   Case Management                Joseph Famulare    594-0098

   CGMP Guidelines                Paul Motise        594-1089

   Civil Litigation Guidance      Nick Buhay         594-0098

   Clinical Supplies/IND CGMP     Paul Motise        594-1089
                                  Bruce Hartman      827-0062

   Computer Validation            Paul Motise        594-1089
                                  Charles Ahn        594-0098

   Content Uniformity             Monica Caphart     594-0098
                                  Russ Rutledge      594-1089

   Criminal Litigation Support    Nick Buhay         594-0098

   Electronic Records/Signatures  Paul Motise        594-1089

   Facility Reviews               Russ Rutledge      594-1089

   Foreign Inspections            John Dietrick      594-0095

   Inspections/ Investigations    Randall Woods      827-0065
    (For Cause)                   John Singer        827-0071

   Labeling Controls (CGMP)       Paul Motise        594-1089

   Laboratory Issues              John Levchuk       594-0095
                                  Monica Caphart     594-0098
                                  Russ Rutledge      594-1089
                                      11



   HUMAN DRUG CGMP NOTES                   March 1996

   DIVISION OF MANUFACTURING AND PRODUCT QUALITY, HFD-320
   SUBJECT CONTACTS (Continued)

   Lyophilization                 John Levchuk       594-0095
         
   Manufacturing Changes          Walter Brown       594-1089
   Supplements

   Medical Gases                  Duane S. Sylvia    594-0095

   NDA/ANDA Pre-Approval          Bruce Hartman      827-0062
   Inspections                    Randall Woods         "
                                  Mark Lynch            "

   Penicillin Cross Contamination Duane S. Sylvia   594-0095

   PET Radiopharmaceuticals       John Levchuk      594-0095

   Pharmacies, CGMP               John Levchuk      594-0095
                                  LuAnn Pallas      594-0098

   Pre-Approval Program           Dave Doleski      827-0072
                                  Melissa Egas      594-0095

   Process Validation, General    John Dietrick     594-0098
                                  Paul Motise       594-1089
   (Sterile Dosage Forms)         John Levchuk      594-0095

   Recycling Plastic Containers   Paul Motise       594-1089

   Repackaging                    Barry Rothman     594-0098

   Salvaging                      Paul Motise       594-1089

   Stability/Expiration Dates     Barry Rothman     594-0098

   Sterile Facility Construction  John W. Levchuk   594-0095
   (Clean Rooms)                  Michael Verdi     594-0095

   Sterilization Validation       John W. Levchuk   594-0095
                                    12






   HUMAN DRUG CGMP NOTES                   March 1996

   DIVISION OF MANUFACTURING AND PRODUCT QUALITY, HFD-320
   SUBJECT CONTACTS (Continued)

   Topical Drugs                  Randall Woods     827-0062

   Transdermals                   Brian Hasselbalch 594-0098

   Videoconferencing              Russ Rutledge     594-1089

   Water Quality                  Michael Verdi     594-0095
                                  Rick Friedman        "






































                                      13



   HUMAN DRUG CGMP NOTES                   March 1996

                        FAX FEEDBACK
                 
   TO:  Paul Motise, HUMAN DRUG CGMP NOTES, HFD-325
   FAX:  301-594-2202  (Phone 301-594-1089)

   FROM:
   ______________________________________________________

   AT:   ______________________  MAIL CODE: ___________

   PHONE: ________________________ FAX: __________________

   E-MAIL ADDRESS: _______________________________
   To receive the electronic version of HUMAN DRUG CGMP
   NOTES via E-mail, check here  _____.

   This FAX consists of this page plus ______ page(s).

I found this issue of HUMAN DRUG CGMP NOTES to be [check as appropriate]

__not very; __ somewhat; __ very; __ extremely
informative, and

__not very; __ somewhat; __ very; __ extremely useful to my
inspection/compliance activities.

   Here's my question for: ________________________________
   on the subject of:
   _________________________________________________________
   _________________________________________________________
   _________________________________________________________


   Future editions of HUMAN DRUG CGMP NOTES should address
   the following CGMP questions/issues:
   _________________________________________________________
   _________________________________________________________
   _________________________________________________________


                                      14

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August 2, 1996
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