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                           HUMAN DRUG CGMP NOTES

                            (Volume 3, Number 3)

                              September, 1995

     (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-323
   Addressee Database Manager: Russ Rutledge, HFD-323


   IN THIS ISSUE:

   Motise's Notebook

   Policy Questions On:

       -  Are tablet press RPMs important enough to be a factor in 
process validation?

       - How long must a contract manufacturer, who performs only part of 
the production steps, retain records for those activities?

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

         1) What are the requirements for the calibration of vacuum 
gauges?

         2) What are the labeling requirements for cryogenic home 
vessels?

          - Bulk Beat (Policy Questions on Bulk Drugs):

         1) What is the FDA's current policy with respect to validation 
of bulk pharmaceutical chemical processes?

             2) Do Warning Letters involving bulk drug GMP charges 
require center review or concurrence?

          - On Stability (Policy Questions on Stability Issues):

         1)  For injectable drugs in multi-dose containers, is the
         number of entries to withdraw a dose a factor in determining
         the expiration date?

         2) How should the start of the expiration dating period be 
calculated for new batches of finished drug products intended for 
commercial distribution?

   Special Report: CDER Compliance Implementation for New USP Injectables 
Labeling Requirements



   HUMAN DRUG CGMP NOTES                                 September, 1995

   Toward The Electronic Government:

       - PDF format added to electronic editions of Human Drug CGMP Notes


   Attachments:

   DIVISION OF MANUFACTURING AND PRODUCT QUALITY, HFD-320, SUBJECT
   CONTACTS
   FAX FEEDBACK (Your input requested)

                                    ***

   MOTISE'S NOTEBOOK:

   Welcome to another issue of Human Drug CGMP Notes, our periodic memo
   on CGMP for human use pharmaceuticals.  Your FAX FEEDBACK responses
   are still great and we especially appreciate your suggested topics
   for coverage.  You need not, however, limit the dialog to FAX
   FEEDBACK.  Feel free to call, write, or send us e-mail.  We also
   welcome brief articles FDAers may wish to contribute.  (For instance,
   this edition includes an article on injection labeling changes for
   USP drug products and CDER's implementation plan to phase in industry
   compliance with the new requirements.)  Topics of special value are
   those that address emerging new technologies. 

   As a reminder, although the document is fully releasable under the
   Freedom of Information (FOI) Act, our intended readership is FDA
   field and headquarters personnel.  Therefore, for now, we cannot
   extend our distribution list, for the paper version, 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, to update you on CGMP projects in the
   works, to provide you with inspectional and compliance points to
   consider that will hopefully be of value to your day to day
   activities, and to clarify existing policy and enforcement documents.

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

   Attached 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 an electronic version of this document
   via electronic mail, let us know (see the check-off line in FAX
   FEEDBACK).

                                     2



   HUMAN DRUG CGMP NOTES                                 September, 1995

   Thanks!

                               Paul J. Motise


   POLICY QUESTIONS:

   Are tablet press RPMs important enough to be a factor in process 
   validation?

   References: See 21 CFR 211.110 (Sampling and testing of in-process
   materials and drug products), and 211.100 (Written procedures;
   deviations).

   Yes.  Tablet press speed, expressed as revolutions per minute (RPM),
   is indeed an important factor that needs to be controlled and
   addressed in tableting validation.  Granulation flow characteristics
   will limit how fast the tableting may proceed; too fast a rate may
   not permit enough granulation to fall into the dies, resulting in
   sub-potency.  Furthermore, tablet hardness is a function of
   compression dwell time -- too fast an RPM could mean that the
   granulation does not experience sufficient compression, and
   conversely too slow an RPM could mean excessive compression.

   Contact for Further Info: Charles Ahn, HFD-325, 301-594-0098, e-mail:
   ahnc@fdacd.bitnet.


   How long must a contract manufacturer, who performs only part of the 
   production steps, retain records for those activities?

   References: See 21 CFR 211.180(a) and (b) (General requirements)

   The records retention requirements for the contractor are the same as
   those for the prime manufacturer, just as if the activities had been
   performed by the prime manufacturer.  The retention time is at least
   one year after the expiration date of the drug product, or, in the
   case of some OTC drug products which are not required to have
   expiration dates, three years after the last of the batch has been
   distributed.

   The retention requirement for the contractor, therefore, means that
   the contractor must know what the dosage form expiration date is, or
   (for the above OTC products) when the last of the batch has been
   distributed.  Where the contractor's activities are performed at some
   stage prior to formation of the dosage form itself (say a contract
   micronizer), some close communication with the dosage form producer
   would be needed.

   It is important for the contractor's records to be available so that
   complete product history is maintained and, more importantly,

                                     3



   HUMAN DRUG CGMP NOTES                                 September, 1995

   investigations of possible problems may be conducted.  The records
   must be kept at the contract manufacturer's facility, per 211.180(c),
   or else the records (or copies of them) may be kept at a different
   location if they can be immediately retrieved by computer or other
   electronic means.

   Contact for Further Info: Paul J. Motise, HFD-323, 301-594-1089, e-
   mail: motise@fdacd.bitnet.


   Gas What? (Policy Questions on Medical Gases):

       1) What are the requirements for the calibration of vacuum gauges?

    Reference:  21 CFR 211.68  (Automatic, mechanical, and electronic 
equipment).

    Vacuum gauges used during the evacuation of high pressure cylinders 
require a daily "calibration."  This simple calibration consists of an 
inspection of the gauge prior to the pulling of a vacuum, and with no 
pressure on the line.  The needle should return to "zero"; if not, then 
an adjustment is required.  If the needle cannot be adjusted and returned 
to zero, then the gauge  should be replaced.

    In addition, a firm is required to establish written calibration 
procedures describing their process and should document that the 
calibration was performed.

          2) What are the labeling requirements for cryogenic home 
vessels?

    Reference:  21 CFR 211.130(a) (Packaging and Labeling Operations)

    According to 211.130(a), a firm should establish written procedures 
designed to assure that correct labels are used for its drug products.  
Until FDA's labeling requirements have been finalized, both high pressure 
cylinders and cryogenic home vessels are required to have adequate
labeling.  At the current time, we are requiring cryogenic home vessels 
to bear labeling similar to that applied to high pressure cylinders, but 
for the liquid phase.  This includes bearing the statement, "Caution:  
Federal law prohibits dispensing without prescription" in accordance with
21 CFR Section 201.100(b)(1).

    Please note that this requirement pertains to oxygen used for 
therapy, and not emergency use.  So, a firm should determine when the 
oxygen is intended for emergency use.

   Contact for Further Info:  Duane Sylvia, HFD-322, 301-594-0095, e-
   mail: sylviad@fdacd.bitnet.


   Bulk Beat (Policy Questions on Bulk Drugs)

       1) What is the FDA's current policy with respect to validation of 
bulk pharmaceutical chemical processes?

    Reference:  Compliance Policy Guides 7132c.08  and 7125.38 (Process 
Validation Requirements for Drug Products Subject to Pre-Market 
Approval).
                                                  4



    HUMAN DRUG CGMP NOTES                                 September, 1995

    FDA expects manufacturers to be actively engaged in a validation 
program for all of their BPC products, although we have not insisted that 
validations be completed at this time.  This agency policy is delineated 
in the referenced Compliance Policy Guides.   FDA will consider 
withholding approval of new drug applications based on the lack of 
process validation when (1) a company has not established or is not 
following an adequate plan to validate all BPCs; or (2) there is
evidence that the process is not validated as demonstrated by repeated 
batch failures due to manufacturing process variability not attributable 
to equipment malfunction or operator error.

       2) Do Warning Letters involving bulk drug GMP charges require 
center review or concurrence?

    Reference: Regulatory Procedures Manual, Chapter 8-10-45, Center 
Concurrence,  (Transmittal Notice 94-2)

    Yes.  Since June 1, 1994, all Warning Letters with GMP charges 
involving bulk drug substances require CDER review and concurrence. This 
change was effected with a revision to the above referenced chapter.

    For domestic BPC manufacturers, Districts should submit Warning 
Letter recommendations to CDER's Office of Compliance, Division of 
Manufacturing and Product Quality (HFD-320).  Warning Letters
to foreign BPC manufacturers are issued directly by HFD-320.  More on 
this in future editions.

   Contact for Further Info: Edwin Rivera, HFD-322,  301-594-0095, 
e-mail: rivera@fdacd.bitnet.


   On Stability (Policy Questions on Stability Issues):

          1)  For injectable drugs in multi-dose containers, is the 
number of entries to withdraw a dose a factor in determining the 
expiration date?

   Reference: 21 CFR 211.166 (Stability testing).

   Unless the multi-dose container is labeled to yield a specific number 
of doses of a stated volume, there is no limit to the number of 
withdrawals that may be made from a multi-dose container  before the drug 
is depleted or before the drug reaches its expiration date.  The primary 
concern with multi-dose containers is the potential for contaminating the 
product during multiple penetrations through the container stopper.  
While the expiration dating assigned to such products would be based on 
the stability of the drug product, stability protocols should include 
requirements for the testing and evaluation of container-closure 
integrity.  Container-closure integrity testing may include physical 
testing of the closure seal by use of a leak test and by monitoring the 
ability of the system to prevent microbial contamination.  However, it 
does not normally include an evaluation of multiple penetrations through 
the container stopper.  Furthermore, injectable drug products in 
multi-dose containers are generally formulated with an anti-microbial 
agent or preservative, as per the approved NDA and USP requirements.

          2) How should the start of the expiration dating period be 
calculated for new batches of finished drug products intended for 
commercial distribution?


                                     5



   HUMAN DRUG CGMP NOTES                                 September, 1995

   Reference: 21 CFR 211.166 (Stability testing), and 211.94 Drug
   product containers and closures.

   The expiration date assigned to a new batch of finished drug product 
should be calculated from the date of  release of the finished drug 
product,  provided that the date of release does not exceed 30 days from 
the date of manufacture of the batch.  The date of manufacture of the 
batch is considered to be the initial date that an active ingredient has 
been added to the batch during manufacturing.  If greater than 30 days 
has elapsed between the date of manufacture and date of release of the 
batch, the expiration date should be calculated from within 30 days of 
the date of manufacture of the batch, and not the date of release.

   Contact for Further Info: Barry Rothman, HFD-325, 301-594-0098, e-
   mail: rothmanb@fdacd.bitnet.


   Special Report: CDER Compliance Implementation for New USP
   Injectables Labeling Requirements

   BACKGROUND:

   Based on a  1991 review of injectable products' nomenclature, the USP
   has revised General Chapter <1> INJECTIONS.  Approximately 130
   monograph titles will be affected.  The greatest number of changes
   involve dropping the term "STERILE" from injectable drug titles.  The
   nomenclature revisions became official in USP 23 on January 1, 1995.

   Because the nomenclature revisions affected so many product titles, 
CDER believed it was unreasonable to expect manufacturers to comply with 
the changes by the official date.  Also, concern was expressed that 
health care providers should be given time to be apprised of these    
changes.  The USP agreed with these concerns and announced in the 
September-October 1993 Pharmacopeial Forum that there will be an 
extension of time for adopting the revised titles.   Rather than adopting 
all the revised titles at once, title changes will be reproposed for 
supplemental revisions.

CDER in turn has prepared an implementation plan based on USP time
frames which addresses both USP and non-USP products.  CDER has
decided to apply the USP revised nomenclature uniformly to all
products to lessen confusion that could arise from having similar
products with different titles.

IMPLEMENTATION PLAN:

To assist CDER reviewers and FDA field offices in applying these 
nomenclature revisions consistently, the following implementation plan 
has been established.  [NOTE:  CDER reviewers have been advised of this 
plan via an April 14, 1995, memorandum entitled "Implementation Plan
for New Injection Nomenclature", from Yana Mille, Chairperson, CDER 
Labeling and Nomenclature Committee.]

    This plan divides FDA regulated products into two categories:


                                     6



   HUMAN DRUG CGMP NOTES                                 September, 1995

       1. Approved or grandfathered (pre-1938) products subject to USP 
monographs; and,
       2. Approved or grandfathered (pre-1938) products not subject to 
USP monographs.

    For products in these two categories, a "flag" or reminder statement 
should appear on the labels for a six month period alerting practitioners 
to the changes.  This should assist practitioners in becoming familiar 
with these revised titles.  An example of a "flag" would be:  "FORMERLY
STERILE (insert drug name) ".

   Since the labels and labeling are being revised to comply with 
compendial requirements  [21 CFR 314.70(d)], revised labels and labeling 
may be submitted with an annual report provided the change is described.  
However, if the firm prefers to submit revised labels and labeling as a
"Special Supplement - Changes Being Effected" [21 CFR 314.70 (c)], this 
type of submission would be accepted since it affords the Agency an 
opportunity to approve the new labeling.

   Category 1 Products

    For USP monograph products, a revised injection title (revised 
established name) shall not be used until a USP Supplement, stating the 
revised monograph title, has been published.  Firms will then have 18 
months from the effective date of that Supplement to revise the labels 
and labeling to reflect the new title.

   Category 2 Products

    For those products which are not subject to USP monographs, firms 
will have 18 months from the effective date of USP 23 to revise the 
affected labels and labeling.  In other words, revised labels and 
labeling should be in place by July 1, 1996.  The changes to be made are 
as follows:

          1. The term "STERILE" is eliminated from the titles of 
injectable products.  [NOTE:  The term "STERILE" will not be removed from 
appropriate monograph titles for WATER that are intended for direct 
administration, such as STERILE WATER FOR INJECTION.]

      2. For established names of injectable products, the following USP
classification system should be used in determining the product's title:

        a. LIQUIDS

           (1)  Title for liquid preparations that are drug substances or 
solutions thereof:
           [DRUG] INJECTION
           (2)  Title for liquid preparations of solids suspended in a 
suitable liquid medium:
             [DRUG] INJECTABLE SUSPENSION
           (3)  Title for liquid preparations of drug substances 
dissolved or dispersed in suitable emulsion medium:
             [DRUG] INJECTABLE EMULSION

        b. SOLIDS

           (1)  Title for dry solids that, upon the addition of suitable 
vehicles, yield solutions conforming in all respects to the requirements 
for Injections:
             [DRUG] FOR INJECTION


                               7



   HUMAN DRUG CGMP NOTES                                September, 1995

           (2)  Title for dry solids that, upon the addition of suitable 
vehicles, yield preparations conforming in all respects to the 
requirements for Injectable Suspensions:
             [DRUG] FOR INJECTABLE SUSPENSION

    Contacts for Further Info:  Meade North, HFD-335, 301-594-0104, 
e-mail: northm@fdacd.bitnet, and Yana Mille, HFD-611, 301-594-0340, 
e-mail: milley@fdacd.bitnet.


   Toward The Electronic Government:

   PDF format added to electronic editions of Human Drug CGMP Notes 

   We've added another format to the electronic editions of this
   newsmemo, the Adobe  (PDF (portable document format).  Look for the
   letters PDF in the CDER Internet Gopher (address gopher.cder.fda.gov)
   and FTP (File Transfer Protocol) server (address cdvs2.cder.fda.gov)
   directories that have the name Human Drug CGMP Notes.

   PDF files may be viewed or printed using Adobe's widely available
   Adobe Acrobat  Reader 2.0, which is distributed for different PC
   platforms.  Adobe distributes the reader free of charge via many on-
   line services.

   Use of multi-platform electronic file readers and printers along with
   their respective common document formats permits people who have
   different computer systems to nonetheless view, read, and print
   electronic documents in a form that closely matches the layout,
   fonts, and styles of the original document; graphics are also
   preserved.  Thus, if you don't use (for example) WordPerfect as your
   word processor, you won't be restricted to using the plain vanilla
   ASCII (American Standard Code for Information Interchange) format to
   view and print electronic documents.  For instance, graphics in this
   newsmemo, which don't appear in the ASCII edition, will appear in the
   PDF format.

   Use of PDF format files is also being explored by other parts of CDER
   as a means of exchanging electronic documents.

   Division Contact For Further Info:  Paul J. Motise, HFD-323, 301-594-
   1089, e-mail: motise@fdacd.bitnet.



   P. Motise 8/4/95
   DOC ID CNOTES95.w60





                                     8



   HUMAN DRUG CGMP NOTES                                 September, 1995

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

   Applications Integrity Policy
                                 LuAnn Pallas            594-0098

   Aseptic Processing            John W. Levchuk         594-0095
                                 Edwin Rivera               "
                                 Tony Lord                  "

   Biotechnology                 Walter Brown            594-1089

   Bulk Drugs                    Edwin Rivera            594-0095

   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

   Data (Application) Integrity
                                 Bruce Hartman           827-0062
                                 LuAnn Pallas            594-0098

   Dissolution             Monica Caphart                594-0098
                                 Russ Rutledge           594-1089

   Electronic Records/Signatures
                                 Paul Motise             594-1089

   CGMP for Pharmacies           John Levchuk            594-0095

   Inspection (For Cause)
   Assignment Preparation        Randall Woods           827-0062

   Labeling Controls (CGMP)      Tony Lord               594-0098



                                     9



   HUMAN DRUG CGMP NOTES                                 September, 1995

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

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

   Lyophilization                John Levchuk            594-0095

   Manufacturing Changes
   Supplements                   Walter Brown            594-1089

   Medical Gases                 Duane S. Sylvia         594-0095

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

   Penicillin Cross Contamination
                                 Duane S. Sylvia         594-0095

   PET Radiopharmaceuticals
       (CGMP)                    John Levchuk            594-0095

   Process Validation (Non-Sterile
       Dosage Forms)             John Dietrick           594-0098

   Process Validation (General)
                                 Paul Motise             594-1089

   Recycling Plastic Containers
                                 Paul Motise             594-1089

   Repackaging                   Tony Lord               594-0095

   Salvaging                     Paul Motise             594-1089

   Stability/Expiration Dates
                                 Barry Rothman           594-0098

   Sterile Facility Construction
       (Clean Rooms)             Tony Lord               594-0095

   Sterilization Validation      John W. Levchuk         594-0095
                                 Edwin Rivera     "

   Topical Drugs                 Randall Woods           827-0062

   Videoconferencing             Russ Rutledge           594-1089


                                     10



   HUMAN DRUG CGMP NOTES                                 September, 1995

                              FAX FEEDBACK

   TO:  Paul Motise, HUMAN DRUG CGMP NOTES, HFD-323
   FAX:  301-594-2202                  (Phone 301-594-1089)

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Date created: July 31, 1996; last update: July 6, 2005

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