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                         HUMAN DRUG CGMP NOTES
 
                           (Volume 3, Number 2)
 
                                June, 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:
 
     -  Is the sale of expired OTC drugs by a retailer a violation of the 
 Food, Drug and Cosmetic Act?
 
      -   Does FDA "prefer" polyvinylidene difluoride over stainless 
 steel for construction of recirculating loops in water for injection 
 (WFI) systems?
 
     -  What should manufacturers do if they have one of the "flawed" 
 Pentium(r) chips in their computerized systems?
 
     - Cleaning Validation:
 
       1)  What is the level of detergent residue that would be 
 acceptable to FDA?  What is the basis for arriving at this level, if 
 any?
   
       2)  If the ability of a procedure to clean a piece of equipment 
 made of a particular material, such as 316 stainless steel, is shown to 
 be acceptable and validated, can that "material" specific cleaning 
 procedure be used without "extensive" validation for other pieces of 
 equipment and compounds?
 
     - Bulk Beat  (Policy Questions on Bulk Drugs):
 
       1)  What is the current regulatory status of bulk pharmaceutical 
 chemicals in the United States? 
 
       2) What is the FDA doing to address the lack of GMP regulations 
 for BPC's? 
 
     - Gas What? (Policy Questions on Medical Gases):
 
       1)  What is pressure swing adsorption (PSA) and what are the 
 requirements for the nitrogen produced by PSA, if the product is used


 
 HUMAN DRUG CGMP NOTES                                         June, 1995
 
 during the manufacture of a drug product, such as tablets, capsules, 
 etc.?
   
       2)  What's the current policy regarding the filling of a 
 vacationing patient's vessel, either high pressure cylinder or cryogenic 
 home vessel?
 
 Final Rule on Cut Labeling Controls: Effective Date Partially Extended
 
 Toward The Electronic Government:
 
     - What is the status of the proposed rule on electronic signatures 
 and electronic records? 
 
     - CDER launches Internet gopher server.
 
 Attachment:
 
 FAX FEEDBACK
 (Your input requested)
 
 
 MOTISE'S NOTEBOOK:
 
 Welcome to another edition of Human Drug CGMP Notes, our periodic memo
 on CGMP for human use pharmaceuticals.  Your FAX FEEDBACK responses are
 still excellent 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, as several of you have
 done.  We also welcome brief articles FDAers may wish to contribute.  
 Subjects should be CGMP related and would be especially valuable if they
 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 paper copies) 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, present policy
 development/issuance mechanisms, and to 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 the Policy and Guidance Branch, HFD-323, by interoffice paper
 mail, using the above address, by phone at (301) 594-1089, or by
 
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 HUMAN DRUG CGMP NOTES                                         June, 1995
 
 electronic mail .
 
 If you would like to receive an electronic version of this document via
 electronic mail, see the checkoff line in FAX FEEDBACK, or else send e-
 mail to MOTISE, or DOCNOTES@FDACD.BITNET.
 
 Thanks!
 
                              Paul J. Motise
 
 
 POLICY QUESTIONS:
 
 Is the sale of expired OTC drugs by a retailer a violation of the Food, 
 Drug and Cosmetic Act?
 
 We have received calls from both FDAers and state agencies inquiring as 
 to what violation can be charged against a retailer found to be selling 
 expired OTC drugs.  We have been told of instances where retailers were 
 found to be selling expired OTC drugs at a discounted price.  Some 
 retailers apparently feel that as long as they openly disclose to 
 customers that the drugs being offered for sale are expired, they can be 
 sold legally. Some state and local agencies have indicated they lack
 authority under their laws to pursue legal action against purveyors of 
 expired OTC drugs, and therefore seek support for a legal action under 
 the FD&C Act.
 
 We regard expired drug products to be adulterated within the meaning of 
 Section 501(a)(2)(B) of the Food, Drug and Cosmetic Act, which states 
 that drugs must be manufactured, processed, packed, and held in 
 conformance with current good manufacturing practice.  The holding of 
 drug products past their expiration dates supports the 501(a)(2)(B) 
 charge.  It should be noted that it would not be appropriate to cite a 
 retailer for deviations from the CGMP regulations in 21 CFR Parts 210 
 and 211, because the CGMP regulations apply to drug product 
 manufacturers.  Additionally, openly disclosing that the drugs are 
 expired is not any basis for an exemption from the Act.  From a public 
 health standpoint, there is no assurance that drug products held past 
 their expiration dates are safe and effective, even if they are OTC 
 drugs.
 
 Contact for Further Info: Barry Rothman, HFD-325, 301-594-0098, e-mail:
 rothmanb@fdacd.bitnet.
 
 
 Does FDA "prefer" polyvinylidene difluoride over stainless steel for 
 construction of recirculating loops in water for injection (WFI) 
 systems?
 
 Reference: 21 CFR Sec. 211.65, Equipment construction, and Sec. 211.67,
 Equipment cleaning and maintenance.
 
 There is no official agency preference for one material over another. 
 Whatever material a firm selects for its water for injection system must
 be suitable for the intended use.  This holds true for virtually any
 production equipment.
 
 In the case of a WFI system, factors to consider in evaluating the
 suitability of the piping would include interior smoothness, the ability
 
                                     3


 
 HUMAN DRUG CGMP NOTES                                         June, 1995
 
 to withstand high temperatures and pressures, and the ability to hold up
 to sterilizing and sanitizing agents.
 
  As a general matter, equipment surfaces that contact components, in-
 process materials, or drug products must not be reactive, additive, or
 absorptive so as to alter the drug product's safety, identity, strength,
 quality, or purity beyond its official or established requirements.
 
 Contact for Further Info: John Levchuck,
 HFD-322, 301-594-0095, e-mail: levchukj@fdacd.bitnet.
 
 
 What should manufacturers do if they have one of the "flawed" Pentium(r)  
 chips in their computerized systems?
 
 References: See 21 CFR Sec. 211.68, Automatic, mechanical, and 
 electronic equipment.
 
 As covered by numerous press reports, certain early versions of 
 Pentium(r) processors, manufactured by Intel Corp. of Santa Clara, CA  
 since May of 1993, contain a defect that will cause incorrect results
 if certain mathematical calculations are performed with computers 
 containing the Pentium(r) processor.  The error happens when floating 
 point divide instructions use certain pairs of numbers.  Intel has
 undertaken a program to replace, without charge, defective Pentium(r)  
 processors with new Pentium(r) processors that do not contain the 
 defect.
 
 During your inspections, you may encounter computer systems which
 contain the Pentium(r) processor and which are being used to monitor or
 control manufacturing or laboratory functions, within the context of
 CGMP.
 
 We expect firms to ensure that computer systems are suitable for their
 intended use and that, as part of production or lab processes such
 systems monitor or control, they have been covered by validation of
 those processes.  The Pentium(r) processors may be in personal computers
 or in other automated systems.  We expect firms to know what systems may
 contain the processors in question (if they don't know, then equipment
 vendors should be able to advise them).
 
 Firms should replace defective processors as soon as possible, or, where
 such replacement is impractical, firms should determine if floating
 point divide instructions are used in the manufacturing or analytical
 application.  No immediate remedial action need be taken if floating
 point divide instructions can't, under any circumstances, be performed
 in that application.
 
 If floating point divide instructions can be performed in a CGMP 
 application, firms should evaluate the application to determine if 
 potential errors will be detrimental to the process control or 
 analytical functions; firms should be mindful of possible errors caused 
 by compounding.
 
 
                                     4


 
 HUMAN DRUG CGMP NOTES                                         June, 1995
 
 No immediate remedial action is necessary where firms determine that 
 potential errors are not detrimental .  On the other hand, if firms find 
 that potential errors are detrimental and replacement of the defective 
 Pentium(r) processor is impractical, software designed to prevent the 
 errors should be installed.  If appropriate remedial action cannot be 
 taken, manufacturers should stop using the equipment containing 
 defective Pentium(r) processors.
 
 Where firms install a replacement processor or remedial software, 
 equipment should be qualified using appropriate validation methods.  Of 
 course, we expect firms to thoroughly document their evaluations, 
 remedial actions and re-validation efforts.
 
 Contact for Further Info: Paul J. Motise, HFD-323, 301-594-1089, e-mail:
 motise@fdacd.bitnet.
 
 
 Policy Questions on Cleaning Validation:
 
 Reference: 21 CFR Sec. 211.67, Equipment cleaning and maintenance; and, 
 Guide to Inspections of Validation of Cleaning Processes, July 1993 
 (reformatted May 1994).
 
     1)  What is the level of detergent residue that would be acceptable 
 to FDA?  What is the basis for arriving at this level, if any?
 
 FDA has repeatedly stated that it is the firm's responsibility to 
 establish acceptance limits and be prepared to provide the basis for 
 those limits to FDA.  Thus, there is no fixed standard for levels of 
 detergent residue.  Any residues must not adversely alter drug product 
 safety, efficacy, quality, or stability.
 
 
     2)  If the ability of a procedure to clean a piece of equipment made 
 of a particular material, such as 316 stainless steel, is shown to be 
 acceptable and validated, can that "material" specific cleaning 
 procedure be used without "extensive" validation for other pieces of 
 equipment and compounds?
 
 No.  The design of the equipment is a major component of its 
 cleanability.  Therefore, firms should have data that relate to a given 
 piece of equipment.
 
 Contact for Further Info:  Anthony Lord, HFD-322, 301-594-0095, e-mail: 
 lord@fdacd.bitnet.
 
 
 
 Bulk Beat  (Policy Questions on Bulk Drugs):
 
 Reference: Guide to Inspection of Bulk Pharmaceutical Chemicals,
 September, 1991.
 
     1)  What is the current regulatory status of bulk pharmaceutical 
 chemicals in the United States?
 
 At present, the United States does not have a good manufacturing 
 practice regulation for bulk pharmaceutical chemicals.  The CGMP 
 regulations promulgated under the Food, Drug, and Cosmetic Act
 
                                     5


 
 HUMAN DRUG CGMP NOTES                                         June, 1995
 
 and codified in Title 21 of the Code of Federal Regulations, Parts 210 
 and 211, apply only to finished pharmaceuticals.  Although the drug CGMP 
 regulations have been used as a general guide where applicable to BPC 
 processing, they were not intended to be applied to the production of 
 BPCs.   The preamble to the September 1978 revision of the CGMP 
 regulations states:
 
      "These CGMP regulations apply to finished dosage form drugs (under 
 Sections 210.3(b)(4) and 211.1) and are not binding requirements for 
 chemical manufacturing.   The Commissioner maintains that these
 regulations can serve as useful guidelines in the manufacture of 
 chemicals."
 
 Nonetheless, the definition of "drug" in the Food, Drug, and Cosmetic 
 Act encompasses bulk pharmaceutical chemicals and Section 501(a)(2)(B) 
 of the Act also requires that all drugs be manufactured, processed, 
 packed, and held in accordance with CGMPs.   No distinction is made 
 between BPCs and finished pharmaceuticals in the Act, and failure of 
 either to comply with CGMP constitutes a violation of the Act.
 
     2) What is the FDA doing to address the lack of GMP regulations for 
 BPC's? 
 
 FDA recently formed a task group to develop a good manufacturing 
 practice regulation specific to bulk pharmaceutical chemicals and to 
 define acceptable approaches or "points-to-consider" when validating
 BPC processes. This task group consists of representatives from the 
 Office of Regional Operations, the Office of General Counsel, CDER, 
 CBER, and CVM.  We will provide additional details on this effort
 in future editions of Human Drug CGMP Notes.
 
 Contact for Further Info: Edwin Rivera, HFD-322,  301-594-0095, e-mail:
 rivera@fdacd.bitnet.
 
 
 Gas What? (Policy Questions on Medical Gases):
 
     1)  What is pressure swing adsorption (PSA) and what are the 
 requirements for the nitrogen produced by PSA, if the product is used 
 during the manufacture of a drug product, such as tablets, capsules, 
 etc.?
 
 Reference:  21 CFR Sec. 211.110(a & c), Sampling and testing of 
 in-process materials and drug products.
 
 We have received numerous inquiries regarding the use of PSA in the 
 manufacture of pharmaceutical drug products, where the nitrogen will be 
 used as a blanketing agent, etc.
 
 The principle of PSA is where a stream of air is compressed, filtered, 
 and then passed through a molecular sieve which selectively adsorbs 
 oxygen, leaving the remaining process gas stream nitrogen rich.  Some 
 units are capable of producing flow rates up to 100,000+ scfh and purity 
 levels as high as 99.9995% with purification.
 
 If a firm is using PSA, then it should establish control procedures to 
 monitor the output and to validate the performance of those 
 manufacturing processes that may cause variability in the 
 characteristics of in-process material and the drug product. This would 
 also pertain to nitrogen received in large cryogenic vessels, i.e., tube 
 trailers, storage tanks, etc.
 
     2)  What's the current policy regarding the filling of a vacationing 
 patient's vessel, either high pressure cylinder or cryogenic home 
 vessel?
 
                                     6


 
 HUMAN DRUG CGMP NOTES                                         June, 1995
 
 Reference:  21 CFR Sec. 211.84, Testing and approval or rejection of 
 containers and
 closures; 21 CFR Sec. 211.94(c), Drug product containers and closures; 
 21 CFR Sec. 211.165(a), Testing and release for distribution. 
 
 This type of scenario, which is similar to the filling of a cryogenic 
 vessel at a patient's home, is considered an emergency need for the drug 
 product.  If a patient is on vacation and/or traveling away from his/her 
 residence, and  encounters a need for oxygen, then a firm would be 
 allowed to fill the patient's vessel without performing all the required 
 testing or all the required prefill inspections, provided 1) the firm 
 receives a prescription, 2) the patient remains at the firm, i.e., 
 cannot leave the premises, 3) the employee who receives the vessel 
 performs the filling and returns it promptly to the patient, 4) the 
 incoming drug product has been tested and meets all specifications, and 
 5) the minimum visual inspections are performed, i.e.,  valve and 
 external examination, labeling, coloring, correct valve, etc.  Finally, 
 the firm should obtain the patient's final destination including an
 address and a telephone number, in case of a recall. 
 
 Contact for Further Info:  Duane Sylvia, HFD-322, 301-594-0095, e-mail:
 sylviad@fdacd.bitnet.
 
 
 
 Final Rule on Cut Labeling Controls: Effective Date Partially Extended
 
 Reference: 60 FR 20897, No. 82, April 28, 1995
 
 In the above FR notice, FDA announced that the date for compliance with 
 Sec. 211.122(g) for items of labeling other than immediate container 
 labels is being extended to August 2, 1996.  The date of compliance for 
 all other provisions of the final rule, as published in the Federal 
 Register of August 2, 1994 (at 59 FR 39255), remains the same.
 
 The agency is taking this action in order to adequately assess comments 
 received on the scope of that rule.
 
 Be aware that Sec. 211.125 makes a waiver of labeling reconciliation 
 conditional on a 100 percent examination for correct labeling performed 
 in accordance with Sec. 211.122(g)(2), meaning the labeling 
 reconciliation must still be performed until Sec. 211.122(g) is in 
 effect for labeling other than immediate container labels.
 
 Division Contact for Further Info: Paul J. Motise, HFD-323, 
 301-594-1089, e-mail:
 motise@fdacd.bitnet.
 
 
 Toward The Electronic Government:
 
     What is the status of the proposed rule on electronic signatures and 
 electronic records? 
 
 Reference: Federal Register, 59 FR 45160, No. 168, August 31, 1994.
 
 The comment period for proposed Part 11 has closed and the agency has
 begun its deliberations toward a final rule.  A total of 49 respondents
 
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 HUMAN DRUG CGMP NOTES                                         June, 1995
 
 submitted about 544 discrete comments.  The agency-wide effort garnered
 comments from virtually all FDA regulated industries, although the
 pharmaceutical industry provided most of the comments.
 
 The rulemaking project has been put on a fast track, as part of the
 administration's reinventing government project.
 
 While it is impossible to predict a final outcome, our best guess at
 this point is that a final rule would not be published prior to the last
 quarter of this calendar year.
 
 
     CDER Launches Internet Gopher Server.
 
 CDER recently inaugurated an Internet gopher (file retrieval facility)
 server to help distribute electronic documents (including this
 newsmemo).  Internet savvy readers can point their gopher clients to
 gopher.cder.fda.gov to see a simple menu structure of available files,
 their formats and sizes.  A typical menu entry for a file looks like
 this (filename, date and time, size and file type):
 
 hdcgmpw5.395 [13-Feb 12:52, 547KB] (PC Bin)
 
 Downloading files from gopher is much easier than from FTP servers. 
 Typically, client applications call for you to position your cursor on
 the line corresponding to the target file and then type the letter "s"
 for save; programs generally let you rename the file for your local
 system, and then the transfer begins.
 
 CDER's strategic information technology plans call for the establishment
 of a CDER World Wide Web server/home page, but that's still sometime
 off.
 
 All in all, the center is committed to distributing documents
 electronically and using information technology to enhance communication
 with field units, industry and the public.
 
 Contact for Further Info: Paul J. Motise, HFD-323, 301-594-1089, e-mail:
 motise@fdacd.bitnet.
 
 
 
 P. Motise 5/9/95
 DOC ID CNOTESW6.695                 8


 HUMAN DRUG CGMP NOTES                                         June, 1995
 
 
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