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1 2017 PDA Annual Meeting | April 3-5, 2017 | Anaheim Marriott | Anaheim, California Breakfast II: Knowledge Management – Q12 Update The Future State Knowledge Management and Sharing to Reduce Regulatory Burden Ursula Busse PhD MBA Head Quality Intelligence, External Relations Novartis 2017 PDA Annual Meeting | April 3-5, 2017 | Anaheim Marriott | Anaheim, California Disclaimer The information contained in this document belongs to Novartis and/or its affiliates. Novartis does not make and expressly disclaims: (a) any representation or warranty (express or implied) with respect to the information shown in this presentation; and (b) any liability relating to the accuracy or completeness of the information. The views and opinions expressed in this presentation are those of the author and do not necessarily reflect the official policy or position of Novartis or any of its officers. © Novartis 2017 Breakfast II: Knowledge Management – Q12 Update Breakfast II: Knowledge Management - Q12 Update By: Ursula Busse, PhD

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2017 PDA Annual Meeting | April 3-5, 2017 | Anaheim Marriott | Anaheim, California

Breakfast II: Knowledge Management – Q12 Update

The Future State ‐ Knowledge Management and Sharing to Reduce Regulatory Burden Ursula Busse PhD MBA

Head Quality Intelligence, External Relations

Novartis

2017 PDA Annual Meeting | April 3-5, 2017 | Anaheim Marriott | Anaheim, California

Disclaimer

The information contained in this document belongs to Novartis and/or its affiliates. Novartis does not make and expressly disclaims: (a) any representation or warranty (express or implied) with respect to the information shown in this presentation; and (b) any liability relating to the accuracy or completeness of the information.

The views and opinions expressed in this presentation are those of the author and do not necessarily reflect the official policy or position of Novartis or any of its officers.

© Novartis 2017

Breakfast II: Knowledge Management – Q12 Update

Breakfast II: Knowledge Management - Q12 Update By: Ursula Busse, PhD

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2017 PDA Annual Meeting | April 3-5, 2017 | Anaheim Marriott | Anaheim, California

Knowledge is important 

ICH Q8 (November 

2005)

30 

ICH Q9 (November 

2005)

12 

ICH Q10 (June 2008)

20 

ICH Q11 (May 2012)

35

ICH Q12 (in progress)

Breakfast II: Knowledge Management – Q12 Update

Number of times the term «knowledge» is mentioned in ICH guidelines

The basic economic resource –the means of production –

is no longer capital, nor natural resources, nor labor.

It is and will be knowledge.”

– Peter Drucker

2017 PDA Annual Meeting | April 3-5, 2017 | Anaheim Marriott | Anaheim, California

Knowledge

• Knowledge develops from data, information

• Knowledge is information in action

– Knowledge needs to flow

• Knowledge is sticky

– 20% of knowledge is explicit 

– but often not accessible

– 80% of knowledge is tacit

Breakfast II: Knowledge Management – Q12 Update

“Connectivity above hierarchies”

Breakfast II: Knowledge Management - Q12 Update By: Ursula Busse, PhD

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2017 PDA Annual Meeting | April 3-5, 2017 | Anaheim Marriott | Anaheim, California

How Knowledge creates Value

• Dynamic knowledge flow between tacit and explicit knowledge

• Integrated use of knowledge gained during the product lifecycle

Breakfast II: Knowledge Management – Q12 Update

SECI model (Nonaka, 1994)

2017 PDA Annual Meeting | April 3-5, 2017 | Anaheim Marriott | Anaheim, California

Knowledge Management 

ICH Q10“A systematic approach to acquiring, analyzing, storing, and disseminating information related to products, manufacturing processes and components”

Breakfast II: Knowledge Management – Q12 Update

Systematic

1. Acquire2. Analyze

3. Store4. Disseminate

Breakfast II: Knowledge Management - Q12 Update By: Ursula Busse, PhD

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2017 PDA Annual Meeting | April 3-5, 2017 | Anaheim Marriott | Anaheim, California

Knowledge over the product lifecycle 

• Knowledge grows over the product lifecycle

• Knowledge is used to support change management

• Challenges– Many different 

changes– Supply chain 

complexity– Long timelines 

Breakfast II: Knowledge Management – Q12 Update

Pharmaceutical Development

Technology Transfer

Commercial ManufacturingProduct 

Discontinuation

2017 PDA Annual Meeting | April 3-5, 2017 | Anaheim Marriott | Anaheim, California

Effective Knowledge Management over the Product Lifecycle

Breakfast II: Knowledge Management – Q12 Update

Rapid and comprehensive access to product, process and technology knowledge

Timely and 

accurate decision making

Effective QRM 

Tacit knowledge is consistently 

harnessed and shared

Company‐external knowledge is 

incorporated into internal processes

Explicit knowledge is 

readily available to those who 

need it

Effective Knowledge Management ACROSS THE ENTIRE SUPPLY CHAIN

Reliable product quality

State of control

Sustainable product realization

Continual improvement 

Breakfast II: Knowledge Management - Q12 Update By: Ursula Busse, PhD

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2017 PDA Annual Meeting | April 3-5, 2017 | Anaheim Marriott | Anaheim, California

Effective QRM supports PAC

• Risk reduction – Identify changes that reduce risk of quality 

failures /manufacturing problems; improve process capability

• Change categorization– Distinguish changes of regulatory relevance 

from changes that can be managed solely in the PQS

• Effective change control– Assess risk level before and after PAC 

implementation to ensure no increase in risks to product quality or patient safety

Breakfast II: Knowledge Management – Q12 Update

2017 PDA Annual Meeting | April 3-5, 2017 | Anaheim Marriott | Anaheim, California

Opportunities for regulatory flexibility

ICH Q10, Annex 1

Manage PAC with reduced regulatory oversight

Effective PQS

Effective QRM

Effective KM

Effectiveness Checks (Industry)

Breakfast II: Knowledge Management – Q12 Update

• PAC verification– Monitor deviations, process trends, analytical trends – Trend stability, deviations, OOS, technical / medical 

complaints, inspection/audit outcomes

• PQS effectiveness KPIs• Internal audits• Management review

Effectiveness Checks (Regulator)• Inspections 

– Verify that processes are in place and followed

Breakfast II: Knowledge Management - Q12 Update By: Ursula Busse, PhD

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2017 PDA Annual Meeting | April 3-5, 2017 | Anaheim Marriott | Anaheim, California

Established reporting channels result in fragmented access to company knowledge

• Knowledge shared with regulators is mostly explicit

• Assessors see part of it, inspectors other parts

Breakfast II: Knowledge Management – Q12 Update

Assessors

Inspectors

e.g.Submissions

APR/PQRSite Master 

FileQuality ManualSOPs

2017 PDA Annual Meeting | April 3-5, 2017 | Anaheim Marriott | Anaheim, California

Enhanced knowledge sharing between industry and regulators

Convert tacit knowledge into explicit knowledge, make it available

•Post‐Approval Change Management Protocols (PACMPs)

•Documented Lifecycle Management Strategy

Leverage opportunities for tacit knowledge exchange

• Meetings between MAH and Assessors

• During Inspections  

Documented Lifecycle Management Strategy• Facilitates communication between Company and Regulator; provides opportunity to discuss risks and plan proactively

• Elements of a product’s LCM strategy

Product Established Conditions and Control Strategy Summary

Planned changes and regulatory approaches

Summary of product lifecycle management in the PQS

• Managing Product Knowledge During the Commercial Lifecycle

• Control System Management

• Managing Post‐Approval Changes

Breakfast II: Knowledge Management – Q12 Update

Breakfast II: Knowledge Management - Q12 Update By: Ursula Busse, PhD

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2017 PDA Annual Meeting | April 3-5, 2017 | Anaheim Marriott | Anaheim, California

Knowledge sharing promotes better decision makingIndustry ‐ RegulatorsEnhanced communication above established reporting channels 

Inspector ‐ AssessorCommunication between inspectors and assessors

Breakfast II: Knowledge Management – Q12 Update

Between RegulatorsCommunication between regulators

PAC evaluation in its context Mutual reliance / recognitionPAC evaluation based on increased knowledge

Enhanced regulatory decision making

Access to tacit

knowledge

2017 PDA Annual Meeting | April 3-5, 2017 | Anaheim Marriott | Anaheim, California

Knowledge sharing reduces regulatory burden

Breakfast II: Knowledge Management – Q12 Update

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Breakfast II: Knowledge Management - Q12 Update By: Ursula Busse, PhD

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2017 PDA Annual Meeting | April 3-5, 2017 | Anaheim Marriott | Anaheim, California

Regulatory flexibility means less control..

• Trust is a key success factor for regulatory flexibility

• Trust needs to be earned

• Knowledge sharing (transparency) with regulators increases trust 

Breakfast II: Knowledge Management – Q12 Update

2017 PDA Annual Meeting | April 3-5, 2017 | Anaheim Marriott | Anaheim, California

Key take home messages

• Knowledge is needed to make the right decision

• Knowledge sharing enhances trust

• Trust promotes regulatory flexibility

Breakfast II: Knowledge Management – Q12 Update

Quality of knowledge depends on integrity of source data

Increased knowledge promotes better decision making

Breakfast II: Knowledge Management - Q12 Update By: Ursula Busse, PhD

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2017 PDA Annual Meeting | April 3-5, 2017 | Anaheim Marriott | Anaheim, California

Acknowledgement

PDA PAC iAM Core Team

• Anders Vinther, Sanofi Pasteur

• Emma Ramnarine, Roche/Genentech

• Marcello Colao, GSK Vaccines

• Julia Edwards, Biogen

• Kara Follman, Pfizer

• Karolyn Gale, Emergent BioSolutions

• Kassidy Good, Mylan Laboratories

• Barbara Jengtes, PhACT GmBH

• Maik Jornitz, G‐CON LLC

• Morten Munk, NNE Pharmplan

• Kevin O’Donnell, HPRA

• Melissa Seymour, Biogen

• Mihaela Simianu, Pharmatech Associates

• Lisa Skeens, Pfizer

• Denyse Baker, PDA

• Rich Levy, PDA

Breakfast II: Knowledge Management – Q12 Update

Breakfast II: Knowledge Management - Q12 Update By: Ursula Busse, PhD