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    Quality Assurance

    Revika Rachmaniar

    260120130007

    Program Pascasarjana

    Magister Teknologi Farmasi dan Kosmetika

    Fakultas Farmasi

    Universitas Padjadjaran

    Bandung2013 1

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    DEFINITIONS

    QUALITY

    The totality of features and characteristics of a

    medicinal product and its ability to satisfy

    stated and/or implied needs QUALITY ASSURANCE

    The sum totalof the organized

    arrangements made with the object of

    ensuring that medicinal products are of thequality requiredfor their intended use.

    3

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    DEFINITIONS

    GOOD MANUFACTURING PRACTICE

    (GMP)

    That part of QAwhich ensures that products

    are consistently producedand controlled tothe quality standardsappropriateto their

    intended use.

    QUALITY CONTROL

    That part of GMPwhich is concerned withsampling, specificationsand testing.

    4

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    Quality relationships

    5

    QA

    GMP

    QC

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    Quality relationships

    Quality Management

    Quality Assurance

    GMP

    Quality Control

    6

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    FACTORS IN DRUG QUALITY ASSURANCE

    7

    DRUG

    PRODUCT

    QUALITY

    LABELLING &

    PRODUCT

    INFROMATION

    IMPORT

    & EXPORT

    CONTROL

    RAW

    MATERIALS-

    ACTIVE &

    INACTIVE

    MANUFACURING

    PROCESSES

    & PROCEDURESSTORAGE

    TRANSPORT

    DISTRIBUTION

    DISPENSING

    & USE

    QC &

    ANALYSIS

    HUMAN

    RESOURCES-

    PROFESSIONALS

    LEGISLATIVE

    FRAMEWORK

    -REGULATIONS PACKAGING

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    Quality AssurancePrimary Functions

    Quality Control Analytical testing of products

    Active and Non active material control Sampling, inspecting and testing of incoming raw materials

    Packaging and labeling components Bottles, caps, foils, labels, measures, cartons

    Physical inspection of product and operations atcritical intermediate stages

    In-process controls, HHACCP

    Control of product through its distribution GSP, GDP ETC

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    Quality Must Be Designed Into A

    Product Quality is not an add-on: it begins with

    research and development

    Product quality criteria must be established Detailed specifications provide quantitative

    parameters for measurement

    Written procedures document how quality is

    attained and maintained Continuous monitoring (sampling, testing) to

    confirm quality is being built-into product

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    Quality Assurance: Essential At

    All Stages

    Quality Assurance Cycle

    Research

    Development

    Raw Materials

    Facilities

    Documentation

    Equipment

    Personnel

    10

    f Q

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    Elements of the Quality Assurance

    Cycle in Pharmaceutical

    Manufacturing Research

    Development

    Prototyping Documentation

    Raw Materials

    Facilities

    Equipment

    Personnel and Supervision

    Monitoring, Feedback, Follow-up

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    Analytical Control Laboratory

    Academically trained and certified staff

    Experienced supervision/management

    Capable of performing complex analyses

    Able to report honestly and in a timely manner

    Equipment and instrumentation must be suitable forperforming testing

    Access to reliable power, water and other stable

    infrastructure

    12

    Heart of Quality Management inPharmaceuticals

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    Quality Control & Analysis

    Qualification Design, Installation, Process and Operational

    Calibration Daily and periodic

    Validation Equipment, Method and process

    SOPs Authorized, used and updated

    Documentation Systematic and well kept

    Quality Manual Quality manager, staff trained and motivated to comply.

    Safety measures

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    Quality Assurance Throughout

    the Manufacturing Process

    Monitoring environmental conditions underwhich products are manufactured/stored

    Monitoring of air and water systems to preventcontaminationAir Handling Units

    Monitoring of humidity

    Monitoring of personnel

    Feedback and follow-up

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    Manufacturing Process and Procedures

    Dispensing / Weighing

    Mixing / Granulation / Preparation

    Compression / Encapsulation / Filling

    Equipment, Operational & ProcessQualification

    Validation & calibration

    Documentation and record keeping Yield Reconciliation

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    A Guiding Philosophy for Quality Assurance in

    the Pharmaceutical Industry

    Poor Quality Medicines:

    Are a health hazard

    Waste money for governments and consumers

    May contain toxic substances that have unpredictable,

    unintended consequences

    Will not have a desired therapeutic effect

    Does not save anyone any money in the long term

    Hurt everyonepatients, health care workers, policy

    makers, regulators, manufacturers16

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    CONSEQUENCES OF QA BREACHES

    Poor Treatment outcomes

    High Health Bills

    Treatment Failures & Deaths

    Loss of Confidence in the HealthServices

    Enormous Economic Losses National Security Issue

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    What is GMP? (WHO)

    Comprehensive system for ensuring

    products are consistently produced and

    controlled according to quality standards

    Designed to minimize risks involved in any

    pharmaceutical production that cannot be

    eliminated through testing of final product

    alone Cross-contamination

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    Major Risks in Pharmaceutical

    Production

    Contamination of products (microbial,

    particulate or other) Incorrect labels on containers

    Insufficient active ingredient

    Excess active ingredient Poor quality raw materials

    Poor formulation practices

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    The Breadth of GMP

    Covers all aspects of production including Raw or starting materials

    Finished products

    Premises and environment

    Equipment

    personnel

    Training

    Hygiene

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    GMP Principles

    Must be built into manufacturing process

    Prevents errors that cannot be eliminatedthrough quality control of finished product

    Ensures all units of a medicine are of the same(within specified parameters) quality

    Poor medicines leads to loss of credibility for

    everyone: manufacturers, health care workersand governments

    WHO Guidelines for GMP

    21

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    WHO Technical Guide to GMP

    First prepared in 1967

    Updated and revised regularly

    Quality Management in the Drug Industryoutlines general concepts and principlecomponents of GMP

    Good practices in production and quality

    controldescribes implementation

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    WHO Technical Guide to GMP

    General Consideration

    Licensed pharmaceutical products should be

    manufactured only by licensed manufacturers

    whose activities are regularly inspected by

    competent national authorities

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    WHO Technical Guide to GMP

    Key Concepts

    Validation

    Action of proving (in accordance with

    principles of GMP) that any procedure,

    process, equipment, material, activity, or

    system actually leads to expected results

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    WHO Technical Guide to GMP

    Key Concepts

    Qualification

    Action of proving that any premises,system, and items of equipment work

    correctly and actually lead to expected

    results

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    Associated Concepts

    Good Laboratory Practice (GLP)

    Good Clinical Practice (GCP)

    Clear language use

    Effective record keeping Design, installation, operational and

    process qualification (DQ, IQ, OQ and PQ)

    Self-inspection and self-regulation

    Good Distribution Practice (GDP)

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    Key Elements of GMP

    (WHO Technical Guide)

    Sanitation and hygiene

    Qualification and validation

    Complaints

    Product recalls

    Contract Production and Analysis

    Self-Inspection and Quality Audits

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    Key Elements of GMP

    (WHO Technical Guide)

    Personnel

    (Training, Hygiene)

    Documentation Premises(Equipment)

    Materials(Supplies, Ingredients)

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    Quality Assurance Before Start-

    Up Environmental and microbiologic control

    and sanitation

    To assure that finished dosage forms meet highstandards of quality and purity, an effective

    sanitation program is required at all facilitieswhere such products are manufactured.

    A successful extermination program must beenforced within and outside the plant to control

    insects and rodents.

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    Personal cleanliness and proper hair

    covering and clothing should be required.

    Floors, walls, and ceilings should be

    resistant to external forces, capable ofbeing easily cleaned, and in good repair.

    Adequate ventilation, proper temperature,

    and proper humidity are other important

    factors.

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    The water supply may be potable, distilled,or deionized, and must be under adequatepressure to keep the water flowing.

    Deionization units should be monitored,

    and the resins changed or regeneratedfrequently.

    to deliver water of consistently highchemical and microbial quality as per

    written compendia or in housespecifications.

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    Quality assurance should review and

    monitor the programs based on written

    procedures that specify the details of

    Sanitation, Cleaning, Ventilation andWater.

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    Only released raw materials with proper

    reassay date should be allowed to enter theproduction department.

    Raw material intended for used in specific

    products should be stored together in an

    area with proper identification (name, dosage

    form, item number, lot number, weight, and

    signatures).

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    Manufacturing Equipment

    Quality assurance personnel must ensure that

    manufacturing equipment is designed, located,

    and maintained so that it facilitates thorough

    cleaning, is suitable for its intended use, and

    minimizes potential for contamination duringmanufacture.

    Manufacturing equipment should be thoroughly

    cleansed and maintained in accordance with

    specific written directions.

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    Prior to the start of any production operation,

    the quality assurance personnel should

    ascertain that the proper equipment andtooling for each manufacturing stage are

    being used.

    Equipment must be identified by labelsbearing the name, dosage form, item

    number, and lot number of the product to be

    processed.

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    Weighing and measuring equipment used in

    production and quality assurance processes,such as thermometer and balances, should

    be calibrated and checked at suitable

    intervals by appropriate methods. Records of such tests should be maintained

    by quality assurance and production

    personnel.

    Q lit A At

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    Quality Assurance At

    Start-UpRaw Material processing

    Only release, properly labeled raw materials areallowed in the in-processing area.

    Depending on the nature of the product, quality

    assurance personnel should check and verify thatthe temperature and humidity in there are withinthe specified limits required for the product.

    If the temperature and/or humidity is beyond thespecified limits, production must be informed andcorrective actions taken.

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    The specified in-process procedure is to be

    checked, at each step in the process,according to written in-process qualityassurance procedures.

    Quality assurance personnel should verify

    and document the proper equipment

    addition of ingredient

    mixing time

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    drying time

    filtering

    and mesh size of sieves used in screening.

    At certain points, samples are to be taken to

    the quality control laboratory for assay and

    any other testing that is necessary to ensurebatch uniformity and purity.

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    Containers of in-process raw materials are

    labeled with

    product name

    item number

    lot number

    and gross, tare, and net weights f the

    contents.

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    Compounding

    Quality assurance personnel are responsiblefor ascertaining that all container of raw

    materials are properly labeled and staged in

    the compounding staging area, that they are

    clean, and the manufacturing equipment isproperly identified as to product, strength,

    item number, and lot number.

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    The production process begins with the set-upof the manufacturing equipment to prepare thefinished dosage form within the specified limitsfor the particular product.

    At each significant step in the procedure,

    quality assurance personnel verify that theprocess is being performed in accordance withthe written directions and is conforming torequired standards.

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    A variable group of tests that are widely used

    for in-process controls measurecharacteristic including physical appearance,color, odor, thickness, diameter, friability,hardness, weight variation, disintegration

    time, volume check, viscosity and pH. Such in-process tests are designed to

    ensure control of problems that can ariseduring finished dosage form manufacturing.

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    Packaging Material Control

    Packaging materials should not interactphysically or chemically with the finished

    product to alter the strength, quality, or purity,

    beyond specified requirement.

    The compendium provides specifications and

    test procedures for light resistance, well-

    closed, tightly closed, and different types of

    glass containers.

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    Good Manufacturing Practices require that

    stability data be submitted for the finished

    dosage form of the drug in the container

    closure system in which it is to be marketed.

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    Labels Control

    Production control issue s packaging form that

    carries the name of the product, item number,

    lot number, number of labels, inserts, and

    packaging materials to be used, operations to

    be performed, and the quantity to be packed. A copy of this form is sent to the supervisor of

    label control, who in turn counts out the required

    number of labels.

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    If the lot number and expiration date of the

    product are not going to be printed directlyon the line, the labels are run through a

    printing machine, which imprints the lot

    number and expiration date.

    The labels are recounted and placed in a

    separate container with proper identification

    for future transfer to the packaging

    department.

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    Quality assurance personnel inspects andverifies all packaging components and

    equipment to be used of the packagingoperation to ensure that

    it has the proper identification

    that the line has been thoroughly cleaned

    that all material from the previous packagingoperation have been completely removed.

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    FINISHED PRODUCT CONTROL

    Final testing of finished product is made inthe quality control laboratories.

    These tests are designed to determinecompliance with specifications.

    Thus, the testing of the finished product forcompliance with predetermined standardsprior to release of the product for packagingand subsequent distribution is a critical factorfor quality assurance.

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    This testing, along with in-process testing,assures that

    each unit contains the amount of drugclaimed on the label,

    all of the drug in each unit is available forcomplete absorption,

    the drug is stable in the formulation in itsspecific final container closure system for itsexpected shelf-life

    the dosage units themselves contain no toxicforeign substances.

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    Auditing

    Good Manufacturing Practice requires thatthe manufacturing process be adequatelydocumented throughout all stages of theoperation.

    The history of each task, including thestarting materials, equipment used,personnel involved in production and controluntil completed packaging is complete,

    should be recorded.

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    Before releasing the product for distribution,quality assuranceshould evaluate the batch

    records of all in-process tests and controls

    and of all tests of the final product to

    determine whether they conform tospecifications.