彼得贝克再出手,复星医药子公司遭FDA警告!

发表于 讨论求助 2023-05-10 14:56:27



MediCafe一句话点评:自从FDA“杀手级”检察官彼得贝克来到中国后,中国药企才意识到:重复检测、删除不合格数据不能再继续“惯例”下去了。数据完整性问题事实上是非常严肃的数据真实性问题。



来源:FDA、蒲公英、风云舍


复星医药日前发布公告称,控股子公司重庆医工院近日收到美国食品药品监督管理局(以下简称“FDA”)针对2016年5月16日至19日对重庆医工院南岸区涂山路工厂QC实验室原料药检查中所发现的实验室数据规范性不足出具的警告信。


复星医药表示,对于警告信中针对涂山路工厂QC实验室存在不足所提出的整改要求,重庆医工院将在FDA规定时间内递交回复报告,具体说明所采取的各项整改措施和完成计划,从质量文化建设、硬件设施建设、内部人员培训等方面认真推进有效整改,并积极与FDA沟通,争取尽快解除警示。


复星医药介绍,截至公告日,因警告信而暂时不能进入美国市场的重庆医工院南岸区涂山路工厂生产的3个原料药(包括蔗糖铁、培美及阿比特龙)在美国尚处于注册阶段、未实现商业化销售。


2015年,上述3个原料药的销售收入折合人民币共计约3875万元,占2015年集团营业收入的约0.31%;2016年1月份至9月份,上述3个原料药的销售收入折合人民币共计约2346万元,占本集团2016年前三季度营业收入的约0.22%。预计警告信对集团2016年及2017年业绩不会产生重大影响。


警告信编号 :  320-17-24

检查公司 :  重庆医药工业研究院有限公司

检查时间:  2016年5月16日至19日



缺陷项


未能有效维护所有从用以确保符合既定规格标准的实验室检验所获得的数据的完整性;


我们的检查员审核了多台用于HPLC和GC的单机版实验室设备的审计追踪。我们的检查员发现你们从该单机版电脑上删除了全部色谱序列和个别进样。  


例如,你们的系统适应性的书面规程只要求进6针。但是你们的记录显示在2016年5日,你们在进行XX批次系统适应性时,进了7针标准品。审计追踪显示最后一针标准品被从该仪器的电脑上删除了。你们的分析员告诉检查员比要求的多进几针然后删除不好的结果以确保通过系统适应性是实验室惯例。 


你们在没有提供科学论证的情况下重复分析直到得到可接受的结果。你们未能调查前面的OOS或者其他不好的结果,并且你们只在日志和配置笔记本里记录了合格的结果。你们依赖这些重复测试的结果和不完整的记录来支持批产品放行决定。


警告信原文如下:

 

Via UPS    Warning Letter 320-17-24

Return Receipt Requested  

February 14, 2017 

Mr. Jie Deng

General Manager

Chongqing Pharma Research Institute Co., Ltd.

No. 565 Tushan Rd., Nanan District

Chongqing 400061

China


Dear Mr. Deng:

The U.S. Food and Drug Administration (FDA) inspected your drug manufacturing facility, Chongqing Pharma Research Institute Co., Ltd. at No. 565 Tushan Road, Nanan District, Chongqing, from May 16–19, 2016.

 

This warning letter summarizes significant deviations from current good manufacturing practice (CGMP) for active pharmaceutical ingredients (API).

 

Because your methods, facilities, or controls for manufacturing, processing, packing, or holding do not conform to CGMP, your API are adulterated within the meaning of section 501(a)(2)(B) of the Federal Food, Drug, and Cosmetic Act (FD&C Act), 21 U.S.C. 351(a)(2)(B).

 

We reviewed your June 7, 2016 response in detail and acknowledge receipt of your subsequent correspondence.

 

During our inspection, our investigators observed specific deviations including, but not limited to, the following.

 

Failure to maintain complete data derived from all laboratory tests conducted to ensure compliance with established specifications and standards.

 

Our investigators reviewed audit trails from various stand-alone pieces of laboratory equipment you used to perform high performance liquid chromatography (HPLC) and gas chromatography (GC) analyses. Our investigators found that you had deleted entire chromatographic sequences and individual injections from your stand-alone computers.

 

For example, your written system suitability procedure for (b)(4) requires only six injections. However, your records showed that on January 5, 2016, you injected seven system suitability standards when performing system suitability for batch #(b)(4). The audit trail showed that the final standard injection was permanently deleted from the instrument’s computer. Your analyst told our investigator that it is laboratory practice to perform more injections than are required by the procedure, and then delete any undesirable result to ensure passing system suitability results.

     

Without providing scientific justification, you repeated analyses until you obtained acceptable results. You failed to investigate original out-of-specification or otherwise undesirable test results, and you only documented passing test results in logbooks and preparation notebooks. You relied on these manipulated test results and incomplete records to support batch release decisions.

 

Data Integrity Remediation

 

Your quality system does not adequately ensure the accuracy and integrity of data to support the safety, effectiveness, and quality of the drugs you manufacture. We strongly recommend that you retain a qualified consultant to assist in your remediation.

 

In response to this letter, provide the following.

 

A.    A comprehensive investigation into the extent of the inaccuracies in data records and reporting. Your investigation should include:

  • A detailed investigation protocol and methodology; a summary of all laboratories, manufacturing operations, and systems to be covered by the assessment; and a justification for any part of your operation that you propose to exclude.

  • Interviews of current and former employees to identify the nature, scope, and root cause of data inaccuracies. We recommend that these interviews be conducted by a qualified third party.

  • An assessment of the extent of data integrity deficiencies at your facility. Identify omissions, alterations, deletions, record destruction, non-contemporaneous record completion, and other deficiencies. Describe all parts of your facility’s operations in which you discovered data integrity lapses.

  • A comprehensive retrospective evaluation of the nature of the testing data integrity deficiencies. We recommend that a qualified third party with specific expertise in the area where potential breaches were identified should evaluate all data integrity lapses. 

B.     A current risk assessment of the potential effects of the observed failures on the quality of your drugs. Your assessment should include analysesof the risks to patients caused by the release of drugs affected by a lapse of data integrity, and risks posed by ongoing operations.

 

C.     A management strategy for your firm that includes the details of your global corrective action and preventive action plan. Your strategy should include:

  • A detailed corrective action plan that describes how you intend to ensure the reliability and completeness of all of the data you generate, including analytical data, manufacturing records, and all data submitted to FDA.

  • A comprehensive description of the root causes of your data integrity lapses, including evidence that the scope and depth of the current action plan is commensurate with the findings of the investigation and risk assessment. Indicate whether individuals responsible for data integrity lapses remain able to influence CGMP-related or drug application data at your firm.

  • Interim measures describing the actions you have taken or will take to protect patients and to ensure the quality of your drugs, such as notifying your customers, recalling product, conducting additional testing, adding lots to your stability programs to assure stability, drug application actions, and enhanced complaint monitoring.

  • Long-term measures describing any remediation efforts and enhancements to procedures, processes, methods, controls, systems, management oversight, and human resources (e.g., training, staffing improvements) designed to ensure the integrity of your company’s data.

  • A status report for any of the above activities already underway or completed. 


Conclusion

 

Deviations cited in this letter are not intended as an all-inclusive list. You are responsible for investigating these deviations, for determining the causes, for preventing their recurrence, and for preventing other deviations.

 

Until you correct all deviations completely and we confirm your compliance with CGMP, FDA may withhold approval of any new applications or supplements listing your firm as a drug manufacturer.

 

Failure to correct these deviations may also result in FDA refusing admission of articles manufactured at Chongqing Pharma Research Institute Co., Ltd. at No. 565 Tushan Road, Nanan District, Chongqing into the United States under section 801(a)(3) of the FD&C Act, 21 U.S.C. 381(a)(3). Under the same authority, articles may be subject to refusal of admission, in that the methods and controls used in their manufacture do not appear to conform to CGMP within the meaning of section 501(a)(2)(B) of the FD&C Act, 21 U.S.C. 351(a)(2)(B).

 

After you receive this letter, respond to this office in writing within 15 working days. Specify what you have done since our inspection to correct your violations and to prevent their recurrence. If you cannot complete corrective actions within 15 working days, state your reasons for delay and your schedule for completion.

 

Send your electronic reply to CDER-OC-OMQ-Communications@fda.hhs.gov or mail your reply to:

 

      Joseph Lambert, Pharm.D.

      Compliance Officer

      U.S. Food and Drug Administration

      White Oak Building 51, Room 4359

      10903 New Hampshire Avenue

      Silver Spring, MD 20993

      USA


Please identify your response with FEI 3001204127.

Sincerely,

/S/ 

Thomas J. Cosgrove, J.D.

Director

Office of Manufacturing Quality

Office of Compliance

Center for Drug Evaluation and Research


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