Cross Contamination in a multi-products plant CTP approach S. Orlandini Cross Contamination in a Multi-Products Plant – CTP Approach Page 1 CONTENT OF THE PRESENTATION • Foreword • The Pharmaceutical lay-out • General Concepts • Constraints and compromises • Differential Pressures • HVAC • Recirculation or full fresh air • Examples • Summary S. Orlandini Cross Contamination in a Multi-Products Plant – CTP Approach Page 2 Foreword In the last Century, the GMP evolvement, had focused about innovative concepts: Risk Assessment & Management Process Analytical Technologies Continuous Improvement Quality By Design Product Process Plants & Production structures S. Orlandini Cross Contamination in a Multi-Products Plant – CTP Approach Page 3 Foreword Following the “Quality by design” concept, the pharmaceutical production Facility has to be designed and constructed to prevent the product contamination risk and the consequent, negative, impact on its quality CHAPTER 3 - PREMISES AND EQUIPMENT Principle Premises and equipment must be located, designed, constructed, adapted and maintained to suit the operations to be carried out. Their layout and design must aim to minimise the risk of errors and permit effective cleaning and maintenance in order to avoid cross-contamination, build up of dust or dirt and, in general, any adverse effect on the quality of products. S. Orlandini Cross Contamination in a Multi-Products Plant – CTP Approach Page 4 The Pharmaceutical lay-out The pharmaceutical department lay-out is a complex problem, that it’s affected by many factors and requirements: Manufacturing Process GMP & Rules Building shape Budget People management Construction timeline LAYOUT Ergonomics Environmental requirements S. Orlandini Flows Process Equipments Technological plants Cross Contamination in a Multi-Products Plant – CTP Approach Page 5 The Pharmaceutical lay-out Concepts to be applied: Linear and logical flows, avoiding crossing the path of the operating personnel and materials 3.7 Premises should preferably be laid out in such a way as to allow the production to take place in areas connected in a logical order corresponding to the sequence of the operations and to the requisite cleanliness levels. (EU GMP Part.1 Ch.3) The design of the lay-out of the production department should start from the study of flows (materials, personnel, products, mobile equipment, rejected and waste, etc..), which must be adapted and planned to the specific manufacturing process, to the expected equipment and to the need of products protection from contamination. Flows must be studied in order to avoid, as far as possible, intersections that may constitute a possibility of error or contamination. S. Orlandini Raw Materials Packaging Materials Finished Products Cross Contamination in a Multi-Products Plant – CTP Approach Page 6 The Pharmaceutical lay-out Concepts to be applied: Process operations in dedicated rooms 3.5 Steps should be taken in order to prevent the entry of unauthorised people. Production, storage and quality control areas should not be used as a right of way by personnel who do not work in them. 3.38 Equipment should be installed in such a way as to prevent any risk of error or of contamination.(EU GMP Part.1 Ch.3) 3.1.3 To ensure protection against cross contamination the following technical and organizational measures should be considered in OSD facility design: • Physical segregation and separation of manufacturing areas and production systems handling different products • …. (ISPE Baseline Vol.2 – OSD Forms) It is an essential condition for being able to work lots of different products in the same department. It is a system to mitigate the risk of oversight and error, allowing staff to focus all its attention on the work in progress in that room, in particular, it is important to avoid transit through the operating room. S. Orlandini Cross Contamination in a Multi-Products Plant – CTP Approach Page 7 The Pharmaceutical lay-out Concepts to be applied: In case of multi-product manufacturing departments, dedicated and confined rooms (with airlocks) for exposed product operation 3.14 In cases where dust is generated (e.g. during sampling, weighing, mixing and processing operations, packaging of dry products), specific provisions should be taken to avoid crosscontamination and facilitate cleaning.(EU GMP Part.1 Ch.3) 3.1.3 To ensure protection against cross contamination the following technical and organizational measures should be considered in OSD facility design: • Physical segregation and separation of manufacturing areas and production systems handling different products • …. • Personnel clothing and footwear change regimes (ISPE Baseline Vol.2 – OSD Forms) This concept allows to create a differential pressure to avoid the spread of products in the department, outside the room where is the specific processing. It is the most appropriate solution to work lots of different products in the same department minimizing the risk of cross-contamination. Allows you to easily maintain an adequate level of cleanliness in the operating environments. S. Orlandini Cross Contamination in a Multi-Products Plant – CTP Approach Page 8 The Pharmaceutical lay-out Differential Pressure 53. A filtered air supply should maintain a positive pressure and an air flow relative to surrounding areas of a lower grade under all operational conditions and should flush the area effectively. Adjacent rooms of different grades should have a pressure differential of 10 – 15 pascals (guidance values). (EU GMP Annex 1) 3.1.3 To ensure protection against cross contamination the following technical and organizational measures should be considered in OSD facility design: • ...... • HVAC systems, which protect against cross contamination through use of differential pressure regimes to control air flow direction (ISPE Baseline Vol.2 – OSD Forms) (ISPE Good Practice Guide - HVAC – Appendix 2) The insertion of airlock between rooms at a different degree of cleanliness (or protection) allows to mitigate the risks of product contamination, cross-contamination between different products or to create conditions of containment in the event of processing of dangerous products, through the creation of a suitable sequence of differential pressures. The adoption of the model sequence most appropriate to the specific situation (cascade, bubble, sink) depends from the goal you want to achieve (avoid product contamination, cross-contamination, build a containment situation). S. Orlandini Cross Contamination in a Multi-Products Plant – CTP Approach Page 9 Source: WHO QAS/15.639, draft (WHO TR 961, Annex 5) S. Orlandini Cross Contamination in a Multi-Products Plant – CTP Approach Page 10 The Pharmaceutical lay-out Concepts to be applied: Separation between dirty and clean materials and components 3.36 Manufacturing equipment should be designed so that it can be easily and thoroughly cleaned. It should be cleaned according to detailed and written procedures and stored only in a clean and dry condition. (EU GMP Part.1 Ch.3) 5.2.2 Key design criteria associated with the material flow and building arrangement include: • …. • Provision of logical flow of dirty and clean equipment and components and avoid common staging areas (ISPE Baseline Vol.2 – OSD Forms) Aseptic preparation 31. Components after washing should be handled in at least a grade D environment. (EU GMP Annex 1) The separation of clean and dirty equipment, achieved either in flows that in the spaces of temporary storage, reduces the risk of cross-contamination and errors. It allows to create the distinction between the staff dedicated to cleaning operations by the one that uses the clean equipment for process operations. S. Orlandini Cross Contamination in a Multi-Products Plant – CTP Approach Page 11 Recirculation System There should be no risk of contamination or cross-contamination (including by fumes and volatiles) due to recirculation of air. Depending on the airborne contaminants in the return-air system it may be acceptable to use recirculated air, provided that HEPA filters are installed in the supply air stream to remove contaminants and thus preventing cross-contamination. The HEPA filters for this application should have an EN1822 classification of H13. HEPA filters may not be required where the air-handling system is serving a single product facility and there is evidence that crosscontamination would not be possible. Recirculation of air from areas where pharmaceutical dust is not generated such as secondary packing, may not require HEPA filters in the system. WHO TRS 961 Annex 5 S. Orlandini Cross Contamination in a Multi-Products Plant – CTP Approach Page 12 Recirculation System S. Orlandini Cross Contamination in a Multi-Products Plant – CTP Approach Page 13 Recirculation System Air containing dust from highly toxic processes should never be recirculated to the HVAC system. S. Orlandini Cross Contamination in a Multi-Products Plant – CTP Approach Page 14 Full Fresh Air Systems S. Orlandini Cross Contamination in a Multi-Products Plant – CTP Approach Page 15 Full Fresh Air Systems S. Orlandini Cross Contamination in a Multi-Products Plant – CTP Approach Page 16 Full Fresh Air Systems Energy-recovery wheels should normally not be used in multiproduct facilities. When such wheels are used they should not become a source of possible contamination (see Fig. 25). Note: Alternatives to the energy-recovery wheels, such as crossover plate heat exchangers and watercoil heat exchangers, may be used in multiproduct facilities. The potential for air leakage between the supply air and exhaust air as it passes through the wheel should be prevented. The relative pressures between supply and exhaust air systems should be such that the exhaust air system operates at a lower pressure than the supply system. WHO TRS 961 Annex 5 S. Orlandini Cross Contamination in a Multi-Products Plant – CTP Approach Page 17 Heat Recovery Measures S. Orlandini Cross Contamination in a Multi-Products Plant – CTP Approach Page 18 Full Fresh Air Systems ΔP ΔP S. Orlandini Cross Contamination in a Multi-Products Plant – CTP Approach Page 19 Heat Recovery Measures S. Orlandini Cross Contamination in a Multi-Products Plant – CTP Approach Page 20 Heat Recovery Measures S. Orlandini Cross Contamination in a Multi-Products Plant – CTP Approach Page 21 Heat Recovery Measures S. Orlandini Cross Contamination in a Multi-Products Plant – CTP Approach Page 22 Heat Recovery Measures S. Orlandini Cross Contamination in a Multi-Products Plant – CTP Approach Page 23 Examples Forewords As already mentioned, the layout must first be adapted to the production processes: the next slides show some examples, taken from projects carried out or in progress, in which we believe the current GMP requirements have been correctly applied (paying attention to a future development, that is nearly always to be expected in a restrictive sense of the standard), the adopted engineering and technology solutions corresponding to the current state of the art. S. Orlandini Cross Contamination in a Multi-Products Plant – CTP Approach Page 24 Examples Multipurpose Oral Solid Dosage forms department In this case, the most important criticality, for the GMP, is constituted by the cross contamination between different products and by a product contamination from external factors: the solutions adopted to mitigate the risk mainly concern: Flows linearity, Powder containment and suction, Cleaning easiness, The containment, with airlocks and appropriate differential pressure, in the room where product exposure, The paths separation of clean and dirty materials and equipment, The physical separation of the primary and secondary packaging, The possible mix-up prevention. S. Orlandini Cross Contamination in a Multi-Products Plant – CTP Approach Page 25 Examples Multipurpose Oral Solid Dosage forms department Another primary facility and equipment risk for product contamination is product crosscontamination…. OSD facilities are susceptible to this type of contamination as most facilities handle multiple products during manufacture in the form of dry granules or powder. Handling and processing may generate airborne dusts, which can escape from their designated area of manufacture. To ensure protection against cross contamination the following technical and organizational measures should be considered in OSD facility design: • Physical segregation and separation of manufacturing areas and production systems handling different products • Effective process containment, including equipment wash-in-place and clean-in-place, where practicable • HVAC systems, which protect against cross contamination through use of differential pressure regimes to control air flow direction • Efficient dust capture, collection, and extraction systems, where required • Personnel clothing and footwear change regimes (ISPE Baseline Vol.2 – OSD Forms) S. Orlandini Cross Contamination in a Multi-Products Plant – CTP Approach Page 26 Summary The speech outlines the current requirements related to the protection of the product against the cross-contamination and the lines of design development followed by CTP to prevent - effectively and efficiently the risks. Usually we can say that, for this type of process, we sometimes note a tendency – unjustified in our view – towards an interpretation of the GMP more excessive than the expressed requirements: these "OVERDESIGN" situations often evolving in lay-out solutions that cause unnecessary procedural complications (leading to an increased risk), induce diseconomies caused by an unjustified number of controls, excessive pressure differentials (stress on the architectural finishes of the premises). S. Orlandini Cross Contamination in a Multi-Products Plant – CTP Approach Page 27 References Eudralex Vol. 4 – Good manufacturing practices – European commission (EU GMP) WHO TRS 961 Annex 5 ICH Q9 – Quality Risk Management ISPE Good practice Guide – Good Engineering Practice ISPE Good Practice Guide - HVAC ISPE Baseline Guide – Vol. 2 – OSD Forms ISPE Baseline Guide – Vol. 5 – Commissioning and Qualification S. Orlandini Cross Contamination in a Multi-Products Plant – CTP Approach Page 28 Thank you for your kind attention S. Orlandini Cross Contamination in a Multi-Products Plant – CTP Approach Page 29
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