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Frequently Asked Questions on the Prequalification of Medicines for ...

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<str<strong>on</strong>g>Frequently</str<strong>on</strong>g> <str<strong>on</strong>g>Asked</str<strong>on</strong>g> <str<strong>on</strong>g>Questi<strong>on</strong>s</str<strong>on</strong>g> <strong>on</strong> <strong>the</strong> prequalificati<strong>on</strong> <strong>of</strong> medicines <strong>for</strong> reproductive health<br />

to process validati<strong>on</strong> should be<br />

treated as part <strong>of</strong> periodic product<br />

review. Hence, you must not <strong>on</strong>ly<br />

supply your recent validati<strong>on</strong>/<br />

qualificati<strong>on</strong> results and data<br />

from all batches but ensure that<br />

it meets <strong>the</strong> recommendati<strong>on</strong>s<br />

made in WHO TRS 937 (annex 4,<br />

part 5.1.2) 10<br />

To submit a product quality review<br />

in lieu <strong>of</strong> <strong>the</strong> process validati<strong>on</strong>,<br />

<strong>the</strong> product must meet <strong>the</strong> criteria<br />

<strong>of</strong> an established multisource<br />

product, i.e. a product that has<br />

been marketed <strong>for</strong> at least 5<br />

years, and ei<strong>the</strong>r 10 batches were<br />

produced in <strong>the</strong> past year, or 25<br />

batches were produced in <strong>the</strong> past<br />

3 years. See <strong>the</strong> recent Prequalificati<strong>on</strong><br />

Update 11 .<br />

We are manufacturing a broad range <strong>of</strong><br />

pharmaceutical products in our facility, does our<br />

horm<strong>on</strong>al c<strong>on</strong>traceptive producti<strong>on</strong> line need to be<br />

in a separate building?<br />

WHO has recently revised its GMP<br />

<strong>for</strong> pharmaceutical products c<strong>on</strong>taining<br />

hazardous substances 5 . The<br />

highly potent steroids c<strong>on</strong>tained in<br />

horm<strong>on</strong>al c<strong>on</strong>traceptives must be<br />

treated according to <strong>the</strong>se requirements,<br />

which state that:<br />

“The producti<strong>on</strong> <strong>of</strong> certain<br />

products c<strong>on</strong>taining hazardous<br />

substances should generally be<br />

c<strong>on</strong>ducted in separate, dedicated,<br />

self-c<strong>on</strong>tained facilities.<br />

These self-c<strong>on</strong>tained facilities may<br />

be in <strong>the</strong> same building as ano<strong>the</strong>r<br />

facility but should be separated<br />

by a physical barrier and have,<br />

e.g. separate entrances, staff facilities<br />

and air-handling systems.<br />

The extent <strong>of</strong> <strong>the</strong> separati<strong>on</strong> from<br />

adjacent facilities and sharing <strong>of</strong><br />

comm<strong>on</strong> services should be determined<br />

by risk assessment.”<br />

While this states that, subject to<br />

meeting <strong>the</strong> necessary requirements,<br />

<strong>the</strong> self-c<strong>on</strong>tained facilities<br />

can be in <strong>the</strong> same building that is<br />

manufacturing o<strong>the</strong>r pharmaceutical<br />

products, you should be aware<br />

that certain nati<strong>on</strong>al drug regulatory<br />

agencies, including ANVISA<br />

in Brazil, do require that horm<strong>on</strong>al<br />

products are manufactured in a<br />

completely separate building.<br />

10 Pharmaceutical Preparati<strong>on</strong>s, 40th report, Technical Report Series 937, 2006. Annex 4.<br />

10<br />

11 http://apps.who.int/prequal/info_general/documents/generic_guide/GenericGuideline_Quality.pdf

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