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CLEANING
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CLEANING VALIDATIoN
Validation Case Study: Erroneous Negative Cleaning Validation Results | IVT ...................................................... 1
People in Cleanrooms: Understanding and Monitoring the Personnel Factor | IVT .............................................. 32
PAT: Using PAT to Support the Transition from Cleaning Process Validation to Continued Cleaning Process
Verification | IVT ............................................................................................................................................. 39
Translating Laboratory-Developed Visual Residue Limits to Process Area Applications | IVT .............................. 45
New Perspectives on Cleaning: Cleaning Validation of Multiproduct EquipmentAcceptance Limits for Inactivated
Product | IVT ................................................................................................................................................... 51
Biopharmaceutical Cleaning Validation: Acceptance Limits for Inactivated Product Based on Gelatin as a
Reference Impurity | IVT .................................................................................................................................. 60
Multiproduct Cleaning Validation: Acceptance Limits for the Carryover of Inactivated API Part IThe Comparable
Quality Approach ............................................................................................................................................. 67
Ensuring Sterility: Autoclaves, Wet Loads, and Sterility Failures | IVT ............................................................... 79
2015 Advanstar Communications Inc. All rights reserved.
Reproduction in whole or part is prohibited without prior written permission of the publisher.
CLVQ4005
Paul L. Pluta
ABSTRACT
This case study describes a cleaning validation event in which failing
results for API residue from a small molecule extended release tablet
dosage form were observed. The initial two lots in the cleaning valida-
tion were successful. The third lot failed acceptable residue limits.
Investigation of the failure comprised cleaning process development
and performance; residue sampling, sample handling, sample analy-
sis, and evaluation of the analytical method. Investigation of this
event initially involved interviews of relevant personnel and reviews
of associated documentation. Two areas were identified for further
evaluation residue sampling and the cleaning process. Regarding
sampling, a newly trained technician, working alone, sampled the first
two acceptable lots, while an experienced technician working with a
colleague sampled the third failing lot. Evaporation of sampling sol-
vent occurred causing residue to be insufficiently recovered from the
equipment surface resulting in erroneous false negative test results.
Regarding the cleaning process, manufacturing operators commented
that the new extended release formulation was more difficult to clean
than the original immediate release formulation although the same
cleaning procedure was utilized for both products. Evaluation of the
cleaning process indicated that the process parameters were not opti-
mal to clean the new extended release product. An improved cleaning
process with increased cleaning agent concentration, increased clean-
ing time, and higher temperatures was developed, implemented, and
ultimately validated.
sion -- an extended release formulation of a marketed 4. Residue samples. Was the integrity of residue
immediate-release tablet product. The new product samples adequately protected during transport
contained a polymeric matrix to enable prolonged to the lab? Could samples have become contam-
release and once-daily dosage to patients. inated causing the test failures? Were samples
The cleaning validation exercise was expected correctly and quickly transferred to the lab for
to be successful. Although the product contained a analysis? Were samples handled during trans-
highly potent active drug which required low residue port and storage according to procedures? Were
levels on cleaned equipment, the company had ex- samples exposed to high temperatures during
tensive experience with the cleaning procedure over transport and storage?
several years. The original immediate-release product 5. Analytical laboratory. Was the analysis correctly
cleaning was relatively easy and had a long success- performed? Which technician performed the
ful history of performance. Several previous cleaning analysis? Were laboratory technicians adequate-
validations had been successfully accomplished. The ly trained? Was analytical equipment qualified
analytical method for residual API from swab samples for use for the API analysis? Was system suit-
was easily performed and very reliable. ability below required limits?
Sampling of three lots of new product was planned 6. Analytical R&D. Were there any problems
for cleaning validation. The manufacturing process with the analytical method? Was the analytical
comprised several unit operations. Sampling of unit method correctly developed? Was the analytical
operations for cleaning validation was performed on method validated?
multiple days for each lot. The first lot was manu-
factured and cleaning completed on all equipment. INVESTIGATION
Equipment was visually clean. Swab sampling was Investigation of this compliance event initially in-
done by the sampling technician. Cleaning validation volved interviews of relevant personnel and reviews
analytical test data indicated no active drug present of associated documentation. Personnel related to the
in all swab samples all acceptable results. A second compliance event included manufacturing personnel,
lot was manufactured. Cleaning was completed. Swab QC personnel, cleaning sampling technicians, and
sampling was done. Cleaning validation analytical the technical personnel responsible for product for-
test data again indicated no levels of residual drug mulation and process, cleaning method development,
in all swab samples. A third lot was manufactured. technical support, and analytical testing. There were
Cleaning was completed. Swab sampling was done. many details and variables that needed to be inves-
Cleaning validation analytical test data indicated tigated and/or confirmed. Personnel from all groups
extremely high residue levels significantly above interacted to address the above issues.
the required acceptance criteria. Test results on the Documentation reviews included manufacturing
third lot indicated a significant failure of the cleaning documentation, cleaning documentation, equipment
process. inspection records, laboratory records, analytical
method development reports, validation reports, and
This event prompted multiple questions to be investi- other records. All applicable manufacturing SOPs
gated and answered. and analytical SOPs were reviewed.
1. Cleaning process performance. Did manufac-
turing personnel correctly perform the cleaning Cleaning Process Performance
process in the third (failing) lot? Which opera- Manufacturing personnel correctly performed the
tor cleaned the equipment? Were manufactur- cleaning process in all three lots. Cleaning procedure
ing personnel adequately trained in the cleaning documentation for all lots was reviewed and found to
procedure? What was past history with use of be perfectly executed. No deviations were issued. Dif-
this cleaning process? Were repeat cleanings ferent operators executed cleaning of multiple equip-
required in past cleaning? Were deviations ment in the validation lots. An experienced operator
required? executed cleaning in the third (failing) lot. Training
2. Cleaning process development. How were the records for all operators were reviewed and found to
cleaning process parameters developed? What be acceptable. Operators commented that the new
was the history of this method with the imme- extended release product was more difficult to clean
diate release product? We any changes made for than the original immediate release product. The
cleaning the extended release product? extended release polymer made removal of the prod-
3. Sampling. Did the sampling technician cor- uct residue more difficult that was typical with the
rectly sample the recommended equipment original immediate-release product. This observation
surfaces? Were sampling personnel adequately reflected operator experience with manual cleaning
trained? of small parts. Product was able to be removed from
equipment surfaces and yield visually-clean surfaces. performed cleaning as required by procedure. Equip-
No repeat cleanings were required. No deviations ment was cleaned by automated methods wherever
were issued. possible. All associated small parts were manually
cleaned was cleaned according to procedure. The
Cleaning Process Development manufacturing supervisor verified that procedures
The cleaning process for the immediate release were followed and that the equipment was visu-
product had been previously developed. An alkaline ally clean. Quality unit personnel who inspected
cleaning agent that was used on several other prod- the equipment also verified that all equipment and
ucts in the plant was used. Because the API in the small parts were visually clean. All inspections were
new extended release product was the same as in the conducted after the equipment was dry. Samples
immediate release product, no changes were made were transported to the lab quickly and according to
to the cleaning method. Technical personnel were procedure. Samples were also quickly stored in the
unaware of any difficulty in cleaning the extended laboratory upon receipt and under specified security
release product. conditions. Laboratory personnel confirmed accept-
able performance of analytical procedures. Analytical
Sampling standards over a range of concentrations tested along
Two different sampling technicians performed sam- with the actual cleaning validation samples yielded
pling in the three lots. A newly-trained technician accurate results. Analytical R&D scientists confirmed
sampled lots #1 and #2, both of which had accept- acceptable performance of the validated test method.
able low residue levels. The newly-trained techni- Two areas were identified for further investigation.
cian worked alone to accomplish sampling since These included:
no other sampling technicians were available. Lot
#3 was sampled by an experienced technician. The 1. Swab sampling. A newly trained technician,
experienced technician worded with a colleague who working alone, sampled the first two acceptable
helped sample the recommended equipment surfaces lots. All samples in these lots were acceptable.
and complete required documentation. Both sam- An experienced technician, working with a
pling personnel were adequately trained as evidenced colleague, sampled the third failing. Was some-
by training documentation. thing different about the third lot, or was the
failing data due to the difference in sampling
Residue samples personnel?
Residue samples were packaged in protective wrap- 2. Cleaning process. Manufacturing operators
ping for transfer to the lab. Samples were immediately commented that the new extended release for-
closed and not contaminated. Transport to the lab mulation was more difficult to clean than the
was rapid and without exposure to unusual environ- original immediate release formulation. The
mental conditions or excessive heat. same cleaning procedure was utilized for both
products.
Analytical laboratory
The laboratory analysis was correctly performed. Swab Samplingy
Experienced technicians performed the analysis. Swab sampling for the three lots was done by two
All technicians were adequately trained. Analytical different sampling technicians. The first two lots were
equipment was qualified for use for the API analysis. sampled by a newly-trained person. Data for these
Lab documentation indicated acceptable execution of lots indicated minimal or no residual soil acceptable
the analytical procedure. results. The third lot with failing data was sampled
by an experienced technician who worked with a
Analytical R&D colleague.
The same analytical method was used for the original The sampling method required wetting of the
irradiate-release product and for the new extended- swab with organic solvent to dissolve residue from
release product. Analytical R&D verified that the test the equipment surface. The new technician did all
method performed acceptably for the new product. sampling alone. The experienced technician per-
There were no problems with the analytical method. formed sampling with a colleague to accomplish the
The analytical method was validated. sampling procedure in minimum time. She explained
the necessity of the rapid sampling technique because
DISCUSSION evaporation of the sampling solvent must be mini-
Interviews and discussion of the above questions did mized. The new technician was not aware of the time
not clearly indicate an obvious cause for the prob- limitation in sampling. Although not conclusively
lem. Manufacturing personnel confirmed that they proven, it was suspected that evaporation of solvent
occurred causing residue to not be adequately recov- was not performed quickly, solvent evaporated and
ered from the equipment surface. The new technician surface residue was not able to be dissolved. Analyti-
worked slowly and carefully, and completed all neces- cal results on evaporated swab samples indicated
sary steps. However, the time required for perfor- extremely low or no levels of residue which errone-
mance, especially since she worked alone, may have ously passed cleaning validation acceptance criteria
caused residue recovery to be incomplete or minimal. a false negative due to solvent evaporation.
The analytical lab confirmed that if sufficient solvent Future training of swab sampling technicians
was not present on the swab, residue recovery would included new test procedures to require rapid
be unsuccessful. performance of sampling procedures. The previous
qualification test did not utilize a volatile solvent and
Cleaning Process did not require rapid performance. The new qualifi-
Technical personnel responsible for the cleaning cation test required technicians to demonstrate rapid
process had no previous experience with the clean- sampling in order to become a qualified sampling
ing method. The cleaning method for the original technician. Sampling teams (two technicians) were
product had been established many years ago and required when volatile solvents were used in sam-
never required new technical evaluation. Manufactur- pling. Technicians were required to quantitatively
ing management decided to use the well-established recover residue in training to be qualified for residue
cleaning method without involvement of technical sampling. Training was repeated on an annual basis.
personnel. Managements rationale was that since the SOPs describing cleaning sampling methods using
API in the original product had been reliably cleaned volatile solvents were strengthened to require rapid
for many years, there was no need to evaluate the sampling and working in teams. The combined em-
cleaning process for the new product. Technical per- phasis of new training and new procedures that both
sonnel had not been requested to evaluate the clean- underscored the risks and potential variation in resi-
ing process used in the failed cleaning validation. due sampling strongly addressed the issues described
In light of the cleaning failure, technical personnel in this case study.
recommended laboratory studies to evaluate available
cleaning agents, cleaning process parameters, and Modified Cleaning Process for Extended Release
related factors in a systematic way. Evaluation of the product
cleaning process indicated that the process param- Technical personnel evaluated the cleaning process
eters were insufficient to clean the new product. The and determined that process parameters were not op-
polymeric matrix in the new product (methylcellulose timal to reliably clean process residues. The cleaning
mixture) was much more difficult to clean than the agent concentration was increased, the temperature
original immediate release product. Technical per- was increased, and the cleaning time was increased
sonnel conducted studies to establish new cleaning in the new procedure. These parameters enhanced
process parameters suitable for the extended release the cleaning process to more effectively and more ef-
product. A new cleaning method with increased ficiently remove the polymeric residue.
cleaning agent concentration, increased cleaning
time, and higher temperatures was developed. CLEANING VALIDATION OF MODIFIED CLEANING
PROCESS
CORRECTIVE ACTION / PREVENTIVE ACTION (CAPA) The new cleaning process was implemented. Manu-
Two CAPA activities corrected the problems expe- facturing operators confirmed that new cleaning
rienced in the original cleaning validation. These process parameters significantly improved the clean-
involved new training of swab sampling personnel ing process. Three product lots were manufactured.
and a modified cleaning process for the extended Cleaning was performed on required equipment in
release product. three lots. Worst-case locations on equipment were
swab sampled by two-person teams of sampling per-
Swab Sampling Training sonnel. Two-person teams ensured minimal solvent
Personnel who perform cleaning residue sampling evaporation and rapid sampling procedures. All test
using swabs wetted with volatile solvents were taught results passed the acceptance criteria.
the importance of rapidly performing swab sampling.
Many of the swab sampling technicians did not have SUMMARY AND FINAL THOUGHTS
a technical background and did not understand A case study describing a compliance event in which
solvent volatility and the consequences for swab erroneous false negative analytical data was generated
sampling. Studies confirmed that the new techni- in cleaning validation. These data caused a mistaken
cian, who worked alone in the sampling activity, did conclusion that a cleaning process for a new modi-
not perform swab sampling quickly. When sampling fied release dosage form was acceptable. The cause
of the problem was not easily determined all test the procedures they perform. They must know
data were acceptable. Initial investigation of potential potential problems if procedures are not correctly
problem areas indicated that everything was done performed.
according to procedure nothing was done incor- New procedures. SOPs describing cleaning
rectly. It was ultimately determined that the sampling sampling methods using volatile solvents were
process for product residue was not sufficiently con- strengthened to require rapid sampling and
trolled, and that the equipment cleaning process was working in teams. Time constraints were added
not adequate for the modified release formulation. to all affected procedures. SOPs must be carefully
The sampling error, i.e., loss of solvent in sampling, written to identify potential risks and minimize
had a major effect on cleaning validation. The sam- variation.
pling technician did not understand the importance Sampling personnel training. Training of
of working quickly to minimize solvent loss. This cleaning validation sampling technicians is a
lack of understanding resulted in a false negative test critical activity. Training exercises must include
result and an erroneous conclusion that the cleaning a quantitative demonstration of acceptable
process was acceptable. Fortunately the error was cleaning by means of analytical testing. Training
discovered when a different technician correctly and exercises must also include worst-case sampling
rapidly sampled the equipment surfaces. The com- such as with volatile solvents, multiple sampling
bined emphasis of new training and new procedures equipment, and other potential variations used
that both emphasized the risks and potential varia- in sampling. Retaining of technicians at some
tion of sampling strongly addressed the sampling defined and reasonable frequency should be
issues described in this case study. Observations by considered.
manufacturing personnel caused the cleaning process Inactive ingredients effects on cleaning. Inac-
to be evaluated by technical personnel, and a new tive ingredients may have very significant effects
cleaning process with optimized process parameters on cleaning processes. Cleaning of residues
was developed. The new cleaning process was ulti- does not depend solely on the properties of the
mately validated. API. Formulation ingredients may significantly
affect the cleaning process. In this case study,
Lessons Learned an extended release polymer in the formulation
Several important lessons may be learned from this caused difficulty in the cleaning process. Inactive
case study. ingredients such as dyes and flavors may also
Sampling personnel understanding of sam- greatly influence cleaning, and may actually be
pling process and training. Sampling person- the most difficult ingredients to clean in a formu-
nel must have good technical understanding lation. All components in a formulation must be
of their work. They must know the reasons for considered when developing a cleaning process.
Experimental Parameters
for Small-scale Cleaning
Characterization Part I:
Dilution of Process Fluids
During Cleaning | IVT
Rizwan Sharnez, Ph.d., Angela to, Arun tholudur, Ph.d.
CLEANING VALIdAtIoN
Methodologies for estimating experimental parameters for small-scale cleaning
characterization studies are described in this series: dilution of process fluids (e.g.,
process soil, cleaning solution, or rinse water) during cleaning is discussed in this
paper; worst-case fluid velocity and soil load will be discussed in subsequent parts.
Dilution of the process fluid during cleaning was estimated to be on the order of
1016 for a typical cleaning cycle and 105 for intermediate cleaning steps. These
dilution factors are used to estimate the concentration of impurities in the final
rinse and to simulate worst-case cleaning conditions for cleanability and inactiva-
tion studies.
INtRodUCtIoN
Small-scale cleaning characterization (CLC) studies are used to identify suit-
able cleaning chemistries (1, 2), optimize cleaning parameters and processes
(3, 4), establish cleaning times for manufacturing equipment (5, 6), and
streamline validation requirements for multiproduct equipment (7, 8).
Experimental models for small-scale CLC have been described in the
literature (9-12). In these experiments, the kinetics of soil removal (mass
transfer) from a surface is measured under simulated cleaning conditions. A
critical step in the development of these models is to identify and scale down
the hardest-to-clean (worst-case) location in the equipment (13). Note that
it is not necessary to simulate the entire cleaning process; instead, it is only
necessary to simulate the location within the equipment that is the hardest
to clean. If the process soil can be adequately removed from the worst-case
location, it follows that it can also be adequately removed from the other
locations in the equipment. Further, with this approach, the cleaning times
obtained at small-scale would be indicative of those at full scale assuming
that there is adequate coverage at the surfaces that need to be cleaned.
The scalability of small-scale CLC data depends on the accuracy with
which the experimental parameters are estimated. Experimental parameters
for simulating the worst-case location fall into two categories (14):
Parameters that can be readily determined from process data such as:
o Material of construction and surface smoothness of coupons or parts
used to simulate large-scale equipment
o Post-soiling parameters such as hold time, temperature, and humidity
o Cleaning parameters such as rinse or wash time, temperature of rinse
solvent, and temperature and concentration of cleaning solution.
Parameters that typically need to be determined from first principles
such as:
o Dilution of the process fluid during cleaning
o Velocity of rinse solvent or cleaning solution at the worst-case process soil from the standpoint of drainage.
worst-case location Also, residual volumes obtained with curved surfaces
o Soil load at the worst-case location. (pipes) were significantly greater than that for flat sur-
faces (plates). Consequently, pipes were used to estimate
Residual Process Fluid the worst-case residual volumes.
The volume of residual process fluid (VR) can be esti-
mated from the surface area of the equipment that makes
contact with the process fluid (SA) and the residual
volume of the process fluid per unit surface area (R):
VR = SA R [Equation 1a]
process fluid (DC) is the product of the DS values for all DS,PR = VS,PR / VR = 125 L / 0.345 L = 362
of the subsequent cleaning steps to which the process DC,PR = DS,PR = 362
fluid is subjected:
Alkaline wash (AW):
[Equation 5] DS,AW = VS,AW / VR = 312 L / 0.345 L = 904
Where i denotes the ith step and n is the total number DC,AW = DS,PR x DS,AW = 362 x 904 = 3.27 x 105
of subsequent cleaning steps.
Note that the above equations do not account for any
change in the volume of the residual process fluid (VR)
due to drying. Thus, this approach is only applicable
when VR is negligible.
rate, the inactivation rate of the product is determined by SA Surface area of equipment that comes into contact
the concentration of cleaning agent and the concentra- with process fluid
tion of the product, both of which depend on cumulative SAD Surface area of bottom dish of vessel
dilution. SAP Surface area of vessel piping, filter housings, and
Note that the above dilutions are based on the residual other miscellaneous components
volumes for 56% glucose, a relatively viscous process SAW Surface area of vessel side wall that is wetted by
soil. This represents a worst-case condition from the the process fluid
standpoint of estimating the residual volume (VR). Since VR Residual volume of process fluid in equipment
cleaning is typically performed with relatively dilute VS Volume of cleaning solution
aqueous solutions, VR for most cleaning solutions would
be substantially smaller, and therefore the dilution of the REFERENCES
process fluids during cleaning would be commensurate- 1. R. Sharnez., et al, Industry Comes Clean at PDA Annual Meet-
ly higher. Thus, the step and cumulative dilution factors ing, PDA Letter XLVIII (7), 28-32, July/Aug 2012.
2. B. Hoist, Developing a Cleaning Process: Cleaning in Develop-
for most CIP systems are likely to be much higher than
ment, Journal of GXP Compliance 10 (3), 2006.
those estimated in this example. 3. R. Sharnez, Strategies for Developing a Robust Cleaning Process
Part I: Application of Quality by Design to Cleaning, American
Conclusion Pharmaceutical Review 13 (5), 77-80, 2010.
A methodology for estimating the residual volume and 4. R. Sharnez, Validating for the Long Haul, Journal of Validation
dilution of the process fluid during cleaning was de- Technology 14 (5), 2008.
5. R. Sharnez, and M. VanTrieste, Quality-by-Design for Cleaning
scribed. Depending on the viscosity of the process fluid
Validation, in Cleaning and Cleaning Validation 1, (2009) Davis
and the angle of repose, the residual volume of a process Healthcare International & PDA.
fluid (R) that remains on the equipment surface after 6. R. Sharnez and L. Klewer, Strategies for Developing a Robust
drainage was estimated to be between 4.3 and 26.5 mL/ Cleaning Process Part II: Demonstrating Cycle Effectiveness,
m2. These estimates are applicable only to systems with American Pharmaceutical Review - Digital Edition 15 (3), 2012.
negligible pooling of the process fluid. Systems without 7. R. Sharnez, Taking the Guesswork out of Validation, Journal of
Validation Technology 14 (3), 2008.
dead-legs and with surfaces sloped at an angle of at least
8. R. Sharnez, Master Soils for Cleaning Cycle Development and
5 generally meet this criterion. Validation: A Case Study, Cleaning and Cleaning Validation 2(2013)
Davis Healthcare & PDA.
Based on the worst-case R value of 26.5 mL/m2 and 9. A. Canhoto, A Novel Bench Scale Apparatus to Model and
typical rinse and wash volumes, the cumulative and step Develop Biopharmaceutical Cleaning Procedures, Journal of
dilution of the process fluid during cleaning were esti- Validation Technology 11 (4), 2004.
10. R. Sharnez et. al, In Situ Monitoring of Soil Dissolution Dynam-
mated to be on the order of 1016 and 105, respectively.
ics: A Rapid and Simple Method for Determining Worst-case Soils
The cumulative dilution factor is used to estimate the for Cleaning Validation, PDA Journal of Pharm. Sc. & Tech.; 58 (4),
concentration of an impurity in the final rinse. The step 203-214, 2004.
dilution factors are used to simulate worst-case cleaning 11. P. Pluta, Laboratory Studies in Cleaning Validation, Journal of
conditions for intermediate cleaning steps. Validation Technology 13 (4), 2007.
Methodologies for estimating fluid velocity and soil 12. R. Sharnez, Leveraging Small-Scale Models to Streamline Valida-
tion, Journal of Validation Technology 14 (4), 2008.
load for small-scale cleaning characterization studies will
13. R. Sharnez and L. Klewer, Parametric Release for Cleaning, Part
be described in subsequent parts of this series. I: Process Characterization, Journal of Validation Technology (14) 8,
30, 2009.
ARtICLE ACRoNYMS LIStING 14. R. Sharnez and M. Monk, Strategies for Enhancing the Perfor-
CLC Cleaning characterization mance of Cleaning Processes Part I: A Framework for Assessing
d Diameter of vessel Performance, Journal of Validation Technology 17 (1), 36-39, 2011.
15. Surface Area of Tank Heads, Mid-states Mechanical Services, Inc.,
DC Cumulative dilution of process fluid for multiple
available at: http://www.mid-statesmechanical.com/pdf/Tank%20
cleaning steps Heads%20Surface%20Area.pdf.
DS Step dilution of process fluid for an intermediate 16. R. Sharnez, et al, Methodology for Assessing Product Inacti-
cleaning step vation during Cleaning Part I: Experimental Approach and
DI Deionized Analytical Methods, Journal of Validation Technology 18 (4), 42-45,
h Height up to which the process fluid wets the side 2012.
17. R. Sharnez, J. Bussiere, D. Mytych, A. Spencer, A. To, and A.
wall
Tholudur, Acceptance Limits for Inactivated Product based on
R Residual process fluid per unit surface area Gelatin as a Reference Impurity, Journal of Validation Technology
RD R for vessel bottom dish 19 (1), 2013, available at: http://www.ivtnetwork.com/article/
RP R for miscellaneous parts of vessel biopharmaceutical-cleaning-validation-acceptance-limits-inacti-
ppq Parts per quintillion (one part per 1018) vated-product-based-gelatin-re.
Experimental Parameters
for Small-Scale Cleaning
Characterization. Part II:
Effect of Fluid Velocity on
the Kinetics of Cleaning | IVT
Rizwan Sharnez, Ph.d., Angela to, S. Ravi Annapragada, Phd
ABStRACt
Methodologies for estimating experimental parameters for small-scale clean-
ing characterization are described in this series: dilution of process fluids
during clean-in-place (CIP) operations was discussed in Part I (1); the effect of
fluid velocity on the kinetics of cleaning is described in this part; the effect of
humidity, hold time and soil load on cleanability will be discussed in Part III.
The kinetics of cleaning under worst-case conditions is modeled from first
principles. The model is based on diffusion-controlled mass transfer in a
laminar falling film, which typifies worst-case cleaning conditions for CIP
operations. The effect of flowrate per unit width (Q/W) and fluid velocity
(V) on mass transfer rate in film flow is characterized. An experimental ap-
proach for optimizing Q/W and V for identifying worst-case soils for clean-
ing validation is described. The model is also used to estimate fluid velocity,
film thickness and Reynolds Number for a range of values of Q/W and angle
of inclination ().
The results indicate that Q/W and V have a relatively weak effect on the
kinetics of cleaning. For instance, when these parameters are doubled, the
mass transfer rate increases only by a factor of 8% and 12%, respectively.
The results also indicate that for 5 < < 90 and Q/W < ~1 gpm/ft (~2
mL/s/cm), the flow would be laminar and the thickness of the film would
be < ~1 mm. Further, under these worst-case conditions, V would be < ~52
cm/sec, which is substantially less than the design criterion for minimum
fluid velocity in pipes and hoses viz. 150 cm/sec (5 ft/s).
INtRodUCtIoN
Small-scale cleaning characterization data can be used to streamline valida-
tion requirements for multiproduct equipment i.e. equipment that is used
to manufacture or clean more than one product. This is accomplished by
ranking process soils associated with a given cleaning circuit based on the
relative cleanability of the soils. The hardest-to-clean or worst-case soil for
the circuit is then used to validate that circuit. This approach obviates the
need to validate the cleaning of every soil associated with a circuit. It also
facilitates the introduction of a new product into an existing multiproduct
facility. If it can be shown that the process soils associated with the new
product are easier to clean than the corresponding soils of the previously
validated product, the new product can be introduced into the facility with-
out revalidating the cleaning procedures (2).
In addition to streamlining validation requirements for multiproduct
equipment (3, 4), small-scale cleaning characterization studies can also be
used to identify suitable cleaning chemistries (5, 6), optimize cleaning pa-
rameters and processes (7, 8) and estimate cleaning times at full scale (9, 10).
Experimental models for small-scale cleaning charac- These criteria are designed to ensure turbulent flow dur-
terization have been described in the literature (11-14). ing CIP; the 5 ft/s criterion for VMIN is also designed to
In these studies, the rate at which the process residue is ensure flooding in pipes and hoses.
removed from the surface i.e., the mass transfer rate For pipes and hoses, the 5 ft/s criterion for VMIN can
is measured under simulated cleaning conditions. A be readily met at all locations and is therefore relatively
critical step in the development of these models is to straightforward to simulate at small scale. For film flows,
identify and scale down the hardest-to-clean (worst-case) however, the flow rate per unit width at the worst-case
location in the equipment (15). The worst-case loca- location (Q/W)WCL such as the underside of an impel-
tion is typically an area with poor circulation, such as a ler blade or a magnetically coupled bottom-mounted
shadowed or occluded area. Note that it is not necessary impeller is likely to be substantially less than (Q/W)
to simulate the entire cleaning process at small scale; MIN. Design and operational variables that contribute to
instead, it is sufficient to simulate the worst-case location (Q/W)WCL being less than (Q/W)MIN are summarized in
within the equipment. If the process residue can be ad- Table 1.
equately removed from the worst-case location, it follows
that it can also be adequately removed from other loca-
tions in the equipment. Thus, with this approach, the
cleaning times obtained at small scale would be indica-
tive of those at full scale, provided that there is adequate
spray coverage at all surfaces that need to be cleaned,
and the worst-case location is appropriately identified table I: Design and operational variables that contribute to the flow rate
and simulated at small scale. per unit width at the worst-case location (Q/W)WCL being substantially less
The scalability of small-scale cleaning characteriza- than the recommended minimum operating value (Q/W)MIN. For vessels, the
recommended value for (Q/W)MIN is 2.5 gpm per foot of
tion data depends on the accuracy with which relevant vessel circumference.
experimental parameters are estimated. Experimental
parameters for simulating the worst-case location fall into Effect of Flowrate and Fluid Velocity on Kinetics and
two distinct categories (1): Cleaning
Parameters that can be readily determined from pro- The mass transfer rate from a stationary surface into a
cess data such as: laminar falling film of a Newtonian fluid was investi-
Parameters that can be readily determined from gated by Kramers and Kreyger for a flat rectangular layer
equipment and process data, such as: (17, 18) and by Blount for viscous drops (19, 20). Their
o Material of construction and surface characteristics results indicate that the mass or molar flux (NAX) of the
such as roughness and curvature of coupons or solute (A) into the fluid (X) is a function of the solubil-
parts used to simulate large-scale equipment; ity (SAX) and diffusivity (DAX) of the solute in the fluid;
o Post-soiling parameters such as hold time, and the density (), dynamic viscosity () and flowrate per
ambient temperature and humidity; and, unit width (Q/W) of the fluid; and the length (L) of the
o Cleaning parameters such as rinse or wash time, surface along the direction of the flow (Figure 1):
temperature of rinse solvent, and temperature and
concentration of cleaning solution. NAX = k SAX (DAX L)2/3 (Q/W)1/9 ()-2/9 Equation [1a]
Parameters that typically need to be determined from where is /, the kinematic viscosity; and k is a con-
first principles, such as: stant that includes the acceleration due to gravity (g), the
o Dilution of the process fluid during cleaning (i.e. angle of inclination (), and the width (W).
soil to rinse solvent or cleaning solution ratio).
o Velocity of rinse solvent or cleaning solution at the
worst-case location the subject of this paper.
o Soil load.
For a surface of given length, and a given fluid viscosity An experimental approach for optimizing flowrate
and angle of inclination, and fluid velocity for evaluating relative cleanability at
small scale is described in the next section.
NAX (SAX DAX2/3) (Q/W)1/9 Equation [1b]
Flow Rate and Fluid Velocity for Evaluating Relative
Further, for laminar falling films, Cleanability
Consider a system that is validated to manufacture and
Q/W V3/2 clean product A. A new product (B) needs to be manu-
factured and cleaned in the same equipment. A small-
where V is the average fluid velocity (21); thus, scale study is performed to evaluate the cleanability of
A relative to that of B. If A is harder to clean than B, the
NAX (SAX DAX2/3) V1/6 Equation [1c] new product could be introduced without revalidation.
The objective is to determine the optimum flowrate per
The flux (NAX) of the solute into the fluid is the rate at unit width (Q/W) and fluid velocity (V) for the small-
which the solute is removed from the surface. Thus, NAX scale study.
is effectively a measure of the kinetics of cleaning. Note For products A and B, Equation 1b can be written as
that the effect of Q/W and V on the mass transfer rate follows:
and therefore the kinetics of cleaning is relatively weak.
For example, when Q/W or V is doubled, the mass NAX (SAX DAX2/3) (Q/W)1/9 Equation [2a]
transfer rate increases only by a factor of 21/9 (8%), and
21/6 (12%), respectively. NBX (SBX DBX2/3) (Q/W)1/9 Equation [2b]
the liquid flows down the plate, it forms a film of thick- mm, if the film were stable (i.e. if it did not disintegrate
ness and develops a parabolic velocity profile, with the into unsteady drops). Further, under these conditions,
maximum velocity at the film surface. For this type of the average velocity of the fluid would be < ~52 cm/sec,
flow, the average fluid velocity (V) and film thickness () which is substantially less than the design criterion for
can be expressed as follows (21): VMIN in pipes and hoses viz. 150 cm/sec (5 ft/s).
Equation 3
Equation 4
Equation 5
ABSTRACT
For multiproduct cleaning validation, the conventional approach for setting
an acceptance limit for the process residue is based on the maximum allow-
able carryover (MAC) of the active pharmaceutical ingredient (API) (de-
pending on the process soil, API refers to the active pharmaceutical ingredi-
ent in the drug product, drug substance, or drug substance intermediate).
However, if the API becomes pharmacologically inactive during cleaning
the acceptance limit does not need to be based on active product. This is
an important consideration in biopharmaceutical manufacturing because
the cleaning conditions are generally aggressive enough to inactivate the
product.
The experimental approach and analytical methods for assessing
inactivation of the API during cleaning are described in Part I. A rational
approach for setting safety-based acceptance limits for inactivated product
and process residuals is described in Part II. The scope of this paper is
limited to biopharmaceutical cleaning processes; nonetheless, the under-
lying concepts may be useful in designing inactivation studies and setting
acceptance limits for other types of pharmaceutical cleaning processes.
INTRODUCTION
An important regulatory expectation for multiproduct cleaning validation is
to demonstrate that potential carryover of the previously manufactured API
(Product A) into the subsequently manufactured product (Product B) is be-
low an acceptable level. This criterion is often assessed through a maximum
allowable carryover (MAC) calculation for the previously manufactured API
(1-5). The MAC calculation is typically based either on the minimum thera-
peutic dose (1), or the acceptable daily exposure (ADE) (2) of the previously
manufactured API.
says (PSIA) such as ELISA and EIA have been used worst-case cleaning conditions at bench scale (10, 11).
to address this issue; the LOQ of most PSAs is on The results of the bench-scale studies can justifiably be
the order of 10 ppb. PSIAs detect activity indirectly extrapolated to the full-scale cleaning process. That is
by recognizing specific epitopes (short sequences of because under worst-case cleaning conditions of laminar
amino acids ) in the API; however, epitopes are known flow and low shear rate fragmentation and inactivation
to degrade during cleaning, and thus the results can be are independent of scale (i.e., they depend on cleaning
misleading (8, 9). parameters that are not a function of the of spatial coor-
Other limitations of the MAC approach are dis- dinates of the system, such as time, temperature, concen-
cussed in the literature (9). tration, and the ratio of cleaning solution to process soil).
The bench-scale experiments are typically per-
PRODUCT INACTIVATION APPROACH formed in a vial or dialysis cassette, and are designed
With the product inactivation approach, if the API is in- to simulate full-scale cleaning conditions that are least
activated during cleaning, the acceptance limits may be conducive (worst-case) for inactivation. For example,
set based on the inactivated product instead of the API. for a chemical wash, the lowest applicable concentra-
The product inactivation approach is therefore more re- tion of cleaning agent, temperature, duration, and ratio
flective of the phenomenological aspects of the cleaning of cleaning solution to residual process soil should be
process. Additionally, the acceptance limits based on in- considered in simulating the cleaning cycle at bench
activated product are very unlikely to be below the LOQ scale. Other operating parameters that can contribute
of TOC (refer to Part II). Thus, the product inactivation to product inactivation include dirty hold time (DHT)
approach alleviates the limitations of the MAC approach and associated drying conditions (humidity and air
described in the previous section. circulation rate), and shear rate due to impingement
The methodology described in Part I includes and turbulence.
experimental simulation of the cleaning processes at An operating parameter or step can be eliminated
small scale and analytical methods to evaluate inacti- from the experimental design if its elimination repre-
vation of the API during cleaning. A rational approach sents a worst-case scenario from the standpoint of in-
for setting safety-based acceptance limits is described activation. This approach can be leveraged to simplify
in Part II. the bench-scale studies. For instance, if it is reasonable
to assume that product inactivation increases with
PROPOSED METHODOLOGY shear rate, then it can be eliminated from the experi-
Inactivation of the product during cleaning has impor- mental design (i.e., the shear rate need not be simu-
tant implications for cleaning validation of multiproduct lated in the experiment). Similarly, the ratio of cleaning
equipment. If it can be demonstrated that the product solution to process soil can be reduced, and the acid
becomes pharmacologically inactive during cleaning, wash and rinse steps can be eliminated to minimize
there is limited value in verifying removal of the active dilution of the process soil, and facilitate detection of
ingredient. Instead, it is more appropriate to demonstrate the process residue in the sample. When making such
that the inactivated product has been removed below a changes, unexpected effects such as aggregation of the
predefined acceptance limit. This is consistent with the API can occur. It is therefore important to make sure
expectation that the carryover of an extrinsic impurity that the modifications do not result in experimental
into a subsequent batch should be justified from the artifacts.
standpoint of the safety and efficacy of the product. It If the cleaning cycles are being developed or modi-
also obviates the need to develop PSIAs for cleaning fied, the inactivation study should be designed to
validation. evaluate the effect of key operating parameters on the
Biopharmaceutical cleaning cycles are generally fragmentation and inactivation rate of the API. This in-
designed to expose product contact equipment to formation, together with data from cleanability studies
extremes of pH (<2 and >13) and temperature (60- (12, 13), can be used to identify cycle parameters that
80C) for several minutes. Under these conditions are effective in inactivating the API.
monoclonal antibodies, therapeutic proteins, and For existing cleaning cycles, the cleaning conditions
other biopharmaceuticals are known to degrade and for the inactivation study should be based on worst-
denature rapidly, and are therefore likely to become case operating parameters for all systems involved. For
pharmacologically inactive (6, 7). The product inac- instance, if different systems are cleaned with differ-
tivation approach should therefore be considered for ent cleaning solutions and at different temperatures,
biopharmaceutical cleaning validation. then the study should be performed with the mildest
cleaning solution, at the lowest cleaning agent concen-
GUIDANCE FOR DESIGNING INACTIVATION STUDIES tration, and the lowest temperature, if these conditions
Fragmentation and inactivation of an API during clean- are least conducive for inactivation. Further, for clean-
ing can be assessed by exposing the process soil to in-place (CIP) systems with multiple toggle paths, the
duration of cleaning should be based on the toggle (binding sites that are functionally intact), such as a
path with the shortest cleaning time. bioassay. These methods measure the relative amount
After exposing the process soil to worst-case clean- of biologically active product. Thus, they can be used
ing conditions, the samples are titrated to a neutral to evaluate the degree of inactivation of the API during
pH, and cooled to 4C to minimize further fragmen- cleaning.
tation and inactivation of the API. The samples are A non-specific method such as total organic carbon
then subjected to analytical testing as described in the (TOC) can be used to detect target impurities in clean-
next section. If the API is inactivated when exposed to ing validation samples. TOC has an LOQ of approxi-
worst-case cleaning conditions, then the acceptance mately 0.2 ppm, which is sufficient for most cleaning
limit for the inactivated product can be set based on applications. The use of a non-specific method allows
the approach described in Part II. for the detection of both intact API and inactivated
If the results indicate that the API is not inactivated product.
during cleaning, then the acceptance limits should be With the above methods, appropriate standards and
set based on the acceptable carryover of the API (1-2). untreated controls should be included to provide a
If the API is partially inactivated, then the acceptance basis for comparison, and to assess the impact of any
limits should be determined for the API, as well as for experimental artifacts and potential matrix effects.
the inactivated product, and the lower of the two limits For SDS-PAGE, appropriate MW markers should be
should be used. Alternatively, the cleaning parameters included to facilitate comparison of the fragments to
can be modified to ensure inactivation of the API. This the untreated controls.
can be facilitated by running additional studies to
characterize the effect of specific cleaning parameters CONCLUSION
on the API. An important consideration in multiproduct cleaning
validation is to demonstrate that the carryover of the
RECOMMENDED ANALYTICAL METHODS previously manufactured API into a batch of the subse-
Analytical methods commonly used to evaluate the effect quently manufactured product is below an acceptable
of cleaning parameters on the previously manufactured limit. This criterion is often met through a MAC assess-
API are described in this section. These methods are ment for the API; however, if the previously manufac-
used to evaluate fragmentation and inactivation of the tured API becomes pharmacologically inactive during
API at bench scale, and to detect target impurities (in this cleaning, the acceptance limit does not need to be based
case, the previously manufactured API and/or inactivated on active product. This is an important consideration in
product in the process residue) in cleaning validation biopharmaceutical manufacturing because the cleaning
samples. The analytical results are used to understand conditions are generally aggressive enough to inactivate
the impact of the cleaning conditions on the process soil, the product.
and to set rational safety-based acceptance limits for the Fragmentation and inactivation of an API during
target impurities (Part II). The detection methods are cleaning can be assessed by exposing the process
used to verify that the concentrations of target impurities soil to simulated cleaning conditions at bench scale
in cleaning validation samples are below their respective (10, 11). The bench scale experiments are typically
acceptance limits. designed to simulate full-scale cleaning conditions that
Sodium dodecyl sulphate polyacrylamide gel elec- are least conducive (worst case) for inactivation. The
trophoresis (SDS-PAGE) or capillary electrophoresis degree of inactivation is evaluated by subjecting the
(CE) are generally used to characterize fragmentation sample and untreated controls to the appropriate as-
of the API during cleaning. For SDS-PAGE, a 4 to 20 says, (e.g., SDS-PAGE and bioassay are used to evaluate
percent gradient corresponds to a molecular weight fragmentation and biological activity, respectively). The
range of 4 to 250 kDa, which is sufficient for most results of the study are used to set appropriate accep-
biological APIs. While CE provides greater sensitivity, tance limits for cleaning validation.
lower variability due to the absence of staining, and If the API is inactivated during cleaning, the accep-
high throughput capability as compared to SDS-PAGE, tance limits for the process residuals can be set based
both methods are adequate for demonstrating distinct, on the approach described in Part II.
size-based separation of fragmented protein. Size
exclusion high-pressure liquid chromatography (SE- ACKNOWLEDGEMENTS
HPLC) can also be utilized for size-based separation of We thank Arun Tholudur, Aine Hanley, and Sam Guhan
protein fragments; however, it can be difficult to obtain of Amgen; Rich Kemmer and Paul Whetstone of Bayer;
a distinct size-based separation across a wide range of James Crawford and Michael Maurer of GlaxoSmith-
fragment sizes. Kline; John Krayer of Janssen; Josh Getchell of Lonza;
Inactivation of the API can be evaluated by meth- David Barabani and Michael Parks of Pfizer; and Markus
ods that measure loss of biological activity or function Bluemel of Novartis for their help and support.
ABSTRACT
For multi-product biopharmaceutical facilities, setting the acceptable level of
process residues following equipment cleaning is an important regulatory,
business, product quality, and patient safety consideration. Conventional
approaches for setting an acceptance limit for process residues have been
based on the assumption that the active pharmaceutical ingredient (API)
(depending on the process soil, API refers to the active pharmaceutical in-
gredient in the drug product, drug substance, or drug substance intermedi-
ate) is chemically or functionally intact following the cleaning process. These
approaches include Maximum Allowable Carryover (MAC) Health Based
Exposure Limits and other dose or Permissible Daily Exposure (PDE)-
based limits. The concept for cleaning acceptance limits based on intact
product originated from the manufacturing of small molecule pharmaceu-
ticals (1). In contrast to pharmaceutical small molecules, biopharmaceutical
products are large molecules that are likely to degrade and become inactive
when exposed to cleaning conditions. Therefore, an alternative approach to
setting cleaning acceptance limits for biopharmaceutical products based on
the actual process residues that could potentially be present on production
equipment should be considered.
Part I described the methodology to assess and verify API inactivation
during cleaning (2). In Part II, alternative approaches for setting accept-
able levels of process residue will be described building upon the basis
that API inactivation by the cleaning process has been demonstrated.
INTRODUCTION
When multiple products are manufactured using the same equipment, it is
important to ensure that potential product or process residues from the pre-
viously manufactured batch are removed to an acceptable level to ensure the
subsequently manufactured product will not be impacted. The acceptable
level of carryover has often been based on the active, intact API. However,
for biopharmaceutical products, the API typically degrades and becomes
pharmacologically inactive during cleaning, and therefore the cleaning ac-
ceptance criteria do not need to be based on the concept of intact and active
product. Rather, the cleaning acceptance limit should be based on potential
process residues that have a greater carryover potential founded on phe-
nomenological aspects of the cleaning process. The scope of this paper tar-
gets biopharmaceutical APIs; nonetheless, the underlying final rinse of higher grade water quality, typically Water
concepts may be useful in setting acceptance limits for for Injection (WFI). The volume and flow rate of this
other types of pharmaceutical products where inactiva- rinse are designed to be sufficient to remove all residual
tion during the cleaning process can be demonstrated. cleaning agent(s) to a conductivity level approaching the
This paper will include a review of product inacti- WFI source water. The inactivated product that results
vation, information on product detection using total from exposure to the cleaning conditions is likely to be
organic carbon (TOC), and alternative approaches more water-soluble than the intact protein due to its de-
for setting acceptance limits for equipment cleaning. creased size (3) and, therefore, should be readily rinsed
The intention of this paper is to propose acceptable from equipment surfaces in the last step of the cleaning
approaches for setting cleaning limits for biopharma- process. The rinsibility or ease of removal of inacti-
ceutical process equipment that may be considered. vated product/product fragments may be evaluated in a
However, it should not be considered prescriptive for rinsibility study, where the inactivated product material
what approach is most appropriate or should be used is spiked onto representative coupons and exposed to a
since every production facility, processes, and products worst-case (e.g., no impingement, lower flow rate, etc.)
manufactured are unique. water rinse in comparison to full scale cleaning cycles.
If the worst-case rinse removes the product spike from
PRODUCT INACTIVATION the coupon, it demonstrates that the inactivated product
Biopharmaceuticals are large molecule drug products fragments are not a carryover concern.
(e.g., monoclonal antibodies, therapeutic proteins, etc.) The Product Inactivation Study demonstrates the
that are made in processes using living organisms rather product is not active after exposure to cleaning condi-
than extracted from a native source or by synthesizing tions. The rinsibility study demonstrates that the
compounds. The equipment cleaning cycles are designed potential product fragments created from exposure of
to expose product contact areas to cleaning detergents the product to cleaning conditions are not a carryover
that include alkaline and acidic chemicals. Under these risk. Therefore, setting acceptance limits for equip-
exposure conditions, the high pH in alkaline chemi- ment cleanliness based upon intact product activity or
cals (typically pH >11) and low pH in acidic chemicals potential product fragments would not be reflective of
(typically pH <2) are efficient in hydrolyzing biological the actual residuals that are most likely to be present
peptide bonds, rendering biopharmaceutical products on equipment after cleaning based upon the phenom-
biologically inactive by degradation and denaturation. enological effects of the cleaning process.
If it is demonstrated that the product becomes pharma-
cologically inactive during cleaning, there is no longer a DETECTION OF PRODUCT OR PROCESS RESIDUES
risk of active product carryover and, furthermore, a lim- Most biopharmaceutical process components (e.g.,
ited value in verification of the removal of active product API, host cell proteins, media, and cleaning detergents)
from equipment surfaces. include organic carbon within their composition. The ap-
It should be noted that an antibody-drug-conjugate plication of TOC as the post-cleaning detection method
(ADC) is considered a biopharmaceutical product, for product carryover is considered more stringent than
but it contains an extremely toxic small molecule that a product-specific method as it would detect all process/
attaches to a protein through organic linkers. Due to cleaning residuals containing carbon, including poten-
the functional and toxicological behavior of an ADC tially difficult to remove materials. The TOC analysis
product, specifically the toxic small molecules attached method is relatively sensitive (scale of ppb limits of detec-
to the large molecule, PDE limits should be established tion and quantitation) that can be used for swab samples,
for ADC products based on the toxicity of the conju- rinse samples, and inline monitoring.
gate; therefore, they are not in the scope of this paper. The approaches included in this paper for assessing
equipment cleanliness are based on TOC, but they can
Part I discussed experimental approaches and ana- be adapted to product specific methods if required.
lytical methods that can be used to evaluate product
inactivation by the cleaning detergents. This important SETTING THE ACCEPTANCE LIMITS
first step characterizes the biological activity of the API Four different approaches for setting cleaning acceptance
and may also be used to gain a further understanding limits will be discussed. Each limit setting approach
of remaining product fragments. (Cleaning Process Capability, Safety Factor, Toxicology
Threshold, and Performance Control) ensures patient
Inactivated Product Rinsibility/Removal safety and no impact to subsequent product quality. The
The inactivated product and/or product fragments may assumption inherent in each approach is that prod-
be further evaluated to better understand the effect of uct inactivation from the cleaning process conditions
the cleaning process and the potential for carryover. The has been demonstrated, which provides the scientific
final step in most, if not all, cleaning procedures is a rationale and assurance of no active product carryover.
Every facility has unique characteristics, products, and suite. The worst-case equipment will be the unit with
operational variables to consider. The following ap- the largest surface area to volume ratio.
proaches are not intended to be inclusive of all acceptable The following equation is used to calculate the
approaches to determine cleaning limits. The following limit of TOC contribution on production equipment
approaches may be considered as an alternative to the surfaces that could be from the final WFI rinse. This
MAC approach, which may have limited applicability for limit is determined by calculating the amount of TOC
biopharmaceutical products. on the equipment surface that would not result in TOC
concentration in minimum working volume allowed in
Cleaning Process Capability Approach the equipment that would be greater than the accept-
The cleaning process capability approach sets the accep- able TOC limit of WFI (the final rinse source water):
tance limits for equipment cleaning based on demonstra-
tion that all carbon containing process materials have
been removed to the level that the cleaning process is Maximum Surface Residual TOC (ng TOC/cm2) =
capable. The basis for the cleaning process capability
limit is that equipment surfaces cannot be cleaner than
the potential residual contribution from the last solution
of the cleaning process to contact equipment surfaces. To convert the Maximum Surface Residual TOC
If TOC is used as the most suitable measure to demon- limit into the limit for a swab sample, the following
strate removal of process material, the limit of process equation is applied:
capability of the cleaning process to measure cleanliness Residual TOC Swab Limit = Maximum Surface
would be based on the potential TOC contribution of the Residual TOC (ng TOC/cm2) x SSA (cm2/swab) x 1 g
final WFI rinse. /1000 ng
TOC results from surfaces that are below the clean-
ing process capability limit that cannot be differentiated Where:
from TOC intrinsic to the final WFI rinse or from po-
tentially low levels of residual cleaning agent or process Maximum Surface Residual TOC (ng TOC/cm2):
material. TOC results that are above the cleaning process The maximum amount of residual material that is al-
capability limit would be as a result of residual clean- lowed per square centimeter of production equipment.
ing agent or process material and not from the final SSA (cm2): Swabbed Surface Area, the area which
water rinse. It should be noted that this is a conserva- his swabbed for sample analysis. For example, 5 cm x
tive approach to setting limits for equipment cleaning 5 cm (2 inches x 2 inches) equals 25 cm2.
verification and calculated limits are relatively low. Unit Conversion (ng to g): converts units of ng to
To calculate the TOC surface limit, the following g where 1 g equals 1000 ng.
variables are required: equipment surface area, small-
est volume that the equipment could process (e.g.,
working volume), final rinse (WFI) TOC limit (source Figure 1: Determination of Carryover Limit based
of potential TOC contribution), and swab surface area. on Cleaning Process Capability.
It should be noted that the surface area and volume
are specific to the equipment to be cleaned and not to An actual example of cleaning limit calculations
the entire production train. When the MAC approach using the approach describe above is presented below
is used, there is a concern of a cumulative carryover of (Note: worst-case [tightest] limits will be calculated
active product; which would not be removed through where the production equipment surface area relative
common purification steps of subsequent product
production, which is the reason total surface area of all
equipment in the production train is used (1). Howev-
er, active product is not a concern once the product in-
activation and rinsibility are completed because active,
intact product would not be present after cleaning;
product fragments, just as other non-product proteins
(e.g., HCPs), would be removed during purification,
and product fragments created after cleaning are free
rinsing and easily removed from equipment surfaces.
The cleaning process capability limit may be deter-
mined for each piece of equipment, or the worst-case
piece of equipment in each production suite may be Figure 1: illustrates the approach described above to calculate the residu-
used to set a limit to be used for all equipment in the al TOC limit as measured by a swab sample.
to working volume is large as is typically observed in reduction) is used to set the acceptance limit for a
smaller equipment). product with a concentration of 100 mg/mL and a
molecular makeup of 53% carbon:
Example: 200 L Reactor (150 L minimum working
volume):
Maximum Surface Once the initial acceptance limit has been set based
Residual TOC (ng TOC/cm2) = on the safety factor, the surface area limit can be cal-
culated:
= 2625 ng TOC/cm2
Residual TOC Swab Limit = 2625 ng TOC/cm2 x 25 cm2/
swab x 1 g /1000 ng
= 66 g TOC/swab
Where:
ARL = Acceptable Residual Limit = g/cm2
TTC = Toxilogical Threshold of Concern = g/day
Another example calculation is shown below, MBS = Minimum Batch Size for Subsequently Manu-
wherein a targeted Safety Factor of 10,000 (i.e., a 4-log factured Product= g
MDD = Maximum Daily Dose for Subsequently Manu- tive of the performance of the cleaning process. The
factured Product = g/day Performance Control Limit, sometimes referred to as an
SA = Surface Area (SSA) = cm2 Alert Limit, enables detection of a change in the perfor-
For example, degraded biopharmaceutical product mance of the cleaning process and allows for a proactive
fragments may be considered to be Class I chemicals investigation into a potential cleaning process issue.
with a residual soil threshold of 100 g/day. A 200 L The Performance Control Limit approach discussed
Final Product Vessel may have a surface area of 28,573 below is based on the TOC data collected during on-
cm2: minimum batch size is 400 g, and maximum going cleaning studies. The evaluation of data should
daily dose is 50,000 g/day. be statistically based and strike an appropriate balance
between sensitivity to data shifts and excessive false
signals. Many standard statistical methods are based
on the assumption of normality and independence of
the data population. The setting of a control limit at
To calculate the TOC limit of a swab sample using three standard deviations from the mean is an appro-
the ARL determined above, the following equation priate approach for setting a control (or performance)
would be used: limit, but it assumes a normally distributed dataset.
Residual TOC Swab Limit = Acceptable Residual A control limit at three standard deviations from the
Limit (g/cm2) x SSA (cm2/swab) x 50% mean ensures a false out-of-tolerance (OOT) rate of
Where: 0.27%. This 0.27% value is referred to as the alpha
Acceptable Residual Limit (g TOC/cm2): The maxi- rate. The problem with the data typically generated
mum amount of residual material that is allowed per from effective cleaning processes is that the data are
square centimeter of production equipment. not normally distributed, as shown in the following
SSA (cm2): Swabbed Surface Area, the area which his example in Figure 2.
swabbed for sample analysis. For example, 5 cm x 5
cm (2 inches x 2 inches) equals 25 cm2.
50%: Represents the approximate amount of carbon in Because the data are not normally distributed, data
protein/protein fragments. transformation techniques such as Box-Cox, mean
Continuing with example above to calculate the scores, reciprocal, negative binomial, etc. are to be
ARL, the following is an example limit for Residual used to normalize data to apply appropriate statisti-
TOC on a swab from production equipment: cal tools to establish an appropriate Performance limit
Residual TOC Swab Limit = 28 g/cm2 x 25 cm x 2 (10). The Box-Cox method is a log transformation that
(g TOC/swab) 50% TOC optimizes the normality of the data set and was used
= 350 g TOC/swab to transform the dataset presented above.
If swab is desorbed in 40 mL of Low TOC Water, The Box-Cox method computes the lambda value to
the measured TOC limit as measured in ppb TOC optimize normality using the following equation:
would be determined by dividing the Residual TOC
Swab Limit by 40 mL and converted to ppb using
the unit conversion of 1000 mL/L as described in the
equation below:
Where Yoriginal is each TOC value, which must be > 0
Figure 4: Effect of Using the Box-Cox Transformation. The Box-Cox transformed Performance Limit from
the example data is 4876 ppb TOC and is shown in
Figure 5.
CONCLUSION
Setting acceptable limits for process residue following
equipment cleaning in multiproduct biopharmaceutical
facilities requires an understanding of each products
composition and the effects of the cleaning process on
the API. The degrading and denaturing effects of chemi-
Figure 5: Performance Control Limit from Example Dataset. cal detergents should be studied for each product manu-
factured within the facility. Setting acceptance limits for
If the dataset contains an excessive number of zero product carryover based on TOC can be accomplished
values, the 0 values should be removed and the alpha with the Cleaning Process Capability, Safety Factor, or
rate (e.g., 0.27% or 0.0027) adjusted accordingly prior Toxicology Threshold approaches. As on-going cleaning
to transforming the data with the Box-Cox method. In studies collect TOC data, these data can be evaluated
the example dataset, 428 of 1034 results are 0. The with the Performance Control Limit approach to ensure
alpha rate (0.027) is therefore adjusted according to the control of the equipment cleaning process is maintained.
ABSTRACT
This paper uses one example of a risk assessment approach to illustrate
how risk assessment can be incorporated into good manufacturing
controls. The specific activity assessed involves transferring a set of
sterilised stoppers from an autoclave to a filling machine within a ster-
ile manufacturing facility. The risk assessment approach adopted is a
form of HACCP (Hazard Analysis Critical Control Points). Approaches
to risk assessments are discussed. Key activities are described. Docu-
mentation is critical. There is no such thing as zero risk. A deci-
sion is thus required as to what is acceptable risk. Key components
of HACCP including hazard analysis and critical control points. The
seven pillars of HACCP are described. Stepwise activities needed to
accomplish the risk assessment are discussed. This case study de-
scribed a low risk activity. Rationale for the assessment is described.
This discussion described a risk assessment approach using a relatively
simple case to illustrate its potential for other applications.
INTRODUCTION
Risk analysis and risk management are significant considerations in
current pharmaceutical manufacturing practices. All areas and func-
tions in the pharmaceutical manufacturing plant assess level of risk to a
process and then take steps to eliminate that risk. This paper uses one
example of a risk assessment approach to illustrate how risk assessment
can be incorporated into good manufacturing controls.
Risk assessment involves identifying risk scenarios either prospectively
or retrospectively. The former involves determining what can go wrong
in the system and all the associated consequences and likelihoods; the
latter this looks at what has gone wrong. Risk assessment is then used to
assess the process, product, or environmental risk and to aid in formulat-
ing the appropriate actions to prevent the incident from re-occurring (1).
The case examined here is a prospective risk assessment.
The case study involves transferring a set of sterilised stoppers from
an autoclave to a filling machine within a sterile manufacturing facility.
The risk assessment approach adopted is a form of HACCP (Hazard
Analysis Critical Control Points).
approaches are useful for different situations (3). Before embarking upon risk assessment it is impor-
The various approaches differ in their structure tant to establish and to define:
and with the degree of complexity involved. None- Develop and agree on the risk question. A clearly
theless, there are some broad similarities. The differ- defining the risk question facilitates selection
ent analytical tools are similar in that they generally of the appropriate risk assessment tool, identi-
involve: fies relevant data, information and assumptions;
assists in the identification of resources, respon-
Constructing diagrams of work flows, sibilities and accountabilities; and ensures that
Pin-pointing areas of greatest risk, appropriate focus on the business objective is
Examining potential sources of contamination, maintained.
Deciding on the most appropriate sample meth- Select the most appropriate risk assessment tool.
ods, The selected risk assessment method or tool will
Helping to establish alert and action levels, be used to organise collected data, understand
Taking into account changes to the work process what steps can be taken to reduce or control risk,
/ seasonal activities. and to help make appropriate decisions.
when undertaking HACCP analysis in pharmaceuti- primary disadvantage of HACCP is that, unlike
cal manufacturing. FMEA, HACCP cannot be used to rank or priori-
tize risks.
HACCP
HACCP was developed during the 1960s from DECONSTRUCTING THE PROCESS
collaboration between NASA, a food company (the Four stepwise activities are needed to accomplish the
Pillsbury Company), and the US Army Natick Labo- risk assessment:
ratories. The objective was to provide a zero-defect
food supply for astronauts. HACCP was derived from A route map. The facility is drawn and the route
Failure Mode Analysis (6). There are two key compo- indicated
nents of HACCP: Identification of hazards, which can be divided
into biological; physical; equipment; transport
Hazard Analysis: Determining what microbio- and chemical. This will allow an assessment of
logical, physical, or chemical risks are associated existing control measures
with a process. Process flow
Critical Control Point: A point, step, or procedure Assessment of environmental monitoring. This
at which control can be applied. will determine if the activity is safe to proceed (7).
Figure 3a: Process flow with CCPs (critical control points) marked.
Process flow identifies hazards.
People in Cleanrooms:
Understanding and Monitoring
the Personnel Factor | IVT
Tim Sandle, Ph.D.
ABSTRACT
Cleanroom contamination can arise from a number of sources. Most
contamination within the pharmaceutical facility can be traced to
humans working in cleanrooms. The paper discusses staff gowning and
personnel behavior in pharmaceutical cleanrooms, and how cleanroom
risk can be minimized. The human skin ecosystem is discussed. The
Human Microbiome Project (HMP) from the US NIH characterized
microorganisms found in association with both healthy and diseased
humans. Information from this project has great impact on cleanroom
activities including gowning practices. Topics associated with clean-
room garments are discussed including fabric types, garment lifespan,
recycling, laundering, human changing procedures, training, behavior,
hand sanitization, ongoing assessments, and associated topics.
INTRODUCTION
Cleanroom contamination can arise from a number of sources. These
may vary depending upon the type of cleanroom, its geographic loca-
tion, the types of products processed, and so on. Nevertheless, these
sources can generally be divided into the following groups1:
People
Water
Air and ventilation
Surfaces
Transport of items in and out of clean areas
HUMAN SKIN
Before proceeding to look at gowning, it is worthwhile to consider
the human skin ecosystem. The human body is an intricate system
that hosts trillions of microbial cells across the epithelial surface and
within the mouth and gut. These microorganisms play a role in human
physiology and organ function including digestion and immunity. The
microorganisms also affect the outside environment as they are shed
A further observation is that the ratio of the micro- PROTeCTING PRODUCTS FROM PeOPLe
organisms recovered from the skin is relatively evenly Despite some advances with automation and robotics,
divided between the aerobic and the anaerobic. The in most situations people cannot be eliminated from
aerobic microorganisms tend to live on the outermost cleanrooms. Control of contamination from people in
layers of the skin and the anaerobic microorganisms cleanrooms is achieved by application of two prin-
live in the deeper layers of the skin and hair follicles14. ciples:
The information from the human microbiome proj-
ect about the rich depth of variety of microorganisms We wrap the people to minimize the amount of
on the skin introduces several implications for clean- shedding of microorganisms.
room environmental monitoring. The most important We put localized protection around the prod-
question of whether gowning practices are adequate uct to minimize the amount of contact with the
to exclude all microorganisms from the richest areas people.
of the skin microbiome. This is a pertinent point
given that most bacteria free-floating in cleanroom air The localized protection issue is achieved through
current are not free-living but are instead the result local air protection, such as unidirectional airflow
of direct particle shedding of desquamated skin cells cabinets and isolators. With clothing, personnel
and subsequent re-suspension of skin detritus in the working in cleanrooms are required to wear special
air stream. clothing designed for the clean environments. Such
clothing is necessary, as indicated above, because the
The answer to this question should lead to a consid- human body creates its own micro-environment of
eration of: potentially damaging particulate contamination.
Meet opacity requirements. worn only for the length of the shift (normally four
Look and feel as good as possible. hour periods to enable operators to take breaks). In
Be cost-effective. lower grade cleanrooms, a gown might be worn for
several sessions during the course of the working day.
Fabric Categories Other factors affecting the lifespan of the gowns
There are three broad categories of fabric used in the that are subject to recycling are repairs and the num-
construction of cleanroom garments: ber of permitted washing cycles. With repairs, it is
prudent to have a repair policy. This will vary across
Woven fabrics. Woven or re-usable fabrics are facilities, and again, it will be affected by the clean-
the most commonly used fabrics in cleanroom room class. With aseptic areas, if a gown becomes
environments. Such garments are woven on torn it is normally discarded. In other grades of
sophisticated looms from yarns of continuous cleanroom, a gown can be repaired depending upon
filaments of polyester. The thickness of the yarn the size of the hole and the impact on the material.
and filaments is important -- the finer the yarn, Some organizations set a maximum size for any hole
the tighter the weave can be made, and the bet- or tear and for the number of times a gown can be
ter the filtration. The pattern and tightness of the repaired.
weave is important to reduce the pore size to a Gowns that are recycled are subject to laundering.
minimum. The use of continuous filament poly- Gowns are washed by special washing machines with
ester means that there are few loose ends from suitable detergents, dried, folded, and then wrapped
which particles may be shed. in cleanroom packaging. For gowns that are to be
Laminated or membrane fabrics. Laminated used in aseptic areas, such gowns are irradiated. A
fabrics are favored for some high-grade micro- policy should be in place outlining how often a gown
electronic environments. These types of garments can be processed -- typical times range between 20
are not commonly used in the pharmaceutical and 40 times. To make the tracking task easier, many
sector. gowns sterilized by irradiation or gassing are fitted
Disposable or limited life materials. The most with barcodes and scanned. It is further important
common of these non-woven fabrics are from to establish the extent that the sterilization process
spun bonded olefin and polypropylene. Compris- affects the integrity of the gown material.
ing a densely interlinked matt of fibers, these In order to assess the contamination risks from
fabrics can provide good results for a limited re-laundering, gowns are subject to particle count-
period. Garments from such materials need to be ing. There are different ways to do this, although the
processed and decontaminated before use in the most common means is the Helmke Drum particle
cleanroom. Disposable or limited use garments emission test. With this, the test method simulates
are mainly used in those environments where particle shedding of clothing under movement. The
protection of the wearer against potentially haz- garment under test is tumbled in a rotating drum
ardous products is required. (approximately 10 revolutions per minute) to release
particles from the surface of the cleanroom garment
Garment Considerations in a controlled manner. An automatic particle counter
Garments are designed to provide protection for the is used to sample the air within the drum to deter-
head, body, hands and feet. In establishing a system mine the average particle concentration of the air
for garment selection, it is important to consider the during the initial ten minutes of the test. The com-
broader aspects of cleanroom use: suitability of fabric, mon standard is the IEST Recommended Practice
garment style, layers, the nature of the tasks involved, RP-CC003.3: Garment System Considerations for
costs, regulatory requirements, and any specific cus- Cleanrooms and Other Controlled Environments.
tomer requirements. The classification of the clean- An alternative measure is the Body Box test. This
room will inevitably be the major factor in determin- method simulates particle filtration and release under
ing the degree of personnel protection required and real wear conditions. As a consequence it measures
the fundamental choice of garments. the contamination of the cleanroom by the cloth-
One important issue with gowns is the maximum ing/wearer. For this, particle counters determine the
length of time that a gown can be worn. As people quantity of particles generated by the wearer/garment
perspire, the integrity of the gown will weaken. Com- that are emitted into the chamber.
plicating factors are the temperature and humidity
of the cleanroom and the variations between people. CHANGe PROCeDURe
The length of time will also depend upon the grade Cosmetics, such as powder, rouge, eye liner, mascara,
of the cleanroom. In aseptic areas, such as ISO 14644 and lipstick must be banned in cleanroom environ-
class 7 / EU GMP Grade B areas, gowns are typically ments. Jewelry, such as rings, watches, necklaces,
bracelets, earrings and other items, together with all Training must be documented and regularly
forms of visible piercing, are commonly not allowed reviewed. Training must be effective. Actual perfor-
in cleanrooms. mance of personnel competency in gowning should
The best method of changing into cleanroom gar- be demonstrated on a regular basis.
ments is one that minimizes contamination getting
onto the outside of the garments. Change areas can CLeANROOM PeRSONNeL BeHAVIOR
vary in design, but it is common to find them divided Working in clean environments demands knowledge,
into three zones: discipline, motivation as well as a thorough under-
standing of contamination risks among all personnel
1. Pre-change zone. Outside of changing rooms involved. Each individual cleanroom should have its
tacky mats or polymeric flooring can be posi- own documented rules and procedures.
tioned to help reduce the level of particles car- Training includes reminding personnel that they
ried on footwear16. must not be allowed to touch critical products and
2. Changing zone. The changing room design equipment with their naked hands. All critical work
contributes to the assurance of appropriate must be undertaken wearing gloves. Critical ac-
personnel access and microbial contamination tivities requiring personnel contact such as aseptic
control. The changing room should be provided processing or sampling must be done through the
with filtered air. Intermediate (bag) filters will use of clean utensils such as tweezers, forceps, and
typically be suitable for this purpose, though the equivalent. All devices and gloves used must
High Efficiency Particulate Air (HEPA) filtration fully comply with the cleanliness demands of the
may be used. The air pressure should be nega- cleanroom and work undertaken in the cleanroom.
tive with regards to the manufacturing area cor- They must be cleaned, disinfected, or sterilized as
ridor, but positive relative to external adjacent appropriate for the criticality or activity and risk of
areas. contamination.
3. Cleanroom entrance zone. This must be of the Another aspect of best practice is in instruct-
same grade or class as the main cleanroom into ing personnel in the appropriate behaviors within
which the area leads. the cleanroom. The generation of contamination is
proportional to activity conducted. A person with
Ideally there should be separate routes through head, arms, and body moving can generate about
airlocks for material required in cleanrooms. Tak- 1,000,000 particles 0.5 m/min. A person who is
ing items through personnel change areas should be walking can generate about 5,000,000 particles 0.5
discouraged. m/min. However a person in motionless position
can generate only 100,000 particles 0.5 m/min.
TRAINING In addition, personnel should reduce activities like
Personnel training in gowning is an important func- talking, singing, whistling, coughing, sneezing etc.,
tion. Gowning practices must be assessed periodi- especially when being close to the handled products
cally and monitored frequently. Training programs and production equipment.
should ideally include visual assessment and microbi- People working in cleanrooms and other forms of
ological assessment. The microbiological assessment controlled environments must be physically healthy.
varies, but can include the exposure of settle plates Diseases in the upper respiratory tract as well as
during the change process and the assessment of stomach disorders can create problem in hygienic
gown cleanliness through post-use suit contact plates. applications.
The results of the cleanroom sampling should not ex- Another factor that can impact upon the environ-
ceed those of the room class. If results are exceeded, ment is the number of people in the cleanroom. Only
the individual may be an unusually high shedder of necessary and limited number of persons should be
skin particles. allowed in a cleanroom at the same time. The more
Training required for staff who work in cleanrooms persons simultaneously present in a cleanroom, then
should include: the higher the contamination level will be, i.e., the
higher concentration of particles in the air). This is
Introduction to micro-organisms and microbio- particularly important in relation to changing rooms.
logical contamination control.
Entry and exit of production facilities (including HAND SANITIZATION
gowning). Good personal hygiene is a requirement of all phar-
Personal hygiene training. maceutical cleanroom activities. However, studies
Microbiological risks associated with specific show poor compliance is common in relation to basic
production tasks. hand washing technique. Hand hygiene and glove
illness may affect product quality. It is important to 8. Costello, E.K., Lauber, C. L., Hamady, M., Fierer, N., Gordon,
control the potential risks from personnel carrying J.I., Knight, R. (2009). Bacterial community variation in
human body habitats across space and time, Science, 326:
Infectious disease. 16941697
Open lesions on any exposed part of body. 9. Chen YE, Tsao H. (2013). The skin microbiome: current
Shedding skin conditions, such as eczema or pso- perspectives and future challenges, J Am Acad Dermatol.
riasis, dermatitis, and dandruff (skin scales may 69(1):143-55
harbor objectionable micro-organisms that may 10. Grice, E.A., Kong, H.H., Conlan, S. et al (2009). Topographi-
impact pharmaceutical products and patients). cal and Temporal Diversity of the Human Skin Microbiome,
Gastric upsets. Science, 324: 1190 1192
11. Gao, Z., Tseng, C.H., Pei, Z., and Blaser, M.J. (2007). Molecu-
Personnel with any of the above conditions must be lar analysis of human forearm superficial skin bacterial biota.
excluded from working within cleanrooms for the Proc. Natl. Acad. Sci. 104: 29272932
duration of their illness. 12. Kong, H.H. and Segre, J.A. (2012). Skin Microbiome: Looking
Back to Move Forward, Journal of Investigative Dermatology,
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This paper has considered the personnel factor and 13. Findley, K., Oh, J. Yang, J., Conlan, S. et al (2013). Topo-
the relationship between people and cleanrooms. It graphic diversity of fungal and bacterial communities in
addressed why people are a risk in relation to the human skin, Nature, 498(7454):367-70. doi:10.1038/na-
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ABSTRACT
In accordance with the 2011 FDA guidance for industry, Process Valida-
tion General Principles and Practices, there is a requirement to continue to
verify equipment cleaning processes. This continued verification would
reduce the risk of cross contamination, and consequently, the accept-
able residue limits could be increased to reflect this reduced risk. A
combination of visual residue limits and rapid analytical technologies
for the quantification of residues may lead to a reduced risk of cross
contamination for the patient while at the same time result in signifi-
cantly reduced manufacturing cycle times. This paper discusses the
current cleaning paradigm and the changes continued cleaning process
verification could bring for small molecule pharmaceutical manufactur-
ers. Technologies that offer potential for increased automation of clean-
ing validation are introduced.
INTRODUCTION
Cleaning can generally be defined as the removal of unwanted contami-
nants. The objective of a cleaning process is primarily to ensure safety,
efficacy, and quality of product subsequently manufactured in the same
equipment. Cleaning validation is the documented evidence demon-
strating the effectiveness of a cleaning procedure based on pre-deter-
mined acceptance criteria. It is performed to assure that production ma-
terials that come into contact with manufacturing equipment surfaces
are not contaminated or adulterated. A graphical representation of the
typical cleaning process development and validation process is detailed
in Figure 1. It summarizes the typical process and demonstrates the
extensive workload associated with cleaning process development and
validation.
Figures 2 and 3 summarize the current cleaning procedure develop-
ment and validation approach. This approach is time-consuming and
costly. It can significantly inhibit clinical trial manufacture activities
because of once-off swabbing requirements following each mini-batch
manufactured. It can also inhibit on-going commercial manufacturing
activities due to the burden associated with cleaning procedure valida-
tion and routine monitoring.
Within the FDA guidance document on process validation (1),
process validation is defined as the collection and evaluation of data,
from the process design stage throughout production, which establishes
scientific evidence that a process is capable of consistently delivering
quality products. Process validation involves a series of activities taking
Figure 1: Typical cleaning process development and validation process. of risk of cross-contamination of subsequent formu-
lations would reduce accordingly. As a result, the
acceptable residue limits (ARLs) currently associated
with cleaning validation may no longer be appropri-
ate. This is because the safety factors built into such
calculations may have been included as a result of
the snapshot-in-time nature of a cleaning validation
activity.
involve acidification of a swab sample followed by are not sufficiently rigorous (9-11).
sparging with purified air to remove inorganic carbon 0n-line Technologies
from solution as carbon dioxide gas. The organic
compounds remaining in solution are then oxidized UV-Vis spectrophotometry. UV-Vis technologies
to carbon dioxide in, for example, a combustion monitor rinse effluent to quantify the level of API
tube packed with a catalyst at 680C (7). The carbon contained. UV-Vis spectroscopy is the measure-
dioxide produced in this manner passes through a ment of the wavelength and intensity of absorption
dehumidifier and halogen scrubber before it reaches of near-ultraviolet and visible light by a sample.
a cell where it is quantified by a non-dispersive in- Ultraviolet and visible light are energetic enough
frared detector tuned to the highly specific carbonyl to promote outer electrons to higher energy levels.
frequency in the 1-700cm-1 range (7). The signal UV-Vis spectroscopy is usually applied to molecules
response is compared with a calibration curve gener- and inorganic ions or complexes in solution. The
ated by analysis of solutions of potassium biphthalate UV-Vis spectra have broad features that are of lim-
corresponding to known levels of organic carbon. ited use for sample identification but are useful for
The disadvantages associated with such a method are quantitative measurements. The concentration of an
that it is non-specific and an at-line analytical tool analyte in solution can be determined by measur-
that requires sample swabbing and preparation activi- ing the absorbance at some wavelength and applying
ties (7). the Beer-Lambert Law. The light source is usually a
hydrogen or deuterium lamp for UV measurements
LC-MS-MS. For low-dose compounds, equipment and a tungsten lamp for visible measurements. The
requiring low residue limits, and compounds lacking wavelengths of these continuous light sources are
strong chromophores, the sensitivity and selectivity selected with a wavelength separator such as a prism
of LC-MS-MS facilitates rapid detection of low levels or grating monochromator. Spectra are obtained by
of residues of active pharmaceutical ingredients (8). scanning the wavelength separator and quantitative
Like IMS, the disadvantages associated with LC- measurements can be made from a spectrum or at a
MS-MS are that it is an off-line analytical tool that single wavelength. When the level of API in the rinse
requires significant method development, sample effluent reaches a pre-determined acceptable low
swabbing, and preparation activities. level, the cleaning process end-point is reached. This
is a novel approach that has significant benefits for
At-line Technologies identification of cleaning process endpoint.
ATP luminescence. Adenosine triphosphate (ATP) One disadvantage identified would be the challenges
luminescence-based technologies may be used to of wavelength accuracy. Wavelength accuracy is de-
evaluate the level of microbial contamination follow- fined as the deviation of the wavelength reading at an
ing the completion of an equipment cleaning process. absorption band or emission band from the known
ATP is a marker for cell viability because it is present wavelength of the band. The wavelength deviation
in all metabolically active cells where the concentra- can cause errors in the qualitative and quantitative
tion declines rapidly when the cells undergo necrosis results of the UV-Vis measurement, thereby affecting
or apoptosis. The approach is based on the produc- the accuracy and the sensitivity of the method (12). A
tion of light caused by the reaction of ATP with second disadvantage, similar to other rinse studies, is
added luciferase and D-luciferin (9-11). The emitted that it may not detect API if it is adhered to the vessel
light is proportional to the ATP concentration within wall.
certain limits. The limitation associated with com-
mon luciferase assay technology is the short half-life Single point near infrared (NIR). In situ infrared
of the light emission. This flash-type signal requires reflection-absorption spectroscopy (IRRAS) has the
luminometers with reagent injectors to measure the potential to provide a more rapid analysis than the
quick reaction. Prior to addition of luciferase, there existing methods. Modern Fourier Transform-Infra-
is a requirement to lyse the cells so that the ATP is red (FT-IR) instruments are quite stable and have
released. sufficient sensitivity. Infrared fibreoptics based on
chalcogenide glasses can allow sampling up to several
This is a rapid method of swab analysis that is ac- meters from the spectrometer (13-16). Multivariate
cepted within the food and beverage industries. chemometric tools, such as partial least squares (PLS)
It may have application within sterile and aseptic regression, allow implicit modelling of unquantified
operations in particular. However, it is a non-specific interfering species and instrumental artifacts. For
method and has the potential for contamination by cleaning validation, the physical presentation of the
human somatic cells if sample-handling procedures contamination will depend on the solvent, the chemi-
cal nature and quantity of the residual material, and processing of the hyperspectral data cube (18).
the substrate surface. Mehta et al. (14), Hamilton et al. The large number of individual spectra acquired
(14), and Teelucksingh et al. (16) demonstrated that across the spatial dimension of heterogeneous com-
IRRAS calibrations can be established for individual pounds provides a basis from which relative concen-
surfactants and APIs on metallic and glass surfaces, trations can be determined for each spatial location.
for an API in the presence of a surfactant on a glass Alternatively, these individual concentrations may
surface, and for an API in the presence of excipients be added together to give the total concentration of a
on a stainless steel surface (13-16). Single point NIR specific material within the sample area.
has potential applications for cleaning verification Chemical images are made up of hundreds of
purposes. Its main advantage over traditional swab- contiguous wavebands for each spatial position of a
HPLC techniques is that it samples those contami- target studied. Consequently each pixel in a chemical
nants that are present on the surface, rather than image contains the spectrum of that specific posi-
those that can be removed by the swab coupled with tion. The resulting spectrum acts like a fingerprint
its speed of analysis. The primary limitation associ- that can be used to characterize the composition of
ated with the method is the restricted field of analysis that particular pixel. There are two basic methods to
and whether it is sufficiently large and representative construct the chemical image. One method involves
to assess the success of the cleaning activity. acquisition of simultaneous spectral positions. The
object is moved underneath an imaging spectro-
NIR-chemical imaging. Chemical imaging (CI) is an graphthis is termed pushbroom acquisition. The
emerging platform technology that integrates conven- other method involves keeping the image field of
tional imaging and spectroscopy to attain both spatial view fixed and obtaining images one wavelength after
and spectral information from an object (17). It has anotherthis is termed staring imager configura-
not to date been evaluated as a technology to quantify tion (17). This method is of particular interest within
residual levels of active ingredients and detergents the pharmaceutical industry for sample analysis and
from equipment surfaces. However, based on its would be considered to pose the greatest potential for
broad applicability and sensitivity, it has potential for use as a cleaning verification device. This is primar-
cleaning validation. Near infrared-chemical imaging ily because the sample can remain stationary and the
(NIR-CI) is the fusion of near-infrared spectroscopy field of view would be comparable with that currently
and image analysis. It can be used to visualize the used during conventional swabbing techniques (circa
spatial distribution of the chemical compounds in a 25cm2).
sample providing a chemical map of a region (Figure Point-source spectroscopic assessments do not
5). Each sample measurement generates a hyper- provide information on spatial distribution of dif-
spectral data cube containing thousands of spectra. ferent constituents. In other words, NIR and Raman
An important part of a NIR-CI analysis is the data spectroscopy can only provide information on a very
narrow sample site. NIR-CI can provide informa-
tion on a substantial sample site thereby making it
applicable to analysis of equipment surfaces dur-
ing cleaning validation. Challenges with regards to
method sensitivity for such residual levels will need
to be overcome before this technology becomes com-
mercially viable.
CONCLUSIONS
Rapid technologies would remove some significant
variables identified with VRLs and enable an analyti-
cal technique that could significantly reduce the time
and cost associated with the cleaning procedure.
They could also support the transition away from
once-off cleaning validation towards continued clean-
ing process verification. This would be in-line with
regulatory expectations and pharmaceutical manu-
facturing needs.
The increased frequency of equipment cleaning
process verification will reduce the risk of active and
Figure 5: Schematic representation of hyperspectral imaging hypercube
showing the relationship between spectral () and spatial (X, Y) dimen- detergent cross-contamination and thereby enable
sions (17). higher acceptance criteria for active and detergent
carryover. As the pharmaceutical manufacturing 12. Lam, Herman, Performance of UV-Vis Spectrophotometers,
industry transitions towards these continued verifica- Laboratory FocusGazette Edition, Issue, 8, April 2000.
tion philosophies, the requirement for rapid mobile 13. Hamilton et al., Grazing-angle fiber-optic IR reflection-ab-
analytical technologies has become essential in order sorption spectrometry (IRRAS) for in situ cleaning valida-
to sustain robust and lean equipment cleaning pro- tion, Org. Process Res. & Devel., 9(3), 337-343, 2005.
cesses. 14. Mehta, N.K.; Goenaga-Polo, J.; Hernandez-Rivera, S.P.; Her-
nandez, D.; Thomson, M.A.; Melling, P.J. Biopharmacology, 15,
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2. D.W. Mendenhall, Cleaning Validation, Drug Development 16. Teelucksingh, N.; Reddy, K.B., Spectroscopy, 20, 16-20, 2005.
and Industrial Pharmacy 15 (13), 2105 2114, 1989. 17. Gowen.A, ODonnell.C.P, Cullen.P.J, Bell.S.E.J, Recent appli-
3. D.A. Le Blanc, Visually Clean as a Sole Acceptance Criteria cations of Chemical Imaging to pharmaceutical process moni-
for Cleaning Validation Protocols, PDA J. Pharm Sci. And Tech- toring and quality control, European Journal of Pharmaceutics
nology, 56 (1), 31-36, 2002. and Biopharmaceutics 69, 1022, 2008.
4. Richard J. Forsyth et al., Risk-Management Assessment of 18. Ravn,C. Skibsted,E. Bro, R. Near-infrared chemical Imaging
Visible-Residue Limits in Cleaning Validation, Pharm. Tech- (NIR-CI) on pharmaceutical solid dosage forms-Comparing
nol. 30, 104114 September 2006. Common calibration approaches, Journal of Pharmaceutical
5. Richard J. Forsyth, Ruggedness of Visible Residue Limits for and Biomedical Analysis 48 554561, 2008. JVT
Cleaning Validation, Pharm. Technol. 33, 102 111 March
2009. ARTICLE ACRONYM LISTING
6. Elizabeth Galella et al., Cleaning Verification: Method De- APCI Atmospheric Pressure Chemical Ionisation
velopment and Validation using Ion Mobility Spectrometry, API Active Pharmaceutical Ingredient
Pharm. Technol. 33, 60 63 July 2009. ARLs Acceptable Residue Limits
7. A. Strege, Terry L Stinger, Brett T. Farell and Avinash L Lagu, ATP Adenosine triphosphate
Biopharm International, April 1996. CI Chemical Imaging
8. Kevin J. Kolodsick et al., Enhancing Drug Develoment by FT-IR Fourier Transform-Infrared
Applying LC-MS-MS for Cleaning Validation in Manufactur- IMS Ion-Mobility Spectrometry
ing Equipment, Pharm. Technol. 30, 56 71 February 2006. IRRAS Infrared Reflection-Absorption Spectroscopy
9. Kangas L., Grnroos M. and Nieminen A.L., Biolumines- LC-MS-MS Liquid Chromatography-Mass
cence of cellular ATP: a new method for evaluating agents in Spectrometry-Mass Spectrometry
vitro, Medical Biology, 62,338 343, 1984. NIR Near Infrared
10. Lundin A., Hasenson M., Persson J. and Pousette A., Estima- NIR-CI Near Infrared-Chemical Imaging
tion of biomass in growing cell lines by ATP assay, Methods PTFE Polytetrafluoroethylene
Enzymol. 133, 27 42, 1986. TOC Total Organic Carbon
11. Crouch S.P.M., Kozlowski R., Slater K.J. and Fletcher J., The UV Ultraviolet
use of ATP bioluminescence as a measure of cell proliferation VRL Visible Residue Limit
and cytotoxicity, J. Immunol. Methods, 160, 81 88, 1993.
Translating Laboratory-
Developed Visual Residue
Limits to Process Area
Applications | IVT
Keith Bader and Kelly Scalva
ABStrAct
While considerable attention has been given to the development of
visual residue limits (VRLs) in a laboratory setting, translating the
bench scale values to the assessment of process surfaces has not yet
been thoroughly assessed. However, knowledge of both the critical
parameters that impact the determination of VRLs and the influence of
those parameters on visual inspection can provide a framework for the
development of a robust visual inspection program. Development of
such a program first entails the determination of constraints imposed
by equipment geometries and facility lighting. VRLs can then be deter-
mined for post-productions residues of concern, which, of course, car-
ries its own specific challenges. Once VRLs have been determined, they
cannot be immediately applied without considering certain strategic
cleaning program approaches and potential sources of variability.
Many factors influence how visual inspection will be conducted in a
manufacturing facility. Among the most critical are inspection condi-
tions in the facility, the condition of existing equipment surfaces, and
the physical characteristics of post-production residues deposited on
product contact surfaces. While many in industry embrace the im-
portance of visible residue limits (VRLs), few have a clear pathway to
translate VRLs determined in the laboratory to the manufacturing floor.
The intent of this paper is to provide the background and informa-
tion that will allow industry to formulate a plan of attack to practically
integrate VRLs into the visual inspection program. To begin, the best
starting place is to determine the constraints imposed by the manufac-
turing floor.
consistent results are also obtained if the operators ing agents that degrade post-production residues. As
verbally relay whether the residue is visible rather with any chemical change to a compound, the physi-
than be required to fill out protocol worksheets. cal properties can change, including visibility of the
Overall, it was found that slight movement of the compound on process surfaces. Future studies will
flashlight was necessary for the operators to attempt investigate this and other similar considerations.
to see the residues; directing the light towards the
coupon led to excessive glare that hindered the ability rEfErEncES
of the operator to view residue. Residues were typi- 1. E. Teicholz, LIGHTING in Facility Design and Management
cally noted when they were on the periphery of the Handbook, (McGraw-Hill Professional, 2001), AccessEngineer-
hand-held light source spot. It was also noted that ing.
operators who viewed the surfaces longer generally 2. R.J. Forsyth, V. Van Nostrand, and G. Martin, Visible-Resi-
saw more residue than operators who quickly glanced due Limit for Cleaning Validation and its Potential Applica-
at the coupons. However, with the use of the flash- tion in a Pharmaceutical Research Facility, Pharmaceutical
light, operator-viewing duration increased by about Technology 28 (10), 5872, 2004.
50%. Interestingly enough, visibility and detection 3. T. Croft, W.I. Summers, F.P. Hartwell, PRINCIPLES AND
of dirty coupons decreased when operators used the UNITS in American Electricians Handbook, Fifteenth Edition,
hand-held light over diffuse ambient lighting. (McGraw-Hill Professional, 15th ed., 2009 2002 1996 1992
While the procedures described above may seem 1987 1981 1970 1961).
fairly complete and extensive, there are still many re- 3. R.C. Rosaler, Lighting in Standard Handbook of Plant Engi-
lated topical permutations warranting further inves- neering, Third Edition (McGraw-Hill Professional, 3rd ed.,
tigation. For example, most studies, to date, focus on 2002 1995 1983)
the intact API; however, cleaning processes employed 4. USP29NF24 <1051>, Cleaning Glass Apparatus, 2896
for biopharmaceuticals often employ alkaline clean-
Cleaning Validation of
Multiproduct Equipment
Acceptance Limits for
Inactivated Product
Part IIApplication of the Comparable
Quality Approach to Intrasite Assessments
Rizwan Sharnez, Elizabeth Aisenbrey, Joel Bercu, David Binkley, and Arun Tholudur
SUMMARY
For multiproduct cleaning validation, acceptable carryover of the previ-
ously manufactured active pharmaceutical ingredient (API) (Product A) into
the subsequently manufactured API (Product B) is determined through a
maximum allowable carryover (MAC) calculation (1). A limitation of the
conventional MAC approach is that if the previously manufactured API
becomes therapeutically inactive during cleaning, then there is limited value
in verifying removal of the API. Instead, it is more appropriate to demon-
strate that the carryover of the inactivated product between lots of different
products (i.e., A B, or B A) is acceptable.
If the API is inactivated when exposed to worst-case cleaning condi-
tions (i.e., conditions that are least conducive for inactivation), the compa-
rable quality (CQ) approach can be used to set acceptance limits for car-
ryover of the inactivated product (IP) (2). The CQ approach is designed to
ensure that the amount of inactivated Product A in the largest dose (LD)
of Product B (M LDIP AB ) is less than or equal to the amount of inactivated
Product A in the largest dose of Product A (M LD IP AA),
M LD
IP AB M LD
IP AA [Equation 1]
If the characterization data indicate that the previ- because the concentration of the degradants in clean-
ously manufactured API (i.e., API in Product A) is in-place (CIP) samples is generally well below the limit
inactivated when exposed to cleaning conditions, and of detection (LOD) of SDS-PAGE and most bioassays.
the CQ criterion is met, then the acceptance limits In the small-scale studies, this issue is addressed by
for the process residue can be set based on the lowest using a soil to solution ratio (R) that is high enough
of the following two limits: process capability and 10 to ensure that the concentration of degraded product
ppm limit for carryover of process residue. in the sample is above the LOD of the assay. Note
A flowchart summarizing the methodology de- that a higher R represents a milder condition from the
scribed in this paper is shown in Figure 1. The CQ cri- standpoint of degradation (i.e., higher R implies that a
terion is derived in Appendix I and a worked example smaller fraction of the total soil would degrade).
is given in Appendix II.
The CQ approach was described in Part I of this Implications for Cleaning Validation
series. In Part II, the CQ approach is applied to intra- The inactivation of the API during cleaning has impor-
site assessments; application of the CQ approach to tant implications for cleaning validation of multiproduct
intersite transfers is described in Part III. equipment. Demonstrating that the product is inactivat-
ed during cleaning obviates the need to set limits based
INTRODUCTION on a conventional MAC assessment for the API (5). It also
Biopharmaceutical cleaning cycles are generally designed eliminates the need to develop product specific assays for
to expose product contact equipment to extremes of cleaning validation (6).
pH (pH 213) and temperature (60-80C) for several
minutes. The equipment may also be steam sterilized or The Comparable Quality Approach
sanitized. Under these conditions, monoclonal antibod- If the API is inactivated when exposed to worst-case
ies, therapeutic proteins, and other biological APIs are cleaning conditions, the CQ approach can be used to
known to degrade and denature rapidly, and become set acceptance limits for cleaning (2). The CQ approach
therapeutically inactive (2-4). ensures that the amount of inactivated Product A in
the largest dose of Product B is limited to the amount
Inactivation Studies of inactivated Product A in the largest dose of Product
Inactivation of the API during cleaning can be assessed A. Thus, the CQ approach provides assurance that in a
by exposing the process soil to simulated cleaning single exposure the amount of inactivated Product A that
conditions at bench scale. The inactivation studies are a patient taking Product B receives is less than or equal
designed to simulate full-scale cleaning conditions that to the amount of inactivated Product A that a patient tak-
are least conducive (i.e., worst case) for inactivation (e.g., ing Product A receives. The rationale for this approach is
lowest ratio of cleaning solution to protein and shortest that if one set of patients (i.e., those taking Product A) are
exposure). The objective of these studies is to ascertain being exposed to a certain amount of inactivated Product
whether the API in the process sample is inactivated A, then it is acceptable for another set of patients (i.e.,
when exposed to worst-case cleaning conditions. those taking Product B) to be exposed to a lesser or equal
After exposure to the worst-case cleaning condi- amount of inactivated Product A.
tions, the samples are titrated to a neutral pH and The CQ approach is based on the premise that
cooled to 4C to minimize further degradation and in- an appropriate product quality assessment has been
activation. Appropriate untreated controls are included completed on Product A to show that Product A is of
to assess the impact of any experimental artifacts and acceptable quality.
potential matrix effects. The samples are then sub-
jected to SDS-PAGE and bioassay to determine the Differences in Patient Subpopulations and Frequency
degree of degradation and inactivation, respectively. or Duration of Dosing
The samples may also be subjected to TOC analysis For pharmacologically-active substances, therapeutic ef-
to determine whether the inactivated product can be fects and toxicity that occur from a single peak exposure
adequately recovered by TOC. or continually over time are important considerations for
The results of the small-scale studies can justifi- setting acceptable limits for exposure. In order to study
ably be extrapolated to the full-scale cleaning process, the effects of key variables such as dosing frequency,
because degradation and inactivation are essentially length of exposure, and sensitivity, active substances are
scale-independent phenomena (i.e., they depend on extensively tested in the patient subpopulations tak-
cleaning parameters that are effectively independent ing the drug. While these endpoints are important for
of spatial coordinates, namely time, temperature, con- the study of active substances, they are not relevant to
centration, and the ratio of cleaning solution to process degradants that are pharmacologically inactive. Instead,
soil). It should be noted that degradation and inactiva- the comparable CQ approach is more appropriate for
tion studies are typically not performed at full scale establishing limits for inactive degradants.
Perform
inactivation
study a
Is AL LOQ No Is AL LOQ No
of TOC? of TOC?
Figure 1: Flowchart for setting acceptance limits for multiproduct cleaning validation.
Effect of Cleaning Process results of the bioassay), then the CQ approach is used
Note that for a given cleaning process for Product A, to set acceptance limits (AL) for the inactivated product
the molecular weight distribution (MWD) of Product A (left side of Figure 1). However, if the sample is shown to
that is carried over into a subsequent lot of Product A have biologically active product, the conventional MAC
(intracampaign cleaning) will be similar to the MWD approach is used to set the AL for the previously manu-
of Product A that is carried over into a subsequent lot of factured product (APIA) (right side of Figure 1). If the
Product B (intercampaign cleaning). It is also important process residue (inactivated product or API, as the case
to note that no additional inactivated product is intro- may be) can be recovered by TOC and the correspond-
duced into either product as a result of implementing the ing AL the LOQ of TOC, TOC may be used to verify
CQ approach. removal of the process residue at full scale; otherwise, an
A literature search did not uncover methods for cal- alternative assay may need to be developed.
culating cleaning validation acceptance limits for the
carryover of inactivated product. COMPARABLE QUALITY CRITERION IN TERMS OF
MEASURABLE PARAMETERS
Setting Acceptance Limits If the product becomes therapeutically inactive during
Based on Protein Inactivation cleaning, then the acceptance limit for the inactivated
A methodology for setting acceptance limits for multi- degradants of the previously manufactured product
product equipment is summarized in Figure 1. Degrada- (Product A) in the subsequently manufactured product
tion and inactivation studies are first performed under (Product B) can be set based on the CQ criterion. In
simulated worst-case cleaning conditions. If the sample terms of the carryover of inactivated product, the CQ
is shown to have no detectable activity (based on the criterion can be stated as follows.
If the protein is inactivated during cleaning, then Active Ingredients as Caused by Various Process
the acceptance limit for the inactivated degradants of Cleaning Agents and Temperature, Journal of Vali-
the previously manufactured product (Product A) in dation Technology, Vol 15, No. 3, p. 69, 2009.
the subsequently manufactured product (Product B) 4. Rathore, N., Qi, W., Chen, C., Ji, W., Bench-scale
can be set based on the CQ criterion. The CQ ap- characterization of cleaning process design space
proach provides assurance that the maximum amount for biopharmaceuticals, Biopharm Int, Vol 22, No.
of inactivated Product A that a patient taking Prod- 3, 2009.
uct B receives (M LD
IP AB) is limited to the maximum 5. Parental Drug Association, Inc., PDA Technical Report
amount of inactivated Product A that a patient taking 49 Points to Consider for Biotechnology Cleaning Vali-
Product A receives (M LD IP AA). The rationale for this dation, July 2010.
approach is that if one set of patients (i.e., those taking 6. Health Canada, Cleaning Validation Guidelines
Product A) are being exposed to a certain amount of (GUIDE-0028); Section 8.3, Health Products and
inactivated Product A, then it is acceptable for an- Food Branch Inspectorate, 2008.
other set of patients (i.e., those taking Product B) to 7. Note: i.e., before the original manufacturing batch is
be exposed to a lesser or equal amount of inactivated subdivided into smaller batches for processing (e.g.,
Product A. filling).
In terms of the mass of the inactivated product, the 8. Note: i.e., if the calculated acceptance limit is above
CQ criterion is given by Equation 1. the default limit, then the default limit is used; con-
In order to use this criterion to set acceptance limits versely, if the calculated acceptance limit is below
for inactivated product, the Equation 1 inequality the default limit, then the acceptance limit is used.
was expressed in terms of measureable equipment
and product parameters (Appendix I). The resulting ARTICLE ACRONYM LISTING
expression for the CQ criterion for intrasite assess- A Product A Previously manufactured prod-
ments, where the intracampaign cleaning cycle (AA) uct
is similar to the intercampaign cleaning cycle (AB), is AA Between batches of the same product (in-
given by Equation 2. tracampaign)
When this inequality is satisfied, the amount of AB Between batches of different products (inter-
inactivated Product A in the largest dose of Product B campaign)
will be less than the amount of inactivated Product A ADE Acceptable Daily Exposure
in the largest dose of Product A. API Active Pharmaceutical Ingredient
If inactivated Product A can be adequately recovered B Product B Subsequently manufactured
by TOC, then TOC is used to verify removal of the product
inactivated product; otherwise, an alternative assay is CQ Comparable Quality
developed to demonstrate removal of the inactivated DP Drug Product
product at full scale. DS Drug Substance
If the characterization data indicate that the API is LD Largest Dose
inactivated when exposed to cleaning conditions, and LOQ Limit of Quantitation
the CQ criterion is met, then the acceptance limits M LD
IP AA Mass of inactivated Product A in largest dose
for the process residue can be set based on the lowest of Product A
of the following two limits: process capability and 10 M LD
IP AB Mass of inactivated Product A in largest dose
ppm limit for carryover of process residue. of Product B
Application of the CQ criterion to intersite transfers MAC Maximum Allowable Carryover
will be described in Part III. MWD Molecular Weight Distribution
SDS PAGE Sodium Dodecyl Sulfate Polyacrylamide Gel
REFERENCES Electrophoresis
1. Fourman, Gary L. and Michael V. Mullen, Deter- SBS Smallest Batch Size
mining Cleaning Validation Acceptance Limits for TOC Total Organic Carbon
Pharmaceutical Manufacturing Operations, Phar-
maceutical Technology, 17 (4), 54-60, 1993. ACKNOWLEDGEMENTS
2. Sharnez, R., To, A., Cleaning Validation of Multi- The authors thank Aine Hanly, Donna Corvese, Lillian
product Equipment: Acceptance Limits for Inac- Colon, Sam Guhan and Steve Hatke for their help and
tivated Product, Part IThe Comparable Quality support.
Approach, Journal of Validation Technology, Autumn
2011, p. 32-36, 2011.
3. Kendrick, K., Canhoto, A., Kreuze, M., Analysis
of Degradation Properties of Biopharmaceutical
[C
batch
CQ criterion states that: M IP,AB = AB,j
SA AB,j] [Equation AI-2b]
The amount of inactivated Product A in the largest j=1
dose (LD) of Product B (M LD
IP AB) should be less than
or equal to the amount of inactivated Product A in the where, SA AB,j is the product contact surface area for
largest dose of Product A (M LD
IP AA) (2). Thus, the jth system of the equipment train (cm2), M is the
number of systems that are shared between the two
products, and CAB,j is the average surface concentration
M LD
IP AB M LD
IP AA [Equation AI-1] of inactivated Product A on SA AB,j (g/cm2).
Thus, the carryover of inactivated Product A into
AI.1 CQ criterion in terms largest dose of Product B (M LD
IP AB) can be expressed
of measureable parameters as:
N
In order to apply this criterion to set acceptance limits LDB
for inactivated product, the above inequality must be ex- M IP,AB=
LD
[CAB,j SA AB,j]
pressed in terms of measureable equipment and product j=1 SBSB
parameters. This is demonstrated in Figure AI.1 with an [Equation AI-3b]
example in which two products, A and B, are subse-
quently manufactured in a shared equipment train. where, LDB and SBSB are the largest dose and smallest
The equipment train shown in Figure AI.1 is used batch size of Product B, respectively.
to manufacture Product A and has a total surface area Substituting for the left-hand and right-hand sides
of SA AA. of Equation AI-1 with the right-hand side of Equations
The carryover of the residual inactivated Product A AI-3b and AI-3a, respectively, gives:
(that remains on the equipment surface after batchclean- M N
[C
LDB LDA
ing), into the next batch of Product A (M IP,AA) can be [CAB,j SA AB,j] AA,i
SA AA,i ]
SBSB SBSA
expressed as: j=1 i=1
[Equation AI-4]
N
[C
batch
M IP,AA = AA,i
SA AA,i] [Equation AI-2a] Rearranging the terms in Equation AI-4 gives:
i=1
N
[CAA,i SA AA,i ] SBSA LDB
where SA AA,i is the product contact surface area for the i=1
ith system (CIP circuit) of the equipment train (cm2), N M SBSB LDA
is the total number of systems that are used to manufac- j=1
[CAB,j SA AB,j ]
ture Product A, and CAA,i is the average surface concen- [Equation AI-5]
tration of inactivated Product A on SA AA,i (g/cm2).
Thus, the carryover of inactivated Product A into the Equation AI-5 gives the CQ criterion for intrasite
largest dose of Product A (M LD
IP AA) can be expressed as: manufacturing (i.e., when Product A is already being
manufactured at the same site where Product B is man-
N
LDA ufactured). Note that N is the total number of systems
M IP,AA=
LD
[CAA,i SA AA,i] used in the manufacture of Product A, and M is the
i=1 SBSA number of systems that are used in the manufacture of
both Product A and Product B (i.e., shared systems).
[Equation AI-3a]
AI.2. Surface concentration in terms of swab or rinse
where LDA and SBSA are the largest dose and smallest data
batch size of Product A, respectively. The surface concentration terms in Equation AI-5
Part or all of the equipment train that is used to (CAA,j and CAB,j) can be expressed in terms of TOC
manufacture Product B will also be used to manu- (or other analytical) results as follows:
Figure AI.1: Equipment train used to manufacture Product A has a total surface area of SA AA
Figure AI.2: The surface area that both products will be exposed to, also known as the shared surface area, is SAAB
S
1 swab recovery factor and carbon fraction for the process
CAA,i= CAA,k,i [Equation AI-6] soil in the ith system.
S k= 1 Similarly, CAA,k,i can be estimated from TOC rinse
data as follows:
where S is the number of data points (samples) for the
ith system (CIP circuit) and CAA,k,i are the measured
CAA,k,i =rTOCk,i
surface concentrations of inactivated product for each of [Equation AI-7b]
the S data points. rRFi cfi
The CAA,k,i for the equipment train used to manu-
facture Product A can be estimated from TOC swab where, rTOCk,i is the TOC rinse data for the kth rinse
data as follows: sample result for the ith system, and rRFi and cfi are the
rinse recovery factor and carbon fraction for the process
CAA,k,i =sTOCk,i soil in the ith system.
[Equation AI-7a] Similarly, CAB,j can be estimated from TOC swab
sRFi cfi or rinse data, recovery factors and carbon fractions for
the shared equipment.
where, sTOCk,i is the TOC swab data for the kth swab
sample result for the ith system, and sRFi and cfi are the
APPENDIX II
N
i=1
[CAA,i SA AA,i ] SBSA LDB
Worked Example for Intrasite
SBSB LDA
M
Assessment
j=1
[CAB,j SA AB,j ]
Is the CQ criterion satisfied for the following scenario?:
Product A and Product B are currently being The calculated parameters for this example are as
manufactured at the same site. The total surface area given in Table AII-4.
associated with the manufacture of Product A and
3
[C
relevant process parameters are given in Table AII-1.
SA AA,i ]= (3.7112.6)+(2.1410.2)
TOC rinse data for the above circuits are listed in i=1
AA,i
Table AII-2. In this case, for each circuit there is one +(3.1511.6)=105.1
TOC rinse sample. 2
cuits 2 and 3 are shared for the manufacture of Prod- SBSA 4.5
uct A and Product B. The shared surface area SA AB,j = = 0.9
SBSB 5
and relevant process parameters for the manufacturing
Product B are as given in Table AII-3. LDB 75
= = 1.5
Because the cleaning cycles for AA are the same as LDA 50
the cleaning cycles for AB, CAA,i = CAB,j for Cir-
cuits 2 and 3, and the TOC rinse data listed in Table Substituting the above results into the left and right
AII-2 can be used for both surface concentrations. hand sides of Equation AI-5 gives:
Left hand side = 1.80
AII. Solution Right hand side= 1.35
For this scenario (intrasite assessment), the CQ criterion Thus, the CQ criterion is satisfied for the above
is given in Equation AI-5: intrasite assessment. JVT
Table AII-3: Shared surface area for Products A and B and relevant process parameters.
Table AII-1: Total surface area associated with the manufacture of Product A and relevant process parameters.
Biopharmaceutical
Cleaning Validation:
Acceptance Limits for
Inactivated Product
Based on Gelatin as a
Reference Impurity | IVT
Rizwan Sharnez, Ph.D.,Abby Spencer, Jeanine Bussiere, Ph.D., Dan Mytych, Ph.D., Angela
To, and Arun Tholudur, Ph.D.
INTRODUCTION
An important regulatory expectation for multiproduct cleaning validation
is that the potential carryover of the previously manufactured API into the
subsequently manufactured product should be below an acceptable level.
This criterion is often met through a maximum allowable carryover (MAC)
assessment for the previously manufactured API (1-5). The MAC assessment
is typically based either on the minimum therapeutic dose (1), or the accept-
able daily exposure (ADE) (2) of the previously manufactured API.
A limitation of the conventional MAC approach is that it does not
provide appropriate acceptance limits for pharmacologically inactive
product. This has important implications for biopharmaceutical manu-
facturing because the API is inactivated during cleaning and sterilization.
Another limitation of this approach is that the acceptance limit for the
API is often below the process capability limit (PCL) of the cleaning pro-
cesses and, in some instances, below the limit of quantitation (LOQ) of
non-specific assays, such as total organic carbon (TOC). Other limitations
of the conventional MAC approach have been discussed previously (6).
Fragmentation and inactivation of an API during cleaning and steriliza-
tion can be assessed by exposing the process soil to simulated operating
conditions at bench scale (7). The bench scale experiments are designed
to simulate full-scale operating conditions that are least conducive
(worst-case) for inactivation. The degree of inactivation is evaluated by
subjecting the sample and untreated controls to the appropriate assays
(e.g., sodium dodecyl sulfate polyacrylamide gel electrophoresis [SDS-
PAGE] and bioassay can be used to evaluate fragmentation and biological
activity, respectively). The results of the study are used to set appropriate
acceptance limits for the process residue. The product ments of Product B (IFB). Thus, the IFA that are carried
inactivation approach is therefore more science-based over during changeover into Product B do not present
and reflective of the phenomenological aspects of a new or unknown risk from a safety standpoint. This
cleaning processes. implies that the equipment train can be used to manu-
Inactivation of the product during cleaning and facture multiple products without introducing a new or
sterilization has important implications for clean- unknown class of impurities into any of the products.
ing validation of multiproduct equipment. If the API Further, the carryover of IFA into Product B is significant
degrades into pharmacologically inactive fragments, only for the first lot of Product B that is manufactured
the acceptance limit for the process residue can be set following changeover.
based on the inactive fragments instead of the active
ingredient. This is consistent with the expectation that COMPARABLE QUALITY APPROACH
the carryover of an impurityin this case the inac- The acceptance limits for inactive fragments in the pro-
tive fragmentsinto the subsequently manufactured cess residue can be set based on the Comparable Quality
product should be justified from the standpoint of the (CQ) approach (6, 10-11). With the CQ approach, the
safety and efficacy of the product. amount of the target impurityin this case inactive frag-
The experimental approach and analytical methods ments of Product Athat is carried over into the largest
for assessing fragmentation and inactivation of the API dose (i.e., largest dose that is administered to a patient
have been discussed in the literature (6-11). This paper in a day) of the subsequently manufactured product
describes a rational approach for setting safety-based (Product B) is limited to the acceptable exposure per
acceptance limits for the inactive fragments. The pro- dose of a reference impurity. The reference impurity must
posed methodology builds upon previously published be comparable to or worse than the target impurity from
approaches (6, 10-11). a predictive safety standpoint.
Predictive safety for inactive fragments is evaluated
ASSESSING THE SAFETY OF in terms of the key factors that determine toxicity and
INACTIVE FRAGMENTS OF HTPS immunogenicity. For HTPs, toxicity is determined by
The safety of inactive fragments of human therapeutic pharmacological activity (13); thus, toxicity is generally
proteins (HTPs) is assessed qualitatively in this section. not a concern for inactive fragments of HTPs. Im-
Consider an equipment train that is used to manufac- munogenicity is primarily determined by foreignness
ture Product A. The cleaning and sterilization cycles are and chemical complexity (14). Chemical complexity
known to denature and degrade any residual product in increases with molecular weight (MW); thus, larger
the equipment into fragments that are pharmacologically molecules tend to be more immunogenic (15). The
inactive. The inactive fragments of Product A are carried most active immunogens tend to have a MW greater
over into the subsequent batch of Product A. Thus, as than 100 kilo Daltons (kDa) (14). HTP fragments with
a class of molecules, inactive fragments of HTPs do not MWs less than 10 kDa are generally weak immuno-
present a new or unknown risk from a safety standpoint. gens (14). Small polypeptides under 10 kDa usually
In fact, these types of fragments have been present in need to be conjugated to large immunogenic carrier
biopharmaceutical products for decades. Further, a com- proteins or administered with adjuvants to ensure an
prehensive literature search did not reveal any evidence antibody response (16).
of safety or efficacy issues directly attributable to the The suitability of gelatin as a reference impurity for
presence of inactive fragments in parenteral drugs (12). setting acceptance limits for inactive HTP fragments is
evaluated in the next section.
Implications for Multiproduct Cleaning Validation
Consider the introduction of a new product (Product B) GELATIN AS A REFERENCE IMPURITY FOR
into the facility. Part of the equipment train is now used INACTIVE HTP FRAGMENTS
to process both products. The cleaning and sterilization The use of gelatin as a reference impurity for inactive
cycles between batches of different products (A B or B HTP fragments is justified for the following reasons:
A, [i.e., intercampaign processing or changeover]) are Gelatin consists of a mixture of animal protein frag-
the same as those between batches of the same product ments derived from the hydrolysis of collagen, a pro-
(A A or B B, [i.e.,intracampaign processing]). Thus, tein that is commonly found in connective tissues
for a given set of cleaning and sterilization cycles, the (17). The collagen is hydrolyzed by exposing the
molecular weight distribution (MWD) of inactive frag- connective tissues to pH and temperature extremes
ments of Product A (IFA) that are carried over into a sub- (18). HTPs in the process residue are exposed to
sequent batch of Product B (intercampaign processing) is similar operating conditions during cleaning and
the same as the MWD of IFA that are carried over into a sterilization. Thus, in terms of chemical composi-
subsequent batch of Product A (intracampaign process- tion, the protein fragments in gelatin are comparable
ing). The same is true for the MWD of inactive frag- to the HTP fragments in the process residue.
To elicit an immune response, a molecule must with MWs less than 10 kDa are generally weak
be recognized as nonself by the immune system immunogens (14). Protein fragments in gelatin
(14). The protein fragments in gelatin are of ani- range from 15 kDa to 400 kDa (18), which is
mal origin whereas the HTP fragments in the substantially higher than the 10 kDa threshold
process residue are of human origin. Thus, the for weak immunogens.
peptide sequences in the HTP fragments are more
likely to be recognized by human immune sys- CQ APPROACH BASED ON GELATIN
tems than the peptide sequences in the protein This section describes the application of the CQ ap-
fragments in gelatin. Consequently, as compared proach based on the use of gelatin as a reference impu-
to the protein fragments in gelatin, the HTP frag- rity to inactive HTP fragments.
ments in the process residue are less likely to Gelatin is used as a stabilizer in many parenteral
elicit an immunogenic response in humans. products. The amount of gelatin in common parenteral
The molecular weights of most of the HTP frag- products ranges from several hundred micrograms to
ments are less than 10 kDa (19). HTP fragments over 15,000 g per dose (refer to table).
Measles, Mumps, Rubella ATTENUVAX 14,500 g in 0.5 mL Subcutaneous Two doses: one at 12 months of
(Merck)2 injection age and one at four years of age
Measles, Mumps, Rubella, ProQuad 11,000 g in 0.5 mL Subcutaneous Two doses: one at 12 months of
Varicella (Merck)2 injection age and one at four years of age
Rabies (Novartis)2 RabAvert 12,000 g in 1.0 mL Intramuscular Post-exposure dosage: 1 mL
injection doses on days zero, three,
seven, 14, and 28
Varicella (Oka/Merck)2 VARIVAX 12,500 g in 0.5 mL Subcutaneous Two doses each given four
(frozen) injection weeks apart
Yellow Fever (Sanofi YF-VAX 7,500 g in 0.5 mL Subcutaneous One dose every 10 years
Pasteur)1, 2 injection
Zoster (Oka/Merck)2 ZOSTAVAX 15,580 g in Subcutaneous Single dose
0.65 mL injection
Isoplex Solution for ISOPLEX 4% w/v (20g in Intravenous
Given for blood loss, 500 mL
Infusion4 500 mL bag) can be given in as little time as
five minutes in the case of rapid
blood loss
1
Kelso, John M., Li, James T., Adverse reactions to vaccines; Ann Allergy Asthma Immunol., 2009 Oct;103(4 Suppl
2):S1-14.
2
Package inserts via www.fda.gov/BiologicsBloodVaccines/Vaccines/default.htm
3
Package insert via http://www.rxabbvie.com
4
Package insert via http://www.mhra.gov.uk/Safetyinformation/Medicinesinformation/SPCandPILs/index.htm
13 g/cm2
Substituting for from Equation 1a gives Based on the worst-case assumption that all the
the acceptance limit (AL) for CIFA, carbon in the process residue is from the IFA, the ac-
ceptance limit for TOC (ALTOC) in the swab extractant
[2b]
is
ALTOC = SC A SRF CF / m
IFA
Note that any splits of the batch into smaller batches METHODOLOGY FOR SETTING ACCEPTANCE LIMITS
for filling or other operations should be appropriately The proposed methodology for setting acceptance
accounted for in estimating SSA and . limits for multiproduct equipment is summarized in
Based on the definitions of andC ALIFA, the the flowchart. Inactivation studies are first performed
cleaning is effective if under simulated worst-case operating conditions (7). If
the sample is shown to have no detectable activity, the
[6a] CQ approach can be used to set acceptance limits for the
inactivated product (right side of flowchart). However,
Substituting for and from Equation 2b if there is no detectable loss in activity, the conventional
and Equation 5, respectively, gives MAC approach can be used to set the acceptance limit
Figure 1: Flowchart for Setting Acceptance Limits (AL) for the Process Residue.
a
Based on results of bioassay
for the previously manufactured product (1-2). If the cal method. This approach is consistent with industry
results indicate that the API is partially inactivated, the practices and is justified because the cleaning cycle is
acceptance limit should be determined for the API as validated and continually monitored, and has appro-
well as the inactivated product, and the lower of the priate controls in place. Additionally, adopting this ap-
two limits should be used. Alternatively, the operating proach does not impact the relative amount and MWD
parameters can be modified to ensure inactivation of the of the target impurity that is carried over between
API. This can be facilitated by running additional studies batches of different products, which is consistent with
to characterize the effect of the operating parameters on the CQ criterion. Thus, setting the acceptance limit to
the API. the PCL ensures that the MWD of the target impurity
that is carried over into a batch of Product B is com-
Default Limits parable to the MWD of that target impurity that was
If the carryover of the target impurity into the subse- historically present in a batch of Product A.
quent batch based on the above acceptance limit (AL) is
above 10 ppm, then the AL should be reduced to limit CONCLUSION
the carryover to 10 ppm. The 10 ppm carryover limit is a Biopharmaceutical cleaning and sterilization cycles are
widely used default limit (20). It is based on the empiri- designed to expose product contact equipment to pH
cal observation that raw materials and intermediates and temperature extremes for several minutes. Under
commonly found in biopharmaceutical manufacturing these conditions biological APIs degrade and denature
process residues are safe to ingest at concentrations up to rapidly thereby becoming pharmacologically inactive.
0.1% (1000 ppm). In order to extrapolate this oral limit Inactivation of the product during cleaning and
to other routes of administration, it is reduced by a factor sterilization has important implications for cleaning
of 100 to 10 ppm. validation of multiproduct equipment. If the API is in-
If sufficient historical cleaning data are available to activated, the acceptance limits for the process residue
establish a statistically sound process capability limit can be set based on the inactive product instead of the
(PCL), then the AL should be set to the PCL. If the API.
historical data are below the LOQ of the analytical A comprehensive literature search did not reveal any
method, the PCL can be set to the LOQ of the analyti- evidence of safety or efficacy issues directly attribut-
able to the presence of inactive fragments in parenteral 0.05 and 0.2 ppm Carbon. It also compares favorably
drugs (12). Further, these types of fragments have been to the process capability limit (PCL) of most cleaning
present in biopharmaceutical products for decades. processes, which is typically on the order of 1 ppm
Thus, as a class of molecules, inactive fragments of Carbon for TOC swab samples. Thus, with the CQ ap-
HTPs do not present a new or unknown risk from a proach based on gelatin, it is unlikely that the accep-
safety standpoint. tance limit for the process residue would be below the
The Comparable Quality (CQ) approach based on PCL of the cleaning process or the LOQ of TOC.
gelatin can be used to set acceptance limits for inactive The methodology described in this paper is not
fragments of non-conjugated HTPs. With this ap- applicable to allergenic ingredients, penicillin, cepha-
proach, the carryover of inactive fragments into the losporin, potent steroids, and cytotoxic compounds.
largest dose of the subsequently manufactured product Acceptance limits for process residues associated with
is limited to the acceptable exposure of an appropri- these types of APIs are typically set to the limit of
ate reference impurity. The reference impurityin this detection (LOD) of the best available analytical method
case gelatinwas shown to be comparable to or worse (21).
than the inactive fragments from a predictive safety
standpoint. i
Depending on the process soil, API refers to the
If the product is not inactivated during cleaning active pharmaceutical ingredient in the drug product,
and sterilization, the acceptance limit for the process drug substance, or drug substance intermediate.
residue should be set based on the acceptable carry- ii
i.e., surface area of equipment train that is subjected
over of the API (1-2). However, if the results indicate to cleaning and that comes into contact with both
that the API is partially inactivated, the acceptance Product A and Product B. If inactive fragments of
limits should be determined for the API as well as for Product A are removed by the purification steps
the inactive fragments, and the lower of the two limits for Product B, then the part of the equipment train
should be used for cleaning validation (refer to Figure). upstream of those purification steps can be excluded
The acceptance limit for inactive fragments based from the shared surface area.
on gelatin as a reference impurity was ascertained to iii
Note that the use of a non-specific method such as
be 0.65 mg per dose. At 0.65 mg of inactive fragments TOC also allows for the detection of intact protein.
per dose, the acceptance limit for TOC swab samples
was shown to be 3.25 ppm Carbon.iii This estimate
was based on relatively unfavorable system parameters. ACKNOWLEDGEMENTS
Note that this acceptance limit is substantially higher We thank Vijay Chiruvolu, Sam Guhan, Aine Hanly and
than the LOQ of TOC, which is typically between Anthony Mire-Sluis for their help and support.
ACRONYMS
A Area swabbed
AA Between batches of the same product (intracampaign)
AB Between batches of different products (intercampaign)
ADE Acceptable Daily Exposure
AL Acceptance limit
ALCQ Acceptance limit based on comparable quality approach
ALMAC Acceptance limit based on MAC
ALTOC Acceptance limit for TOC swab sample
API Active pharmaceutical ingredient
Acceptable limit for concentration of inactivated fragments of Product A
CIFA Concentration of inactivated fragments of Product A
Worst-case estimate of CIFA
CF Carbon fraction in process residue
CQ Comparable quality
HTP Human therapeutic proteins
IFA Inactive fragments of Product A
IFB Inactive fragments of Product B
kDa Kilo Dalton
LD Largest dose
LOD Limit of detection
LOQ Limit of quantitation
m Mass of extractant
MAC Maximum allowable carryover
Mass of inactive fragments of Product A in largest dose of Product B
MW Molecular weight
MWD Molecular weight distribution
PCL Process capability limit
PR Process residue
Product A Previously manufactured product
Product B Subsequently manufactured product
RIFA Residual IFA on the surface of the shared equipment train after cleaning
SC IFA
Average surface concentration of IFA on the shared surface area
SDS PAGE Sodium dodecyl sulphate polyacrylamide gel electrophoresis
SRF Swab recovery factor
Shared surface area (i.e., surface area of the equipment train that comes into contact with
SSA
both Product A and Product B)
TOC Total organic carbon
Largest dose of Product B
Minimum volume of the final batch of Product B (i.e., smallest batch size of Product B)
Multiproduct Cleaning
Validation: Acceptance
Limits for the Carryover
of Inactivated API
Part IThe Comparable
Quality Approach
Rizwan Sharnez and Angela To
SUMMARY
An important consideration in multiproduct cleaning validation is to dem-
onstrate that the carryover of the previously manufactured active pharma-
ceutical ingredient (API) into a batch of the subsequently manufactured
product is below an acceptable limit. If, however, the previously manufac-
tured API becomes therapeutically inactive during cleaning, then there is
limited value in verifying clearance of the API. Instead, it is more appropri-
ate to demonstrate clearance of inactivated product. This approach is gaining
acceptance in the industry.
A methodology for evaluating the degree of inactivation of a product
during cleaning and setting acceptance limits for the carryover of inacti-
vated product in multiproduct equipment is described. A new approach
for justifying acceptance limits for inactivated product, known as the
comparable quality (CQ) approach, is described in Part I; the application
of this approach to biopharmaceutical cleaning will be described in Part
II. The general principles of the CQ approach are applicable to most ac-
tive pharmaceutical ingredients (APIs).
INTRODUCTION
For multiproduct cleaning validation, acceptable carryover of the previously
manufactured API (Product A) into the subsequently manufactured API
(Product B) is determined through a maximum allowable carryover (MAC)
calculation (1-3). A limitation of the conventional MAC approach is that
it does not account for the carryover of the inactivated molecule between
lots of different products (i.e., A B, or B A). This is an important factor
to consider when aggressive cleaning conditions are used. For example,
biopharmaceutical cleaning cycles are generally designed to expose prod-
uct contact equipment to extremes of pH (i.e., 2-13) and temperature (i.e.,
60-80C) for several minutes. The equipment may also be steam sterilized
or sanitized after cleaning. Under these conditions, monoclonal antibod-
ies, therapeutic proteins, and other biological APIs are Similarly, it is possible for the API to be inactivated even
known to degrade and denature rapidly (4, 5) and are, though the epitopes are not completely destroyed, and
therefore, likely to become therapeutically inactive (6). this can lead to false positives. Another issue with PSAs
Inactivation of the product during cleaning has is that it is difficult to get an accurate recovery factor.
important implications for cleaning validation of mul- That is because the experimental conditions of the
tiproduct equipment. If it can be demonstrated that recovery study (e.g., direct spotting of coupons with the
the product becomes therapeutically inactive during API) do not represent the actual sample matrix (i.e., a
cleaning, a MAC assessment for the API would not be small amount of API in the presence of degradants and
required. It also obviates the need to develop product cleaning agent residues). For the above reasons, PSAs
specific assays (PSA) for cleaning validation. should be used judiciously for verifying clearance of
Inactivation of the product during cleaning can be biological APIs after cleaning (7).
assessed by exposing the process soil to simulated Another issue with the MAC approach is that every
cleaning conditions at bench scale (4, 5). The bench time a new product is introduced into a facility there is
scale studies are designed to simulate the conditions a risk that one or more of the new MAC limits for the
that are least conducive (worst-case) for inactivation. For previously validated products could be below the exist-
example, for alkaline washes, the lowest applicable pH, ing acceptance limits for cleaning validation.
temperature, duration, and ratio of cleaning solution
to process soil is used to simulate the cleaning cycle at PROTEIN DEgRADATION
bench scale. The sample is then neutralized and cooled AND INACTIvATION APPROACH
to minimize any further inactivation. The degree of in- Performing Degradation and Inactivation Studies
activation is evaluated by subjecting the sample and an A bench-scale approach for evaluating the bioactivity of
untreated control to the appropriate assays (e.g., Sodium the residual API and the molecular weight distribution of
Dodecyl Sulfate Polyacrylamide Gel Electrophoresis the degradants after exposure to cleaning conditions is
[SDS PAGE] and bioassay for biological products). described in this section.
A literature search did not uncover any scientific Full-scale cleaning conditions of shared product
approaches or regulatory guidances for setting accept- contact equipment are evaluated to determine the con-
able limits for the carryover of inactivated product for ditions that are least conducive for inactivation (e.g.,
cleaning validation. lowest ratio of wash volume to protein, lowest cleaning
agent concentration, lowest temperature, and shortest
LIMITATIONS OF THE MAC APPROACH duration of exposure). The product is exposed to these
The MAC approach is often used to set cleaning valida- conditions at bench scale. The objective of the study is
tion acceptance criteria for the carryover of the previous- to ascertain whether the API in the process sample is
ly manufactured API (Product A) into the subsequently inactivated when exposed to cleaning conditions.
manufactured API (Product B) (1-3). A limitation of this Product is spiked into tubes containing alkaline
approach is that it does not account for the carryover of cleaning solution, heated to the appropriate tempera-
the inactivated molecule between lots of different prod- ture, and allowed to incubate for the duration of the
ucts (i.e., A B, or B A). alkaline wash. Samples may also be titrated with the
Another limitation of the MAC approach is that the acidic cleaning solution to the pH of the acidic wash
acceptance limits for cleaning validation are often below and held for the duration of the acidic wash. Samples
process capability limits and/or below the limit of quan- are then titrated to a neutral pH and cooled to 4C to
titation (LOQ) of non-specific assays (e.g., total organic minimize further degradation and inactivation. The
carbon [TOC]; the LOQ of TOC is typically between samples are then subjected to SDS-PAGE and bioas-
0.05 and 0.2 ppm). This issue is further exacerbated say to determine the degree of degradation and TOC
by the low recovery of APIs from process soils. PSAs analysis to determine whether the degradants can be
such as enzyme-linked immunosorbent assay (ELISA) adequately recovered by TOC.
and enzyme immunoassay (EIA) are sometimes used
to address this issue because they have very low LOQs Assays
(typically below 10 ppb). However, PSAs are difficult SDS-PAGE and bioassays are used to evaluate protein
and laborious to qualify, and can give inaccurate results degradation and inactivation, respectively. The product
if the API degrades during cleaning (7). That is because is exposed to cleaning conditions at small scale and then
PSAs detect activity indirectly, by recognizing specific analyzed with the above assays to determine degree of
epitopes (i.e., short amino acid sequences that PSAs are degradation (i.e., molecular weight distribution) and
designed to detect). The epitopes can be destroyed by bioactivity. Additionally, samples are analyzed for TOC
buffer and cleaning agent components. However, a bio- to determine the recovery of the inactivated protein and
logical API can be therapeutically active even if the epi- the applicability of the TOC assay for demonstrating
topes are destroyed, and this can lead to false negatives. clearance of the inactivated product at full scale.
SDS-PAGE solubilizes aggregated and degraded product, the MAC approach is used to limit carryover of
proteins and separates them based on molecular previous product to an acceptable level (1-3). If the MAC
weight (MW). The inclusion of MW standards allows limit is higher than the LOQ of TOC, TOC is used to
for estimation of the MWs of the degradants and any verify clearance of previous product at full scale. If the
aggregates, and the inclusion of control samples at a MAC limit is below the LOQ of TOC, an alternate assay
defined protein load allows for the estimated quantita- may need to be developed to verify clearance of the API.
tion of protein concentration by densitometry. Staining The MAC approach limits the amount of API of the
of gels is sensitive to 5-10 ng for Silver Staining and previously manufactured product (A) in a dose of the
100 ng for Coomassie Staining. SDS-PAGE has the subsequently manufactured product (B) to the accept-
advantage of providing a wide range of specificity for able daily exposure (ADE) of A (8), or to 1/1000th of
detecting proteins with unknown primary structures, the minimum dose of A (9).
size, charge, and hydrophobic states. This feature is
particularly useful for protein degradation analysis COMPARABLE QUALITY APPROACH
because the level of protein degradation due to clean- If the protein becomes therapeutically inactive during
ing is highly unpredictable and can extend over a wide cleaning, then the acceptance limit for the inactivated
range of MW. SDS-PAGE also provides high sensitivity molecule of the previously manufactured product
for detecting trace amounts of protein. (Product A) in the subsequently manufactured product
Bioassays measure the relative amount of biological- (Product B) can be set based on the CQ approach. With
ly active product present in a sample. Thus, bioassays the CQ approach, the amount of inactivated Product A in
can be used to determine the effect of cleaning condi- a dose of Product B is limited to the amount of inacti-
tions on the inactivation of biologicals. vated API of Product A in a dose of Product A. Appropri-
ate adjustments are made to account for differences in
SETTINg ACCEPTANCE LIMITS process parameters of the two products. If inactivated
BASED ON PROTEIN INACTIvATION Product A can be recovered and detected by TOC, and
The methodology for setting acceptance limits is summa- its acceptance limit is greater than the LOQ of TOC, then
rized in the Figure. Degradation and inactivation studies TOC is used to verify clearance of the inactivated API.
are first performed under simulated cleaning conditions. Otherwise, an alternative assay is developed to demon-
If the sample is shown to have therapeutically active strate clearance of the inactivated API at full scale.
Inputs Perform
Process samples and inactivation
reference standard study
Cleaning cycle and
equipment parameters
Is API in process
sample inactivated after
1 Based on exposure to cleaning
results of conditions?1
bioassay
Yes No
Inputs
Dose and batch sizes of
Use MAC
products
Surface area and rinse
approach to
parameters of shared set acceptance
equipment limit (AL) for API
Recovery study for API
Carbon content of API
Is AL LOQ
of TOC?
Yes No
Develop alternative
Use TOC to
assay to
demonstrate demonstrate
clearance of API
clearance of API
Inputs
Dose and batch sizes of products Use CQ approach to set
Surface area of dedicated and
acceptance limit (AL) for
shared equipment
Recovery study for inactivated API inactivated API
Carbon content of inactivated API
Can
inactivated API
be recovered
by TOC?
Yes No
2 Thisis
No done on a
Is AL LOQ
case-by-
of TOC?
case basis
Yes
Use TOC to
Develop alternative assay
demonstrate
to demonstrate clearance
clearance of
of inactivated API2
inactivated API
CONCLUSION ACKNOWLEDgEMENTS
The inactivation of a product during cleaning and steam- The authors are grateful to Arun Tholudur and Joel
ing has important implications for cleaning validation Bercu for their helpful suggestions and support.
of multiproduct equipment. Demonstrating that the
product becomes inactivated during these operations ob- ARTICLE ACRONYM LISTINg
viates the need to perform arduos MAC assessments for A Product Apreviously manufactured product
the API. It also eliminates the need to develop PSAs for ADE Acceptable Daily Exposure
cleaning validation. PSAs are designed to detect specific AL Acceptance Limit
epitopes; thus, if the API degrades, the result from the as- API Active Pharmaceutical Ingredient
say may not necessarily correlate to therapeutic activity. B Product Bsubsequently manufactured
The CQ approach can be used to set acceptance lim- product
its for the carryover of inactivated product for multi- CQ Comparable Quality
product cleaning validation. This approach is designed EIA Enzyme Immunoassay
to ensure that the amount of inactivated Product A in ELISA Enzyme-Linked Immunosorbent Assay
a dose of Product B is less than the amount of inacti- LOQ Limit of Quantitation
vated Product A in a dose of Product A. Application of MAC Maximum Allowable Carryover
the CQ approach to biopharmaceutical cleaning will MW Molecular Weight
be described in Part II of this series. PSA Product Specific Assay
SDS PAgE Sodium Dodecyl Sulfate Polyacrylamide Gel
REFERENCES Electrophoresis
1. Sharnez, R., Strategies for Setting Rational MAC- TOC Total Organic Carbon
based LimitsPart I: Reassessing the Carryover
Criterion, Journal of Validation Technology, Vol 16,
No. 1, p. 71-74, 2010.
2. Sharnez, R., To, A., Klewer, L., Strategies for
Setting Rational MAC-based LimitsPart II: Ap-
plication to Rinse Samples, Journal of Validation
Technology, Vol 17, No. 2, p. 43-46, 2011.
3. Sharnez, R., To, A., Strategies for Setting Rational
MAC-based LimitsPart III: Leveraging Toxicol-
ogy and Cleanability Data, Journal of Validation
Technology, Vol 17, No. 3, p. 24-28, 2011.
4. Kendrick, K., Canhoto, A., Kreuze, M., Analysis
of Degradation Properties of Biopharmaceutical
Active Ingredients as Caused by Various Process
Cleaning Agents and Temperature, Journal of Vali-
dation Technology, Vol 15, No. 3, p. 69, 2009.
5. Rathore, N., Qi, W., Chen, C., Ji, W., Bench-scale
characterization of cleaning process design space
for biopharmaceuticals, Biopharm Int, Vol 22,
No. 3, 2009.
6. Martinez, J.E., Immunogenic Potential of Thera-
peutic Protein Residues after Cleaning, Bioprocess
International, Vol. 9, P. 38-44, 2004.
7. Health Canada, Cleaning Validation Guidelines
(GUIDE-0028); Section 8.3, Health Products and
Food Branch Inspectorate, 2008. http://www.hc-sc.
gc.ca/dhp-mps/compli-conform/gmp-bpf/valida-
tion/index-eng.php
8. ISPE, Risk-Based Manufacture of Pharmaceutical
Products: A Guide to Managing Risks Associated with
Cross-Contamination, 1st Edition, Vol. 7, ISPE, 2010.
9. Fourman, Gary L. and Michael V. Mullen, Deter-
mining Cleaning Validation Acceptance Limits for
Pharmaceutical Manufacturing Operations, Phar-
maceutical Technology, 17 (4), 54-60, 1993. JVT
Validation of a Cleaning
Process for Medical
Devices | IVT
Sebastian Clerkin, Ph.D.
AbStrACt
Many medical device manufacturers find it a considerable challenge
to plan and conduct a cleaning validation. The main challenges are
an establishment of the cleanliness limits and an identification of the
challenge conditions to be assessed during the process validation. This
paper describes a logical risk-based approach to overcome these chal-
lenges.
It begins with assessing the complete manufacturing process and
identifying the manufacturing agents. It discusses risk tools to deter-
mine which manufacturing agents need to have cleanliness limits. It
describes the manufacturing conditions to be considered when con-
ducting the cleaning validation.
The concepts described within this paper can be utilized by a medi-
cal device manufacturer to establish a cleaning process that will con-
sistently provide clean medical devices and comply with the relevant
regulations.
INtrODUCtION
Contamination of a medical device can have serious implications. Medi-
cal device manufacturers must ensure they have correctly identified all
potential contaminants and have established controls.
The United States Food and Drug Administration captures this re-
quirement within the Quality System Regulations (QSR) by stating that
each manufacturer shall (1, 2):
Establish and maintain procedures to prevent contamination of product by
substances that could be expected to have an adverse effect on product quality
Establish and maintain procedures for the use and removal of manufactur-
ing materials to ensure that it is removed or limited to an amount that does
not adversely affect the devices quality (2).
International Organization for Standardization (ISO) 13485 requires
that a medical device manufacturer establish documented requirements
for the cleanliness of a medical device in the following circumstances
(3):
Therefore, to comply with the QSR and ISO 13485, a medical device
manufacturer must establish documented cleanliness requirements.
However, these regulations do not explicitly state An organic residual; these are mostly insoluble in
that a cleaning process validation must be completed. water and include greases and oils
The Global Harmonization Task Force (GHTF) Study An inorganic residual; these are water soluble,
Group 3 does provide guidance on the requirement and examples include metal ions
for a cleaning process validation. Their process vali- Particulate; an example would be metallic par-
dation guidance (4); which was written by regula- ticles left over from a cutting process.
tors in the US, Europe, Japan, Australia and Canada;
states a cleaning process may be validated or may Hazardous components of manufacturing materials
be satisfactorily covered by verification. ISO 14696, can be obtained from the Material Safety Data Sheet
which provides guidance on the application of ISO (MSDS). The MSDS should be available for all the
13485, states that a cleaning process needs consid- manufacturing materials used in the process.
eration of use and the controls in place to determine It must be noted, however, that the MSDS gener-
whether some or all of the elements of validation are ally only lists the main components that are pres-
required (5). Therefore, a decision to conduct a clean- ent in a mixture. For example, the United States
ing process validation is dependent on the outputs Department of Occupational Safety and Health
of the cleaning process and the controls in place. For Administration (OSHA) only requires that hazard-
example, Figure 1 shows a manufacturing process ous constituents in excess of 1% be disclosed on a
flow that has an intermediate cleaning step. The sole MSDS (6). For carcinogens it is 0.1%. This is due to
output of this intermediate clean step may be that the the fact that MSDS are designed to protect the work-
parts are visibly clean. In this instance, verification ers, not identify potential hazardous contaminants
may be sufficient with no requirement for process on a medical device.
validation. On the other hand, the manufacturer There is also a risk that multiple constituents
taking a risk-based approach has specified a level of below the 1% disclosure threshold could have a cu-
acceptable residues after intermediate cleaning. In mulative effect on the intended use of the device.
this instance, verification would not be sufficient and Even though the MSDS does have these shortcom-
process validation would be necessary. ings, it is still a very useful initial tool in identifying
In the above manufacturing process flow (Figure potentially hazardous manufacturing agents.
1), the final cleaning step is the more critical cleaning When dealing with complex manufacturing
step of the two, as this is the last step in the process materials such as cutting fluids, it is a considerable
to make sure that the medical devices are sufficiently challenge to identify the individual components
clean prior to packaging. The cleaning validation ap- as they contain many different chemicals. These
proach described within this paper is more applicable chemicals may not be identified by the supplier or
to this final clean step. It consists of a number of may be considered proprietary. In these instances,
logical steps from identifying the risks to establishing it is imperative to liaise directly with the manufac-
limits and from validation to process monitoring. turing material supplier to identify any potential
contaminants that could impact the intended use of
revIew PrOCeSS FlOw AND IDeNtIFy the MANU- the device.
FACtUrINg MAterIAlS In addition, any process steps completed by an ex-
In order to determine the cleanliness limits for manu- ternal supplier must also be evaluated. For example,
facturing agents after the final cleaning process, it is manufacturing material may be present on a supplied
imperative to first evaluate the complete manufactur- component. These must be considered. This is why it
ing process. An overall process flowchart should be is crucial that the medical device manufacturer has a
created to demonstrate that the process has been ade- written agreement in place with their supplier that no
quately assessed, and it should contain information on changes are made to their manufacturing materials
the manufacturing materials that come in contact with without prior agreement.
the product at each process step. Examples of manu- Only after the overall process flow has been com-
facturing materials that must be considered include: pletely reviewed and all the potential contaminants
lubricants, detergents, wipes used during inspection, on the device identified can the manufacturer start
and polishing agents. This manufacturing material to consider their impact. Their impact is assessed by
maybe attributable to one of the following groups: conducting a risk analysis.
risk Analysis and Identification of Materials calculate limits for the pre-identified manufacturing
of Concern materials.
For the risk analysis, the impact of the contaminants However, in many instances, the NOAEL is not
from a hazardous perspective and from an intended known, and so the manufacturer must rely on using the
functionality perspective must be considered. LD50 values. LD50 is the median lethal dose. In other
A useful tool in identifying which contaminants words, the amount of a particular toxin that will kill 50%
are of the most concern is to use a hazard analysis of the population over specified time duration. These
and to ask the following questions: LD50 values can be readily obtained from the MSDS.
The LD50 values are then used to calculate the Accept-
Will too much of this contaminant be harmful to able Daily intake (ADI) using the following equation:
the patient?
Will too much of this contaminant impact the ADI = LD50 x mB/CF
proper functioning of the device?
Where:
An example of a hazard analysis is shown in Table
I; the process steps, manufacturing material and par- LD50 = median lethal dose
ticular agents are listed, and then the risk is consid- mB = is the body mass of the patient population and is
ered. The mitigation from the hazard analysis can be generally defaulted to 70kg
used to establish a particular cleaning limit or use of CF= conversion factor
an alternative manufacturing material.
The conversion Factor (CF) is typically a factor be-
eStAblIShINg CleANINg lIMItS tween 100 and a 1000 and is derived to incorporate
Now that the potential hazardous contaminants have uncertainty factors (UF) such as:
been identified, the acceptable level of contamination
on the medical device must be determined. These Extrapolation from animal to human tolerances
levels or limits must be documented and scientifically (typically defaulted to a factor of 10)
justified by the medical device manufacturer. Inter-human variability (typically defaulted to a
For toxic contaminants where there is known factor of 10)
toxicity data, ISO 10993-17 is very useful. It de- Additional UFs can be based on the type of
scribes a method to determine the acceptable levels medical device (i.e., medical device class) and the
of leachable material from a medical device using the duration of exposure.
No Observed Adverse Effect Level (NOAEL) (7). The
NOAEL is the highest concentration of a material that The weighting of each UF should be documented
causes no significant adverse effects in the exposed and justified (8). The UFs are then used to calculate
population. The standard takes this value and uses CF:
it to calculate the tolerable intake (TI) for a specific
leachable substance. This approach can be used to CF = UF1 x UF2 x UF3
In most cases, a conversion factor between 100 and contaminants where the LD50 value is known but
1,000 is sufficient; however, there may be instances the manufacturer has identified additional risks.
where significant risks have been identified and a CF as For example, if a carcinogen has been identified as
high as 10,000 may be appropriate (9). Refer to Kramer a potential contaminant, a spiking study may be
et al.for further information on conversion factors (10). instigated with a genotoxicity and/or carcinogenicity
Consider a real world example of the above ap- study as the endpoint.
proach using an alkaline cleaner: Working out the cleanliness limits for non-toxic
contaminants, which have the potential to interfere
The CF has been established as 1,000 to account with the proper functioning of the device, needs to be
for no human toxicity data (factor of 10), inter-human established by reviewing historical data or by spiking
variability (factor of 10), and a short exposure time of experiments. The spiking study is conducted in a
the device (factor of 10). similar manner as above, but instead of a biocompati-
The LD50of the alkaline cleaner is 365 mg/kgrat. bility study being the endpoint, the levels of contami-
The average human body weight is 70 kg. nation are now evaluated against a specific functional
This would give: requirement for the device. For example, for a device
ADI/device = 365 mg/kg x 70 kg/1000 =25.55 mg/ that has a bearing surface and device failure attribut-
device ed to particulate contamination, a spiking study may
Therefore, the cleanliness limit for this chemical be developed to determine the level of particulate that
would be 25.55 mg per device. will induce the failure.
Using this approach, a cleanliness limit can be
calculated for each specific toxin that was identified eStAblIShINg CleANINg teSt MethOD
during the risk analysis. Now that the cleaning limits have been identified
Obviously, this approach only identifies a cleanli- for specific manufacturing agents, the next step is to
ness limit for known toxins. It is not suitable for decide on a method to quantify the levels. There are
calculating the cleanliness limit where there is a lack two types of tests that can be developed:
of toxicological data available or the contaminants
have no associated toxicity but will impact the proper A specific analytical test can be developed to
functioning of the device. quantify a contaminant (refer to Table II for
For potential toxins where there is no readily avail- examples).
able toxicological data, a series of spiking studies can A non-specific test can be developed to quantify
be completed. This is where the device is artificially many different contaminants at the same time
contaminated with known amounts of the potential (refer to Table II for examples).
toxin. Biocompatible studies can then be completed
to determine the point of failure. The suite of ISO- There are pros and cons for both these approaches.
10993 standards provide a wealth of information that With respect to a specific test method, an accurate
can be used to define the biocompatibility studies measurement of a particular residue can be evaluated.
needed in establishing the failure point. Cytotoxic- This can be very important when this residue has
ity, sensitization, systemic toxicity, and genotoxicity been identified as being highly hazardous. However,
studies are examples of biocompatibility studies that these specific methods are more difficult to imple-
could be considered. The established failure point ment and are more expensive; therefore, they are re-
can then be used to derive the cleanliness limit. ally only used when a specific risk has been identified
Another approach to spiking studies is to approach during the risk analysis.
the issue from the opposite end. In other words, in- Non-specific methods are more commonly used in
stead of finding the failure point, the device is spiked validating cleaning lines; they are less expensive and
with a known amount of the contaminant that is easier to develop. However, due to their non-specific
above the level expected to be observed after clean- nature, they do not give an accurate quantification
ing. If this higher level is established as safe for the of any individual contamination, only a total level
patient, it can be defined as the cleanliness limit. of a group of contaminants. Generally, this can be
Spiking studies can also be useful if the risk analysis sufficient where the requirement is to demonstrate a
has identified a potential cumulative effect of various certain level of overall cleanliness.
contaminants. In other words, if each contaminant is When developing any test method, the following
treated independently of each other, a cleanliness limit factors should be considered:
may be established that does not take into account a
potential cumulative effect. In this instance, the patient Detection Limit; for example, the test method
may be exposed to unacceptable risk. must be sensitive enough to detect relevant levels
Spiking studies should also be considered for of the contaminants.
Percentage recovery; the amount of contaminants To adequately challenge a cleaning process during OQ,
that can be recovered from the device must be the worst-case product should be used. For medical
determined. device manufacturers that clean multiple different
Reproducibility and Repeatability devices, identification of the worst-case product can
Linearity be a challenge. To aid in this identification, a worst-
Specificity. case product matrix can be used to help determine the
worst-case product. Each product is scored according
Once the test methods have been developed, they to predefined criteria. These predefined criteria would
must be qualified prior to being used in a cleaning have a potential impact on the cleaning ability of the
process validation. The test method validation must process. Examples include the following:
demonstrate that the analytical method and the extrac-
tion and/or sampling method is repeatable. With re- Device geometry; more complex geometry is
spect to the extraction method, it must be demonstrat- potentially more difficult to clean
ed that the contaminant can be consistently recovered Surface area; greater surface area could be a
from the medical device. There is no point in having greater cleaning challenge.
a repeatable analytical method if the contaminant of Up-stream process flow; this could have an
interest cannot be consistently extracted off the device. impact on the cleanliness levels of the parts pre-
cleaning. A greater level of contamination on
Cleaning equipment Qualification (IQ) the parts pre-clean would obviously be a greater
The cleaning equipment must be qualified prior to challenge to the process.
commencing the process validation. This will dem-
onstrate that the equipment is installed correctly and The scores against these criteria can then be tabu-
functions as intended. lated in the form of a matrix and used to calculate a
total risk score. See Table IV for an example.
Operational Qualification (OQ)Challenge Condi- Once one has established the critical process
tions inputs, these should be challenged within the OQ to
As part of the OQ phase, the critical process inputs prove that product can be cleaned that meets the pre-
should be identified. It must be established how these determined cleaning specifications under all antici-
process inputs impact the cleanliness outputs. Brain- pated manufacturing conditions.
storming and tools such as fishbone diagrams can be
very useful in identifying the critical process inputs. PerFOrMANCe QUAlIFICAtION
Some examples of potential process inputs that could PQ means establishing by objective evidence that the pro-
be considered during a brainstorming are listed in cess, under anticipated conditions, consistently produces
Table III. a product that meets all predetermined requirements (11).
that the cleaning process is still in control. For newly de- facturing process step, establish cleanliness limits,
veloped cleaning processes, this monitoring can initially and then validate the cleanliness test methods and
be at a higher frequency and reduced as the manufac- the cleaning process itself (Figure 2).
turer gains more confidence in their process. Cleaning validation does not need to be difficult.
If medical device manufacturers take a methodical
revAlIDAtION approach and base each decision on sound scientific
Obviously, changes to the cleaning system and process rational, they will be able to establish a cleaning
should be assessed for their impact to the validation. In process that will consistently provide clean medical
addition, any changes to the manufacturing materi- devices to the market.
als used in the up-stream manufacturing processes
may have an impact on the cleaning validation. This reFereNCeS
includes manufacturing steps completed by an external 1. Code of Federal Regulations, Title 21, Quality System Regula-
vendor. If the change is deemed to have an impact, the tions, Part 820.70(e), 2013
cleaning validation should be either repeated in part or 2. Code of Federal Regulations, Title 21, Quality System Regula-
in full. Again, this needs to be a risk-based decision. tions, Part 820.70(h), 2013
The addition of new products to the clean line should 3. ISO 13485:2003, Medical devices -- Quality management sys-
be assessed to determine if they are a new worst-case. tems -- Requirements for regulatory purposes, section 7.5.1.2.1.
If they are considered a new worst-case product, the 4. Global Harmonisation Task Force Study Group 3, Quality
cleaning validation should be repeated. A recommended Management Systems Process Validation Guidance, January 2004
approach to determining if revalidation is required with 5. ISO 14969:2004, Medical devices -- Quality management
a new product is to update the worst-case product ma- systems -- Guidance on the application of ISO 13485: 2003, section
trix described earlier with the new product. If the new 7.5.2.1.1.5.
addition scores higher than the original worst-case, then 6. Code of Federal Regulations, Title 29, Part 1910 - Occupational
the cleaning validation must be repeated. Safety and Health Standards, Subpart Z Toxic and Hazardous
Substances, 2013.
CONClUSIONS 7. ISO 10993-17:2009, Biological evaluation of medical devices
The main steps in conducting a cleaning validation is -- Part 17: Establishment of allowable limits for leachable sub-
to assess the manufacturing material for each manu- stances.
8. ISO 10993-17:2009, Biological evaluation of medical devices
-- Part 17: Establishment of allowable limits for leachable sub-
stances.
9. ISO 10993-17:2009, Biological evaluation of medical devices
-- Part 17: Establishment of allowable limits for leachable sub-
stances.
10. H.J. Kramer, W.A Van Den Ham, W. Slob, and M.N. Pieters,
Conversion Factors Estimating Indicative Chronic No-Ob-
served-Adverse-Effect Levels from Short-Term Toxicity Data,
Regulatory Toxicology Pharmacology 23, 249-255, 1996.
11. Global Harmonisation Task Force, Quality Management Sys-
tems - Process Validation Guidance Edition 2, January 2004
12. ISO 14969:2004, Medical devices -- Quality management sys-
tems -- Guidance on the application of ISO 13485: 2003, Section
7.5.2.1.1.6.
ABSTRACT
Steam sterilization is a critical process in the pharmaceutical and
related industries. Modern autoclaves are computer-controlled and
reliably provide a defined sterilization cycle. When steam enters the
autoclave chamber and contacts with the item to be sterilized, steam
collapses (condenses). Water formed must be discharged through
condensate management or re-vaporized in order to prevent wet loads.
Repeated occurrences of wet loads are indicative of a major fault with
the sterilizer, potential non-sterilized materials, and other problems.
This paper considers some of the potential causes for wet loads and ad-
dresses some of the measures that can be taken to address occurrences.
Topics discussed include reasons for wet loads, causes including wet
steam, inadequate condensate removal, steam trams, pressure control,
and other causes; diagnosing problems by information collection, and
corrective actions. Corrective actions may include vacuum drying, heat-
ing the load before steam introduction, an air in-bleed phase, and other
approaches. Problems identified may be caused by a combination of
factors requiring a multidisciplinary team to evaluate potential causes.
INTRODUCTION
The most widely used sterilization method in the pharmaceutical in-
dustry remains steam sterilization in autoclaves (moist heat in the form
of saturated steam under pressure). This method is primarily appli-
cable to the terminal sterilization of products, stainless steel items, and
equipment not intended for single-use. With this method, sterilization
occurs as the latent heat of condensation is transferred to the load caus-
ing it to heat rapidly (1).
Modern autoclaves are computer-controlled and are generally very re-
liable. The autoclave acts as a pressure-cooker: Water boils at 100C at
atmospheric pressure; water boils at lower temperatures at lower pres-
sures, and water boils at higher temperatures at higher pressures. At a
steam over-pressure of one bar (a non-SI unit of pressure, exactly equal
to 100,000 Pascals), water boils at approximately 121C. This allows
the autoclave to produce temperatures above those that can ordinarily
be achieved. For sufficient time and with the correct conditions, such
temperatures can destroy bacterial endospores (2). More importantly,
the required temperature must be maintained for the required time in
order for the sterilization cycle to be successful (3).
Retrieving sterilized items from autoclaves only to discover that they
are wet results in a need to repeat the autoclave cycle. A wet item is
evidence of non-sterility. This is time consuming and expensive. This
forms part of the general rule with packages removed from autoclaves:
Any item that has been sterilized should not be used after the expira-
tion date has been exceeded or if the sterilized package is wet, torn, or
punctured (4).
When steam enters the autoclave chamber and that all condensate that gets separated from its energy
contacts with the product, it is important that the finds its way to the drain. Thus it is critical that the
steam collapses (condenses) on the product. This is in condensate made by each load item (including load-
order for the heat to be released to the load. However, ing furniture and wraps) must not migrate to other
the formation of water must be discharged through objects.
condensate management or re-vaporized in order to There are three possible scenarios for wet loads.
prevent contamination of the product. Removal of the These are:
excess water is important to prevent insulation of the
load from the steam. Visible moisture on outside of packs
Repeated occurrences of wet loads are indicative Moisture inside pack (e.g. moist towel)
of a major fault with the sterilizer. Water or damp Visible water inside the tray containing the load.
spots on the load insulate the intended product from
achieving temperature. This means that the load has Each of these is of equal seriousness.
not been subjected to the required lethality and it is
therefore not sterile. During sterilization, the wetness POTENTIAL CAUSES OF WET LOADS
in the steam clogs the pores of packed loads and pre- In examining the causes of wet loads there are several
vents the steam from properly penetrating wrapped areas to consider. These are discussed below:
loads or sealed pouches.
Furthermore, there is a post-contamination risk. Steam Supply
If the instruments or products absorb too much Wet steam can also be associated with wet loads;
humidity, resulting in wet loads at process termina- therefore steam needs to have a certain level pf dry-
tion, this dampness is an optimal habitat for bacteria ness (5). The moisture content of the steam (dryness
to thrive. Sterile items that become wet are consid- fraction) is measured as the weight of dry steam pres-
ered contaminated because moisture brings with it ent in a mixture of dry saturated steam and entrained
microorganisms from the air and surfaces. Moreover, water. Poor steam quality (insufficient dryness) can
if the sterile barrier system is still wet, it has lost its lead to excessive condensate formation within the
bacterial barrier properties and there is a major risk autoclave. This can arise when excessive demands are
of contamination. placed on the steam supply (essentially the boiler).
In addition to issues of sterility, wetness can cause Wet steam is steam at saturation temperature con-
corrosion or spotting on the instrument being steril- taining more than 5% water (6). Wet steam lowers the
ized. This can cause irreparable damage. heat transfer efficiency of steam, which results in an
Wet loads present a problem of non-sterility; a inefficient sterilization procedure.
problem in terms of recontamination of a load; and Steam quality can be assessed by measuring the
damage can occur to equipment. This paper consid- condensate discharge just ahead of the sterilizer. The
ers some of the potential causes for wet loads and measurement of steam quality is known as the dry-
addresses some of the measures that can be taken to ness fraction and this is dependent upon the steam
address the occurrence of wet loads. flow rate (7) where
contact with the item. Further, there is the issue of port, to ensure that they are clear and functioning
superheated steam (discussed below), properly.
Too much steam at too fast a rate can result in
Areas of Condensate Formation excessive water formation that might overwhelm or
Insufficient condensate being removed from the dis- swamp steam traps. Therefore steam traps need to
tribution system can result in in water lying around be properly sized during the autoclave design phase.
in the system and being drawn into the sterilizer
when the cycle demands it (pulsing). Signs of con- Pressure Control
densation can sometimes be seen from an examina- Given that autoclaves destroy microorganisms by
tion of the inside of the autoclave chamber. This may direct steam contact at the required temperature
resemble water lines or circles of water droplets (9). and pressure for a specified time, pressure control is
When this occurs, the steam circuit and supply important. Poor pressure control can cause variations
should be examined to determine where condensate in steam velocities. This often arises because mainte-
formation might occur. As steam travels, there are nance of the pressure-regulating valves (PRV) in the
many places and reasons why steam cools down and system is not always reliable. PRVs can change the
condenses. Reasons include dead legs in pipework condition of the steam and, in theory, can actually
or improperly trapped or insulated piping. When dry the steam as it passes through the valve.
steam comes into contact with piping connections it
can condense; moreover, poorly insolated piping will Autoclave Loads
cause steam to condense. Some condensate is natural What is being loaded into the autoclave can be a con-
and is taken care of by steam traps which are placed tributing factor. One mistake that some organizations
throughout the piping system. This can also be due make is to pack the chamber full of product or con-
to inadequate maintenance of the system and steam sumables in order to meet demand. However, dense
traps (see below). packing is frequently a cause of excessive condensa-
The further away the steam line is from the heating tion. This cannot always be satisfactorily flashed off
source/medium, then the more likely condensate is to by subsequent steam injections. Furthermore, large
form. This is connected to insulation, for the further quantities of materials and complex packaging can
away the steam line is then the greater the need for make effective steam circulation a challenge.
insulation. It is also worth considering:
Other Issues with Pipes and Steam Supply The assembly of instruments in the set. For
There are other factors relating to pipework and the instance, are the instruments well distributed in
supply of steam, which may need to be considered. the set? Is there too much metal mass in the set?
These are: High density items wrapped in absorbent mate-
rial can help to reduce condensate (10).
Where steam pipes are not properly insulated How the set was packaged. It is important to con-
steam will condense in the pipe sider if the wrapper is too large (traps condensate
The water separator should be close to the auto- inside set), whether the package was taped too
clave tightly (traps condensate inside package), the
If pipes run down towards the sterilizer, this can size of peel pouches for load contents (too much
cause steam to condense metal mass in the pouch). In addition, before
The steam generator should be located close to using wrapping material, it should be held at
autoclave, minimizing pipework length room temperature (20oC to 25oC) and at a rela-
If a steam generator does not have sufficient tive humidity of 30 to 60%.
capacity for the autoclave, pressure drop may Loading techniques. Consider reducing the metal
occur at times of peak demand for steam and a mass in the load and check whether linen items on
carry over of water can happen the top rack and metal items on the bottom rack.
If chemicals are added during the steam produc- Rigid containers. Containers should be spaced
tion, operational issues may occur. about one inch apart from each other. Stacking
should not be performed unless the container
Steam Traps manufacturer gives specific information on this
Steam traps are intended to discharge condensate process. Place containers beneath other items
while not allowing the escape of live steam. Problems since they produce condensate.
can arise if the steam trap is not functioning cor- Sterilizers should never be overloaded. There
rectly. To guard against this, the jacket steam trap should be sufficient space between items to allow
should be inspected, along with the valve at the drain for steam to permeate around the package.
Packaging Materials The materials that make up the load, for exam-
Packaging materials, used to wrap the items to be ple heavy metal mass can be a cause of wet
sterilized, are probably one of the most important packs (11). Further, some loads are erroneously
parts of the sterilization process. Packaging provides designed where they become water traps or they
a protective barrier for the sterile item and prevents are positioned in such a way the orientation leads
it from becoming re-contaminated. When used in them to retain water.
aseptic processing, the packaging should be of low Condense drains can become blocked. It is
particle generation. important to clean these at least twice a year.
Packaging needs to be well designed and of suffi- If they become saturated they will not take the
cient porosity so that steam can pass through packag- water out of the steam.
ing. In addition, packaging should be water repellent Sometimes the wet loads follow a pattern and
to provide a sterile field. Furthermore, the packag- may occur if the autoclave has not been used for
ing material must not change significantly during a few days. Here the cause may be the build-up
sterilization or release any substances that might of condensate in the supply pipework.
interfere with the action of the steam. When steam pipework is of an incorrect diam-
eter.
Other Factors If the drain valve is not closed, leading to drain
There are other factors that are linked with wet loads, water being returned.
although these are less common with a well-designed Consistency of operator control of the sterilizers
system. These are: and loading patterns.
Autoclaves are equipped with heated jackets to There are some actions that mask the wet load
assist in drying of the load and to ensure that issue rather than address it. One example is with the
condensate does not form on the chamber walls use of tray liners. Tray-liners do not solve the problem
during the hold period. If the autoclave jacket but disguises it. Tray-liners have a high absorption
has a different temperature than the chamber, capacity and are placed in the tray under the items to
wet loads may occur. To avoid this, larger steam be sterilized. This way the condense is absorbed and
jackets contain more heat and assist in the drying dispersed; however, non-sterility remains an ever-
process. present risk.
The autoclave carriage can be a factor. A stainless
steel carriage shelf creates more condensate than DIAGNOSIS
an equivalent aluminum carriage. To add to this, Collecting meaningful information is important for
the shape and size of the chamber can greatly establishing why wet loads occur. Whenever wet
affect the outcome of the load. packs occur, some of the information that should be
The preheat process. Here the problems range collected includes:
from poor steam penetration, superheat, dam-
aged sterile barrier systems and other problems. Date of wet pack(s)
When the autoclave doors have a different tem- Time of day
perature than the chamber or walls. Or where Load configuration (number of trays)
the jacket temperature is not uniform or lower Number and description of trays that were
than intended. reported as wet
When the item being sterilized touches the wall Selected cycle time (gravity or dynamic air
of the autoclave. removal)
Stacking two trays for holding loads within the Cycle temperature and exposure time
autoclave. The lower tray does not have sufficient Packaging material used for set(s) that were wet
energy to dry the condensation. Type of containment device used (e.g. Mayo tray,
Items being loaded in wet (anything going in metal mesh basket)
wet will come out wet.) When the steam makes Person(s) who prepared/wrapped sets
contact with the wet instruments additional con- Inventory list for set (to consider set configura-
densate and cause dripping on other instruments tion and weight of set)
that may not dry. Vacuum integrity
Overloading the autoclave. Large quantities of Vacuum performance
hard goods or even complex packaging can make Temperature/pressure calibration
proper steam circulation a challenge. Other Chamber level
parameters that may influence drying are the Chamber/jacket trap performance
density of the wraps and the design of the set Chamber valves (solenoid and check)
equipment) and it has presented some of the reasons 5. Baker, J. & Godfrey, G. (2009). Water quality systems in sterile
why wet loads can occur. The paper has also out- processing. Healthcare Purchasing News, January 2009, 3235
lined, in addition to addressing the potential causes 6. Agalloco J. (2000). Steam sterilization and steam quality. Com-
of wet loads, some preventative measures that can be mentary. PDA J Pharm Sci. Technol.; 54(1):5962
adopted. 7. Shuttleworth K. (2000). The application of steam quality test
Humidity problems are a complex matter and are limits, Eur J Parenter Pharm Sci.; 5(4): 10914
in the majority of cases created by a combination 8. Association for the Advancement of Medical Instrumentation.
of different factors. Often wet load issues cannot be Steam sterilization and sterility assurance in health care facilities.
solved immediately and time is required, together ANSI/AAMI ST46. Arlington, VA, 2002:ANSI/AAMI ST46:2002
with a multidisciplinary team, in order to address the 9. Brown, J.M. & Bliley, J. (2008). How to solve wet packs and
problem. evaluate water issues. Materials Management in Healthcare, July
2008, (5052).
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2. Sandle, T. (2013). Sterility, Sterilisation and Sterility Assurance for
Pharmaceuticals: Technology, Validation and Current Regulations, ABOUT THE AUTHORS
Woodhead Publishing Ltd.: Cambridge, UK, pp93-110 Tim Sandle, Ph.D., Tim Sandle, Ph.D., is the head of the microbi-
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3. Agalloco JP, Akers JE, Madsen RE. (1998) Moist heat sterilization-
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