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Issue 76 | July 2019

Contents

Welcome David Keen


Pharmig Chair

Greetings from all I am also delighted to announce that


at Pharmig. We Pharmig are preparing to launch an
are over halfway annual award given in recognition of an
through the year so outstanding contribution made by an
roll on Christmas. apprentice working as a microbiologist in
Please don’t the pharmaceutical or healthcare industries.
groan or smile More details will be available in the
for that matter October newsletter with a full launch at the
but consider, for November Conference. Watch this space!
a moment, whether you see the above
statement as positive or negative? Additionally, Pharmig are now offering
Rapid Microbiological Methods Workshop
free membership to students in full
As social media fills up with references to time education studying pharmaceutical 17th September, Birmingham
negative energy, or some other such guff, microbiology or related subjects with a view
I can’t help but think the way you hear or to working in Industry. If you know anyone
read a statement underlines the way you that would benefit from this, please ask
are feeling, not the person who delivered them to contact the Pharmig office in the
the message. Talk of Christmas now, to first instance at info@pharmig.org.uk
me, means an end to summer and sitting
outside and the onset of dark wet weather. Looking back over the last few months,
An Australian, on the other hand, sees the we have run some successful meetings
reverse. On that random note I shall begin in Ireland and the team are now actively
(yes it was a convoluted way of talking working on module 2 of the Pharmig online
about the weather!). training portal.

The committee have drafted out the 2019 It is not all plain sailing however: owing to
November Conference and have already time constraints, monsoons and Committee
secured the majority of speakers including availability, we have now moved Pharmig
Rapid Microbiological Methods Workshop
Phil Rose (MHRA), Jeanne Moldenhaeur, India to October (15th/16th) and have
and the magnificent and inexplicable mind finalised the programme to be mailed 19th September, Dublin
of Willy Verstraete. More good news is I’m out shortly. Please forward to any Indian
not speaking! The November Conference colleagues you may have.
will also see Pharmig launch its latest
publication: A Guide to Isolators for Sterility Best Wishes….
Testing. Pre-orders can be taken now if you
contact the Pharmig office.
Pharmig Chair
This year all committee positions are up for
re-election and, as I mentioned in earlier
missives, we are looking to expand. More
detailed information on how to apply is
outlined in this newsletter. As we seek to
maintain a balance in the committee, we
are looking for industry members both
experienced and newer. Pharmig’s 27th Annual Conference

13th & 14th November, Nottingham

1 Design & Printed by Preview Design • www.preview-design.co.uk • info@preview-design.co.uk


Contents 01 Chairman’s Section 06 Notice of AGM
CONTENTS 02 ‘Smart’ Microbial Sensors 07 Pharmig News Corner #44
03 Environmental Monitoring Meeting 11 Introducing Pharmig’s Social
04 Pharmig Ireland - Summary Media Channels
Issue 75 | July 2019

01 02 03 04 06 07 11

Creating ‘smart’
microbial bionsensors:
An interview with a
Los Alamos National
Laboratory researcher

Compiled by Tim Sandle -


Pharmig Committee

New research shows that protein-based a specific precursor or building block as One reason for considering biofuels
biosensors can detect the presence of a target. These protein-based biosensors to address future energy needs is
a desired enzyme target and respond for small molecules detect the presence due to the depletion of fossil fuels
by physically lighting up and enabling of the desired target and respond by as a result of the activities of the
researchers to immediately identify cells accumulating another molecule that petrochemical industry. A second reason
with increased overall enzyme yield. physically glows/lights up, enabling is the environmental impact that the
This involves taking advantage of the scientists visualize the productivity continued use of fossil fuels is having
molecular tools that naturally reside (McDonald et al, 2018). on the planet, especially in relation
within microbial cells. Membrane proteins Smart microbial cell to the emission of greenhouse gases
are essential components of biological colonies “light up” when (like carbon dioxide), leading to global
membranes and have a central role in enzyme activity is high. warming. A third factor is sustainability,
detection of various environmental stimuli Photo: Los Alamos given that the raw material for many
(Misawa et al, 2018). Scientists can use National Laboratory biofuels is self-renewing (such as plant
these tools to produce fuel precursors and biomass). A fourth factor is efficiency
bioproduct building blocks. The implications of this smart microbial and the better integration of biofuels
cell concept are to offer an advanced with new technologies.
Engineered bacteria have been shown to platform for high throughput screening
be effective due to a versatile metabolism for enzyme discovery, design, and The new approach, which comes from
housed in a relatively simple cell structure. evolution. Such technology can be Los Alamos National Laboratory, can be
A challenge that arises, however, is particularly useful when it comes to the translated to screening of metagenomic
that when bacteria are engineered for production of biofuels. A biofuel is a term samples, rational enzyme design, or
producing a new product, it can prove applied to a fuel that is produced through directed evolution of known enzymes.
hard to locate the best performers in a biological processes (such as agriculture) The technology is adaptable to a
pool of bacterial cells. To overcome this as opposed to geological processes single enzyme, or a pathway, or global
challenge researchers have leveraged (like fossil fuels). Renewable biofuels optimization of an industrial strain. To
longstanding capabilities in protein design either involve carbon fixation, such as discover more about this technology,
and computational modelling of ligand those that occur in plants or microalgae Pharmig committee member Tim Sandle
binding pockets in proteins. This enables through the process of photosynthesis; spoke with researcher Dr. Ramesh Jha,
scientists to engineer custom biosensors or, they are created by the conversion of who works at the university’s
that detect intracellular concentrations of plant material (Sandle, 2017). bioscience division.

2 CREATING ‘SMART’ MICROBIAL BIONSENSORS: AN INTERVIEW WITH A LOS ALAMOS NATIONAL LABORATORY RESEARCHER
Tim Sandle: How important are biofuels commodity chemicals or polymers mostly Sandle: Has industry shown an interest in
in terms of addressing energy demand? derived from petroleum sources. this development, in relation to biofuels?

Ramesh Jha: Biofuels and commodity Sandle: Are biofuels ‘clean’ forms of Jha: Industries are interested in testing
chemicals made from renewable energy? millions of variants of microbial strains or
biomass using enzymes or microbes enzymes. Since the biosensor technology
are considered sustainable routes and Jha: Yes, they leave a low carbon footprint. can be easily adapted for high-throughput
their use circumvents dependency on screening, industries are getting interested
fossil fuels. Added to that, fuels and Sandle: How did you develop your in this technology.
commodity chemicals come with a high protein-based biosensors?
carbon footprint while biofuels and Sandle: Are there any other practical
Jha: Our protein-based biosensors applications for this technology?
biocommodities from renewable sources is
are inspired by nature, where a class
an efficient recycling of carbon and leave
of proteins called transcription factors Jha: This technology can be applied
a low carbon footprint.
(TF) gets activated in the presence of a to optimization of enzymes or
Examples of biofuels include bioethanol, molecule and regulate the production of microbial strains with applications in
which is an alcohol made by fermentation other proteins for function (OPF) . If TF is biomanufacturing as well as medical
of carbohydrates produced in sugar engineered to interact with an enzymatic therapeutics and environmental clean-up.
from a crop like corn. The bioethanol product and the OPF is a fluorescent
protein reporter, then the enzymatic References
can be used as a fuel for vehicles or as a
activity in a microbial cell can be correlated McDonald, R.E. and Jha, R. K. (2018)
gasoline additive. A similar example is with
Lighting the way to bioproducts: Smart
biodiesel. A third use with the generation to the fluorescence response in the cell.
microbial biosensors for conversion
of methanol, which is a liquid and easy to
Sandle: How do the biosensors identify pathway design, Los Alamos National
transport. Biodiesel is made from rapeseed
the desired enzyme target? Laboratory, white paper LA-UR-18-30606
oil and other plant oils. It can be used in
at: https://permalink.lanl.gov/object/
diesel-powered vehicles without needing Jha: Enzymatic activity results in a chemical tr?what=info:lanl-repo/lareport/LA-
any modifications to the engine. The product. This product activates the UR-18-30606
fourth major biofuel is biobutanol, which biosensor, which responds by producing
has slightly less energy than gasoline, and accumulating a fluorescence Misawa,N., Osaki T. and Takeuchi,
but can run in any car that uses gasoline “reporter.” The enzymatic activity is S. (2018) Membrane protein-based
without the need for modification to visualized by the presence of light. biosensors, J R Soc Interface. 15(141):
engine components. 20170952
Sandle: What are the practical benefits of
Sandle: What are the different types of this identification? Sandle, T. (2017) Making more efficient
biofuels and how do they differ in terms biofuels, Digital Journal at: http://www.
of production? Jha: What we see, we believe. Cellular digitaljournal.com/tech-and-science/
fluorescence due to the enzymatic activity science/essential-science-making-more-
Jha: Various biofuels, biocommodities and can be easily visualized using a flow
efficient-biofuels/article/490993
bioplastics can be ‘drop in’ or ‘functional cytometer with ultra-high throughput and
replacements’ of the existing fuels, sensitivity. Measuring the product in a cell
is otherwise a tedious and slow step.

Pharmig Best
Practices in
Environmental
Monitoring Meeting -
Summary

Compiled by Tim Sandle -


Pharmig Committee

Back in February Pharmig’s one-day The day monitoring program, including the key
meeting explored best practices in began with a elements to include and some of the
environmental monitoring. The theme presentation concerns with monitoring programmes
of the event was on risk-assessment. delivered by Edel expressed by regulators. Edel expanded
The meeting took place at the Nailcote Fitzmaurice on on the different types of samples that
hotel and country club, located on the the basis of the should be taken and how the samples
outskirts of Birmingham. environmental and the resultant data should be

PHARMIG BEST PRACTICES IN ENVIRONMENTAL MONITORING MEETING - SUMMARY 3


processed once the samples are taken Tim Sandle gave a second presentation Prabhjot Parahr (from BPL), which
and processed in the laboratory. on incubation strategies and culture explored the selecting of sample
media selection, linking these choices locations based on risk assessment
to the Human Microbiome Project. in two different cleanrooms (special
With incubation Tim considered the environments served by filtered air
appropriate types of agar to select and and supported by the application of
the appropriate order of incubation, disinfectants).
offering case studies of how this can be
assessed in order to satisfy regulators. This was followed by a session on data
This was followed by a presentation This was followed by a presentation integrity from bioinformatics specialist
from Tim Sandle that looked at from Anna Lovatt about the approach to Sinead Cowman, where measures to
the concept of risk; the main types microbial identification and the different ensure data security and data robustness
of hazards affecting cleanroom technologies that are available to assess were considered, especially in relation
environments; and three case studies microorganisms. Anna offered advice on to electronic capture systems. The final
of how risk assessment can be applied. how far to take samples for identification presentation was delivered by Edel
The case studies looked at Hazard and how many identifications to Fitzmaurice, which looked at microbial
Analysis Critical Control Points (HACCP) undertake for both sterile and non-sterile data deviations and the importance of
for selecting locations; risk filtering, manufacturers. thorough investigations that holistically
for setting monitoring frequencies; consider contamination within facilities
and Failure Modes and Effects Analysis and which are underpinned by good root
(FMEA) to assess processing equipment, cause analysis.
focusing on a sterility testing isolator.
The take-home messages for the
delegates was use risk assessment, but
use it wisely, understanding its systematic
advantages and subjective weaknesses,
The sessions then moved to a workshop, and to ensure that data is properly
presented by Monica Di Mattia and captured, reviewed and controlled.

From nudge theory


to sound science,
Pharmig Ireland -
Summary

Compiled by Tim Sandle -


Pharmig Committee

From nudge theory, to the importance AbbVie (and a former medicines


of looking at the science behind inspector at the MHRA). Hopkins
processes and procedures, the looked at the developed of sterile
Pharmig conference in Ireland (May) product manufacture guidance and
featured some of the hottest topics the importance of developing a
in the industry. This was followed on contamination control strategy. While
from a one-day meeting focusing on the concept of a contamination control
pharmaceutical water systems. strategy is not new, the importance
of a holistic approach to reducing all The second presentation of the day was
The Irish conference is one of the forms of contamination is now clearly delivered by Tim Sandle (Pharmig) and
highlights of the microbiology being spelt out in regulatory guidance focused on the microbiological aspects
(and Pharmig calendar). The 2019 documentation. In the presentation it of cleaning validation. Most cleaning
conference was chaired by Pharmig was emphasised that such a document validation strategies look at the ability of
chair David Keen and it took place needs to be a ‘living’ document, one a process, through the combination of
at Portmarnock Hotel & Golf Links, that is frequently revised and added to chemicals and rinses, to remove chemical
Dublin. The first presentation was through a review of any changes made contamination. Sandle’s presentation
delivered by Andrew Hopkins, to the manufacturing process. addressed the more overlooked area of
who is the Director, Operation microbiological risk, especially the risk
Quality, QA Audit and Compliance, that time introduces. The longer a process

4 FROM NUDGE THEORY TO SOUND SCIENCE, PHARMIG IRELAND - SUMMARY


is held for, especially where soil (such as need to stand back and looked at the
protein) is present, the greater the risk manufacture process overall and assess
there is of microbial proliferation and how risks are interconnected and then
the harder it becomes to remove these trying tackle these risks head-on rather
microorganisms due to the phenomenon than simply attempting to score them
of irreversible attachment where as inconsequential for even the smallest
extracellular products are excreted, and incidences can become significant and
biofilms are formed. lead to a loss of microbial control.

The second day was around the topic


The fifth presentation was delivered of pharmaceutical water systems andy
by Sinead Cowman of Lonza, and was chaired by Pharmig committee
looked at digital methods for handling member Tim Sandle. The first
laboratory data so that trends can be presentation was delivered by Gordon
detected, and problems reacted to Farquharson – Managing Director,
before they become adverse events. Critical Systems Ltd. This presentation
The importance of data security and looked at the regulations surrounds
data integrity featured strongly in the pharmaceutical water systems and
The third talk of the day came from presentation, including a warning how these differed and to a degree
Donald C. Singer, who is a Senior about common software (such as did not always provide the necessary
Fellow at GSK and a member of Microsoft Excel) which cannot be clarity. The presentation moved on to
the United States Pharmacopeia easily validated. The emphasis was look at some design issues required to
Microbiology Expert Committee. placed on purpose designed digital keep water in a state of microbiological
The presentation looked at the laboratory data capture and analysis control, covering aspects like the
latest developments related to software packages. need for water to move at a sufficient
the committee cycle in terms of velocity through a pipe so that the
microbiology. Here new guidance The sixth presentation came from shear forces were sufficient to prevent
chapters are emerging on the testing Gordon Farquharson, a consultant microbial surface attachment and the
of bacterial endotoxins (which can specializing in cleanrooms and formation of a biofilm.
cause pyrogenic reactions) and for pharmaceutical engineering.
prions (folded strands of protein that Farquharson looked at the importance
can cause fatal neurodegenerative of understand the science that
diseases). Singer also introduced the underpins many of the activities that
new monograph on the testing of take place within pharmaceuticals and
the bacterium Burkholderia cepacia, how this can sometimes be overlooked,
which is an objectionable organism leading to myth emerging which are
that most often causes pneumonia in not based on empirical evidence.
immunocompromised individuals with Several examples were drawn relating
underlying lung disease. to aseptic processing. Farquharson
stressed the importance of using barrier
Interspaced between these technology to product products from
presentations were open forum contamination, and ultimately patients. The second talk was from Andrew
sessions, allowing delegates to Gravett, who is an Associate Director
discuss matters of microbiological The final presentation of the day at the Global Quality Audit Group for
interest (chaired by David Keen), rapid was from David Keen who looked at AstraZeneca. Gravett drew on his years
microbiological methods (chaired nudge theory and how this can help of experience of auditing different
by Edel Fitzmaurice), and bacterial to reduce human error and encourage pharmaceutical facilities to outline
endotoxin (chaired by Tim Sandle). good operator practices. Starting the requirements and expectations to
with examples drawn from wider audit against, including how to best
These sessions led into the fourth society, Keen moved on to look at how structure a water system audit and to
presentation of the day, which operators can contaminate healthcare detail the common findings.
was delivered by consultant Tony products through becoming distracted
Mayhall, who looked at hygienic or through boredom. Thinking about The third presentation was from
design in pharmaceutical facilities how people move and act, and Tim Sandle and it looked at bacterial
for manufacturers of both sterile keeping them engaged were among endotoxin risks to water systems.
and non-sterile medicines. Mayhall the examples put forward to help to Endotoxins are complexes released
looked at common design pitfalls, reduce human error. from the cell walls of Gram-negative
such as the use of ball-valves (which bacteria (an organism morphological
hold contamination) and dead- Key messages from the day, type associated with water). In sufficient
legs in pipework which slowdown which focused on the latest issues concentration these toxins can, if they
water velocity and affect turbulence, being flagged by pharmaceutical entered the human blood system,
leading to an increased risk of regulators like the U.S. Food and trigger a pyrogenic response (fever)
microbial adhesion. Drug Administration (FDA), were the or endotoxic shock (sepsis). Sandle

FROM NUDGE THEORY TO SOUND SCIENCE, PHARMIG IRELAND - SUMMARY 5


described three case studies where surface, plus available nutrients (including microbiology. This included discussion
poorly designed or maintained systems a carbon source). The nutrient levels around a group of bacteria called
presented a contamination risk. need only be relatively low. However, Burkholderia cepacia complex, which
once present these communities can lead is of concern to regulators especially to
The fourth address to the meeting came to continual recontamination through the U.S. Food and Drug Administration
from David Keen, who is a contamination cells being siphoned off and biofilms, (FDA) due to the risk of causing
control consultant at the disinfectant as Keen explained, are very difficult to pneumonia in immunocompromised
supplier Ecolab. This presentation looked remove requiring a combination of individuals (especially when introduced
at a grade of pharmaceutical water high heat and chemicals (and into the air passages of a susceptible
called purified water, focusing on its sometimes the removal of an entire population, which can happen
manufacture and associated risks. Keen branch of pipework). through medicines contaminated with
spent time on the filtration process pharmaceutical grade water of poor
used to create appropriately graded microbial quality).
water, demonstrating how water flows
through numerous filtration systems The day ended with an interactive
made of sand, charcoal and gravel. exercise where the delegates were
This removes contaminants like dust, presented with a series of engineering
bacteria, chemicals and viruses. Keen, designs relating to a failing water
in a separate presentation, looked at system and attempted to solve a
biofilms and the risk these complex microbial contamination issue. The
structures pose to water systems. The This was followed by a presentation exercise brought together the main
requirements for biofilm formation reads from Edel Fitzmaurice (Quality Director, themes of the event, focusing on
like a simple recipe: a given concentration Fitzmaurice Scientific Ltd.) which the importance of good design and
of planktonic bacteria, plus water, plus a looked at ‘hot topics’ relating to water maintaining control.

Notice is hereby given of Pharmig Ltd Annual General Meeting (AGM)


The AGM will be held between 13.00 and 13.30 on Wednesday 13th November 2019 at The Nottingham Belfry Hotel.
Please note that the AGM is open to all fully paid up Pharmig Members of 2019 including Commercial/Allied companies.

The AGM will consist of four sections:


(i) 2019 Reports from present: (ii) Election of Chairman and Committee (current Committee
Chairperson (David Keen), and positions are listed below - all are up for re-election):
Treasurer / Company Secretary (Andy Martin) Name: David Keen - GlaxoSmithKline Role: Chair
Andy Martin – ABM Consulting Treasurer

Each current Committee member has significant input in all of the following roles within Pharmig:
• Technical advisors & presenters • Membership development • Social Media • Communications
• Marketing/ branding / strategy • Development of meetings, conferences, training courses, publications

Rachel Blount – Ecolab Andy Brack – PZ Cussons (stepping down at the November 2019 AGM)
Edel Fitzmaurice – Fitzmaurice Scientific Ltd Laura Guardi – Astra Zeneca
Julie Roberts – J Roberts Associates Ltd Tim Sandle – BPL
Paige Shelley – Wockhardt

All positions listed are up for election this year. Pharmig is also looking to expand the Committee in line with its current strategy
and are looking for additional industry members, both experienced and newer, to put themselves forward for consideration.

For those interested in being considered for any of the roles listed – please contact the Pharmig office in the first instance
to obtain a full job description(s). A CV with covering letter should then be sent to the Pharmig office outlining reasons of
suitability etc (for the role being applied for) no later than Friday 30th August 2019.

These will be reviewed by the current committee who will also be asked to state if they want to stand again for another
term of two years.

All nominations must be proposed and seconded by an existing Pharmig Member at the AGM

(iii) Open floor for Members to air views / pose questions (iv) Any other business

6 NOTICE IS HEREBY GIVEN OF PHARMIG LTD ANNUAL GENERAL MEETING (AGM)


PHARMIG NEWS
CORNER #44

Compiled by Tim Sandle - Pharmig


Committee

Updated Technical Guide for In order to guide experts on the characteristics adapted to radioactive
elaborating monographs on information to be included in European compounds. It is designed by and
vaccines and sera for human use Pharmacopoeia (Ph. Eur.) monographs, for Ph. Eur. experts responsible for
At its 162nd session, the European and also to harmonise the style of the elaborating and revising monographs
Pharmacopoeia (Ph. Eur.) Commission different monographs, a Guide for on radiopharmaceuticals, but it can also
approved a new edition of the the elaboration of monographs on serve as a useful guidance document
Guide for the elaboration and use radiopharmaceuticals was published for other parties interested in the quality
of monographs on vaccines and by the EDQM in 2010. This Guide has control of radiopharmaceuticals.
immunosera for human use. now been updated to include a section
on the validation of methods used in See: https://www.edqm.eu/en/
the analysis of radiopharmaceuticals, node/16651
reflecting the validation requirements
applicable to analytical methods ICH Q12 revision process
included in Ph. Eur. monographs. The The EMA has published industry
new validation section in the revised comments gathered during its
Guide is the result of a joint effort by public consultation for the ICH draft
The Guide provides guidance to Ph. Eur. experts on radiopharmaceuticals guideline on pharmaceutical product
experts on the information to be and the members of the European lifecycle management (ICH Q12).
included in Ph. Eur. monographs Association of Nuclear Medicine’s
related to vaccines and sera for human (EANM) Radiopharmacy Committee. This new guideline is proposed to
use, and to harmonise the style of the provide guidance on a framework to
different monographs. In the course of method development facilitate the management of post-
for the quality control of active approval chemistry, manufacturing
The new edition of the Guide pharmaceutical ingredients in non- and controls (CMC) changes in a more
takes into account the experience radioactive, “traditional” chemicals, predictable and efficient manner across
gained in recent years in elaborating validation of analytical methods the product lifecycle. This guideline aims
monographs in this field, and reflects according to ICH Q2 (R1)1 has been an to promote innovation and continual
recent developments in the Ph. Eur. integral part of the process for decades. improvement, and strengthen quality
The Guide is primarily designed for Ph. In the field of radiopharmaceutical assurance and reliable supply of product,
Eur. experts drafting monographs on preparations, commercial manufacturers including proactive planning of supply
vaccines and sera, but it also provides have been performing validation chain adjustments. The guideline strives
useful information to help users better activities for a long time, whereas to promote, for regulators (assessors and
understand the requirements and small producers sometimes face inspectors), an improved understanding
structure of these monographs. difficulties in preparing validation of the Applicants’ pharmaceutical quality
protocols. This is mainly due to the fact systems (PQSs) for management of
For details, see: https://www.edqm.eu/ that the evaluation of the validation post-approval CMC changes. This new
sites/default/files/tg_vaccines_en.pdf characteristics must be adapted to the guideline is intended to complement the
special case of radiopharmaceuticals: existing ICH Q8 to Q11 guidelines.
Revised guidance for the short half-life of the radionuclides,
elaborating monographs on non-availability of radiochemical For details, see: https://www.ema.
radiopharmaceutical preparations impurities and radiation protection europa.eu/en/ich-q12-technical-
Monographs and general texts on need to be considered in the study regulatory-considerations-
radiopharmaceutical preparations are design. The Guide gives in-depth pharmaceutical-product-lifecycle-
elaborated by experts in the field. guidance on the evaluation of validation management

PHARMIG NEWS CORNER #44 7


FDA: Immunogenicity Testing of a global public health concern that Food, Drug, and Cosmetic Act (FD&C Act)
therapeutic protein products threatens the effective treatment and 21 CFR part 314, subpart H, or 21
FDA have issued a new draft guidance of infectious diseases. Combatting CFR part 601, subpart E. More specifically,
for developing and validating assays for this threat, particularly resistance to this guidance focuses on indications for
anti-drug antibody detection. antibiotics, is a high priority for the drugs approved via accelerated approval
European Medicines Agency (EMA) on the basis of a surrogate endpoint or
and the European medicines regulatory a clinical endpoint other than survival
network. Antimicrobial resistance is or irreversible morbidity. This guidance
when a microbe evolves to become also addresses labeling considerations
more or fully resistant to antimicrobials for indications that were approved under
which previously could treat it. accelerated approval and for which
Antimicrobials include antibiotics, which clinical benefit subsequently has been
kill or inhibit the growth of bacteria. verified and the FDA terminates the
This guidance provides recommendations conditions of accelerated approval under
to facilitate industry’s development 21 CFR 314.560 or 21 CFR 601.46. In
and validation of assays for assessment addition, this guidance addresses labeling
of the immunogenicity of therapeutic considerations when the FDA withdraws
protein products during clinical trials. approval of an indication that had been
Specifically, this document includes approved through the accelerated
guidance regarding the development approval pathway while other indications
and validation of screening assays, A well-known example of a bacterium for the drug remain approved.
confirmatory assays, titration assays, and that is resistant to a number of antibiotics
neutralization assays. For the purposes of is meticillin-resistant Staphylococcus See: https://www.fda.gov/downloads/Drugs/
this guidance, immunogenicity is defined aureus (MRSA), which has caused GuidanceComplianceRegulatoryInformation/
as the propensity of a therapeutic protein infections that are difficult to treat across Guidances/UCM390058.pdf
product to generate immune responses to the European Union (EU).
WHO guidance on testing of
itself and to related proteins or to induce
“suspect” falsified medicines
immunologically related adverse clinical The emerging and steady increase in the
This new World Health Organization
events. The recommendations for assay occurrence of bacteria that are resistant
document provides technical guidance
development and validation provided in to multiple antibiotics has become a
on laboratory testing of samples of
this document apply to assays for the global public health threat due to the
suspect deliberately falsified medical
detection of one or more anti- drug lack of therapeutic options to treat
products detected on the markets
antibodies (ADAs). This guidance may also certain infections in humans.
of WHO Member States and related
apply to some peptides, oligonucleotides,
aspects of sampling and reporting. This
and combination products on a case-by- Specific advice has also been added with
guidance should be read in conjunction
case basis. regards to the EU regulatory requirements
with the guidelines on sampling and
to develop medicines for the treatment
market surveillance.
See: https://www.fda.gov/downloads/Drugs/ of uncomplicated urinary tract infections
GuidanceComplianceRegulatoryInformation/ and gonorrhoea. The draft revised See: https://www.who.int/medicines/
Guidances/UCM629728.pdf guideline was adopted by EMA’s human areas/quality_safety/quality_assurance/
medicines committee (CHMP). TRS1010annex5.pdf?ua=1
Global approach to development
of new antibacterial medicines See: https://www.ema.europa.eu/
Antimicrobial resistance is a global en/news/revised-guideline-aims-
public health problem. Regulators in strengthen-global-approach-
the EU, the USA and Japan have had development-new-antibacterial-
extensive discussions over the last few medicines
years to explore and agree how to align
as much as possible their respective FDA guidance: Labeling for human
data requirements so that medicine prescription drug and biological Particle counter calibration
developers can design clinical trials that products approved under the standard updated
meet the evidence needs of multiple accelerated approval regulatory The international standard for the
regulatory agencies. The revised pathway calibration of particle counters
guidance reflects the outcome of New FDA guidance, which is intended has been update to: “ISO 21501-
these discussions. In addition, it offers to assist applicants in developing the 4:2018 Determination of particle size
clarification on the clinical development INDICATIONS AND USAGE section of distribution -- Single particle light
of antibacterial agents that are expected labeling for human prescription drug and interaction methods -- Part 4: Light
to address an unmet medical need, in biological products has been issued. scattering airborne particle counter for
accordance with experience. clean spaces.”
This is for drugs that are approved under
The emerging and steady increase the accelerated approval regulatory This document describes a calibration
of microbes that are resistant to pathway (hereafter accelerated approval) and verification method for a light
antimicrobial treatments has become as defined in section 506(c) of the Federal scattering airborne particle counter

8 PHARMIG NEWS CORNER #44


(LSAPC), which is used to measure the small enough to be controllable (i.e.,
size distribution and particle number being kept within a desired range).
concentration of particles suspended Larger changes in process parameters
in air. The light scattering method and quality attributes can happen when
described in this document is based a process is in a transient state, such as
on single particle measurements. The during start-up and shutdown, a change
typical size range of particles measured from one operating condition to another,
by this method is between 0,1 μm and or significant deviations such as those
10 μm in particle size. This chapter describes a BET that uses a due to equipment failure or unexpected
rFC based on the gene sequence of the change in material attributes.
Instruments that conform to this horseshoe crab for the quantification Understanding of process dynamics as
document are used for the classification of endotoxins from gram-negative a function of input material attributes
of air cleanliness in cleanrooms and bacteria, and a fluorimetric end-point (e.g., potency, material flow properties),
associated controlled environments in detection method. For now, only the process conditions (e.g., mass flow rates)
accordance with ISO 14644‑1 and ISO fluorimetric method is described in the or equipment design elements (e.g.,
14644‑2, as well as the measurement of new chapter as the rFC kits currently blade types for a continuous blender)
number and size distribution of particles available on the European market and enables material traceability (the ability
in various environments. most of the available scientific data are to preserve and access the identity and
based on this method. attribute of a material throughout the
The following parameters are within the system) during and after production.
scope of this document: It is important to highlight that for the
• size setting error; time being, this will be a standalone See: https://www.fda.gov/downloads/Drugs/
• counting efficiency; chapter which will therefore not be GuidanceComplianceRegulatoryInformation/
• size resolution; referenced in individual monographs. Guidances/UCM632033.pdf
• false count;
• maximum particle number See: http://pharmeuropa.edqm.eu/ Quality Culture: Learning from
concentration; TextsForComment/ History
• sampling flow rate error; The MHRA have produced an interesting
• sampling time error; FDA Issues Draft Guidance on OSD blog on quality culture in the historical
• response rate; Continuous Manufacturing perspective, looking at some of the events
• calibration interval; FDA has announced the availability that have shaped the development of
•  reporting results from test and of a draft guidance for industry, quality (some of which have had a serious
calibration. Quality Considerations for Continuous impact upon human health).
Manufacturing, which provides
For further details, see ISO: https://www. information regarding FDA’s current The blog notes that a strong quality
iso.org/standard/58073.html thinking on the quality considerations culture is built upon:
for continuous manufacturing of small- • knowledge of what is important,
molecule, solid oral drug products that and how a process achieves critical
New general chapter on test
are regulated by the Center for Drug quality attributes
for bacterial endotoxins using
Evaluation and Research (CDER). • diligence, by fostering awareness
recombinant factor C
that everyone contributes to
The European Pharmacopoeia (Ph. Eur.) The document addresses areas like: product quality, and understanding
has launched a public consultation on • Data storage and handling from that “my actions impact the patient
a new general chapter, 2.6.32. Test for process analytical technology systems and the company”
bacterial endotoxins using recombinant • Potential approaches for • vigilance by individuals who know
factor C (rFC). This is not a new topic situations where direct attribute what ‘right’ and ‘wrong’ look like in
for the Ph. Eur. which was one of the measurement is not possible (e.g., their process, and a mechanism for
first pharmacopoeias to refer to rFC, low dose compounds) management to be aware of problems
namely in chapter 5.1.10 Guidelines for • Contract manufacturers employing • senior management commitment
using the test for bacterial endotoxins continuous manufacturing to being visible and transparent in
in Supplement 8.8 (2016), allowing the • Risk-based reporting of routine decision-making so that positive
recombinant protein to be used as an model maintenance and updates outcomes can be seen from the
alternative to limulus amoebocyte lysate. • Statistical approaches using large diligence and vigilance efforts. This
Now, the Ph. Eur. is moving another samples (e.g., Large N). is more than the company mission
step forward by publishing a standalone statement – it’s ‘walking the talk’.
chapter on the test for bacterial Continuous manufacturing processes
endotoxins (BET) using rFC. This is a are dynamic systems, unlike batch The blog can be accessed here: https://
significant development since, for the manufacturing processes. During normal mhrainspectorate.blog.gov.uk/2019/02/28/
BET, the world currently depends on a operation, a set of critical process quality-culture-learning-from-history/
single source of lysate, the horseshoe parameters and/or quality attributes
crab family, and more specifically, two are kept close to the target values, Falsified Medicines Directive:
species of the crab, Limulus polyphemus rather than at a steady-state condition. Safety Features
and Tachypleus tridentatus, both of Transient disturbances may occur during The EMA’s safety feature provisions
which are known to be endangered. normal operation. These are usually enter into force on 9 February 2019.
continued over...

PHARMIG NEWS CORNER #44 9


Member states are required to implement The Australian TGA have issued a new In addition, this draft guidance describes
the new falsified medicines safety document titled “Risk management plans FDA’s current thinking on the appropriate
features for almost all prescription-only for medicines and biologicals : Australian suffix format for the proper name of
medicines which aim to prevent falsified requirements and recommendations”, an interchangeable biological product
medicinal products from entering the which is an update of a document licensed under section 351(k) of the PHS
pharmaceutical supply chain. The safety originally issued in 2017. Act. For each interchangeable product,
features are placed on the packaging FDA intends to designate a proper name
of the respective medicinal products The new version (3.3) provides guidance is that is 30 a combination of the core
by the pharmaceutical manufacturer for sponsors of prescription medicines and name and a distinguishing suffix that is
and consist of the following: a unique biologicals making applications to enter devoid of meaning and 31 composed of
identifier, in the form of a 2D data matrix or vary Australian Register of Therapeutic four lowercase letters.
barcode, allowing the verification of the Goods (ARTG) entries. It describes the risk
authenticity and the identification of an management plan (RMP) requirements. FDA is also reconsidering whether
individual pack The guidance: vaccines should be within the scope of
of a medicinal • describes what an RMP is the naming convention.
product anti- • explains when you must submit
To access the document, see: https://
tampering an RMP with an application for
www.fda.gov/downloads/Drugs/
device. registration, inclusion or variation in
the ARTG 20 years of sampling and testing
For further details, see the MHRA • describes what to include in an RMP programme for medicines
blog: https://mhrainspectorate.blog. and the required format for RMPs EMA and the European Directorate for
gov.uk/2019/02/08/falsified-medicines- • details special requirements for RMPs the Quality of Medicines & Healthcare
directive-safety-features/ for biologicals and generics (EDQM) have reviewed EMA’s sampling
• outlines how we evaluate RMPs and testing programme for centrally
New sterile manufacturing • explains when to submit RMP updates authorised medicines on the EU/EEA
guidance published by EMA after regulatory approval, and market, which has been organised
The European Medicines Agency • describes how we monitor your yearly since 1998.
(EMA) has published the final version of compliance with RMP commitments.
“Sterilisation of the medicinal product, The number of centrally authorised
active substance, excipient and primary To view the document, see: https://www. medicines tested every year has steadily
container” (EMA/CHMP/CVMP/ tga.gov.au/publication/risk-management- increased from nine in the 1997-1998
QWP/850374/2015), which first appeared plans-medicines-and-biologicals pilot project to 58 in 2017, totalling
in draft form in 2016. The document over 700 products. Most of the issues
was published on 8th March 2019 and FDA - Nonproprietary Naming of identified during the testing resulted
becomes effective from 1st October 2019. Biological Products: in EMA requiring companies to amend
The FDA has issued a new draft guidance the registered manufacturer’s control
The guidance describes the selection document – “Nonproprietary Naming of methods for their medicines. In a small
of appropriate methods of sterilisation Biological Products: Update”. number of cases, the tested samples
for sterile products. The guidance were not compliant with the authorised
discusses the importance of terminal This draft guidance describes FDA’s quality specifications for the medicine
sterilisation and the use of alternative current thinking on nonproprietary and required other regulatory actions
methods for producing sterile products names of biological products licensed such as re-testing, inspections, recalls or
when terminal sterilisation cannot be under section 351 of the Public Health suspension of supply. These are some of
undertaken (that is using sterilising Service Act (PHS Act) that do not include the key findings in a report summarising
filtration or aseptic processing, or a an FDA-designated suffix. Specifically, the sampling and testing activities and
combination of the two). Where terminal the nonproprietary names of these main achievements over the past 20 years.
sterilisation cannot be adopted, a robust products need not be revised in order to
rationale needs to be provided. For new The programme is an important part of
accomplish the objectives of the naming
products, the document outlines the the supervision of the quality of centrally
convention described in the Guidance
appropriate decision-making process that for Industry: Nonproprietary Naming of authorised products (CAPs) for human
is to be followed and the requirements and veterinary use in all parts of the
Biological Products (Naming Guidance).
needed for the marketing authorisation distribution chain. The tests are aimed
application (or a variation application) at verifying the compliance of medicines
Similarly, FDA does not intend to apply
for a new or updated medicinal product. the naming convention described in the with their authorised specifications and
Central to the decision-making process ensuring that the manufacturer’s control
Naming Guidance to biological products methods are satisfactory.
is risk assessment and risk acceptance, that are the subject of an approved
within the overall context of quality application under section 505 of the To access the report, see: https://www.
risk management. Federal Food, Drug, and Cosmetic Act ema.europa.eu/documents/report/20-
(FD&C Act) as of March 23, 2020, when years-sampling-testing-centrally-
For details, see: http://ec.europa.eu/health/
files/eudralex/vol-4/2008_11_25_gmp- such an application is deemed to be a authorised-products-1998-2017_en.pdf
an1_en.pdf biologics license application (BLA) under New EudraVigilance system improves
Risk management plans for section 351 of the PHS Act on March 23, reporting of side effects
medicines and biologicals 2020 (transition biological products). The new and improved

10 PHARMIG NEWS CORNER #44


EudraVigilance”>EudraVigilance as Link}, evaluation is identified in the trial risk
the European system for managing and assessment, performed prior to the
analysing information on suspected trial commencing. This could include
adverse reactions to medicines that are evaluation of data points associated with
authorised or being studied in clinical critical/complex trial processes, in other
trials in the EU, received more than words, where the trial risks are. This has
2 million reports of suspected side led many to question whether this means
effects in 2018. This is an increase of According to the report, EMA reviewed that sponsors, or indeed Clinical Research
37% compared to 2017 which largely more than 2,200 potential signals. This is Organisations (CROs) working on behalf
reflects that from November 2017 the information on a new adverse reaction or of sponsors, need to develop a generic
national competent authorities and new aspect of a known adverse reaction audit trail review Standard Operating
the marketing authorisation holders that is potentially caused by a medicine Procedure (SOP) that covers this process,
were required to report non-serious and warrants further investigation. Almost that is, an SOP not specific to a particular
cases of suspected adverse reactions to 80% of these signals originated from clinical trial as part of their quality system.
EudraVigilance, having previously only monitoring the EudraVigilance database.
reported serious cases. Other signals were generated from clinical To answer this question, we would refer
studies and scientific literature. organisations back to the statement
This was also a key driver for the that the need for a review of an audit
increase in the number of reports To see the report, go to: https://www. trail should be determined by a risk
received from European patients and ema.europa.eu/documents/report/2018- assessment based on the requirements
consumers through national authorities annual-report-eudravigilance-european- of the trial, taking into account the
and marketing authorisation holders, parliament-council-commission-reporting- systems, procedures and controls in
which almost doubled between 2017 period-1-january_en.pdf place to be used in the trial. Therefore,
and 2018. Improvements in patient to have a generic SOP would probably
reporting also reflect efforts at national MHRA GXP Data Integrity Guidance not add any benefit to this process and
level to encourage patients to share An interesting MHRA blog post has is not mandated by the guidance or
information on side effects through been posted, looking at data integrity expected by GCP inspectors.”
information campaigns. These and from the GCP perspective. The blog is
other findings are summarised in EMA’s from Paula Walker. Here is an excerpt: To read the whole blog, see: https://
annual report on Eudravigilance. mhrainspectorate.blog.gov.uk/2019/03/06/
“The guidance describes the need mhra-gxp-data-integrity-guidance-part-1-
for a documented audit trail review, a-gcp-perspective/
where the need for and extent of such

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