How Strong is Your Cold Chain? P. Andrew Malcolm, P.E. P. Andrew Malcolm Consulting, Inc. Thermal Packaging Solutions, LLC TPS THERMAL PACKAGING SOLUTIONS, LLC September 15, 2009 Takeaways from Today Today’s s Presentation Presentation… • Cold Chain Issues and Environmental Profiles • Package Design: Materials Materials, Refrigerants, and Monitoring Options • Validation, Validation Documentation Documentation, and Regulatory Considerations 2 September 15, 2009 Who is Andy Malcolm and why is he here? • Consulting Packaging Engineer • President of P. Andrew Malcolm Consulting, Inc. • Packaging g g since 1985 • Thirteen Years in Bio-Pharm • Ten Years with Own Company • Affiliated with Thermal Packaging Solutions Solutions, LLC • Cold Chain Consultants based in New Jersey • Over 30 years of experience in environmentally controlled packaging and logistics • Published in Pharmaceutical Engineering and elsewhere • Multiple p p patents on p packages g and p packaging g g systems y 3 September 15, 2009 Cold C ld Chain Ch i Issues I and d Environmental Profiles 4 September 15, 2009 What is the “Cold Chain”? OVER THE ROAD 43o C WAITING ON THE TARMAC 32o C,, 98% Humidityy AIR CARGO -20o C OCEAN FREIGHT 43o C 5 September 15, 2009 Maintaining Temperature / Humidity through Product-Specific Environmental Conditions 6 September 15, 2009 Route-Specific p Temperature p Profile E.g.: United States to Europe Temperature Profile - U.S. to NL Via AIR WARM TEMPERATUR E 35 HOURS 30 20 15 10 5 HOURS 7 127 121 115 109 97 91 85 103 -5 79 73 67 61 55 49 43 37 31 25 19 7 13 0 1 Degrees C . 25 1 2 3 4 5 6 7 8 9 10 11 12 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 WARM COLD 6:00 PM UPS (PIT) Trans to JFK 12:00 AM 6 12:00 PM 6 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 22 21 20 20 21 21 22 22 23 24 24 25 26 26 27 28 28 29 28 28 27 26 26 25 24 24 HUMIDITY DAY NIGHT 79 79 79 79 79 79 79 79 79 79 79 69 64 59 59 59 59 59 59 59 59 59 71 72 74 75 75 75 75 75 75 75 75 75 75 70 64 59 59 59 59 COLD TEMPERAT URE 10 10 10 10 10 10 10 10 10 10 10 10 10 20 20 0 -1 -1 -2 -2 -3 -2 -2 -1 -1 0 0 1 2 2 3 3 4 3 3 2 2 1 1 0 -1 HUMIDITY DAY NIGHT 79 79 79 79 79 79 79 79 79 79 79 67 64 60 60 60 60 60 60 60 60 60 60 64 67 71 71 71 71 71 71 71 71 71 71 September 15, 2009 67 64 60 60 60 60 Ocean Freight Temperatures ON DECK Outer level temperatures = 140OF Second level = 115OF Third thru Seventh level = 90OF (note 4) ON DECK Levels 1od 2 d 2od 3od 4od 5od BELOW DECK 6od 7od Levels 1bd 2bd 3bd 4bd 5bd 6bd 7bd BELOW DECK All level temperatures will hold at their loading temperatures. H t loss/gain Heat l / i will ill b be att equilibrium due to their insulated positions i.e.: the day/night temperature swings do not have a chance to overcome each other. NOTES: 1 – Refrigerated containers are stored on deck 2 – Positioning of container is dependent upon content weights, g , and destination 3 – Max container levels, 7 above and 7 below 4 – It should be understood that containers may be exposed to heat load / cooling (day/night) for a few days prior to ship loading. The 90 degree internal temperature is contingent upon container temperature at time of ship loading. 8 September 15, 2009 Why is it so important and why use special packaging? Soggy Tablets Frozen Liquids 9 September 15, 2009 Packaging P k i Design: D i Materials,, Refrigerants, g , and Monitoring Options 10 September 15, 2009 First: A refresher on some Physical F d Fundamentals t l • Heat Transfer • Phase Change 11 September 15, 2009 Heat Transfer The science of predicting energy transfer in materials as a result of temperature difference. T pes of heat transfer: Types transfer Conduction Convection Radiation The transfer of heat from partt off a body b d to t another th part or to another body by short range interaction of molecules or electrons. The transfer of heat b th by the combined bi d mechanisms of fluid mixing and conduction. The emission of energy i th in the fform off electromagnetic waves. Examples: • Hand on a hot plate • Spoon in a cup of coffee warms • Damage to skin tissue after contacting dry ice or flame Examples: • Cooled air circulating in a warm room • Hot water added to a cooling tub to increase overall temperature Examples: • Sun shining through window glass • Interior of a black car heating up • Drying clothes in front of a fireplace 12 September 15, 2009 Transmission of Heat 13 September 15, 2009 Phase Change Example: Water Phase Change Periods Solid Liquid Vapor (Steam) Phasing: Ph i Phasing rate affected by temperature or energy transfer. 14 September 15, 2009 100o C VAPOR PHASE Phase Chart o 30 C SENSIBLE HEAT LIQUID PHASE TEM MPERATU URE SOLID PHASE 0o C o -20 20 C Remains at 0oC while melting SENSIBLE HEAT PHASE TIME α MASS / ENERGY TIME Æ 15 September 15, 2009 Phase Change High Temperature Phasing Not all “frozen solid” materials are cold 16 September 15, 2009 Design g Aid for Temperature p / Humidity y Controlled Shipping and Packaging General Questions • IIn what h t form f is i the th product d t to t be b shipped? hi d? Powder, liquid, solid, or some combination? • At what temperature is the product packed? Are packaging materials preconditioned? • At what temperature must the product remain during shipment? Is there a tolerance? Ex: 2-8 degrees g C for 72 hours,, but may y be +2 or -2 degrees for up to a total of 10 hours. • Where will the shipment originate? Is the environment hot? Cold? Excessively humid? • How will it be shipped? Ex: Truck (refrigerated or not), air cargo, ocean freight? • How long is each stage? 17 September 15, 2009 Design What size container is required? • Measure the product dimensions • Add space for Refrigerants or Dry Ice Ice. • Refer to vendor’s list of standard box sizes or specify a custom size. Note: Box dimensions are for inside measurement 18 September 15, 2009 Design Will the product be shipped Refrigerated or Frozen? How long is the shipping cycle? • The answers determine the best container specifications f for f the product: • Overnight shipments do well in boxes with a standard wall thickness (1 ½”) • Consider C id a greater t wallll thi thickness k ffor ffrozen products and/or longer shipping cycles. 19 September 15, 2009 Design 24 HOUR SHIPPING PROFILE 50 De egrees C 40 30 20 10 0 -10 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 Hours -20 Summer Winter •NOTE: REPEAT PROFILE CYCLE AS NEEDED 20 September 15, 2009 Packaging Materials 21 September 15, 2009 M t i l Materials EPS Urethane Vacuum Panels Air Box 22 September 15, 2009 M t i l Materials Vacuum Panel V P l Container Design • High insulation values • Package vulnerable to damage Vacuum Panel System Design 23 September 15, 2009 Pack-Out Example LID PCM 18 OZ. FROZEN (7 REQU.) CORRUGATED PAD PRODUCT INSULATED SHIPPER 24 September 15, 2009 M t i l Materials Bubble Wrap • Provide layers of protection between refrigerants (PCM’s) and d product. d t 25 Laminates Foil - Bubble or Foil – Bubble - Foil September 15, 2009 Refrigerants 26 September 15, 2009 Design How much Refrigerant* Refrigerant or Dry Ice is needed? • Consider the following factors: • Insulation value of the container • Temperature differentials (∆T) • Length L th off shipping hi i cycle l • Perform preliminary calculations to arrive at a reasonably close starting point. • Perform actual package testing and validation. * Typically Phase Change Material (PCM) 27 September 15, 2009 R fi Refrigerants t Refrigerant Gels Phase Change Materials ( PCMs ) 28 September 15, 2009 Phase Chart o O 150 C o Options to 2 to 8 C PCMs TEMP PERATURE Phase change temperature ranges available with salt ratios above 30% 100OC Phase change temperature range available through careful compounding of various new chemical materials 50OC 4OC O 0 C -25OC Phase change temperature ranges available with salt ratios ti under d 30% -50OC 29 September 15, 2009 Temperature Monitoring 30 September 15, 2009 M th d off Measurement Methods M t • M Mercury or Alcohol Al h l Thermometer • Thermo Thermo-mechanical mechanical Device • Resistance Temperature Detector (RTD) • Platinum Resistance Temperature Detector (PRT or PRTD) 31 • • • • • Solid S lid St State t D Device i Thermistor Thermocouple Chemical Device Infrared Device September 15, 2009 C Current tT Technology h l – Shipping Shi i Ti Time-Temperature T t Integrators I t t • Chemical-Physical-Based TTI • Chemical Polymerization-Based y TTI • Diffusion-Based TTI • Enzyme Enzyme-Based Based TTI 32 Temperature Recorders • Graphic (Chart) Recorders Electronic Temperature Monitoring Devices • Temperature Logger • Temperature + Humidity Loggers September 15, 2009 Temperature Loggers – Details ~ Interfaces ~ U User IInterfaces t f D t Transfer Data T f • • • Light Emitting Diodes (LED) Liquid Crystal Display (LCD) • • • • Computer Interfaces • • • Serial or Parallel Ports Infrared f Optical Real Time • • Hubs or ‘Gateways’ Gateways End-of-the-Line • • • 33 Satellite C ll l Cellular Wi-Fi RFID (Active and Passive) Hardwire Docking g RFID September 15, 2009 Temperature p Loggers gg – Details ((cont.)) ~ Hardware Considerations ~ Microprocessor Internal Data Storage • • • Nonvolatile Memory (no data loss) (potential data Volatile Memoryy (p loss) Sample Rate – function of memory Thermistor • • • Accuracy Drift Temperature p Range g Alarms • • Event Cumulative Calibration Issues • Resistance • Single Point • Certificates Single Use / Multiple Use Temperature + Humidity • Need Reference = Both • Problem Areas • • Battery Characteristics 34 High Humidity + Low Temperature High Temperature + Low Humidity September 15, 2009 Temperature p Loggers gg – Details ((cont.)) ~ Software Considerations ~ O Operating ti System S t R Record dK Keeping i • • • • • Microsoft Palm Windows CE Export Capabilities DB Maintenance and Back-Up Validation 21 CFR Part 11 Software Verification of Calibration Resolution History Analysis 35 September 15, 2009 Validation, Documentation, and Regulatory Considerations 36 September 15, 2009 Objective: 483 … or Worse 37 September 15, 2009 Validation Considerations 38 September 15, 2009 Strategies for Validation Establish Current State of Shipping Validation • • • Define current shipping methods across product lines Evaluate effectiveness of current shipping performance Gather available product stability data to support current shipping methods Risk Assessment • • Identify vulnerabilities in validation Prioritize products requiring shipping validation Develop Program Plan • • • • Define Distribution Environment Gather Product Stability Data Define Shipping Qualification Requirements Document Program Plan 39 September 15, 2009 Strategies for Validation (cont.) Define Distribution Environment • Map Current Distribution Environment • • • • Establish Time / Temperature p External Data Collection Plan • • Shipping Methods Warehouse Procedures Seasonal Variation Geographic Destinations Understand capabilities of current shipping containers/methods, if applicable Gather Product Stability Data • Gather existing product stability data • • • Ensure documentation exists Ensure documentation is defendable Implement Product Stability Program • • Supply input and guidance to R&D/Product Support Department Ensure product stability data was taken out to expiration 40 September 15, 2009 Strategies for Validation (cont.) Define Shipping Qualification Requirements (test profiles) • Field Data • Profiles may be based on extreme temperatures seen during external data collection Document Program Plan • • • • Develop Guideline for Program Establish SOP for field data collection Establish SOP for shipping qualifications Set project plan to accomplish shipping qualifications for all products 41 September 15, 2009 Documentation Considerations 42 September 15, 2009 D Documentation t ti • Protocols • S.O.P.s • Signed Reports • Data on Signed, Tamperproof Data CDs • Independent Laboratory Testing Results • Packaging & Distribution System Qualifications 43 September 15, 2009 44 September 15, 2009 45 September 15, 2009 Regulatory Considerations 46 September 15, 2009 R Regulatory l t Considerations C id ti A According di tto FDA FDA: • A drug is adulterated if the facilities or controls used for its manufacture, processing, packaging or holding do not conform t / to/are nott operated t d or administered d i i t d in i conformity f it with ith currentt good d manufacturing practice (cGMP). FD&C Act [501 (a)(2)(B)] What it means to manufacturers: • • FDA demands appropriate conditions. The manufacturer must define and defend its methods of handling the product to ensure it is not adulterated. 47 September 15, 2009 R Regulatory l t C Considerations id ti ((cont.) t) G Governing i R Regulations: l ti • 21CFR211.142 and 211.150 (Storage and Distribution) • • USP Chapter 1079: Good Storage and Shipping Practices 21 CFR Part 210 – cGMP in Manufacturing, Processing, Packing, or Holding of Drugs 21 CFR Part 211 – cGMP for Finished Pharmaceuticals • 211.142 – Warehousing procedures • 211.150 – Distribution procedures • 211.196 211 196 – Distribution records USP General Guidance Chapter <1079> Individual countries have their own shipping guidelines. • • • 48 September 15, 2009 R Regulatory l t C Considerations id ti ((cont.) t) What happens: • • • • If the Pharmaceutical Manufacturer is out of compliance and does not maintain the required temperature, FDA issues: • 483 • Warning Letter • Consent Decree FDA demands a detailed corrective action plan with timing timing. FDA maintains the right to accept or reject the proposed corrective action plan. FDA maintains i t i the th right i ht tto STOP product d t shipments hi t until the quality is restored and can demand a recall of shipped product . 49 September 15, 2009 Example: FDA Inspection – Warning Letter Rockville, MD (Apr Rockville (Apr. 5 5, 2007)—The US Food and Drug Administration (FDA, www.fda.gov) concluded its reinspection of Wyeth’s manufacturing facility... Conditions at the Guayama facility prompted a Warning Letter in May 2006. The 2006 Warning Letter cited several violations of current good manufacturing practice (CGMP) regulations stated in 21 CFR Parts 210 and 211. Ref: http://www.pharmtech.com/pharmtech/article/articleDetail.jsp?id=418827 http://www pharmtech com/pharmtech/article/articleDetail jsp?id=418827 50 September 15, 2009 Example: FDA Inspection – Warning Letter Irvine,, CA (Mar. ( 11,, 2005)) (American ( Red Cross Transplant p Services) - The US Food and Drug Administration …during an inspection… determined that your firm manufactures and distributes cryopreserved heart valves…deviations cause your device to be adulterated adulterated…You You failed to ensure that the device packaging and shipping containers are designed and constructed to protect the device from alteration or damage g the customary y conditions of p processing, g storage, g during handling and distribution….[21 CFR… Source: http://www.fda.gov/foi/warning_letters/g4586d.htm 51 September 15, 2009 Example: FDA Inspection – 483 Atlanta,, GA,, Mar. 22 to Mayy 15,, 2006 (Bausch ( & Lomb Inc.)) Observations made by FDA during facility inspection. “Temperature conditions within the aseptic processing area are not being documented… …trucking company does not have a climate control system in the trailer to monitor temperature conditions. …no procedures indicating the amount of time finished products are allo allowed ed to remain stored in trailers before finding a location in the warehouse for storage.” Source: http://www.fda.gov/ora/frequent/483s/1032500_baushlomb/greenville_sc.html 52 September 15, 2009 C Conclusions l i • • • • FDA is i increasing i i its it scrutiny ti off the th processes and d procedures used for thermally controlled shipping, storing, and distributing of pharmaceutical products. M Manufacturers f t are being b i required i d tto supportt th their i shipping hi i methods ‘from dock to doc’. Designers must consider all external conditions when d i i th designing the package k and d material t i lh handling dli methods. th d In order to avoid 483s, Warning Letters, and / or Consent Decrees, manufacturers must be able to demonstrate that a robust, b t validated lid t d Cold C ld Chain Ch i M Managementt S System t iis iin place. 53 September 15, 2009 Q Questions…? ti ? Thank You for your time and attention. P Andrew Malcolm, P. Malcolm P.E. PE 54 September 15, 2009 Q Questions…? ti ? Additional questions may be e-mailed to andy@malcolmconsulting.com. Or visit… www.malcolmconsulting.com www.thermalpackagingsolutions.com TPS THERMAL PACKAGING SOLUTIONS, LLC Note: The copyright to this presentation and written materials are the property of P. Andrew Malcolm Consulting, Inc. and Thermal Packaging Solutions, LLC. This presentation and associated written materials may be reproduced only in their entirety entirety. 55 September 15, 2009