ISPE and FDA present Redefining the C in CGMP “ ” Creating, Implementing and Sustaining a Culture of Compliance 4 – 5 June 2012 Baltimore, Maryland Renaissance Baltimore Harborplace Hotel ISPE.org/2012CGMP Welcome Schedule-At-A-Glance Monday, 4 June FDA has joined with ISPE to deliver an integrated learning conference focused on Industry and Regulatory viewpoints. Join us in Baltimore, Maryland to hear from global regulators, health and trade organizations as they discuss evolving compliance issues, improving good manufacturing practices and how to navigate in today’s pharmaceutical industry. The Conference will kick off on Monday morning with FDA speakers and industry experts addressing hot topics and the future of compliance during the Plenary Sessions. Attendees will then choose from content-rich education sessions and participate in two new interactive special events–Industry-Led Hot Topic Discussion Forum and Meet the Press. You won’t want to miss this rare, behindthe-scenes look at the FDA’s views as they relate to CGMP. 07.30 – 09.00 Continental Breakfast 09.00 – 09.45 Plenary Session 1 – V ision for Quality in the 21st Century 09.45 – 10.30 Plenary Session 2 – Lean Manufacturing Without Compromising Quality Janet Woodcock, Director CDER, FDA, USA Andy Skibo, Executive Vice President, Operations, MedImmune, USA 10.30 – 11.00 Networking Break 11.00 – 12.15 1A 12.15 – 13.15 Lunch 13.15 – 14.00 Plenary Session 3 – G lobal Quality 14.00 – 15.30 2A 15.30 – 16.00 Networking Break 16.00 – 17.00 Forum 1: Industry-Led Hot Topic Discussion Forum 17.00 – 18.30 Networking Reception in Exhibit Hall Benefits of PAI Readiness and Data Integrity for Speedy Approvals 1B Why It Pays to Continually Reinvest in Your Facilities & Systems Deborah Autor, Deputy Commissioner for Global Regulatory Operations and Policy, FDA, USA egulatory Success in a Cloud R Environment 2B Sustaining Compliance Consistency throughout Your Supplier Networks Tuesday, 5 June 07.00 – 08.00 Continental Breakfast 08.00 – 08.45 Plenary Session 4 – Future Vision for the Office of Compliance 08.45 – 09.30 Plenary Session 5 – Culture of Quality 09.30 – 10.15 Plenary Session 6 – International Regulatory Perspective 10.15 – 11.00 Networking Break in Exhibit Hall 11.00 – 12.30 3A 12.30 – 13.30 Lunch 13.30 – 14.30 Forum 2: Meet the Press 14.30 – 15.15 Networking Break in Exhibit Hall 15.15 – 17.00 4A Ilisa Bernstein, Acting Director, Office of Compliance, CDER, FDA, USA Mary Oates, Vice President of Global Quality Operations, Pfizer, USA Gerald Heddell, Director of Inspection, Enforcement and Standards, MHRA, UK Watching Your Process – Assuring Quality and Process Performance Flexible Manufacturing 3B Quality Risk Management: Using Risk Assessments in Manufacturing 4B CAPA: Case Studies Special Events Industry-Led Hot Topic Discussion Forum Monday, 4 June 16.00 – 17.00 Industry leaders and FDA regulators will facilitate an attendee group discussion to identify critical industry issues, concerns, needs for clarity, and opportunities for collaboration. Moderator: Brian Lange, Operations Director, Merck Manufacturing Division, North American Operations and Consumer Care, Merck, USA Meet the Press Tuesday, 5 June 13.30 – 14.30 A distinguished panel of regulators and industry experts will answer questions about how to drive patient safety, product quality and compliance throughout organizations, and how the pharmaceutical industry and regulatory agencies can work effectively in achieving these mutual goals. This thought-provoking session is intended to open a dialog on issues and future direction and will be driven by industry, agency and audience questions. The expert moderators represent the pharma industry technical press, business and public media teaming to deliver a high value, engaging discussion. Press Moderators include: Jeff Salkin, Host of Direct Connect, Maryland Public Television, USA Bill Paulson, Editor-in-Chief, International Pharmaceutical Quality, USA Judy Leon, Senior Communications Advisor, CDER, FDA, USA Networking Events New Member/First-Time Attendee Breakfast Monday, 4 June 07.30 - 8.45 Join us for this special networking breakfast hosted by the Membership Development Committee. Meet fellow Society Members during breakfast to foster new relationships, learn about ISPE and find out how to make the most out of your membership! Networking Reception Monday, 4 June 17.00 – 18.30 Take this opportunity to talk with key regulators, industry leaders and big decision makers in an informal setting. Enjoy refreshments and conversation while meeting fellow pharma professionals, building your network of new friends and colleagues and discussing today’s hot industry topics with people working in every aspect of the industry. ISPE Chesapeake Bay Area Chapter Proudly Presents Riverboat Night Cruise Tuesday, 5 June 19.00 – 22.00 Climb aboard the Black-Eyed Susan, to experience Baltimore’s only authentic paddlewheel driven dinner riverboat. Enjoy the open bar, pasta station, local favorite appetizers including shrimp, crab cakes, hot crab dip and carved tenderloin. The Victorian-style paddleboat is only steps away from the Renaissance Harborplace Hotel. Boarding begins 30 minutes prior to departure. Don’t miss a chance to experience a little of Baltimore’s Inner Harbor, while mingling with colleagues from the Chesapeake Bay Area Chapter and other conference attendees. Visit the ISPE website to book your spot today! Members: $90 NonMembers: $100 Plenary Sessions – Monday, 4 June ISPE and the FDA present a substantial line up of the top regulatory and industry professionals speaking on the key issues affecting pharma today. Plenary Session 1 – 09.00 – 09.45 Plenary Session 2 – 09.45 – 10.30 Plenary Session 3 – 13.15 – 14.00 Vision for Quality in the 21st Century Lean Manufacturing Without Compromising Quality Global Quality presented by Janet Woodcock Director CDER, FDA, USA Janet Woodcock is the director of the Center for Drug Evaluation and Research (CDER) at the FDA. She introduced the concept of risk management in 2000 as a new approach to drug safety. Since 2002, she has led the “Pharmaceutical Quality for the 21st Century Initiative,” the FDA’s highly successful effort to modernize drug manufacturing and its regulation. In 2004, she introduced FDA’s “Critical Path” Initiative, which is designed to move medical discoveries from the laboratory to consumers more efficiently. Most recently, Dr. Woodcock launched the “Safety First” and “Safe Use” initiatives designed to improve drug safety management within and outside FDA, respectively. Dr. Woodcock previously served as FDA’s deputy commissioner and chief medical officer. Prior to joining CDER she oversaw approval of the first biotechnology-based treatments for multiple sclerosis and cystic fibrosis. presented by presented by Andy Skibo Deborah Autor Executive Vice President, Operations, MedImmune, USA Deputy Commissioner for Global Regulatory Operations and Policy, FDA, USA Andrew D. Skibo is executive vice president of operations at MedImmune, and leads various projects, works with external partners and continues to strengthen the Operations Management Team. In 2007, he joined MedImmune as senior vice president, engineering, and was responsible for overseeing largescale capital projects at all of MedImmune’s facilities, including several sites in the US, the Netherlands and the UK. Previously, Andrew held the position of vice president, corporate engineering and capital projects at Amgen, Inc. Beforehand, he served in engineering management positions focused on pharmaceuticals and bioscience at Skanska, Inc; Foster Wheeler Corp.; Life Sciences International, Inc.; A.D. Skibo & Associates, Inc.; and Genentech, Inc. He holds a master of science degree in chemical engineering, and a bachelor of science degree in organic chemistry, both from Massachusetts Institute of Technology. Deborah M. Autor is the FDA’s Deputy Commissioner for Global Regulatory Operations and Policy. Ms. Autor’s Directorate, one of four created in July 2011, includes the Office of Regulatory Affairs (ORA) and the Office of International Programs (OIP). Recently, she was awarded the 2011 Meritorious Executive Presidential Rank Award. In addition, she leads the FDA’s strategy for confronting challenges of globalization and import safety. She has co-chaired the group that prepared the FDA’s June 2011 report on Pathway to Global Product Safety and Quality1, which describes the paradigm shift that FDA must make in order to face the challenges of globalization today, and in the future. Prior to assuming the role of Deputy Commissioner, she served for five years as Director of the Office of Compliance of FDA’s Center for Drug Evaluation and Research. ISPE.org/2012CGMP Plenary Sessions – Tuesday, 5 June Plenary Session 4 – 08.00 – 08.45 Plenary Session 5 – 08.45 – 09.30 Plenary Session 6 – 09.30 – 10.15 Future Vision for the Office of Compliance Culture of Quality International Regulatory Perspective presented by presented by Ilisa Bernstein Acting Director, Office of Compliance, CDER, FDA, USA Dr. Ilisa Bernstein is the Acting Director of the Office of Compliance in the Center for Drug Evaluation and Research at the FDA. Previously, she was the Deputy Director of the Office of Compliance. In 2006, she was the Director of Pharmacy Affairs at the FDA, and between 2003 and 2006, she was Senior Advisor for Regulatory Policy. From 1991 to 2002, she was a Senior Science Policy Advisor in the Office of the Commissioner. From 2002 until 2003, she was a Senior Associate Director at Pfizer, where she served as a liaison between Pfizer and the FDA. She provided guidance and advice on emerging policies, regulations, and legislation. Ilisa completed a post-doctoral residency at the National Institutes of Health. Also, she has a Doctor of Pharmacy degree from The University of Michigan College of Pharmacy, and a Juris Doctor degree from The American University Washington College of Law. presented by Mary Oates Vice President of Global Operations, Pfizer, USA Mary Oates is Vice President of Global Quality Operations for Pfizer. In this role, she is responsible for Quality oversight of all products made by and for Pfizer for both clinical and commercial use. She holds an undergraduate degree in biochemistry and a Ph.D. in analytical chemistry. Oates is actively involved in industry initiatives that are aimed at enhancing product quality. Gerald Heddell Director of Inspection, Enforcement and Standards, MHRA, UK Gerald Heddell took up the post as Director of the Inspection and Standards (I&S) Division on 4 January 2005. Gerald is a microbiologist who is a Chartered Biologist and a member of the Institute of Biology and the Royal Society of Chemistry. Since leaving the NHS in 1978, he has worked in a succession of progressively senior roles in manufacturing and quality assurance for The Wellcome Foundation, Glaxo Wellcome and GlaxoSmithKline. Gerald has experience in most aspects of pharmaceutical manufacture and control, with a particular interest in sterile products. Don’t miss these premier presentations focused on global quality, worldwide compliance and the future vision of the pharmaceutical industry. Here’s your opportunity to hear directly from the policy makers and influencers affecting business and manufacturing in the 21st century. ISPE.org/2012CGMP Education Sessions – Monday, 4 June Morning Sessions Session 1A Benefits of PAI Readiness and Data Integrity for Speedy Approvals FDA’s pre-approval inspection program provides FDA with assurance that a manufacturing establishment is capable of manufacturing a drug and that submitted data are accurate and complete. There are three primary inspectional objectives of this PAI program which include: determine readiness for commercial manufacturing; assess conformance to the application; and perform a data integrity audit. The session will focus on typical coverage performed during a pre-approval inspection in order to better prepare you for such an inspection. Examples of data integrity issues found during an inspection and FDA’s experience with applications utilizing a Quality by Design (QbD) approach will be described. At the conclusion of this session, participants will be able to: • Understand and anticipate what an FDA investigator will cover during a pre-approval inspection • Understand what some of the common inspection issues are that are cited on a 483 at the conclusion of pre-approval inspections • Understand how to prepare for a pre-approval inspection • Understand the CGMP issues relating to implementation of QbD for manufacturing of drug products and some findings related to QbD for FDA inspections • Understand how FDA assesses data integrity and understand some of the recent data integrity issues uncovered during inspections and the resulting regulatory actions • Prepare higher-quality facility evaluation applications based on tips learned in this session Moderator: J. David Doleski, Acting Director, Division of Good Manufacturing Practice Assessment, OMPQ, OC, CDER, FDA, USA 11.00 – 11.30 Inspection Readiness Issues 11.30 – 12.00 Field Inspector Perspective 12.00 – 12.15 Q&A Session 1B Why It Pays to Continually Reinvest in Your Facilities and Systems It’s a fact that antiquated, run-down facilities have a difficult time producing high-quality/fit-for-use products. Like any process, the manufacturing facility has its own lifecycle. If the facility is not reliable, the process will not be well supported and unexpected variation will be introduced. A manufacturer has the responsibility to take good care of their facilities, as well as the equipment and infrastructure inside the facility. This session will emphasize why it is so important to continually reinvest in your facility throughout its lifecycle. A practical industry case study will be presented to illustrate the tangible business and quality benefits that lead to tangible bottom-line results that not only ensures that patients receive the product that they are relying on, but also the shareholders receive a return on their investment. At the conclusion of this session, participants will be able to: • Understand the risks of outdated or inadequately maintained facilities • Understand why prevention is a strategic advantage when it comes to facility upkeep • Learn the advantages of planning ahead and keeping your facilities in line with contemporary technology • U nderstand how a facility, just like a process, needs lifecycle management to maintain a state of control Moderator: Steven Lynn, Acting Director, Office of Manufacturing and Product Quality, OC, CDER, FDA, USA 11.00 – 11.30 Quality is Free - Benefits of Keeping Facilities Current 11.30 – 12.00 The Advantages of Proactive Facility Management 12.00 – 12.15 Q&A ISPE.org/2012CGMP Afternoon Sessions Education Sessions – Monday, 4 June Session 2A Regulatory Success in a Cloud Environment Life science companies have outsourced many aspects of their manufacturing and research processes for years. The outsourcing trend has also hit the IT world in the past decade. Most recently, a combination of cost factors and technological progress has made “cloudsourcing” an economically enticing option. The life science industry has long believed that they had different requirements for information management than other industries. But is that true? This session will examine some potential pros and cons for maintaining regulated data in the cloud and will address the information security triad that defines the requirements for a cloud solution: how can you assure adequate confidentiality, availability and integrity of data. At the conclusion of this session, participants will be able to: • Understand the advantages and disadvantages of embracing a cloud solution • U nderstand how other industries have addressed many of the same issues that face life science companies • L earn how the right cloud provider can provide equivalent and in some cases better, protection for your data than you could in your own data center • Understand how a cloud solution can, in many ways, be equated to outsourcing your data center Moderator: Randy Perez, Director, Information Governance and Management, Novartis, USA Co-Moderator: Bob Tollefsen, Consumer Safety Officer, FDA, USA 14.00 – 14.30Demystifying the Cloud 14.30 – 15.00Keys to Cloud Computing: Confidentiality, Availability and Integrity 15.00 – 15.30 Q&A Session 2B Sustaining Compliance Consistency throughout Your Supplier Networks Over the past several years, the pharmaceutical industry has outsourced more and more of their manufacturing, packaging, and distribution operations. In the past, the objective was “focus on the core” and externalize the rest. We are now at a point where most operations are at least considered for outsourcing and many of them fall into the outsourcing bucket. With this increased emphasis on outsourcing, there is an increased need for effective monitoring of compliance parameters, product risk and quality controls. This session will explore ways to ensure compliance of your providers and ultimately protect the integrity of your product. At the conclusion of this session, participants will be able to: • Understand the compliance risks associated with supply networks • Know what signs to look for in assessing these risks • Identify ways to monitor and measure compliance of your suppliers • Manage compliance with a higher level of confidence ISPE.org/2012CGMP Moderator: Michael Arnold, R.Ph., Senior Director, Strategic Partnerships, Pfizer Global Clinical Supplies, USA 14.00 – 14.30Managing CMO’s – Assuring Compliance with Your Outsourced Supply 14.30 – 15.00 Raw Material Controls – Upstream Supply Chain 15.00 – 15.30 Q&A Education Sessions – Tuesday, 5 June Morning Sessions Session 3A Watching Your Process – Assuring Quality and Process Performance Since the new Quality paradigm has begun in ICH with Q 8,9,10 and 11, emphasis has been placed on management of the manufacturing process through its lifecycle. This session will use case studies to review your process lifecycle from development through product discontinuation. There will be a focus on the need to build quality in development, understand the challenges in tech transfer, and fully comprehend the sources of variability or process drift. There will also be a focus on establishing and maintaining your control strategy based on the current understanding of the process and product. At the conclusion of this session, participants will be able to: • Focus on end-to-end lifecycle management of your product and process • Understand how to establish and maintain a control strategy • U tilize some practical examples to demonstrate challenges in lifecycle management from tech transfer to understanding and reducing sources of variation or process drift • Maintain a state of control Moderator: Joe Famulare, Senior Director, Genentech, USA 11.00 – 11.40Establishing and Maintaining a State of Control 11.40 – 12.15Understanding and Recognizing Process Variability or Drift - Tools that Can Identify and Control Your Process 12.15 – 12.30 Q&A Session 3B Quality Risk Management: Using Risk Assessments in Manufacturing It is well accepted by the industry and FDA that the use of sound scientific and quality risk management approaches throughout the lifecycle are critical to establishing and maintaining a state of control. But how does a company tangibly achieve this objective? This session will use examples from industry and regulatory perspectives to show how the use of risk assessment helps identify failure modes in an operation and promotes development of risk mitigation approaches to control sources of variability. You will learn how good planning of facilities and processes, strong monitoring systems and a quality assurance mindset throughout your operation will prevent risks to product quality. Discussion on the importance of taking advantage of contemporary technology and systems to achieve better processes that provide both business and consumer benefits will also be presented. At the conclusion of this session, participants will be able to: • U nderstand the advantages of using scientific and quality risk management approaches to promote strong science-based decisions • U tilize modern technology and quality systems approaches to meet business and drug quality objectives • U nderstand how lifecycle continual improvements are assured through good monitoring systems and a strong quality assurance mindset Moderator: Michael Smedley, Deputy Director, Office of Manufacturing and Product Quality, OC, CDER, FDA, USA 11.00 – 11.40 Modernization and Its Role in Quality Risk Management 11.40 – 12.15 Utilizing Quality Risk Management in Risk Assessments 12.15 – 12.30 Q&A ISPE.org/2012CGMP Afternoon Sessions Education Sessions – Tuesday, 5 June Session 4A Flexible Manufacturing In today’s environment the market is demanding innovative products globally that are introduced compliantly with rapid launches at competitive prices. In response to these market drivers the industry has created new technologies to improve the speed at which manufacturing facilities can be delivered, improve the output of existing operations, enhance reliability and reduce overall life cycle costing. This session will use case studies to demonstrate the value of flexible manufacturing. At the conclusion of this session, participants will be able to: • Understand the benefits of using modular facilities in global delivery models • Understand the cost benefits for flexible manufacturing operations through a demonstration • Understand the best practices in delivery and operations of flexible manufacturing operations Moderator: Jim Breen, Vice President Project Management, Johnson & Johnson, USA 15.15 – 15.45 Disposable Manufacturing Equipment 15.45 – 16.30 Modular Manufacturing Units 16.30 – 17.00 Q&A Session 4B CAPA: Case Studies The corrective action and preventive action (CAPA) program is an important part of a quality system. CAPA requires commitment throughout an organization to surface significant issues, and prevent conditions or practices that can ultimately lead to serious quality problems. Strong investigation procedures and qualified staff are needed to identify root causes and define actions to address emerging or existing problems. In some cases, inspections have found recurring drug quality issues were not adequately remedied by a firm’s CAPA system. The value of an effective CAPA system will be explored in this session and illustrative case studies from both industry and regulators will be presented. At the conclusion of this session, participants will be able to: • Understand the role of the CAPA program in supporting maintenance of a state of control throughout the lifecycle • Understand the use of CAPA by the production and quality units ISPE.org/2012CGMP Moderator: Rick Friedman, Associate Director for Risk-Science Intelligence and Prioritization, OMPQ, OC, CDER, FDA, USA 15.15 – 15.45Perplexing Industry Case Studies and Solutions 15.45 – 16.30Industry Sharing Experiences and How it Can Benefit You Improvement Studies 16.30 – 17.00 Q&A FEES Baltimore Area Attractions Baltimore Inner Harbor Camden Yards Gallery Mall Fells Point Hotel Information For room reservations at the Conference venue, Renaissance Baltimore Harborplace Hotel, Baltimore, Maryland USA., call tel: 1-800-HOTELS1 or +1-410-547-1200. When making your reservation by phone, mention ISPE for a discounted rate of $195 single/double. This rate is good until 7 May 2012, or until the room block is full, whichever comes first. Or you may make your reservation online at www.renaissanceharborplace.com and use group code ISPISPA. Please contact the hotel as early as possible to make your reservations to ensure you are in the headquarters hotel. We thank you for staying at the Renaissance as this enables ISPE to meet contract requirements. How to Register ISPE and FDA CGMP Conference Registration Fees Member: $1,495 New Member: $1,734 Nonmember: $1,825 Government: $500 Online: Visit www.ISPE.org/2012CGMP Via Fax: Complete the registration form online and fax it to: +1-813-264-2816 Via Mail:Complete the registration form online and mail it with payment to: ISPE Headquarters • 600 N. Westshore Blvd., Suite 900 Tampa, Florida 33609 USA Questions? C all ISPE at tel: +1-813-960-2105, or email: ask@ispe.org Written confirmation will be sent to you after your registration is processed (time permitting). In order to be listed in the official delegate roster, you must be registered and paid by 7 May. Indicate your preferred morning and afternoon sessions when registering. Once onsite, you’ll have the option to attend any session. Prices reflect Early Bird rates. Register before 7 May and save up to $200. View ISPE website for more information. ISPE – Membership Has its Benefits Did you know that ISPE Members attend training programs and other events at discounted rates? New Member registration fees include a one-year ISPE membership, a $239 value. Visit www.ISPE.org/Join for details on Member benefits and special rates for Young Professionals, Students, Regulators and persons from countries with Emerging Economies. ISPE EXCLUSIVE TRAINING 6 –7 June Extend your stay to attend Classroom Training! Before you complete your reservation, make sure you add Training to your agenda. ISPE is offering two training courses. Extend your stay to attend one of these valuable training courses specific to your career.* Process Validation in Biotechnology Manufacturing (T32) 08.30 – 17.00 Instructor: Mark Witcher, PhD, Process Consultant, IPS Level: Advanced ISPE CEUs: 1.5 This course is designed to provide a clear understanding of the regulatory, scientific and engineering tools required to successfully develop and validate bioprocesses. In addition, the course identifies the long list of activities required to validate biopharmaceutical processes. Topics include: • • • • • Develop and execute validation master plans and validation protocols Understand and use FDA’s current process validation guidelines Successfully run conformance lots for process qualification Define key validation activities for biopharmaceutical process development and manufacturing A pply strategies and fundamental approaches for process validation of upstream and downstream processes for clinical and commercial manufacturing • Discuss validation documentation requirements Turning QbD into a Practical Reality (T43) New Course and Guide 08.30 – 17.00 Instructor: Bruce Davis, Consultant, QbD, Process Engineering Validation Level: Fundamental ISPE CEUs: 1.3 This interactive training course utilizes the ISPE PQLI Guide Series: Part 1 - Product Realization using Quality by Design, Concepts and Principles and Part 2 - Product Realization using Quality by Design, Illustrative Example as the basis for explaining and providing examples of how products and processes can be developed, using QbD with special emphasis on the considerations for implementing these processes in manufacturing. Through group exercises, the course will delve into implementation and operation of an effective and efficient control strategy in manufacturing which is a key element of process performance and product quality monitoring and continual improvement Note: This course will not cover the regulatory submission process or detailed engineering designs. *Training Courses are not associated with the CGMP Conference. Must register separately. Certified Pharmaceutical Industry Professional™ (CPIP™) Information Workshop Tuesday, 5 June This complimentary one-hour workshop provides an overview of the CPIP™ Certification Program, a pharmaceutical industry-focused, international competency-based credential made available through the ISPE Professional Certification Commission. Topics include: CPIP™ introduction, eligibility criteria, overview of the application, examination and re-certification processes, and information on CPIP™ Study Groups. Save on Training! ISPE Training Fees Prices reflect Early Bird rates. Register before 7 May and save up to $200. Process Validation (T32) Member...................... $1,610 New Member............... $1,849 Nonmember................ $1,945 Government................. $ 805 Turning QbD into a Practical Reality (T43) Member...................... $1,710 New Member............... $1,949 Nonmember................ $2,050 Government ................ $ 855 New Member registration fees include one-year ISPE membership. A $239 Value. Early Bird rates are good until 7 May. Check the website for more details. ISPE PINNACLE PROGRAMME 2012 Global Sponsor HOST SPONSOR www.ISPE.org/2012BaltimoreTraining NON-PROFIT ORG. U.S. POSTAGE PAID 600 N. Westshore Blvd., Suite 900 T a m p a , F l o r i d a 3 3 6 0 9 , USA ISPE and FDA present TAMPA, FL PERMIT NO. 2661 Redefining the C in CGMP “ ” Creating, Implementing and Sustaining a Culture of Compliance 4 – 5 June 2012 Baltimore, Maryland USA Renaissance Baltimore Harborplace Hotel ISPE.org/2012CGMP