Process Stages Typical Process Steps 1. 2. 3. 4. 5. 6. 7. 8. 9. 1 Dispensing and Weighing Compounding Sterile Filtration Container Preparation Stopper Preparation Filling and Stoppering Capping and Crimping Inspection Packing Process Stages Typical Process Flow for an Aseptically Processed Vial Formulation 2 Typical Process Block Flow Diagram for an Aseptically Processed Vial Formulation Vials Vials Shrink Wrapped Pallets Water for Injection WFI Generation System Nitrogen Bulk Drug Substance Stoppers Nitrogen Storage Tank Stoppers Caps Caps (Gamma Irradiated) Background Area Classification Required By Process Step Warehouse Warehouse Cold Store External Store at 20C to 80C Warehouse Store Store Unclassified Pharmaceutical Grade Laminar Flow Zone Grade D (Pharmaceutical with local monitoring) Grade C (ISO8 Class 100,000) Transfer to Compoundin g Room Airlock Grade B (ISO7 Class 10,000) Airlock Grade A (ISO5 Class 100) Compounding Room Open Processing Pool into Tank Closed Processing ISL Isolator (Class 100) QC Tests Filter thru 2 x 0.22µm filters Unpack Stoppers Caps Inspection Formulation Room Stopper Processor Cold Store (2-80C) Transfer Container Filter (0.22µm) Inspection Transfer Container Filling Room Unpack Vials Load Vials Capping Room Head Tank at Fill Station Wash Vial Depyrogenate Vial Fill Vial Load Stopper Feed Station Cap Seal Feed Station Stopper Vial Seal Vial with Cap Inkjet/Tray Off Room Warehouse Cold Store (2-80C) Ink Cartridge Cold Store (20C to 80C) Print Vial Cap Tray Off Vials Stretchwrap Pallet Warehouse (Quarantine ) Component Prep Room 3 Release from Quarantine Dispatch Process Stages 1. Dispensing and Weighing Centralised Dispensing: Key Considerations: Area Classification Cross Contamination Potential Toxic Compounds Decentralised Dispensing: Water and Solvents 4 Solid Actives and Excipients Small Quantities of Liquid Actives and Excipients Key Consideration – Design of Compounding Room(s) where dispensing performed Process Stages 2. Compounding (Formulation) Room where product components (Active, Excipients, Solvents etc) are brought together to produce the formulation that will subsequently be filled. E.g. Key Consideration 5 Pooling of premixed product Simple Liquid Mixing Dissolution of solid active Emulsification Utility Requirements Proximity to Filling Point Area Classification Cross Contamination Flow of people, clean and dirty equipment, raw materials, product, waste Process Stages 3. Sterile Filtration Product is sterile filtered through 0.2m filter(s) to provide a defined reduction in the microbiological concentration prior to filling. Post filtration the product is deemed sterile. Key Considerations 6 Sterilisation of filter in place Post sterilisation pre-production integrity testing Post production integrity testing (in situ) Elimination of Aseptic connections Filter Location Exercise 2 Compounding and Filtration Product being compounded/ formulated, filtered and filled into mobile 300l vessels. What design features should be considered to mimimise issues such as manual handling/ contamination for: 7 A: Filling Area B: Vessel Exercise - Answer Filling Area: Manual handling considerations Access to isolation valves Lifting method of filter housings Contamination: All feed lines sloped with no dead legs Minimise joints minimises contamination. Internal finishes polished for ease of CIP/ SIP 8 Exercise - Answer Mobile Vessel: Manual handling considerations Weight of full vessel and method of transport Access to sight glass/ isolation valves Contamination: All feed lines sloped with no dead legs Minimise joints minimises contamination. Internal finish polished for ease of CIP/SIP. 9 Process Stages 4. Container Preparation – Cleaning and Sterilisation of Empty product Containers Cleaning Washing and rinsing of containers using suitable grade of water to remove extraneous particles and chemicals Initial rinses can be carried out using Purified water Final rinse must use WFI (Water for injection) Containers blown dry using sterile air Equipment 10 Rotary Washer Linear Washer Vial Washing Machine - Rotary Washer Bosch RRN 2020 Rotary Washer Bausch & Ströbel FAW 1120 Rotary Washer 11 Process Stages – Vial Washer IMA/Libra - Hydra - Linear Washer WORKING PROCESS 12 Process Stages Container Preparation Sterilisation Dry heat Depyrogenation of clean containers to deactiviate bioburden (viable contamination) and degrade endotoxins (non-viable pyrogenic contamination) Heat-up, sterilisation and cooling zones Combination of residence time and setpoint temperature (250oC – 350oC) in sterilisation zone to achieve required degree of depyrogenation Typically 6 log reduction of bioburden required 13 Process Stages Equipment Dry Heat Oven Continuous Depyrogenation tunnel Tunnel Pressure Profiles HOT ZONE COOLING ZONE Sterile area 14 Depyrogenation Tunnel 15 Depyrogenation Tunnel Tunnel Air Flow 16 Process Stages 5. Stopper Preparation Stoppers must be sterile as they are in direct contact with the product at some time during storage, handling or use Equipment 17 Washing and rinsing to remove extraneous particulates and chemicals Detergent washing sometimes used for endotoxin load reduction Stopper may be siliconised for ease of insertion of stoppers into vials Stoppers must receive a final rinse of WFI Stoppers must be sterilised (typically using clean steam) Stoppers must be dried using sterile air Stoppers must maintain sterility during transfer to filler Rotating Drum Stopper Processor Fluidised Bed Stopper Processor Stopper Processor Fedegari (Modified Autoclave) The stoppers are simply and quickly loaded through hatches in the drum The loaded drum is slid into the chamber on its carriage. As the door is hinged shut the magnetically coupled drive engages 18 Stopper Processor Huber Stopper Processing Cycle 1. Washing/ Detergent Addition 6. SubaqualSiliconisation 19 2. CIP System (Patented) 7. Sterilisation to DIN 58.950 3. Direct Impact Cleaning (Patented) 8. Drying 4. SIP-System (Patented) 5. Rinsing/ Siliconisation 9. Unloading Stopper ProcessorOperation WSSD processor (Getinge) Wash, Siliconize, Sterilize, Dry processing, in the sequence below Docking of transfer container Wetting of closures Washing (optionally with detergent) Rinsing Siliconization Sterilization Drying Pressurization for transfer & storage De-docking of transfer container Any combination of Wash, Siliconize, Sterilize, Dry may be performed 20 Process Stages Contact Parts Preparation Equipment parts which come into contact with either the product or container closure components must be cleaned and sterilised before each batch, e.g. product filling vessel, filling pumps, stopper feed tracks Washing and rinsing with detergent to remove product residues Initial rinses with purified water Final rinse(s) with WFI Sterilised using steam in pass through autoclave Equipment 21 Parts Washer Ultrasonic Bath Autoclave Process Stages - Autoclave 22 Process Stages - Sterilisation Sterility Assurance Level (SAL) The probability of any given unit being non-sterile after exposure to a validated sterilisation process. Autoclaves generally obtain an SAL of 10-6 (i.e. assurance of less than one chance in a million that viable microorganisms are present in the sterilised article) To calculate the SAL for an autoclave, you need to know:A: Starting bio-burden B: Log Reduction Valve (LRV) must be known. 23 The LRV is the number of logarithmic reductions in initial count brought about by the autoclave (sterilisation method) Process Stages - Sterilisation LRV = t/D Where: t = Sterilising Time, mins D = Length of time to reduce the number of viable organisms by 1 log reduction (or 90%) at a specified temperature 24 SAL= (Initial Bioburden Count)- (LRV) Process Stages 6. Filling / Stoppering Key Considerations 25 Sterile filtered product is dosed into the washed and sterilised depyrogenated containers and then containers are stoppered Critical Process Step – Exposure time minimised to further reduce contamination risk Grade A / Class 100 / ISO 5 Conditions required Fill accuracy of equipment Product container contact surfaces should be of a suitable material and finish to prevent contamination Design of critical area should support an optimal laminar flow pattern Ease of changeover between batches and batch sizes Filling and Stoppering Machine Bosch MLF 3002 IN Bausch & Ströbel FVF 5060 26 Time Pressure Fill (TPF) Technology 27 Most Common System Supplied Today Tank feeds manifold feeds pinch valve feeds filling needle Piston Pumps Technology Until recently the most common system supplied Tank feeds manifold feeds pump feeds filling needle Unfavorable for shear sensitive products as small gap between piston and cylinder 28 Rolling Diaphragm Pump Technology 29 Used for Many Shear Sensitive Bio-Pharmaceuticals Protein Products (Considered ‘Gentler’ on Proteins) Rolling Diaphragm Pump Technology 30 Filling Methods – Peristaltic Pumps 31 Gentle Transfer Action Suitable for Protein Usually in Hazardous Product Application (No Metallic Contact) Quick Change-Over (Product Contact Tubing Disposed) Stoppering Application of Stoppers Usually by Means of Pick & Place Device Vibratory Bowl Used to Sort Stoppers Track-Feed Stoppers to Pick & Place Device Key Considerations Grade A / Class 100 / ISO 5 Condition Required Stopper / Closure Contact Surfaces should be a a Suitable Material and Finish to Prevent Contamination Movement & Stoppers and Vibratory Bowl make this an Area of Risk 32 Process Stages 7. Capping and Crimping Secures the Inserted Stopper into the Vial Neck Helping to Ensure LongTerm Integrity and Sterility of the Vial Caps can be Plastic or Aluminium Key Considerations 33 Capping Machines are Contaminant producers as They Release Particles During Crimping Capper and Filler Usually in Different Rooms to Avoid Contamination Bosch Process Stages 8. Inspection Filled Containers of Paranteral Product Should be Inspected Individually for Extraneous Contamination or Other Defects such as: Foreign Matter Fill Volume Container Integrity Product Clarity / Colour Inspection can be Manual, Semi-Automatic or Fully Automatic 34 Process Stages 35 Inspection: Vial Integrity Tester (Wilco) Seidenader Vial Inspection System Process Stages 9. Packing 36 Protection for transport to warehouse/ pharmacy/ hospital May include carton, booklet, leaflet. Many forms for Sterile Products including vials and syringes