BIO 221 REGULATORY COMPLIANCE IN BIOMANUFACTURING CHAPTER SUMMARIES DRUGS MEDICAL DEVICES BIOLOGICS CHAPTER 1 - THE HISTORY OF THE DEVELOPMENT OF REGULATORY AGENCIES I. State versus Federal Powers and the Regulation of Commerce Georgia State Capitol The United States Capitol CHAPTER 1 - CONTINUED • The United States is a federal system of government with powers divided between the states and the federal government. • The United States Constitution grants to the federal government the power to regulate international and interstate commerce. Hence food and drug laws require that the product, or at least one of its ingredients, travel in interstate commerce. CHAPTER 1-CONTINUED II.Separation of Powers CHAPTER 1-CONTINUED III. History of Key Regulatory Agencies and Legislation Underpinning Regulation • USDA (formed in 1862), FDA (formed in 1931) & EPA (formed in 1970). CHAPTER 2 - EVOLUTION AND SCOPE OF THE FDA I. FDA History A. Basic timeline: 1848-1968 B. Events and Legislation Underlying the Evolution and Scope of the FDA Drug Importation Act (1848)>>>> Bioterrorism Act (2002) CHAPTER 2 - CONTINUED II.What the FDA Regulates A. Food CHAPTER 2 - CONTINUED II.What the FDA Regulates – Continued B. Drugs CHAPTER 2 - CONTINUED II.What the FDA Regulates – Continued C. Medical Devices E.g. Contact Lenses CHAPTER 2 - CONTINUED II.What the FDA Regulates – Continued D. Biologics E. Veterinary Products CHAPTER 2 - CONTINUED II.What the FDA Regulates – Continued F. Cosmetics CHAPTER 2 - CONTINUED II.What the FDA Regulates – Continued G. Radiation-Emitting Products III.What the FDA Does Not Regulate CHAPTER 2 - CONTINUED IV.Summary of the Mission and Fundamental Activities of the FDA FDA Website: http://www.fda.gov/ CHAPTER 3 ORGANIZATION OF THE FDA I. Background FDA is a federal science-based law enforcement agency within the US Department of Health and Human Services (HHS) II.Organization FDA consists of six centers and several offices CHAPTER 4 - PROCESS OF DRUG DEVELOPMENT I. Introduction Definition of new drug II.Requirements a.Preclinical Investigation b.IND c.Phase I clinical trials d.Phase II clinical trials e.Phase III clinical trials f.NDA CHAPTER 4 - CONTINUED III.Notes • Biologics (BLA vs NDA; CDER or CBER): i. Vaccines, antitoxins, sera, blood and blood products. ii. Therapeutic protein drugs derived from natural sources, e.g. antithrombin III, or biotechnology, e.g. proteins derived using recombinant DNA technology. iii. Gene or somatic cell therapies. CHAPTER 5 - FORMAT, ASSEMBLY AND SUBMISSION OF IND I. Introduction A submission to the FDA that requests permission to initiate a clinical study of a new drug in the United States II.Requirement for an IND New drug or change in use of old drug CHAPTER 5 - CONTINUED III. Pre-IND Meeting Between sponsor and FDA IV. Format of an IND V. Assembly and Submission of an IND VI.Overview of Review Process CHAPTER 6 - FORMATTING, ASSEMBLING AND SUBMITTING THE NEW DRUG APPLICATION (NDA) I. Introduction Approval of NDA (BLA for biologics) required for marketing and sale of drug II.Format, Assembly and Submission of NDA III. CHAPTER 6 - CONTINUED Overview of Review Process NDA Review Chart The New Drug Development Process: Steps from Test Tube to New Drug Application Review CHAPTER 7 – MEDICAL DEVICES CHAPTER 7 – CONTINUED I. Introduction II.Classification of a Medical Device III. Regulatory Requirements for Medical Devices CHAPTER 8 - MEETING WITH FDA I. Introduction II.Types of FDA Meetings III.Categories of FDA Meetings Type A, Type B and Type C IV.Preparing for FDA Meetings V. Conduct at FDA Meetings CHAPTER 9 - GOOD CLINICAL PRACTICES I. Introduction II.Regulations and Guidance for GCPs CHAPTER 10 - THE ROLE OF GOOD MANUFACTURING PRACTICES I. Introduction A. Regulations for Good Manufacturing Practices (GMP) B. Current Good Manufacturing Practices (cGMP) II.Regulations A. Basis B. Code of Federal Regulations (CFR) CHAPTER 11 - POSTMARKETING REGULATION • Adverse drug reports are required to be reported to FDA • Post-Marketing Surveillance is an ongoing process by FDA for monitoring the safety of medical products • MedWatch, the FDA Medical Products Reporting Program, was established to facilitate postmarketing surveillance CHAPTER 12 - FDA INSPECTION AND WARNING LETTERS • Inspection: investigators look for evidence of non-compliance with c • • • Various types of inspections Documentation: 482, 483, 484, EIR Warning Letters CHAPTER 13 - RISK-BASED APPROACH TO FDA REGULATION OF GMP • • • GMP regulations broad and open to some interpretation Risk-based approach Initiative: Pharmaceutical Quality for the 21st Century: A Risk-Based Approach CHAPTER 14 – PATENTS AND THEIR ROLE IN DISCOVERY AND MARKETING I. The Patent II.How an Invention is Patentable III.The Role of Patents CHAPTER 15 - APPLICATION OF CURRENT GOOD MANUFACTURING PRACTICES I. Introduction II.CGMP Procedures CHAPTER 16 - BUILDINGS AND FACILITIES FOR GMP I. Design and Construction CHAPTER 16 - CONTINUED II. Plant Materials CHAPTER 16 - CONTINUED III. Ventilation, Air Filtration; Air Heating and Cooling CHAPTER 16 - CONTINUED IV. Plumbing V. Lighting VI. Sewage and Refuse VII. Sanitation VIII. Maintenance CHAPTER 17 - RECEIVING AND QUARANTINE OPERATIONS I. Introduction II. General Requirements III.Receipt and Storage of Untested Components, Drug Product Containers and Closures IV.Testing and Approval or Rejection of Components, Drug Product Containers and Closures CHAPTER 17 - CONTINUED V. Use of Approved Components, Drug Product Containers, and Closures CHAPTER 17 - CONTINUED VI.Retesting of Approved Components, Drug Product Containers, and Closures VII.Rejected Components, Drug Product Containers, and Closures VIII.Drug Product Containers and Closures CHAPTER 18 - CLEAN ROOMS I. Introduction II.Design CHAPTER 19 - EQUIPMENT PREPARATION AND ASSEMBLY I. Introduction II.Equipment Cleaning III.Sanitary Versus Non-Sanitary Fittings IV.Notes on Selected Equipment CHAPTER 20 - CLEANING, DECONTAMINATION AND SANITATION (CDS) I. Introduction II.CDS of the General Manufacturing Area III.CDS of Process Equipment CHAPTER 20 - CONTINUED CHAPTER 21STERILIZATION OF PROCESS EQUIPMENT I. Introduction II.Methods of Sterilization CHAPTER 21- CONTINUED III. Validation a) Introduction b) Qualification and Validation c) Equipment Controls and Instrument Calibration CHAPTER 22 - PRODUCT FORMULATION AND FILLING OPERATIONS I. Introduction II.Bulk Freeze-Thawing III.Formulation Process IV.Sterile Filtration CHAPTER 22 - CONTINUED V. Filling Liquid Filling Machine with 40 to 55 Bottles/Minute Capacities and 90 to 520mL Filling Range CHAPTER 23 - HOLDING AND DISTRIBUTION I. Introduction II.Warehousing Procedures III.Distribution Procedures