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Understanding the importance of Phase 1 and Phase 2 Investigations for effective risk management
By transitioning from initial risk identification to comprehensive root cause analysis, organizations can proactively address issues and implement lasting solutions.
The Current Good Manufacturing Practice for Finished Pharmaceuticals (211.192 production record reviews) requires the Quality Control team to review and approve the production of drug products and control records, including packaging and labelling. This is to ensure compliance with pre-established procedures before the release of a batch.
In case of unexpected discrepancies or in case a batch or any of its components does not meet the specifications outlined at the beginning, it should be thoroughly investigated, even if the batch has been distributed. Other batches of the same drug product or other drug products where a specific failure or discrepancy may have an impact must also be investigated. Even batches that are rejected based on an OOS result need to be investigated to see whether other batches of the same drug product or other products experience the same problems. A thorough, timely, unbiased, well-documented, and scientifically sound investigation needs to be done to identify the root cause and take necessary corrective and preventive action.
Usually, this is done in two phases – Phase I and Phase II.
The investigations happen in two parts.
During an OOS Phase 1 Investigation, laboratory data is assessed, and the analyst and supervisor verify initial test preparation and analytical steps to quickly rule out laboratory-related errors. This review is ideally completed before test preparations or retained samples are discarded, enabling evaluation of potential instrument malfunctions, preparation errors, or data integrity issues before progressing to a broader investigation.
The retained solutions should be examined during laboratory investigation, and the OOS test results should not be attributed to analytical error without the investigation being performed and documented.
An OOS Phase 2 Investigation is initiated when the initial investigation confirms that laboratory error is not the cause of the OOS result. Using a predefined procedure, a comprehensive review of manufacturing processes, sampling activities, and any required laboratory work is conducted to identify the true root cause and initiate appropriate CAPA actions.
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In Phase I, the retained solutions are examined as part of the laboratory investigation. This helps to ensure that the error is not due to faulty equipment/instrument or testing process and involves:
Documenting the investigation is another important component of Phase I investigation. In case a cause is ascertained for the OOS during the investigation, it must be retested or recalculated. The results of the retest or recalculation must be documented and reported. If the results conform to the specifications the second time, then the initial data must be invalidated.
However, if a retest validates the initial results, then a full-scale OOS investigation should be performed using a predefined procedure.
In Phase II investigation, the components include:
The document must describe;
Hypothesis testing is initiated after completing the Analyst and Supervisor investigation and can include the original working stock solutions but not another preparation from the original sample. The original preparation or working solutions can be re-measured. It can be re-injected where transient equipment is suspected of malfunctioning. This is especially useful in identifying a malfunctioning instrument as the root cause. For dilution error, re-dilution of the original Solution can help. Investigational testing helps to confirm a probable cause rather than eliminate a suspect.
If the investigation reveals that the original sample was not appropriately prepared and therefore does not represent batch quality, a new and more accurate sampling method must be developed, documented, reviewed, and approved by the QCU.
Section 211.192 of the US Food and Drug Administration requires that whenever an OOS test result is obtained, an investigation must be conducted to establish the cause, with full documentation of the investigation, conclusions, and follow-up actions taken. Regulatory agencies such as the US Food and Drug Administration emphasize that every investigation in pharmaceutical industry operations must be scientifically sound, unbiased, and thoroughly documented.
Section 211.165 stresses the importance of interpreting investigation results, requiring the outcomes of Phase 1 and Phase 2 investigations to be analyzed and the batch evaluated before a release or rejection decision is made.
Further, 211.165(f) mandates evaluation of batch or lot quality to identify the cause of the OOS result, with confirmed OOS findings providing sufficient grounds for batch rejection if established specifications are not met.
According to 211.192, when the cause of an OOS result is confirmed, investigations must also extend to other batches or products that may be associated with the same failure to prevent recurrence and ensure ongoing compliance.
Current good manufacturing practice requires finished pharmaceuticals and active pharmaceutical ingredients (APIs) to be manufactured conforming to section 501(a)(2)(B) of the cGMP Act. Some of the key requirements for APIs include: Current good manufacturing practice requires finished pharmaceuticals and active pharmaceutical ingredients (APIs) to be manufactured in conformity with section 501(a)(2)(B) of the cGMP Act. A structured investigation in pharmaceutical industry settings is critical to ensuring patient safety, product quality, and ongoing compliance with cGMP requirements. Key expectations for APIs include:
These tests support process validation and analytics. These regulations are encapsulated in CGMP regulations for laboratory operations and reflected in part 211, subparts I (Laboratory Controls) and J (Records and Reports). They enable establishing scientifically sound and appropriate specifications, standards, and test procedures for ensuring the conformance of components, in-process materials, containers and closures, and finished drug products with the established standards. The finished drug products that do not meet these standards, specifications, or other applicable quality control criteria will be rejected.
When an OOS result is obtained, it becomes important to ensure that the result is not a laboratory error, identify the true cause, and eliminate it to prevent future recurrence of non-conformance. In Phase I investigation, the focus is to eliminate laboratory error as a cause. The investigation progresses to Phase II when the cause is not a laboratory error, and a thorough investigation is undertaken to identify the causes in the production/manufacturing process.
Customer Success
The supervisor should conduct an objective and timely investigation without preconceived assumptions regarding the cause of the OOS result. Assess data to establish whether a laboratory error or a manufacturing process is causing it. The solutions, test units, and glassware used in the original measurements and preparations should be re-examined immediately to establish without doubt that laboratory error is the root cause.
During Phase 2 investigations, the following steps should be followed:
Production Review: The QCU should investigate in collaboration with other departments that could be implicated, such as manufacturing, process development, maintenance, and engineering. Even offsite manufacturing units should be investigated if there is a potential involvement, and all potential problems identified and investigated. A complete review of records and documentation related to the manufacturing process is necessary. The review process should be recorded, covering the following information:
I’ve been using ComplianceQuest (CQ) for about 9 months and am extremely pleased with the product, the implementation team, and ongoing support. I selected CQ for several reasons. Functionality and a simple user interface were key requirements. CQ has all the functionality needed in support of a global QMS. Implementation includes: document control, change order, personnel training, NC/CAPA, equipment management, supplier management, audit management, and customer complaints, all on a single platform. As a small biologics company, it was critical to find a single solution to meet our GMP quality system requirements. We wanted a cloud-based system that would be quick to implement, that could be expanded globally and in other languages, all for a reasonable price. The user interface. It is exactly what I was hoping for. I constantly hear the staff saying, “I love CQ, it’s so straightforward to use".
The implementation team has met all my expectations. The CQ product ‘out of the box’ meets the majority of my requirements. With some minor configurations, we have developed QMS workflows that are highly efficient and robust. A risk-based validation plan also allowed us to move quickly through the foundational functions: Controlled Documents, Change Order, and Personnel. The implementation team offers many industry best practices as solutions to questions and is also highly competent in listening to your requirements and doing whatever is necessary to fulfill them. Customer Support is incredibly timely in their responsiveness, addressing most questions or concerns within 24-48 hours, while communicating along the way. We are extremely happy with our selection and highly recommend ComplianceQuest.
Donna Matuizek,Sr. Director Quality
In today's complex regulatory environment, laboratories require robust software solutions that not only streamline investigative processes but also ensure full compliance with industry regulations. ComplianceQuest's Lab Investigation Software Solutions are designed to address these needs by offering an integrated platform that manages every aspect of laboratory investigations, from initial data capture to final reporting.
ComplianceQuest provides state-of-the-art solutions to help laboratories navigate the complex landscape of compliance and regulations efficiently. Our software is designed not just to assist in maintaining compliance but also to optimize lab operations to meet and exceed regulatory standards.
Implementing robust lab investigation software solutions not only streamlines laboratory processes but also ensures stringent adherence to laboratory compliance and regulations. ComplianceQuest's software offers a comprehensive suite of tools that empower labs to improve efficiency, enhance compliance, and ultimately drive innovation and success in their scientific endeavors.
Identification & Assessment of Out-Of-Specification (OOS) Test Results – Laboratory Investigation checklist
Checklist | July 12th, 2022
A checklist on Full scale OOS Investigation – Production (Part A)
A Checklist on Full-scale OOS Investigation – Retesting & Resampling (Part B)
A Checklist to Conclude OOS Investigation
A Checklist on Full scale OOS Investigation – Reporting Test Results
When an OOS result is obtained, Phase 1 of the investigation is initiated to thoroughly assess any potential laboratory-related causes. If laboratory error is ruled out, the investigation progresses to an OOS Phase 2 investigation, which involves a more comprehensive evaluation of manufacturing, process, and other contributing factors to determine the true cause of the deviation.
Automating the Phase 1 and Phase 2 investigations can improve the efficiency of the test results. It can help ensure the correct procedures are followed to meet regulatory requirements. Further, it also helps with collaboration between different teams, especially in Phase 2, when the QCU works with all relevant stakeholders, even in offsite locations.
Documentation is another regulatory requirement that can be easily handled with an automation solution such as ComplianceQuest’s cloud-based Laboratory Investigation Software.
The LIS is integrated with the CQ enterprise-wide quality management system. As a result, pharma companies can also leverage the CAPA solution that can be triggered when the cause is identified. This can help correct the issue and prevent its future recurrence.
Not only the affected batch, but tests may have to be conducted on other batches of the same product or other batches. The CQ solution helps to have greater visibility and access to data at every step to speed up OOS investigation for accurate results.
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