Italian pharmacy online: cialis senza ricetta medica in farmacia.
Quick links: skip to main page content skip to search skip to topics menu skip to section content menu skip to common links
Bayer HealthCare - Bayer Schering
Pharma AG 8/5/09
Department of Health and Human Services
Administration CENTER FOR DRUG EVALUATION AND RESEARCH
Division of Manufacturing and Product Quality International Compliance Team
WL: 320- 09- 09
Dr. Franz-Josef Renneke Site Manager Bayer HealthCare - Bayer Schering Pharma AG Ernst-Schering-Str 14 59192 Bergkamen Germany
This letter is regarding a March 2-10, 2009 inspection of your active pharmaceutical ingredient (API) facility in Bergkamen, Germany, by U.S. Food and Drug Administration (FDA) Investigator Jose Cruz and Chemist Miguel Martinez. The inspection revealed significant deviations from U.S. current good manufacturing practices (CGMP) in the manufacture of non-sterile APls. These deviations were listed on an Inspectional Observations FDA Form (FDA-483) issued to you at the close of the inspection.
These CGMP deviations cause your APls to be adulterated within the meaning of Section 501(a)(2)(B) [21 USC 351(a)(2)(B)] of the Federal Food, Drug, and Cosmetic Act (the Act). Section 501(a)(2)(B) states that drugs are adulterated when they are not manufactured, processed, packed, and held according to current good manufacturing practices. Failure to comply with CGMP constitutes a failure to comply with the requirements of the Act.
We have reviewed your April 7, 2009 written response to the FDA-483 observations. We acknowledge that some corrections appear to have been completed or will soon be implemented. However, your response does not adequately address some of the deficiencies. Specific violations found in the inspection include, but are not limited to:
1. Laboratory controls are deficient in that your firm has established procedures that allow for the averaging of out-of-specification (OOS) and within-specification analytical test results from separate samples. The use of these approved procedures resulted in API batches being released to the U.S. market based on passing averaged assay results. Refer to FDA-483 Observation #2c and 2d. For example:
a. GMP Directive #CMSD08-50-01-1, Handling of Out-of-Specification Results
This procedure allows for the averaging of results into specification. It provides for the reportable, or averaged result, rather than the individual test results to be compared against the established specifications. The reported (average) result is defined as the final analytical result reported and compared against the specification. An individual value found outside the established specification is not defined as an DOS if, when averaged, the reportable result remains within specifications. An ODS result is defined as a reportable result (average) that is outside the defined acceptance criteria (e.g. specification).
b. LIMS (Laboratory Information Management System) procedure:
The inspection revealed that results for individual tests are calculated individually
by the (b)(4)
system and then averaged by your firm's Laboratory Integrated
Management System (LIMS). The averaged result (not individual results) is then
corrected for water content, if necessary. The release specification is applied only
to the averaged result and not to the individual results. Refer to FDA-483
The investigators were informed during the inspection that the analyst is the first
person to review the individual results. If the individual results do not vary more
, the average of the results is permitted according to procedure #QCB.PKA00132, Determination of Values and Rounding of Results
procedure allows the analyst to make the decision to re-inject the samples or to
accept the assay result and continue documenting the values obtained as final
results without conducting an investigation.
2. Your quality management system fails to ensure that APIs manufactured and released by your firm meet established specifications. Refer to FDA-483 Observation #1.
Specifically, the API batches shown below were released based on reportable assay results obtained from the average of two independent sample results. One of the sample results was out-of-specification (ODS) while a second result was within specification. The averaged passing reportable assay result was compared against the established specifications, and the batches were released to the marketplace. See Table A for examples:
QA Approved Release Date for
Release Date for
API Product Name
In regards to items 1 and 2 described above:
In your April 7, 2009 response you reported that you had conducted a retrospective investigation that extended to all "U.S. relevant" (i.e., sent to facilities that further processed them into finished drug products intended for the U.S. market) API batches produced between 2007 and 2009. You identified nine additional incidents where OOS results were averaged with passing results. In all cases, your firm concluded that no analytical errors had been identified and that the values were true DOS results. Your firm concluded that these OOS results were within the accepted variation of the analytical method and that the quality of these batches was not affected. We disagree with your rationale and conclusion. An assay test is used to determine potency, not method variability. The validation of your analytical method should address robustness or variability, while system suitability is designed to address instrument variation performance, which was met in each of these instances. We believe that these results were true ODS values and that these batches should not have been released for distribution.
In your written response, you indicate that your current procedure allows the average of
two individual sample preparation results, if the difference of the single values does not
absolute. You state that this is appropriate averaging and in line with the
FDA OOS guidance document. We disagree with your rationale and interpretation of the
FDA OOS guidance. Your firm prepares two to three separate samples, which are
assayed individually. We expect you to treat each of these results independently, and not
to average an OOS result with a passing individual result. The hiding of an OOS result in
the average is an unacceptable practice. Please refer to the October 2006 Guidance for
Industry-Investigating Out-of-Specification (OOS) Test Results for Pharmaceutical
, that states in part IV.C.1.b., "Reliance on averaging has the disadvantage of
hiding variability among individual test results. For this reason, all individual test results
should normally be reported as separate values. "Your revised DRAFT SOP
QCB.PKA00132, "Determination of Values and Rounding of Test Values
adequate, in that going forward you will treat each individual test result independently
and will only average values that are within-specification. Please submit a translated
version of the revised SOP once it is approved, along with appropriate training
We remain concerned with your released and distributed API batches used in the manufacture of finished products intended for the U.S. market, in which the reportable results were based on the average of out-of-specification and within-specification analytical test results. Include in your response to this letter a complete list of all API batches shipped to the U.S. (also include lot numbers, date of shipment, customer name and address), using reportable passing average results consisting of out-of-specification and passing results. Please inform this office of any additional corrective action you plan to take to correct this violation.
We are concerned that GMP Directive #CMSD08-50-01-1, Handling of Out of Specification Results
, is a corporate directive that may be in place in other manufacturing and testing facilities. Provide in your response to this letter the corrective and preventive actions implemented throughout your corporation to address this deficiency, and ensure that adulterated APIs have not been shipped into the U.S.
We recognize that your SOP has been revised and submitted as a DRAFT revision of procedure #QCB.PKA00775, Version 5.1 for Handling of out of Specification Test Results (OOS) during Chemical or Physical Test Methods, Microbiological Contamination and Endotoxin testing.
However, most of it is in the German language. Please submit an English translation once it is approved. Also include with your written response to this letter, the
revised corporate GMP Directive CMS D08-50-01-1, for Handling of Out-of-Specification Results.
The inspection reported that your analysts had been trained to average passing and OOS results, and to report the average passing results. Please submit the translated training records for all analysts demonstrating that they have been trained in your new revised procedures.
Additionally, please submit your finished product sampling procedure and your scientific rationale for this procedure.
3. The Quality Unit failed to maintain responsibility and authority to review and conduct investigations. Your firm failed to conduct adequate investigations that included scientific justification to support conclusions. In addition, the investigations did not include proper corrective actions. For example:
a. Out-of-specification (OOS) results were disregarded, and no OOS investigations
were conducted after obtaining individual OOS assay results during release and
testing of your APIs. Instead, the OOS and passing results were averaged to obtain
a reportable result within-specification, as referenced in item 2 of this letter. Our
investigator documented two stability intervals where individual OOS stability
sample results were averaged with within-specification stability results, and no
investigation was conducted. Examples of this practice were observed during the
forty-eight month stability interval (25°C/60%) for (b)(4)
(Batch # (b)(4)
Medroxy Progesterone Acetate, (b)(4)
(Batch # (b)(4)
). The first batch showed
duplicate assay results of (b)(4)
, with a specification of (b)(4)
second batch showed duplicate assay results of (b)(4)
, with a
specification of (b)(4)
Refer to FDA-483 Observation #4a. We disagree with your rationale and conclusion submitted in your response for the reasons stated above in items 1 and 2 of this letter.
b. Norethindrone Acetate (b)(4)
lot # (b)(4)
was rejected (for destruction) because
it was found with levels of (b)(4)
for the impurity (b)(4)
. Your firm did not conduct
an investigation to determine a root cause for the high level of impurity. Refer to
FDA-483 Observation #9.
Your response states that this high impurity was a single event, and from a scientific view
it is very unlikely in the NETA process because the (b)(4)
is much more stable
due to the (b)(4)
functionality. Please supply supporting documentation for your
c. OOS investigations did not adequately determine root cause, or provide for
corrective actions to prevent recurrence. Investigation report #s 87302220 and
related to an out-of-specification (OOS) result in the polarimetry test, and an OOS
result in the assay by potentiometer titration. These reports respectively concluded
that the OOS result was caused by a weighing error, and by the (b)(4)
to conduct the test. However, when our investigator reviewed and discussed the
investigations with your firm's personnel, he discovered that the real root cause for
the OOS result was the use of an incorrect test method, and an improperly executed
procedure for the equilibration of the electrode in (b)(4)
(not the solvent itself),
respectively. No corrective action was addressed in the investigation. In addition,
investigation report # 82190246, related to an out-of-specification result in the
melting point test, concluded that the OOS result was caused by not having
sufficient amount of sample in the capillary (filling sample technique). No
corrective action was addressed and/or documented to correct and prevent
recurrence. Refer to FDA-483 Observation #4c. Your response lacks explanation
and documentation to support your conclusions.
Your April 7, 2009, written response reports that you are revising your OOS standard operating procedure (SOP) to emphasize the importance of conducting and documenting a thorough investigation of all OOS test results, including determining root cause analysis and evaluation of corrective and preventative actions. Your response indicates that the SOP became effective and training was completed by May 2009. Provide copies of the translated revised procedure and training records.
Your written response should also include the corrective action under consideration, or implemented to address the OOS test result examples (a and c), cited on the FDA-483 under Observation 4, and FDA-483 Observation 9. Provide a description of the corrective actions for each example cited, along with expected dates of completion, as well as a more comprehensive review to ensure the revised OOS SOP's overall adequacy.
4. Your firm failed to establish and follow adequate written procedures for cleaning and maintenance of equipment. Refer to FDA-483 Observation #5. For example:
The inspection revealed that production equipment, specifically the surface of the (b)(4)
on production vessel (b)(4)
, used in the manufacturing process of
Ethinylestradiol API, was not maintained in a clean condition even though the
equipment was labeled cleaned, and had been inspected and verified as cleaned by the
Production Department Shift Supervisor. This (b)(4)
is in direct contact with the
product when inside the vessel. Your response lacks an explanation and
documentation to support your conclusion that the operator may not have detected the
brown residue, because the equipment was wet when examined.
In your response to this Warning Letter, explain where the "inorganic substance insoluble
in water or inorganic solvents" that you identified as the residue originated from.
Additionally, your response mentions that the residue was removed by flushing with
. Explain if this procedure is part of your routine cleaning procedure, and if
your routine cleaning procedure is capable of removing the residue.
The CGMP deviations identified above, or on the FDA-483 issued to your firm, are not to be considered an all-inclusive list of the deficiencies that may exist at your facility. FDA inspections are audits, which are not intended to determine all CGMP deviations or violations that exist at a firm. If you wish to continue to ship your APIs to the United States, it is the responsibility of your firm to ensure compliance with all U.S. standards for CGMP and all applicable U.S. laws and regulations.
Until all corrections have been completed and FDA has confirmed corrections of the violations and your firm's compliance with CGMP, this office may recommend withholding approval of any new applications or supplements listing your firm as an API manufacturer. In addition, failure to correct these deficiencies may result in FDA denying entry of articles manufactured by your firm into the United States. The articles could be subject to refusal of admission pursuant to Section 801(a)(3) of the Act [21 U.S.C § 381(a)(3)],in that the methods and controls used in their manufacture do not appear to conform to current good manufacturing practices within the meaning of Section 501(a)(2)(B) of the Act [21 U.S.C § 351(a)(2)(B)].
Please respond to this letter, with requested documents translated in English, within thirty days of receipt, and identify your response with FEI# 3002808295. Please contact Denise DiGiulio, Compliance Officer, at the address and telephone number shown below, if you have any questions or concerns regarding this letter.
U.S. Food & Drug Administration Center for Drug Evaluation and Research
Division of Manufacturing and Product Quality International Compliance Branch White Oak, Building 51 10903 New Hampshire Avenue Silver Spring, Maryland 20993 Tel: 301-796-3667 Fax: (301) 847-8741
To schedule a re-inspection of your facility, after corrections have been completed and your firm is in compliance with CGMP requirements, send your request to: Director, Division of Field Investigations HFC- 130, 5600 Fisher's Lane, Rockville, MD 20857. You can also contact that office by telephone at (301) 827-5655, or by fax at (301) 443-6919.
Sincerely, Richard L. Friedman, M.S. Director Division of Manufacturing and Product Quality Office of Compliance Center for Drug Evaluation and Research
Page Last Updated: 09/15/2009 Note: If you need help accessing information in different file formats, see
• • • • • • • • • • •
Denkendorfer Kreis für christlich-jüdische Begegnung e.V. Sonnige Spätherbsttage im jüdischen Land „Israel – Von Dan bis Beerseba“ Herbstreise nach Israel vom 21. Okt. bis 4. Nov. 2012 Erlebnisse im Land, auch abseits der Touristenrouten, und Begegnungen mit Freunden prägen die Reise. Reiseroute _______________________________________Übernachtungsort
HÄLSORÅD FÖR TROPISKA AFRIKA HÄLSORÅD FÖR RESENÄRER TILL LÄNDER I TROPISKA AFRIKA De resenärer som lider av en långvarig sjukdom (bl.a. tumörsjukdomar, HIV- infektion, diabetes, epilepsi och vissa grovtarmssjukdomar Ulcerös kolit och Morbus Crohn) bör konsultera sin ordinarie läkare innan resan bestäms. Glöm inte heller att berätta om du lider av nedsatt hjärtfunktion, h