A4: Partnership Approaches Along Drug Life Cycle to Improve Patient Outcomes Presented by: Friedrich Haefele, PhD Translating a QbD PFS into Tangible Value for Biopharmaceuticals Friedrich Haefele, PhD VP Biopharma Fill & Finish Boehringer Ingelheim Pharma GmbH & Co. KG 2 Content • • • • • Visual Inspection of Parenterals Trending VI Results for PFS - Main defects TCO Approach for PFS BD NeopakTM Quality Attributes Summary 3 A4: Partnership Approaches Along Drug Life Cycle to Improve Patient Outcomes Presented by: Friedrich Haefele, PhD Visual Inspection of Parenterals Critical? – Major Defect 22% of Recalls Warning letters Visibility: 50μ/ 100μ/150μ/200μ??? Route of administration iv/ sc Continuous Improvement 100% Inspection Trending Safety risk?- GMP issue Process Capability Pharmaceutical Industry/Component vendors Alignment of GMP systems PhEur/USP: Essentially free of particles USP 790 AQL 0.65% Extrinsic/Intrinsic/Inherent Visible/Subvisible Particles 4 PFS- Trending Visual Inspection Results Main defects (May2011 – July2014) CAPAs implemented for HypakTM Dec. 2012 Start NeopakTM Implemented CAPAs reduced the particle load of HypakTM syringes significantly 5 A4: Partnership Approaches Along Drug Life Cycle to Improve Patient Outcomes Presented by: Friedrich Haefele, PhD PFS- Trending Visual Inspection Results Main defects Trend data & investigations indicate that black particles and other defects related to the barrel manufacturing process contribute to increased reject rates (“main defects”) Deep scratches Inner adherence Particles Chip / Check Broken flange 6 Post CAPA Lots/Implementation of NeopakTM Start NeopakTM Triggered by defects type “stain outside” 0,404% correspond to 283 Syringes (Lot size 70.000) 0,044% correspond to 31 Syringes (Lot size 70.000) Hypak process after CAPA implementation: Neopak process (current available data): approx. 0,40% are rejected due the “main defects”*) approx. 0,04% are rejected due the “main defects” *) assumed that the total reject peak (lot 125 to 129) does not represent the process capability of Hypak TM process (outlier) 7 A4: Partnership Approaches Along Drug Life Cycle to Improve Patient Outcomes Presented by: Friedrich Haefele, PhD TCO approach for PFS based on savings on operational cost and risk management Indirect Cost Savings of PFS per Unit Operational Costs Savings Risk Management Costs Savings 1 Reduced Costs of Preventable Waste (breakage & defects) -Form (i.e., syringes vs. drug) -Reason (i.e., cosmetic, breakage, dead-space,…) 4 Reduced Costs of Preventable Complaints - Administrative costs - Brand / collateral damage 2 Reduced Costs of Preventable Downtime - Costs of corrective action - Opportunity costs 5 Reduced Cost of Preventable Recalls - Opportunity costs - Administrative costs - Brand / collateral damage 3 Reduced Costs of Preventable QA inspection - Incoming inspection - Deviation / Manual inspection 6 Reduced Costs of Preventable Development Delays (only for new drugs) - Opportunity costs - Reduced development costs Direct Cost Premium of PFS per Unit = Value of PFS per Unit 8 Increased Reject rates => increased TCO Operational Costs Rejects/batch Reduction of Scrap rate Preventable CAPA Inspection Failure investigations HypakTM: average 780; NeopakTM: 31 96% max. 3.192 99% 2 x 100% Inspection Investigation in filling, visual inspection, logistics Microscopy/ EDX analysis Lab investigation/ Incoming inspection Risk management costs Intercompany complaints Root cause investigation Market complaints Root cause investigation 9 A4: Partnership Approaches Along Drug Life Cycle to Improve Patient Outcomes Presented by: Friedrich Haefele, PhD Value Modelling for BD NeopakTM Biopharma legacy drug, 25$/filled PFS: 96% less rejects 10 Value of BD NeopakTM Biopharma legacy drug, 75$/filled PFS: 96% less rejects 11 A4: Partnership Approaches Along Drug Life Cycle to Improve Patient Outcomes Presented by: Friedrich Haefele, PhD Value of BD NeopakTM Biopharma pipeline drug 25$/filled PFS: 96% less rejects 12 Key TCO Drivers for Biopharmaceuticals • • • • • Costs of the API Costs related to scrap and reject Costs related to complaint management Costs associated with incoming inspections Potential development delays (legacy or pipeline drug?) • Assessment of value of intangible factors like avoidance of manufacturing and commercial risks 13 A4: Partnership Approaches Along Drug Life Cycle to Improve Patient Outcomes Presented by: Friedrich Haefele, PhD BD NeopakTM -Quality Attributes Attribute BD Hypak™ BD Hypak™ for Biotech BD Neopak™ Production Model Process Environment High unit volume production equipment Standard environment High unit volume production equipment modified for biotech needs Standard environment Minimized glass to glass contact Line Type Standard Line Certificate Type Specification Approach Inspection / Controls Increased Compatibility w/ AI COC AQL approach Standard Forming to assembly, indexed transfer COC AQL approach Additional IPCs Customized production equipment designed for biotech needs Controlled environment No glass-to-glass contact Nothing in barrel New fully indexed line (including washer) COA PPM approach Focus on 100% controls N/A IPC 100% controls Broken flange – AQL 0.15 N/A ≥40 N – AQL 0.010 LUF 74.85 +/- 0.85mm (AQL) 0.4 mg or 0.8 mg ≥50 N – 3.4ppm (dev tgt) LUF 74.85 +/- 0.85mm (Cpk) < 0.4 mg N/A Low tungsten 500 ppb max. Low tungsten 500 ppb max. Ultra-low tungsten option at 50 ppb max. N/A Semi-indexed Indexed 9 9 Glide Force / Silicone Distribution Flange Resistance Injection Depth Silicone Level Minimize Protein Interaction Reduced Tungsten Reduce Cosmetic Defect Level Process handling Pre-inspected glass canes 14 BD NeopakTM - Autoinjector Compatibility Breakage Resistance Reducing occurrence of defects Bubbles Scratches Crush resistance Cracks • Improved glass quality • No glass to glass contact • Automated visual controls Reducing energy applied Flange Resistance • Optimized design • Residual Stress specification 15 A4: Partnership Approaches Along Drug Life Cycle to Improve Patient Outcomes Presented by: Friedrich Haefele, PhD BD NeopakTM - Autoinjector Compatibility Injection Time Gliding Force g Optimized Gliding b ti • Optimized silicone distribution • Optimized silicone layer thickness State-of-the-art Needle Technology • Optimized drug flow • Optimized comfort Manage injection time (reduce variability) 16 BD NeopakTM - Autoinjector Compatibility Dimensional Precision and Reduced RNS Pull-Off Force Dimensional Capabilities • Right injection depth : LUF & LUS • Optimized assembly : Barrel run-out,RNS concentricity RNS Removal Force • Tighter Specification on RNS Pull-off force • Rubber material, design consideration, silicone 17 A4: Partnership Approaches Along Drug Life Cycle to Improve Patient Outcomes Presented by: Friedrich Haefele, PhD Conclusion for Biopharmaceuticals Why to choose NeopakTM…. Continuous Improvement of our Biotech products • • • • Re-designed manufacturing process Focus on 100%-controls Improved Autoinjector compatibility Reduced TCO (scrap rate, 2x 100%inspections, failure investigations, complaints) 18 Summary ¾ Persistent Quality Feedback ¾ Multi Company Approach PDA Task Force ¾ Supplier Regulatory Support Translate a QbD PFS into Tangible Value for Biopharmaceuticals 19 A4: Partnership Approaches Along Drug Life Cycle to Improve Patient Outcomes Presented by: Friedrich Haefele, PhD Thank you for yor your attention 20
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