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印度藥廠CADILA收到FDA警告信 - 仍是數(shù)據(jù)完整性與OOS的問題

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Current FDA Warning Letter for Manufacturer Cadila in India
CADILA印度廠現(xiàn)行收到FDA警告信

The FDA addressed a Warning Letter to the Indian Manufacturer Cadila Healthcare Limited in India (two production sites for APIs and medicinal products) on 23 December 2015. The letter focuses on the inappropriate review of OOS results and the lack of data integrity. It specifically addresses the following issues:
FDA剛于2015年12月23日,給CADILA印度廠簽發(fā)了警告信(原料藥和制劑兩個工廠)。該警告信主要關(guān)注了對OOS結(jié)果的不適當(dāng)?shù)膶徍?,缺乏?shù)據(jù)完整性。其中特別強(qiáng)調(diào)了以下問題:

| Integrity of data/ computerised system: 數(shù)據(jù)/計算機(jī)系統(tǒng)的完整性 |

With regard to computerised systems, there are no sufficient controls in place before modifying or deleting data. In the QC laboratory, the inspection team found out that the laboratory manager had the ability to delete data from the Karl Fischer Tiamo software as the audit trail function wasn't activated. Moreover, 8 analysts had to share one single username and password combination. Consequently, it couldn't be demonstrated who had operated this instrument system. 
關(guān)于計算機(jī)化系統(tǒng),在修改或刪除數(shù)據(jù)之前沒有進(jìn)行充分的控制。在QC化驗室,檢查組發(fā)現(xiàn)化驗室經(jīng)理可以從卡爾費(fèi)休滴定軟件中刪除數(shù)據(jù),因為其審計追蹤功能沒有激活。另外,有8個化驗員共用同一個用戶名和密碼組合。這樣,無法證明是誰操作了此儀器。

The FDA also noticed that a data containing the moisture content results had been deleted. The deletion of the data hasn't been considered at all during the batch release decision - i.e. the deletion of this data has neither been identified nor reviewed.
FDA還注意到含有水分結(jié)果的一個數(shù)據(jù)被刪除了。在批放行決策時完全沒有考慮數(shù)據(jù)刪除的問題----也就是說,該數(shù)據(jù)的刪除既沒有被發(fā)現(xiàn)也沒有被審核。

Finally, the FDA criticised the records of "unofficial" lab notebooks for quality-related documents several times. 
最后,F(xiàn)DA數(shù)次批評了其記錄質(zhì)量相關(guān)文件的“非正式”記錄本。

| OOS 實(shí)驗室超標(biāo)調(diào)查 |

OOS results in the laboratory haven't been properly examined. There have been deviations in the manufactured warfarin sodium tablets in association with potency and content uniformity specifications. Those deviations had already been observed in past inspections of the FDA. The CAPA measures taken so far were thus ineffective.
化驗室的OOS結(jié)果沒有被適當(dāng)檢查。生產(chǎn)的華法令鈉片劑的效價和含量均一度偏出質(zhì)量標(biāo)準(zhǔn)。所采取CAPA措施因此至今無效。

The manufacturing process for those tablets is not sufficiently controlled.
這些片劑的生產(chǎn)工藝控制不充分。

The company is asked to list all batches of the warfarin sodium tablets together with their OOS and Out-of-Trend (OOT!) results - not only those manufactured for the US-American market but all batches for all markets!
公司被要求列出所有批次的華法令鈉片劑及其OOS和OOT結(jié)果----不僅僅是那是為美國市場生產(chǎn)的批次,而是所有市場的所有批次。

In its response to the FDA, the company should also make propositions on how to optimise process design in the manufacturing organisation in order to improve in the future content uniformity, assay, thickness or other relevant critical quality attributes. Concerning this, estimations with regard to the process capability should also flow in.
在對FDA的回復(fù)中,該公司還應(yīng)說明如何在其生產(chǎn)組織內(nèi)優(yōu)化工藝設(shè)計,以提高其將來的含量均一度、含量、厚度或其它相關(guān)的關(guān)鍵質(zhì)量屬性。關(guān)于此點(diǎn),還要包括其工藝能力的預(yù)計。

Furthermore - at Cadila - external complaints from diverse pharmacies or wholesalers haven't been completely followed up and no root cause analysis has ever been completed.
另外,在CADILA----來自不同藥房和批發(fā)商的投訴沒有進(jìn)行完整的跟蹤,沒有進(jìn)行完整的根本原因分析。

| Conclusion 結(jié)論 |

All in all, there are major concerns with regard to the authenticity and reliability of data generated in that company. The FDA has required a comprehensive CAPA plan within 15 workings days on receipt of the Warning Letter. 
總而方之,此公司產(chǎn)生的數(shù)據(jù)的可信度和可靠性是主要的問題。FDA已要求其在收到該警告信的15個工作日內(nèi)制訂一份綜合的CAPA計劃。

To find out more details please see the complete Cadila Healthcare Limited Warning Letter.
更多細(xì)節(jié),參見完整的警告信。

來源:Julia Blog。免責(zé)聲明:編輯對上述內(nèi)容,對文中陳述、觀點(diǎn)判斷保持中立,不對所包含內(nèi)容的準(zhǔn)確性、可靠性或完整性提供任何明示或暗示的保證。僅作參考,并請各位自行承擔(dān)全部責(zé)任。

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