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I I

Joint PDA / PhFUWA Task Force on Sterile Bulk Pharmaceutical Chemicals

Co-Chairmen
James P. Agalloco, Agalloco & Associates, Inc.
Max S. Lazar, Hoffmann-La Roche, Inc.

Members
James E. Akers, Ph.D., Akers Kennedy & Associates, Inc.
Barbara J. Bassler, Ph.D., Hoechst Marion Roussel GmbH
Edgard Craenhals, Ph.D., Interchem Corp.
Samir Hanna, Ph.D., Bristol-Myers Squibb Co.
Karl L. Hofmann, Bristol-Myers Squibb Co.
Russell E. Madsen, PDA
Timothy R. Marten, Ph. D., Zeneca Pharmaceuticals
Leonard Mestrandrea, Ph.D., Schering-Plough
David A. Moyer, Phoenix Regulatory Associates, Ltd.
Gordon Munro, Ph.D., Medicines Control Agency
Terry E. Munson, ParexeUKemper-Masterson, Inc.
Barry A. Perlmutter, Process Efficiency Products
Jeffrey Probasco, SmithKline Beecham
Robert S. Pullen, Pfizer, Inc.
Max Sokol, Schering-Plough Research Institute
Gary E. Strayer, Merck & Company, Inc.
Constance C. Taylor, Merck & Company, Inc. 0
John Teward, Ph.D., Glaxo Wellcome Inc.
Timothy L. Tuley, Eli Lilly & Company
Stelios C. Tsinontides, Ph.D., Merck & Company, Inc.
Colin Walters, Schering-Plough Research Institute
Thomas X. White, PhRMA
Alpaslan Yaman, Ph.D., Novartis Pharmaceuticals Corp.

Note: Sidney Priesmeyer, FDA, St. Louis Branch, served as non-voting liaison for this project;
he was not a member of the committee itself.

0
Process Simulation Testing
for Sterile Bulk Pharmaceutical Chemicals

Technical Report No. 28

PDAlPhRMA

August 1998

Vol. 52, No. 5 / September-October 1998, Supplement


PREFACE

This document provides guidance relative to the validation of aseptic processing activities associated
with the production of sterile bulk pharmaceutical chemicals. It draws upon the concepts and
principles developed in PDA’s and PhFU4A’s prior publications on aseptic processing technology
(1, 2, 3). Our goal in this effort is to expand upon these documents to provide assistance for
individuals and firms producing sterile bulk pharmaceutical chemicals. The preparation of sterile
materials in the quantity and scale used in the manufacture of bulk pharmaceutical chemicals
generally requires equipment and procedures quite different from those used in the manufacture of
finished pharmaceuticals. The uniqueness of the production methods for sterile bulks precludes the
direct extrapolation of the process simulation approaches employed for aseptically produced sterile
formulations.

This technical report was disseminated in draft for public review and comment prior to publication.
Many of the submitted comments have been included in the final document. We believe this
approach accomplished the widest possible review of the document and ensures its suitability as a
valuable guide to industry in the area of process simulation testing for sterile bulk pharmaceutical
chemicals.

This document should be considered as a guide; it is not intended to establish any mandatory or
implied standard.

James P. Agalloco - PDA


Max S. Lazar - PhRMA
(Co-Chairmen, Joint PDA/PhRMA Task Force on Sterile Bulk Pharmaceutical Chemicals)

ii PDA Journal of Pharmaceutical Science &Technology


Table of Contents

1 INTRODUCTION ..................... 1 9 INTERPRETATION OF RESULTS AND


1.1 Purpose .......................... 1 ACCEPTANCE CRITERIA . . . . . . . . . . . . . . 8
1.2 Sterile Bulk PharmaceuticalChemicals . . 1 9.1 Background . . . . . . . . . . . . . . . . . . . . . . . 8
1.3 Scope ............................ 1 9.2 Approachesfor AcceptanceCriteria . . . . 8
1.4 Sterile BPC ProductionTechnology .... 1 9.2.1 Quantitative . . . . . . . . . . . . . . . . 8
1.4.1 Closed Systems ............. I 9.2.2 Qualitative . . . . . . . . . . . . . . . . 10
1.4.2 Open Systems .............. 2
1.5 Considerations..................... 2 10 FAILURE INVESTIGATION AND
CORRECTIVE ACTION . . . . . . : . . . . . . . . 10
2 PROCESS SIMULATION CONCEPTS AND
PRINCIPLES ......................... 2 11 PERIODIC’REASSESSMENT. . . . . . . . . . . 10
2.1 Number and Frequencyof Tests ....... 2
2.2 Worst Case ........................ 2 APPENDIX 1, SELECTION AND STERILIZATION
OF TEST MATERIALS . . . . . . . . . . . . . . . . 11
3 PROCESSSIMULATION TEST METHODS 3
3.1 Total ProcessSimulation . . . . . . . . . . . . . 3 APPENDIX 2, DEFINITIONS . . . . . . . . . . . . . . 13
3.2 Unit Operation(s)Simulations . . . . . . . . . 3
APPENDIX 3, REFERENCES . . . . . . . . . . . . . . 15
4 TEST MATERIALS USED IN PROCESS
SIMULATION ........................ 4
4.1 Growth Medium Simulations.......... 4
4.2 PlaceboMaterial Simulation .......... 4
4.3 Simulation Without Material .......... 5
4.4 ProductionMaterial Simulation ........ 5

5 EVALUATION OF SIMULATION TEST


MATERIALS . . . . . . . . . . . . . . . . . . . . . . . . . 5
5.1 Evaluation of Entire Test Material . . . . . . 5
5.2 Evaluation of Test Material Samples. . . . 6

6 DOCUMENTATION . . . . . . . . . . . . . . . . . . . 6

7 ENVIRONMENTAL MONITORING . . . . . . 7

8 ELEMENTS OF PROCESS SIMULATION


TESTS.. ............................. 7
8.1 Interventions ...................... 7
8.2 Duration of Simulation .............. 7
8.3 Production Batch Size/ProcessSimulation
Test Size .......................... 7
8.4 Incubation Conditions ............... 7
8.5 Manual Procedures ................. 8
8.6 Stafftng Considerations.............. 8
8.7 Campaigns ........................ 8

Vol. 52, No. 5 / September-October 1998, Supplement iii


1 INTRODUCTION might contributeto the microbiologicalcontamination
of the product.
1.1 Purpose
1.2 Sterile Bulk Pharmaceutical Chemicals
The preparation of sterile bulk pharmaceutical
chemicals requires the combination of classical For the purposes of this document, a sterile bulk
chemical / biological production methods with the pharmaceuticalchemicalis definedasa sterilematerial
well-defined concepts for the preparationof sterile derivedfrom chemical,fermentationor semi-synthetic
materials. The integration of these fields entails sourceswhich is final packagedor storedin bulk form.
processequipmentand operatingprocedureswhich are The bulk material may be an active pharmaceutical
often substantiallydifferent from ordinary practicein ingredient (API) or an excipient. Sterile BPCs are
either discipline. This document outlines process typically solids, but may be solutionsor suspensions.
simulation practices for sterile bulk pharmaceutical
chemicals (sterile BPCs), utilizing concepts drawn 1.3 Scope
from bothbulk pharmaceuticalchemicaloperationsand
sterile product manufacturingand adaptedto fit the This document addressesthe validation of aseptic
uniquenatureof thesematerials.It presentsoptionsfor processingduring sterilebulk manufacturingactivities
determining the adequacy of aseptic operations (referredto asprimary manufacturingin many partsof
performed during large scale manufacturing while the world). It describesmethodsandproceduresfor the
allowing for realistic acceptancecriteria for such conduct of process simulation tests, including
operations. crystallization, separation, purification, drying,
milling, blending and bulk packagingof sterile bulk
The aseptic proceduresutilized in the production of pharmaceutical chemicals which are aseptically
sterile BPCs can be evaluated using a process produced. Aseptic operations required in the
simulationmethodology.However,in certaininstances preparationof sterileformulationsarenot a part of this
the use of a microbiological growth medium in a bulk documentand havebeenaddressedby PDA elsewhere
manufacturingplant can posesignificant problems. It (4).
is often necessaryto considerother simulationoptions
which pose less potential risk to the manufacturing 1.4 Sterile BPC Production Technology
area. It is useful to utilize a narrower definition of a
process simulation in these cases. The following The preparationof sterile bulk materials entails the
defmitions make a clear distinction betweenpossible completionof a seriesof unit operationsunderaseptic
methods: conditions. The equipmentutilized for these aseptic
unit operationsis sterilizedusing a validatedprocedure
ProcessSimulation (without microbiological growth prior to the introductionof the sterileBPC. Depending
media) upon the process,the equipmentmay be classified as
Method of evaluating an aseptic process either a “closed” or an “open” system (see below).
employing methods which closely While it is recognized that a “closed” system is
approximatethose used for sterile materials generallypreferred,there are processand equipment
using an appropriateplacebomaterial. limitations suchthat “open”systemsarethe only means
availablefor the executionof certainunit operations.
Process Simulation (with microbiological growth
media) 1.4.1 Closed Systems
Method of evaluatingan asepticprocessusing
a microbial growth medium employing A “closed”systemis one which is designedto prevent
methods which closely approximatethose the ingressof microorganisms.A “closed”systemcan
usedfor sterile materials(4). be more accurately defined by characteristicsof its
operation than by a description of its physical
The process simulation test also provides a way to attributes. A “closed”system:
evaluate changes made to an aseptic processing - Is sterilized-in-placeorsterilizedwhile closed
operationwhich might affect the sterility of the final prior to use
product. It can be useful in identifying potential - Is pressure and/or vacuum tight to some
weaknessesin an asepticprocessingoperationwhich predefinedleak rate

Vol. 52, No. 5 I September-October 1998, Supplement


Can be utilized for its intended purpose 2 PROCESS SIMULATION CONCEPTS
without breachto the integrity of the system AND PRINCIPLES
Can be adaptedfor fluid transfers in and/or
out while maintaining asepsis 2.1 Number and Frequency of Tests
Is connectableto other closed systemswhile
maintaining integrity of all closed systems For a new facility or production process, process
(e.g., Rapid Transfer Port, steamed simulations are performed as part of the overall
connection, etc.) validation. Initial processsimulationtestsgenerallyare
Utilizes sterilizing filters which are integrity conductedafter equipment qualification, sterilization
tested and traceableto each product lot. processvalidation, and personneltraining have been *
performed, and environmental monitoring has
By virtue of their design, closed systems provide a demonstratedthat the new facility is under the desired
substantially increased measure of protection to the state of control (8, 9, 10). If a processsimulation test
materials processedwithin. Where a sterile BPC can fails in the absence of this supportive work,
be processedin its entirety within closed systems,no identification of a possiblecausewill be more difficult.
contamination should be possible. A truly closed Generally, three consecutive successful process
systemcan be validated as suchand neednot be further simulation tests are performed when evaluatinga new
challenged through process simulation. Sterilization facility or process. Prior to releaseof the new facility,
validation of the closed system should be performed or new processfor production use, acceptableresults
and documented. Processsimulation as describedin from thesetestsshould be achievedto demonstratethe
this document would only apply to asepticoperations reproducibility of the process. In existing facilities,
where “open” systemsare employed. there should be a processsimulation test program for
each aseptic process. Additional process simulation
1.4.2 Open Systems tests should be performed to evaluate changes to
procedures,practicesor equipmentconfiguration (See
An “open” system lacks one or more of the featuresof Section 11 - Periodic Reassessment).
a “closed”system.
2.2 Worst Case
1.5 Considerations
One of the more prevalent techniques used in the
A holistic approach must be used to adequately validation of pharmaceutical processes is the
validate and control aseptic processes. A process employment of “worst case”scenarios. The use of
simulation test is only a point-in-time representationof “worst case”situationsis intendedto provide a greater
the capabilities of an aseptic processing system, challengeto the process,system or equipment being
including environment, equipment, procedures and validated than that experienced under routine
personnel. It doesnot ensurethat sterile bulk materials processingconditions. If, under the circumstancesof
produced at other times will have the same level of the “worst case” challenge, acceptable results are
microbiological quality. However, through control and achieved, then there is greater confidence in the
validation of related processes,such as environmental reliability of the systemunder more normal situations.
monitoring, qualification ofpersonnel andvalidation of Processsimulation tests readily lend themselves to
cleaning and sterilization cycles, it is possible to “worst case” challenges. Some of the types of
maintain the level of asepsisdemonstratedduring the challengeswhich may be employedwhere possibleare:
processsimulation test. Therefore, it is important to - using materials,equipment,utensilsand other
validate the related sanitization and sterilization items which have remained in the aseptic
processes independently, such as steriliza- processing area for extended periods after
tion/depyrogenationof the product, sterilization of the sterilization
processequipmentincluding product contactsurfaces, - using the maximum production crew
sterilization of containers (intermediate and final necessaryto processthe batch
packagedbulk), and supportsystemssuchas air, water, - increasing the time period between the
or nitrogen (5,6,7). completion of equipmentsterilization and the
start of the processsimulation
- using a growth promoting medium or placebo
material in the processsimulation test rather
than an inhibitory material

2 PDA Journal of Pharmaceutical Science &Technology


- performing a process simulation test after “open”system,through subdivision into containersfor
completion of the last lot in a production shipment.
campaign
Advantages
In the developmentof protocols or proceduresusedfor
the definition of process simulation tests, the use of The simulation may be able to follow the process
“worst case”challengessuch as thosedescribedabove more closely than a seriesof smaller simulations.
is an essential element of a well-founded program.
Risk assessmentapproachessuch as hazard analysis Requ&es less time to complete than a series of
and critical control point (HACCP), failure effects smaller simulations.
mode analysis (FEMA) or fault tree analysis (FTA)
may be used to determineappropriatechallenges. Disadvantages

3 PROCESS SIMULATION TEST If contaminationis detectedthe identification and


METHODS correction of sources is more difficult than in a
unit operationsimulation.
The application of these general procedures to any
specific asepticproceduremay require modification of In the event of failure, the entire simulation must
the methods described herein. These adaptations be repeatedafter corrective measureshave been
should be accomplished in a manner which will not taken.
improve the resultsof the simulation, relativeto routine
operations. Will generally require the use of a single test
material (either liquid or’solid) throughout the
The conduct of processsimulation testsfor sterile bulk entire simulation which may introduce significant
pharmaceuticalsentails simulation of the processfrom differences in the simulation and in how
the point of sterilization through to the completion of contaminationmight occur when comparedto the
bulk packaging. The processsimulation test needsto routine production process.
be conductedfor only the open portion of the process
(see Section 1.4.1). In many modem facilities, this 3.2 Unit Operation(s) Simulations
may be limited to the final packaging of the sterile
BPC. Sterile bulk processesgenerally consist of a In this form of simulation, a seriesof individual trials
series of unit operations which in total comprise the are conductedcovering all of the steps in the aseptic
production processes. For the purposes of process process. Where the simulation is performed in several
simulation it may be appropriateto conductevaluations steps,the establishmentof an acceptancecriterion must
around either a single operation or a group of addressthe cumulative contribution from each of the
operations. Provided that all of the unit operations unit operations. Thus the total numbersof organisms
utilized in the production of a sterile BPC have been detectedover the entire processmust be considered.
evaluated in an appropriate manner, the segmented
approach to simulation can be as suitable as a Advantages
comprehensivetest involving all of the unit operations
in a single simulation. The decision whether to If contamination is detected, the corrective
perform the processsimulation as a single integrated measurescan focus on a smaller portion of the
test or in trials basedupon one or more unit operations overall process.
must consider the pros and cons of each approach. It
should be recognizedthat the decision to conduct an Evaluation of the effects of changesto a specific
overall simulation or step-wisesimulation approachis part of the processcan be restricted to a limited
independent of the use of microbiological growth number of steps.
media or other materials in the simulation.
In the eventof failure of a portion of an individual
3.1 Total Process Simulation simulation, only that simulation which failed may
needto be repeatedafter correctiveaction hasbeen
In this type of simulation, the entire asepticprocessis taken.
evaluated in a trial which follows the process from
where the sterile materials are first manipulatedin an In some aseptic processes,this approach may

Vol. 52, No. 5 / September-October


1998,Supplement
resemblethe actual processmore closely. acceptancecriteria requirementsin the protocol.

Allows for the use of either liquid or solid test Advantages


materials in different parts of the overall
simulation, which may more closely resemble Allows for the direct evaluation of the aseptic
actual production. processingprocedures.

Disadvantages Less reliance on environmentalconditions in the


evaluationof the process.
Requiresmore time to perform than a total process
simulation. Disadvantages

May require some degree of overlap to evaluate The microbiological growth media may be overly
the overall process. sensitiveto antibiotic materialsand other innately
inhibitory materials.
The methods required to evaluateindividual unit
operations may require more handling of sterile Cleaning of the processequipmentafter exposure
materials to accommodatea segmentedprocess to themicrobiological growth mediamay represent
simulation. a new cleaning procedure which must be
developedand validated.
A larger number of environmental monitoring
samples must be taken during each of the It adds increased risk of microbiological
individual processsimulations. contaminationof the facility by providing a major
nutrient sourcewhen normal materials used may
4 TEST MATERIALS USED IN PROCESS be innocuousor bactericidal.
SIMULATION
Detection of contamination in large containers
Independent of the decision on whether the aseptic may be difficult.
processis to be simulated in total or in unit operation
fashion, considerationmust be given to the selectionof Quantities of microbiological growth media
a material to be utilized in the simulation. The choices required may be excessive.
are: a microbiological growth promoting media,
placebomaterial, simulation without material or actual Processsimulation may have little resemblanceto
product material (generally an excipient). With each the actual processbecauseof concernsregarding
choice there are of course certain advantagesand the media’s growth promotion capability under
disadvantages. If a test material is utilized, a further routine operatingconditionswithin the equipment.
decision between a liquid or powder material is also
required. Those firms which have chosento segment 4.2 Placebo Material Simulation
the process simulation according to the various unit
operations,may elect to make different selectionsfor A placebo material is substituted for the production
the test material in different parts of their overall materialsand handledin a representativemanner. The
program. For example,in sterile BPC simulationswith placebomaterial can be sampledfor microbial count or
a crystallization step, a liquid material may be used sterility testing dependingupon the acceptancecriteria
during simulation of the early steps, and a powder requirementsof the protocol.
material in those stepswhich follow the crystallization
step. SeeAppendix 1 for information on the selection, Advantages
sterilization and use of test materials.
Can use materials which are able to tolerate the
4.1 Growth Medium Simulations actualprocessingconditionsutilized in the aseptic
process.
A microbial growth medium in either liquid or solid
state is processedin lieu of the production materials. Placebo materials can be chosen such that their
The microbiological growth media may be tested for removal from the processingequipment after the
microbial count or sterility depending upon the simulation can be readily accomplished.

PDA Journal of Pharmaceutical Science &Technology


Placebo materials can be substantially less contact surfaces,
expensivethan product or microbiological growth
media, which can be a significant concernin large Not readily quantifiable.
processequipment.
4.4 Production Material Simulation
Someof the actual materialsutilized in the aseptic
processmay be utilized. A simulation which is performed using actual
production materials (generally an excipient). The
Disadvantages materialcan be sampledfor microbial count or sterility
testing depending upon the acceptance criteria
Sterility or microbial count testing must be requirementsof the protocol.
performed in order to assess whether any
microorganismsare present. Advantages

Cleaning of the processequipmentafter exposure The processbeing simulatedmay utilize identical


to the placebo may represent a new cleaning processingconditionsas thoseused in production.
procedurewhich must be developedandvalidated.
The materialsusedfor the simulation areknown to
The placebomaterial must be evaluatedfor lack of be compatiblewith the processingequipment.
inhibitory effects on microorganisms.
No specialized cleaning of the equipment is
The sterilization of powder placebos must be necessary, the routine methods used after the
validated. production can be employed with confidence.

Testing of large quantities of material may be


required.
Sterility testing or microbial count determination
4.3 Simulation Without Material must be performed.

This is a simulation performed in the absence of The productionmaterialmust be evaluatedfor lack


materials. This approach is well suited to the of inhibitory effects on microorganisms, or a
evaluation of operating procedures and personnel neutralizingagentmust be addedduring the testing
performing discrete aseptic manipulations, e.g.,
subdivision into final containers. The aseptic The productionmaterialsmay be extremely costly.
production processes are simulated using the
procedures, personnel, equipment and components Testing of large quantities of material may be
ordinarily utilized in the aseptic process. After required.
completion of the simulation, extensive microbial
sampling of product contact surfacesand personnelis 5 EVALUATION OF SIMULATION TEST
performed. The surfacesamplingresultsareutilized to MATERIALS
determinemicrobial count or sterility dependingupon
the acceptancecriteria requirementsof the protocol. Regardless of the material chosen for use in the
simulation trial, it is important to evaluatethat material
Advantage to determinewhether microorganismswere presentas
well as its microbial growth support characteristics.
The absence of materials eliminates cleaning Similar to the precedingsectionof this documentthere
(except for sampling residues,if any), microbial are inherent advantagesand disadvantagesassociated
count or sterility testing, inhibition and recovery with the various test methods.
studies associatedwith the use of either a growth
media or a placebo material. 5.1 Evaluation of Entire Test Material

Disadvantages An approachin which the entire quantity of material


(either growth medium or placebo) utilized in the
Relies on the microbial evaluation of product simulation is evaluated. This can be accomplishedby

Vol. 52, No. 5 I September-October 1998, Supplement


filtration (after reconstitution for solid materials) to the testing. The samplescan be testedfor microbial
through an appropriate sterilizing grade filter or by count or sterility depending upon the acceptance
direct incubation of filled containers. The filter is criteria requirementsof the protocol
tested to quantify the microbial bioburden of the
material. Care must be taken to test (and reconstitute Advantages
if necessary) using methods, controls, procedures,
equipment and facilities which will not introduce Resemblesthe sampling of routine production
contamination into the material being tested. The materialsfor sterility.
entire quantity ofmaterial canbe subjectedto microbial
count or sterility testingdependingupon the acceptance If sampling is performed at mult,iple intervals it
criteria requirementsof the protocol may be able to pinpoint the source of
contamination.
Advantages
A smaller quantity of material is tested.
Evaluates all of the material processed in the
equipment. Disadvantages

Best suited for comprehensivetest of the process Samplesonly a portion of the material utilized in
in a single simulation. the simulation and may not detect low levels of
contamination, especially with a powdered
Disadvantages material.

Testing of large quantities of material is required In-process sampling for the purposesof process
which can prove quite cumbersome. simulation may not be a part of the routine BPC
processand could introduce contaminants.
Validation of sampling and testing methods,
including the sterilization of all apparatus. Isolation and identification of microorganisms
from the filter may be difficult with certain m
Limited information is available for use in materials.
detectingthe sourceof contaminationin the event
of failure. DOCUMENTATION

Isolation and identification of microorganisms Documentationis one of the most important elements
from the filter may be difficult with certain of a process simulation test program. Regulatory
materials. bodieswill rely heavily on the documentationto judge
the adequacyof the simulation.
The test (and reconstitution) procedures may
introduce contamination into the sample. The first step is to define the processto be simulated.
The processgenerally is defined as all stepsfrom the
Poorly suited to powder materials where the sterilization of the sterile BPC, solvents, reactants,
handling requiredto preparethe material for test in containers and to the point the final sterile BPC is
this fashion has substantial potential for the sealedin its shippingcontainer. The processdefinition
introduction of contamination. should include a description of all points that require
asepticintervention. Oncethe processhasbeenclearly
Direct incubation mandatesa pass/fail acceptance defined, the simulation protocol(s) or procedurescan
criteria. be written. Thesedocumentsshould include but not be
limited to the following information:
5.2 Evaluation of Test Material Samples - Identification of the processto be simulated
- Identification of the process train and
After completion of the processsimulation, samplesof equipmentto be used
the test material are taken from the equipmentand/ or - Type of container/closureto be used
containers.When a liquid material hasbeensampledit - Number of personnelparticipating
may be tested directly. Powder materials require - Test material to be used
reconstitution with a sterile diluent such as WFI prior - Environmentalmonitoring to be performed

6 PDA Journal of Pharmaceutical Science & Technology


- A copy of the batch record to be used that non-planned interventions may occur during the
- Acceptancecriteria to be utilized simulation and that it will be necessaryto correct for
- Description of the documentationrequired for fluid leakage, equipment malfunction, etc. To the
the final report extentthat thesetypes of problemsoccur on their own,
- Rationale for the “worst case”parameters and arerectified during a successfulprocesssimulation
chosen. test, they can be defended as acceptable during
ordinary operations(4, 12).
The above list should not be consideredall-inclusive.
Other factors may have to be considered due to the 8.2 Duration of Simulation
nature of the processto be simulated.
Processsimulationtestsshouldbe of sufficient duration
Execution of the protocol is generally performed to evaluatethe normal manipulationsnecessaryfor the
through a batchrecord. The batchrecordgives detailed process. Activities such as initial set-up activities,
instructions on how to perform the processsimulation changing equipment and manual maintenance
test(s). It should be written in the same format as a operationsshouldbe included in the processsimulation
normal batch record and contain the normal data and tests. Process simulation tests also should be of
sign-off elements. Information which normally would sufficient duration to include a representativenumber
be attachedto a batch record also shouldbe attachedto ofroutine andatypical interventionswhich might occur
the simulation batch record, i.e., sterilization records during an actualproduction operation. Where they are
for equipment,containers,and utensils, etc. The next part of normal operations,gown changes,breaks and
step is to document the following: shift changesshould be simulated. The time duration
- Number of organismsdetected,if any of the process simulation has greatest relevance in
- Results of environmentaltesting performed. operations such as milling and subdivision where
repetitive tasks are performed and personnel borne
The final report is a summation of the data from the contaminationmay be of greaterrelevance.
batch record, bioburden testing of simulation material
and environmental monitoring samples. Based upon 8.3 Production Batch Size/Process Simulation
this information, a conclusion is formulated regarding Test Size
the acceptability of the manufacturing process and
facility. A process simulation test should utilize sufficient
material to exposemost, if not all contact surfacesto
7 ENVIRONMENTAL MONITORING the material. It is essential that the aseptic
manipulationsin the simulation closely resemblethose
Details concerning elements of an effective utilized in production, howeverthe actualnumberneed
environmental monitoring program, including sample not be identical.
site selection,samplefrequency,alert and action levels,
methodology and interpretation of data, can be found 8.4 Incubation Conditions
in the literature (11).
It is widely accepted that process simulation tests
8 ELEMENTS OF PROCESS should be incubated for a minimum of 14 days. The
SIMULATION TESTS temperature at which the medium is incubated,
however, varies from firm to firm. The temperature
This sectioncontains important generalinformation to chosen should be based upon its ability to recover
consider when conducting process simulation tests. microorganismsnormally found environmentally or in
These issues play an important role in effectively the product bioburden. This same panel of
simulating the production process. microorganismsshould be used in growth testing the
medium-filled containers. A single incubation
8.1 Interventions temperature in the range of 20-35°C may be used.
Data should be available to show the suitability of the
Process simulation tests must include the normal selectedincubationtemperatureto support the growth
activities which occur during an aseptic process(i.e., of environmental and pre-sterilization bioburden
equipment adjustments, container-closure resupply, isolates.The selectedtemperatureshould be controlled
sampling,etc.) in order to substantiatethe acceptability and monitoredcontinuouslythroughout the incubation
of those practices in routine operation. It is possible period.

Vol. 52, No. 5 / September-October 1998, Supplement 7


8.5 Manual Procedures specifically to support or stimulate the growth of
microorganisms,it is a more rigorous challengethan
When the productionbatch size is small, theremay be processedproducts,which often provide neutral and
greater prevalence of manual operations in the sometimeshostile microbial growth environments.
preparationof sterileproducts. The processsimulation Thus,a limit of somelow numberotherthan zerooften
of a manual process of this sort is carried out in is chosen.
accordancewith the methodsand practicesoutlined in
this document,with one addition. Each operatorwho The selection of acceptance criteria for aseptic
performs this type of manual process should be processingvalidationis the centralissueto be resolved
individually evaluatedto establishthe acceptabilityof in the conductof processsimulationtests. This section
their aseptictechnique. offers guidance which can be used to establish
appropriatelimits and acceptancecriteria for aseptic
8.6 Staffing Considerations processsimulationtests.

Each personwho works in an asepticproductionsuite 9.2 Approaches for Acceptance Criteria


should participate in a successfulprocesssimulation
test on a periodic basis. 9.2.1 Quantitative

8.7 Campaigns Thedominantmethodologyfor the validationof aseptic


processesutilized for drug product compoundingand
Multiple lots of sterile BPCs may be produced filling utilizes a mediaprocesssimulationapproach.In
following a single sterilization without intervening conjunction with the execution of this evaluation,a
cleaning of the equipmentrequiring a breech in the firm typically selectsanacceptancecriteria (often 0.1%
integrity of the system. The process simulation of the total number of units filled) (8). Direct
program should confirm the acceptability of this application of the process simulation acceptance
productionmode. criteria for asepticfilling to sterilebulk pharmaceutical
chemicals is inappropriatefor a number of reasons
9 INTERPRETATION OF RESULTS AND including: relatively few largecontainersarerequired, r
ACCEPTANCE CRITERIA inspectionaldifficulties in largecontainers,the amount
ofmicrobiologicalgrowth mediarequired,andcleaning
9.1 Background growth mediafrom processequipment.An adaptation
of the approach is possible which relies on a
The adoption of limits and acceptancecriteria for quantitativeassessment of contaminationlevels.
processsimulationtestsis one of the more contentious
subjects within the industry in recent years (13). Processsimulationtesting is conductedusing either a
Whatever the number of organisms allowed in a placebomaterial,productmaterialor a growth medium
processsimulation,the ultimate goal for the numberof (either solid or fluid) which contacts equipment
organismsin any processsimulationtest (at either the surfacesin like mannerto the productbeingsimulated.
bulk or filling stage)shouldbe zero (4). After completionof the simulationtest, the material is
evaluated. The number of colony forming units
There are, however, significant technicalproblemsin detectedin the materialcan be usedto project a worst
achievingthis goal. Microbiological growth mediaand case contaminationrate based on the smallest bulk
simulatedproductsdo not matchrealproductsperfectly production batch and the largest finished product
in terms of their processing characteristics and container of the product being simulated (i.e., the
microbiological growth support properties. fewestnumberof finishedproductunits filled from the
Microbiological growth media differ in many respects entirebatch).
from the products they are intendedto simulate; for
example, there are differences in solubility, pH, The processsimulationtestpassesif the contamination
filtration rates and filterability and viscosity. With rate projects to not more than the chosenlimit. The
powderedproducts,theprocesssimulationtestinvolves examplesthat follow are basedon a limit of 1 positive
reconstitutingpowderedmedia or simulatedproduct, unit in 5,000 finished dosageunits (or NMT 0.0002
introducing extra processing equipment or CFU/unit). Survey data showsthis is the limit often
manipulation,with the inherentrisk of contamination. appliedto processsimulationtestingof finisheddosage n,
Since a microbiological growth medium is designed forms (12). In the absenceof specific guidancefor ,

8 PDA Journal of Pharmaceutical Science &Technology


sterile bulks, finished product survey data provides a 1. The contamination level for the simulation
valuable reference, however other limits may be batch is IO CFU. It projects to IO CFU in the
0 appropriatebased on experiencewith the particular
processand processsimulation methodology.
production batch.

2. Determine the minimum number of dosage


The simulation batch size may differ from the forms producedfrom theproduction batch.
production batch size provided the aseptic
manipulationsare essentiallythe same,and adequate 200,000 g/batch / 5 g/unit = 40,000
mixing and agitation of the simulation batch can be units/batch
achievedin the processequipment.
3. Calculate the maximum CFU/unit and
When material from more than one processtrain is compare to the limit of NMT 0.0002
combinedproducethe finished sterilebulk and it is not CFU/unit.
possible to simulate the entire process,the projected
contaminationrate for the finished bulk is the sum of IO CFU/batch / 40,000 units/batch =
the process simulation test results from each 0.00025CFWunit
individually evaluatedprocesstrain.
Since the projected contamination rate 0.00025
Considerthe following examples: CFU/unit exceeds the limit of NMT 0.0002
CFU/unit the processsimulation test fails.
Example 1
Example 3
Minimum productionbatchsize200 kg, maximum
finished drug producttill 10g, chosenplacebosize Minimum productionbatchsize200 kg, maximum
60 kg, 2 CFU detectedin the simulation. finished drug product fill 1g, chosenplacebosize
60 kg. The finished bulk is produced from
1. The contamination level for the simulation materialfrom processtrains A andB, respectively,
0 batch is 2 CFU It projects to 2 CFU in the
production batch.
blended together in process train C. 3 CFU
detectedin the processtrain A placebo, 5 CFU
detectedin the processtrain B placebo,and2 CFU
2. Determine the minimum number of dosage detected in the process train C placebo after
forms producedfrom the production batch. simulation.

200,000 g/batch / 10 g/unit = 20,000 1. The combined contamination level for the
units/batch simulation batchesis 10 CFU. It projects to
10 CFU in the production batch.
3. Calculate the maximum CFU/unit and
compare to the limit of NA4T 0.0002 2. Determine the minimum number of dosage
CFU/unit. forms producedfiom theproduction batch.

2 CFU/batch / 20,000 units/batch = 200,000 g/batch / 1 g/unit = 200,000


0.0001 CFU/unit units/batch

Since the projected contamination rate 0.0001 3. Calculate the maximum CFU/unit and
CFU/unit does not exceed the limit of NMT compare to the limit of NMT 0.0002
0.0002 CFU/unit the process simulation test CFU/unit.
passes.
IO CFU/batch / 200,000 units/batch =
Example 2 0.00005CFU/unit

Minimum productionbatchsize200 kg, maximum Since the projected contamination rate 0.00005
finished drug product fill 5 g, chosenplacebosize CFU/unit does not exceed the limit of NMT
60 kg, 10 CFU detectedin the simulation. 0.0002 CFU/unit the cumulative process
0 simulation test passes.

Vol. 52, No. 5 / September-October 1998, Supplement 9


NOTE: Microbial count determination has consecutive process simulation tests should be
similarities to the sterility test and contamination performedto demonstratethe ability to consistently
may be introduced as a consequenceof the test produceacceptableproduct.
environment,personnelandproceduresemployed.
Validation of the test method for the material is 11 PERIODIC REASSESSMENT
essentialto the successof this approach.
Each firm should determine the frequency of and
This methodology utilizes a widely accepted interval betweenperiodic simulation of eachprocess.
contaminationrate as the basis for the evaluationof An annualevaluationof the needto perform a process
sterile bulk operations. The use of a non-zero simulationshouldbe sufficient.
contamination rate mimics the approach used for
dosageforms. The suggestedapproachrequirestight Unscheduledprocesssimulationtestsmay be required
(albeit, not absolute) control over the extent of following a significant change. In such cases,the
microbial contamination acceptable in a process number of process simulation tests may vary,
simulation and allows for further improvement as dependinguponthe extentof the change.Examplesof
technology and procedures are improved. Most suchchangesinclude:
importantly it enablesmeaningfulevaluationof aseptic - Major modifications to the equipment
processing procedures for sterile bulks using a (interchanging standard parts does not
quantitativeapproach. constitutea major equipmentmodification)
- Modification to equipmentor facilities which
9.2.2 Qualitative potentially affectsthe air quality or airflow in
the asepticenvironment
Any process simulation can be evaluated using a - Increasesbeyond the maximum number of
qualitative(pass/fail)criterion. A qualitativeapproach production personnel used in process
can be usedwith any of the simulationmethods.While simulationtesting
it can offer handling advantages (relative to - Major changes to the aseptic production
quantitative testing), it precludesrecognition of the processandforprocedures.
aseptic process simulation sampling and testing
manipulationsas a possiblecontributorto the presence It alsomay be necessaryto perform processsimulation
of organismssince zero growth is the only acceptable testsin responseto adversetrendsor failures in the on-
option. going monitoring of the facility or process.

10 FAILURE INVESTIGATION AND


CORRECTIVE ACTION

A comprehensivesamplingand identification scheme


is crucial in the investigation and determinationof
sourceof any detectedmicrobial contamination.In the
instancewhen the processsimulationtestdoesnot meet
the establishedacceptancecriteria, possiblesourcesof
contamination should be investigated. A detailed
history of the investigationneedsto be maintained.

Basedupon the outcomeof the investigation,the cause


of the failure is either assignableor not assignable.It
may be clearly assignableto a singlesource,or vaguely
associatedwith multiple systemsor processeswhich
requireredefining. Ifthe causeis assignable,corrective
action needsto be taken and documented. The root
causeand the correctiveactionwill dictatethe number
of processsimulationtestsrequiredto demonstratethat
the processis operatingwithin the expectedparameters.
If no cause can be found, the process should be n
validated as though it were a new process. Multiple

10 PDA Journal of Pharmaceutical Science &Technology


APPENDIX 1, SELECTION AND Sterilizationof TestPowder (placeboor growth media)
STERILIZATION OF TEST MATERIALS -Part ofthe selectionprocessrequiresthe identification
0 of a suitable sterilization method for the chosen
material. The material being evaluated should be
In the conduct of aseptic processsimulation tests for subjectedto a validatedsterilizationprocessprior to the
sterile BPC, the use of a sterile placebomaterial may processsimulation tests. The validation study should
be appropriate. Care must be taken in the choice of includeverification that the sterilizationprocesshasno
material to be used, and in its preparation,to avoid significant adverseeffect on the material’sproperties.
difficulties with the processsimulationtestingprogram. The most common sterilization method in use is
Dependingupon the specific processequipment,and irradiation in the samefinal containeras used for the
operatingprocedures,it may be appropriateto utilize a sterile powder being simulated. Alternatively, the
liquid or a powder asa test material. Considerationcan material can be sterilized by dry heat or filtration,
alsobe given to the useof a growth promotingmaterial followed by bulk lyophilization. Along with the
or an inert material. In certainsituationsmorethan one placebomaterial preparedfor use in the filling trial,
test material can be utilized for different parts of the additionalmaterial in separatebagscan be utilized for
simulation program. Whichevermaterial is utilized in sterility testing after sterilization. The test samplescan
the simulation, it should be processedand ultimately be testedif there is any questionregardingthe sterility
packagedasclosely aspossibleto the sterileBPC being of the material.
simulated.
Inhibition Testingfor Placebo Materials - Growth
Selectionof TestPowder - The selectionof powdertest promotion testing, in which the chosen material is
material for use in process simulation testing must tested for potential inhibition, is performed using
considerseveralfactors. The seeminglyobviouschoice Bacillus subtilis (ATCC 6633) and Candida albicans
of dry sterile microbiological growth media, itself, has (ATCC 10231)‘. Considerationshould be given to
proven less than successfulbecauseof its poor flow testingwith other microorganismscommonly found in
properties, which make its passagethrough sterile the asepticprocessingareaenvironment,such asthose
powder processequipment a considerablechallenge. isolated during personnel monitoring and sterility
The principal placebomaterialswhich havebeenused testing. Replicatesamplesofthe placebomaterialsare
successfully are lactose, mannitol, and polyethylene inoculatedwith 1O-l 00 CFU of each of the challenge
glycol. The most common choice for a powdermedia organisms and then dissolved/dispersedin sterile
is dry Soybean-CaseinDigest Medium (SCDM), medium. Positive controlsarepreparedby inoculating
though other choices are certainly possible. The replicate tubes of medium which do not contain the
chosenmaterial must be easily sterilizable,dispersible sterilizedplacebomaterial. Growth must be evident in
or dissolvable in the chosen medium with minimal all tubeswithin sevendaysafter incubationat20-25°C.
agitation,haveno adverseeffect on growth promotion, Growth promotion for liquid placebosis performedin
and be easily handled in the simulation process a similar fashion after inoculation, using either direct
equipment. plating or membranefiltration of the liquid placebo.
The filters arethen testedas if for a membranesterility
Selectionof TestLiquid - The selectionof a liquid test test and growth must appear {within 7 days of
material is governed by several considerations. The incubationat 20-25“C.
use of a microbiological growth media is certainly
possible;the most commonobjectionto their userelate Growth Promotionfor Growth Media - Confirmation
to concernswith the cleaning of residual media after of the media’s growth promotion properties is an
completion of the simulation, Liquid media which essential element. The conduct of media growth
have been utilized for process simulation include promotion evaluationis a relatively simple procedure,
SCDM and peptone broth. Dilution of the media to with a few basicrequirements.The media utilized for
lower strengthsis employedandis acceptableprovided the growth promotionstudiesshouldbe drawnfrom the
growth promotion can be demonstrated(see below). samematerialutilized for the processsimulation itself.
Potential placebo fluids may range from Water for The growth promotion units shouldbe inoculatedwith
Injection to one of the solvents employed in the a low concentration (less than 100 organisms per
process, assuming the solvent has no significant
antimicrobial activity. Test liquids are generally
sterilized by 0.2 micron filtration using the housings ’ Sterility Test <71>, USP 23 / NF 18, P.
0 requiredfor the process. 1687,USP, Rockville, MD, 1995.

Vol. 52, No. 5 / September-October 1998, Supplement 11


container) of the USP growth promotion organisms-
Bacillus subtilis & Candida albicans. Consideration
should be given to testing additional units with other
organismscommonly found in the asepticprocessing
area environment, such as the organisms isolated
during personnelmonitoring, sterility testing, etc.

Media growth promotion studies can be performed


prior to, concurrentwith or after the completion of the
process simulation incubation period. When growth
promotion is performed before incubation, the
acceptability of the media is confirmed prior to the
simulation. Pre-simulationtesting cannot confirm the
acceptability of the media used in the actual trial and
either concurrentor post-incubationgrowth promotion
must be employed as well. The use of concurrent
testing appearspreferable as the results will then be
available prior to completion of the incubation. Post-
incubationgrowth promotion provides a similar degree
of assurance, but the delay in obtaining results
effectively extends the length of time before the
processsimulation results are definitive.

12 PDA Journal of Pharmaceutical Science & Technology


APPENDIX 2, DEFINITIONS

0 aseptic (asepsis)
Freefrom disease-producing
microorganisms.
opensystem(seesystem,open)

process simulation (without microbiological growth


asepticfilling media)
Part of aseptic processing where a pre- Method of evaluating an aseptic process
sterilized product is filled and/or packaged employing methods which closely
into sterile containersand closed. approximatethose used for sterile materials
using an appropriatematerial.
asepticprocessing
Handling sterile materials in a controlled
environment, in which the air supply, process simulation (with microbiological growth
materials, equipment and personnel are media)
regulatedto control microbial and particulate Methodof evaluatingan asepticprocessusing
contaminationto acceptablelevels. a microbial growth medium employing
methods which closely approximate those
asepticprocessingarea (APA) usedfor sterile materials.
Controlledenvironment,consistingof several
zones, in which the air supply, materials, sterile
equipment and personnel are regulated to Free of any viable organisms.
control microbial and particulate
contaminationto acceptablelevels. NOTE: In practice, no such absolute
statement regarding the absence of
closedsystem(seesystem,closed) microorganisms can be proven (see
sterilization).
colonyforming unit (CFU)
0 Visible outcomeofgrowth ofmicroorganisms
arising from a single’or multiple cells.
sterility assurancelevel (SAL)
Probability that a batch of product is sterile.

environmentalmonitoringprogram sterile bulk pharmaceuticalchemical


Defined documented program which A sterile material derived from chemical,
describes the routine particulate and fermentationor semi-syntheticsourceswhich
microbiologicalmonitoringofprocessingand is final packagedor storedin bulk form. The
manufacturingareas,andincludesa corrective bulk material may be an active
action plan when action levels are exceeded. pharmaceutical,or excipient. Sterile BPCs
It includesassessmentof environmentalair, can be solids, solutionsor suspensions.
surfacesand personnel.
sterility test
growth promotion test Test performed to determine if viable
Test performedto demonstratethat mediawill microorganismsare present.
supportmicrobial growth.
sterilization
microbial count determination Validated processused to render a product
A test performedto quantify the number of free of viable organisms.
microorganisms present in a sample of
material. Standard microbial methods are NOTE: In a sterilizationprocess,the natureof
utilized to estimate the number of colony microbiological death or reduction is
forming units (CFU) per unit massor volume. described by an exponential function.
Therefore, the number of microorganisms
which survive a sterilization processcan be
expressedin terms of probability. While the
probability may be reduced to a very low
number,it can never be reducedto zero.

Vol. 52, No. 5 / September-October 1998, Supplement 13


system,closed unit operation
A “closed” system is sterilized-in-place or A processingactivity involving multiple steps
sterilized while closedprior to use,is pressure which effects a single type of changeto the
and/or vacuum tight to some predefmedleak materials (e.g., reaction, crystallization,
rate, can be utilized for its intendedpurpose filtration, drying, milling, etc.) usually carried
without breechto the integrity of the system, out in a single piece of equipment.
can be adaptedfor fluid transfersin and/orout
while maintaining asepsis,and connectableto
other closed systems while maintaining worst case
integrity of all closed systems. A set of conditions encompassingupper and
lower processing limits and circumstances,
system,open including those within standard operating
A system which fails to meet one or more of procedures,which posethe greatestchanceof
the criteria which define a closed system. processor product failure when comparedto
ideal conditions. Such conditions do not
necessarilyinduce product or processfailure.

14 PDA Journal of Pharmaceutical Science & Technology


APPENDIX 3, REFERENCES

1. Technical Monograph No. 2, “Validation of 7. Sterile Pharmaceutical Products: Process


Aseptic Filling for SolutionDrug Products,”PDA, Engineering Applications, Ed. by K. E. Avis,
1980. Interpharm,IL, 1995.

2. Technical Report No. 6, “Validation of Aseptic 8. “Guidelineon Sterile Drug ProductsProducedby


Drug PowderFilling Processes,”PDA, 1984. Aseptic Processing,”FDA, 1987.

3. “Sterile Bulk Pharmaceutical Chemicals: A 9. “Annex 4, GeneralRequirementsfor the Sterility


PhRMA Position Paper,”PhRMA QC Section of Biological Substances.Part A, Section 2,”
Bulk Pharmaceuticals
Committeeand SterileBulk World Health Organization,1973.
PharmaceuticalChemicalsSubcommittee,Pharm.
Technol.,August 1995. 10. EU Guideto GoodManufacturingPractice.Annex
1 - Manufacture of Sterile Medicinal Products,
4. Technical Report No. 22, “Process Simulation EuropeanUnion, 1996.
Testing for Aseptically Filled Products,”PDA J.
Pharm. Sci. Technol.,50 (Sl), 1996. 11. PDA TechnicalReportNo. 13, “Fundamentalsof
a Microbiological Monitoring Program,”
5. “Sterilization and Sterility Assurance<I 2 11>,‘I SupplementS, .I. Parent. Sci. Tech.,44, 1990.
USP 23 / NF 18, USP, Rockville, MD, pp. 1976-
1981, 1995. 12. TechnicalReportNo. 24, “Current Practicesin the
Validation of Aseptic Processing,”PDA J. Pharm.
6. Validation of Aseptic PharmaceuticalProcesses, Sci. Technol.,51 (Sl), 1997.
Ed. by F. Carleton& J. Agalloco, Marcel Dekker,
New York, 1986. 13. “Guide to Inspection of Sterile Drug Substance
Manufacturers,”FDA, 1994.

Vol. 52, No. 5 I September-October 1998, Supplement 15


PDA Journal of
Pharmaceutical Science and Technology
Supplement, September-October 1998 Volume 52
EDITOR: Joseph B. Schwartz

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Formerly the
“Journal of ParenteralScienceandTechnology”
Copyright-PDA, Inc. 1998
ISSN 1076-397X

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