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MINISTRY OF HEALTH
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SOCIALIST REPUBLIC OF VIETNAM
Independence - Freedom – Happiness
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No. 29/2020/TT-BYT
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Hanoi, December 31, 2020
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CIRCULAR
AMENDMENTS TO AND ABROGATION OF
SOME LEGISLATIVE DOCUMENTS PROMULGATED OR JOINTLY PROMULGATED BY THE MINISTER
OF HEALTH
Pursuant
to the Law on Promulgation of Legislative Documents dated June 22, 2015 and the
Law dated June 18, 2020 on Amendments to the Law on Promulgation of Legislative
Documents;
Pursuant
to the Law on Pharmacy dated April 06, 2016;
Pursuant
to the Law on Tobacco Harm Prevention and Control dated June 18, 2012;
Pursuant
to the Government's Decree No. 54/2017/ND-CP dated May 08, 2017 on elaboration
of the Law on Pharmacy;
Pursuant
to the Government's Decree No. 69/2018/ND-CP dated May 15, 2018 on elaboration
of the Law on Foreign Trade Management;
Pursuant
to the Government's Decree No. 96/2012/ND-CP dated November 15, 2012 on opioid
substitution therapy;
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Pursuant
to the Government's Decree No. 34/2016/ND-CP dated May 14, 2016 on elaboration
of the Law on Promulgation of Legislative Documents;
Pursuant
to the Government’s Decree No. 75/2017/ND-CP dated June 20, 2017 on functions,
tasks, powers and organizational structure of the Ministry of Health;
At the
request of the Director of the Legal Department,
The
Minister of Health promulgates a Circular on amendments to and abrogation of
some legislative documents promulgated or jointly promulgated by the Minister
of Health.
Article 1. Amendments to some legislative documents on cosmetics,
pharmacy, prevention and control of HIV/AIDS, and food safety
1.
Amendments to some Articles of Circular No. 06/2011/TT-BYT dated January 25,
2011 of the Minister of Health on cosmetics management (hereinafter referred to
as “Circular No. 06/2011/TT-BYT")
a) Clause
4 Article 4 is amended as follows:
“4.
Certificate of Free Sale (CFS) of imported cosmetic products:
a) Cases
of CFS exemption:
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- The
cosmetics products are marketed in and exported from a CPTPP member country:
The enterprise responsible for marketing of the products shall submit documents
proving that the products have been marketing in the CPTPP member country that
are issued by competent authorities of the same country (marketing
authorization or registered cosmetic product notification or other documents
certifying the marketing of the products in the country) and consularly
legalized as prescribed by law, unless:
+ These
documents are exempt from consular legalization under an international treaty
to which the Socialist Republic of Vietnam (hereinafter referred to as
“Vietnam”) is a signatory or under principle of reciprocity between Vietnam and
the issuing country;
+ A
diplomatic authority, cosmetics management authority or issuing authority of
the CPTPP country sends a physical document or email to Drug administration of
Vietnam to certify these documents;
+ The
enterprise responsible for marketing of the products obtains these documents
from the website (in English) of the issuing authority of the CPTPP member
country which bear the seal of the enterprise and sends it together with the
link to that website to Drug Administration of Vietnam. The enterprise shall be
legally responsible for the legitimacy and accuracy of these documents and
information;
- The
cosmetics products have been granted a product notification number in an ASEAN
country, in which case the enterprise responsible for marketing of the products
shall submit the cosmetic product notification which is consularly legalized,
unless:
+ The
cosmetic product notification is exempt from consular legalization under an
international treaty to which Vietnam is a signatory or under principle of
reciprocity between Vietnam and the issuing country;
+ A
diplomatic authority, cosmetics management authority or issuing authority of the
ASEAN country sends a physical document or email to Drug administration of
Vietnam to certify the cosmetic product notification;
+ The
enterprise responsible for marketing of the products obtains the cosmetic
product notification from the website (in English) of the issuing authority of
the CPTPP member country which bears the seal of the enterprise and sends it
together with the link to that website to Drug Administration of Vietnam. The
enterprise shall be legally responsible for the legitimacy and accuracy of
these documents and information;
b) Except
for the cases of CFS exemption specified in Point a of this Clause, the
application for notification of imported cosmetic products shall have a CFS
that satisfies the following requirements:
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- The CFS
is consularly legalized as prescribed by law, unless:
+
Consular legalization is exempt under an international treaty to which Vietnam
is a signatory or under principle of reciprocity between Vietnam and the
issuing country;
+ The
issuing authority or a diplomatic authority sends a physical document or email
to Drug Administration of Vietnam to certify the CFS;
- The CFS
contains at least the information specified in Article 36 of the Law on Foreign
Trade Management and Clause 3 Article 10 of the Government's Decree No. 69/2018/ND-CP
dated May 15, 2018 on elaboration of the Law on Foreign Trade Management
(hereinafter referred to as “Decree No. 69/2018/ND-CP).”;
b)
Appendix No. 01-MP enclosed with Circular No. 06/2011/TT-BYT is amended by
Appendix 1 hereof;
c)
Article 33 is amended as follows:
“Article
33. Procedures and application for CFS for export of domestically manufactured
cosmetic products
1. The
application for CFS for export of domestically manufactured cosmetic products
shall be prepared in accordance with Article 11 of Decree No. 69/2018/ND-CP.
The document about applied standards may be replaced with the registered
cosmetic product notification (01 copy bearing the trader’s seal).
2. The
procedures for issuance of the CFS for export of cosmetic products are specified
in Article 11 of Decree No. 69/2018/ND-CP.
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4.
Provincial Departments of Health shall issue and manage CFS for export of cosmetic
products manufactured in their provinces.”.
2.
Appendix VII of Circular No. 20/2017/TT-BYT is amended as follows:
The
following text is added to the end of Appendix VII (List of drugs and active
ingredients banned from certain fields): “This List includes all salts (if any)
of the substances specified in herein.”.
3. Point
dd Clause 2 Article 17 of Circular No. 02/2018/TT-BYT is amended as follows:
“dd)
Upload quarterly reports on the list of pharmacies in the province which have been
granted Certificates of eligibility for pharmacy business, and their degrees of
fulfillment of GPP requirements as prescribed in Clause 4 Article 8 herein to
the website of Drug Administration of Vietnam.”.
4. Point
dd Clause 3 Article 18 of Circular No. 03/2018/TT-BYT on good distribution
practice is amended as follows:
“dd)
Monthly upload the list of local distributors that have been issued with the
certificate of eligibility for pharmacy business and status of GDP compliance
according to Clause 4 Article 8 of this Circular to website of the Drug
Administration of Vietnam.”.
5.
Amendments to Circular No. 32/2018/TT-BYT dated November 12, 2018 on
registration of drugs and medicinal ingredients (hereinafter referred to as
“Circular No. 32/2018/TT-BYT"):
a) Point
c Clause 3 Article 23 is amended as follows:
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-
Consularly legalized documents (original copies or authenticated copies);
- The
applicant shall send the legal documents that are downloaded from the English
website of the issuing authority and bear the confirmation seal of the
applicant together with a document specifying the download links to Drug
Administration of Vietnam. The applicant shall be legally responsible for the
legitimacy and accuracy of these documents and information.”;
b) Point
c Clause 4 of Article 23 is abrogated;
c) Point
e and Point g Clause 4 of Article 23 are amended as follows:
“e) An
application for marketing authorization of new modern drugs, imported biologics
other than probiotics shall have a CPP issued by a competent authority of the
manufacturing country with a confirmation that the drug is licensed and
marketed in that country in reality. In case the CPP is not issued by EMA,
legal documents issued by one of the regulatory authorities specified in Clause
9 or Clause 10 Article 2 of this Circular. The legal documents shall contain at
least the following information: drug name, active ingredients and their
concentration or content, dosage form, name and address of the manufacturing
facility, confirmation that the drug is licensed and marketed in that country
in reality;
g) An
application for marketing authorization of an imported vaccine shall have a CPP
issued by a competent authority of the manufacturing country with a
confirmation that the drug is licensed and marketed in that country in reality.
In case the CPP is not issued by EMA, legal documents issued by one of the
regulatory authorities specified in Clause 9 or Clause 10 Article 2 of this
Circular. The legal documents shall contain at least the following information:
drug name, active ingredients and their concentration or content, dosage form,
name and address of the manufacturing facility, confirmation that the drug is
licensed and marketed in that country in reality;
d) Point
dd below is added to Clause 12 of Article 23:
“dd) For
excipients in the application for registration of finished drugs/semi-finished
medicinal ingredients:
If the
documents specified in Point a, b, d of this Clause cannot be provided, the
manufacturer of the finished drugs/semi-finished medicinal ingredients shall
carry out self-assessment of its good manufacturing practice in accordance with
Point dd Clause 1 Article 3, Point b Clause 3 Article 3 and Point dd Clause 5
Article 20 of Circular No. 35/2018/TT-BYT and make a self-declaration of GMP
and take legal responsibility for such declaration according to Form 13/TT
enclosed herewith”;
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“3. Minor
variations that only require notification:
a) For
minor variations that only require notification (MiV-N1, MiV-N2, MiV-N3,
MiV-N4, MiV-N6, MiV-N7) specified in Appendix II hereof: The authorization
holder shall take responsibility for these variations from the date written on
the receipt note. Within 15 working days from the date written on the receipt
note, Drug Administration of Vietnam shall update these minor variations to its
website;
b) For
minor variations that only require notification other than those mentioned in
Point a of this Clause: Within 15 working days from the date written on the
receipt note, Drug Administration of Vietnam shall approve these variations and
update the marketing authorization if the application is satisfactory, or make
a written response and provide explanation if the application is not
satisfactory; update these minor variations to the website of Drug
Administration of Vietnam and inform the applicant.”;
e) The
title of Clause 2 Article 47 is changed as follows: “2. Effective periods of
marketing authorizations that expire during the period from January 01, 2018 to
December 31, 2021, including those that have their effect maintained, will be
extended for 12 more months if all of the following requirements are
satisfied:”
g) Clause
5 below is added to Article 47:
“5.
Effect of GMP certificates:
a) For
GMP certificates issued by pharmacy authorities of countries in European Economic
Area (EEA):
- GMP
certificates that are extended under EMA’s Notice dated April 10, 2020
regarding policies on drugs for human use during Covid-19-19 pandemic will be
effective until December 31, 2021. In case EMA issues a new notice, the newer
one shall prevail;
- In case
a new GMP certificate has been issued, the effective period of the new
certificate shall apply;
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h) Clause
3 of Article 48 is amended as follows:
“3.
Regarding applications for renewal or revision of the marketing authorization
submitted before December 31, 2021: specifications of the drug product, active
ingredients, herbal ingredients, name and address of manufacturers thereof are
not requirements in the CPP.”;
i) Clause
5 and Clause 6 below are added to Article 48 as follows:
“5. For
domestically manufactured drugs/medicinal ingredients whose marketing
authorizations have been granted before December 31, 2020, if the authorization
holder wishes to import medicinal ingredients that are excipients or capsule
shells into Vietnam: Before the first import, the authorization holder shall
update the information about medicinal ingredients that are excipients or
capsule shells in the approved application to the online public service system
of Drug Administration of Vietnam. Within 05 working days from the day on which
the update is completed, Drug Administration of Vietnam shall complete the
announcement process. The applicant shall be held responsible for the accuracy of
the updates and is not required to update information upon the next import.
6.
Regulations on authentication of legal documents in applications for issuance,
renewal, revision of the marketing authorization submitted before December 31,
2021: It is not mandatory to have the result of authentication of legal
documents prescribed in Clause 1 Article 12 of this Circular before the date of
issuance, renewal or revision unless the legal documents are electronic files
that do not satisfy the requirements specified in Clause 1, Point a and Point b
Clause 3 Article 23 of this Circular, in which case the result of
authentication of these legal documents is required before the date of
issuance, renewal or revision.
In case a
diplomatic authority or a competent authority of Vietnam or the foreign country
issues a document to disprove the authenticity of the legal documents in the
application, Drug Administration of Vietnam shall consider handling the case in
accordance with Clause 5 Article 42 and Point h Clause 1 Article 50 of this
Circular.”;
k) Point
o below is added to Clause 1 of Article 50:
“o)
Publish the list of website of issuing authorities of the legal documents
specified in Point c Clause 3 Article 23 of this Circular.”;
l) Form
No. 13/TT “Declaration of application of GMP principles for excipients applied
by other international organizations or foreign regulatory authorities” in
Appendix 2 hereof is added to Circular No. 32/2018/TT-BYT.
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a) Clause
1 Article 3 is amended as follows:
“1. The
following GMP principles shall be applied:
a) WHO
GMP principles provided in the Appendix I hereof and updated documents
specified in Clause 4 of this Article;
b)
Principles of WHO - GMP for biological medicinal products derived from Human
Blood or Plasma provided in the Appendix II hereof and updated documents
specified in Clause 4 of this Article;
c) GMP
principles of Pharmaceutical Inspection Co-operation Scheme provided in the
Appendix I hereof and updated documents specified in Clause 4 of this Article;
d) EU -
GMP principles provided in the Appendix IV hereof and updated documents
specified in Clause 4 of this Article.
dd) WHO
GMP principles for medicinal ingredients that are excipients listed in Appendix
IIa hereof and the updated documents specified in Clause 4 of this Article.”;
b) Clause
3 of Article 3 is amended as follows:
“3.
Application of other GMP principles:
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In
addition to the GMP principles specified Clauses 1 and 2 of this Article, other
GMP principles proved equivalent to EU - GMP principles promulgated by pharmacy
authorities of SRA countries may be applied. Manufacturers of drugs and
medicinal ingredients that apply these GMP principles shall produce and certify
translations in accordance with regulations of law on notary and
authentication; send these transactions to Drug Administration of Vietnam for
uploading onto its website and the website of the Ministry of Health;
b) For
manufacturers of excipients:
In
addition to the GMP principles mentioned in Point dd Clause 1 of this Article,
manufacturers of may apply other GMP principles of International Pharmaceutical
Excipients Council (IPEC), the Certification Scheme for Pharmaceutical
Excipients (EXCiPACT), American National Standards Institute (ANSI), United
States Pharmacopeia (USP) or other principles for manufacture of excipients
applied by other excipient-related international organizations or foreign
regulatory authorities.";
c) Clause
16 below is added to Article 4:
“16.
Manufacturers of excipients shall apply GMP principles and regulations of
Appendix IIa hereof or other GMP principles mentioned in Clause 3 Article 3 of
this Circular and updated documents mentioned in Clause 4 Article 3 of this
Circular. In case WHO, IPEC, EXCiPACT, ANSI, USP or other international
organizations relevant to excipients used for manufacture of drugs, cosmetics,
foods publish updates to their GMP principles (hereinafter referred to as
“updated documents”) on their websites, manufacturers of excipients shall apply
the updated documents within:
a) 12
months in case of any change of premises or manufacturing equipment, from the
date on which updated documents are published;
b) 06
months in case of updates other than those specified in Point a of this Clause,
from the date on which updated documents are published.”;
d) Point
h below is added to Clause 2 of Article 12:
“h) The
manufacturer produces medicinal ingredients that are excipients.”;
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“dd)
Manufacturers of drug products and semi-finished products shall, on the basis
for the purposes and uses of the excipients at the manufacturing facility,
carry out self-assessment of compliance to GMP principles specified in Point dd
Clause 1 Article 3 and Point b Clause 3 Article 3 of this Circular regarding
the recipients used at the facility.”;
e)
Appendix 3 hereof (Good Manufacturing Practices: Pharmaceutical excipients) is
added as Appendix IIa after Appendix II of Circular No. 35/2018/TT-BYT.
7. Clause
6 Article 9 of Circular No. 36/2018/TT-BYT dated November 22, 2018 on good
storage practices (GSP) for pharmaceutical products and pharmaceutical starting
materials is amended as follows:
“6. After
submitting the operation and GSP compliance report within the prescribed time
limit, the storage facility is entitled to carry on the business operations
specified in the certificate for eligibility for pharmacy business until the
result of periodic inspection of GSP compliance is available and shall maintain
the GSP compliance throughout its operation.".
8.
Amendments to Circular No. 15/2019/TT-BYT dated July 11, 2019 of the Minister
of Health on drug biddings at public health facilities:
a) Clause
3 Article 7 is amended as follows:
“3.
Category 3 includes drugs that are granted marketing authorization or license
for import for marketing in Vietnam and have bioequivalence reports published
by Drug Administration of Vietnam.”;
b) Clause
5 of Article 7 is amended as follows:
“5.
Category 5 includes drugs that are granted marketing authorization or licenses
for import for marketing in Vietnam.”;
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“a) Legal
documents issued by pharmacy authorities of SRA countries. These documents must
bear full names and signatures of the signers and seals of the competent
authorities of the countries and be consularly legalized (original copies or
certified true copies).
In case
of electronic legal documents, including those without signers’ full names and
signatures and seals of the competent authorities, the applicant shall send the
documents obtained from English website of the issuing authority to Drug
Administration of Vietnam. These documents shall bear the applicant’s seal and
be enclosed with a document containing the download links. The applicant shall
be legally responsible for the legitimacy and accuracy of these documents.
The legal
documents shall have the following contents: drug name, active ingredients,
their concentration or content, dosage form, name and address of the
manufacturing facility, certification that the drug is approved for market
authorization in that country.”;
d)
Appendix No. 3 of Circular No. 15/2019/TT-BYT is amended by Appendix 4 hereof;
dd)
Clause 1 of Section 1 and Clause 13 of Section II Part 4 of Appendix 7 and
Appendix 8 of Circular No. 15/2019/TT-BYT are amended by Appendix 5 hereof.
9. Point
a Clause 2 Article 14 of Circular No. 14/2015/TT-BYT dated June 25, 2015 on
methadone management is amended as follows:
“a) The
methadone dose must be taken in the presence of a health worker, unless
methadone is provided by the health facility for home use as instructed by the
Ministry of Health;”.
10.
Amendments to Circular No. 18/2019/TT-BYT dated July 17, 2019 of the Minister
of Health on good manufacturing practice (GMP) for health supplements:
a) Clause
3 Article 3 is amended as follows:
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b) The
title of Clause 1 of Article 4 is amended as follows:
“1.
Imported health supplements shall be manufactured by a manufacturer that has
been granted one of the following certificates or confirmations by a competent
authority of the manufacturing country (including food safety regulator or organization
designated or acknowledged by the food safety regulator or another country’s
organization acknowledged by the regulatory authority of the manufacturing
country):”;
c) Point
a Clause 1 of Article 4 is amended as follows:
“a)
Certificate of GMP compliance if it is a manufacturer of health supplements or
Certificate of Free Sale (CFS) stating that the product is manufactured by a
GMP-compliant facility;”;
d) Point
c Clause 1 of Article 4 is amended as follows:
“c)
Regarding the countries or territories that do not issue the certificates
specified in Points a and b of this Clause, the manufacturer of health
supplements need to obtain a written confirmation that the GMP certificate is
not issued in such countries from a competent authority or on the official
website of a competent authority;”;
dd)
Clause 2 of Article 4 is amended as follows:
“2. A
certificate or confirmation mentioned in Points a and b Clause 1 of this
Article (except CFS with the contents specified in Point a Clause 1 of this
Article) shall contain:
a) Name
of the issuing authority;
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c)
Expiration date (if the expiration date is not written on the certificate or
confirmation, an assessment report or periodic inspection record are required to
prove that the manufacturer still maintains its fulfillment of food safety
conditions, or the assessment/inspection time must be provided for by
legislative documents of the country of origin);
d) Full
name and signature of the person issuing the certificate;
dd) Name
and address of the certificate holder;
e) Scope
covered by the certificate.”;
e) Clause
2 Article 5 and the paragraph “The provisions of this Clause shall come into
force on the effective dates of the legislative documents mentioned in Clause 2
Article 5 of this Circular” in Point b Clause 1 Article 4 are abrogated.
g)
Paragraph 3.7 of Section III of the Appendix of Circular No. 18/2019/TT-BYT is
amended as follows:
“3.7. In
case the health supplements, herbal medicines and traditional medicines are
manufactured by the same line, appropriate measures must be taken to prevent
confusion and cross-contamination (refer to section 6.19).”.
11. The
paragraph “Regulations on maximum permissible contents of tar and nicotine
specified in QCVN 16-1:2015/BYT are effective until December 31, 2020” in
Article 2 of Circular No. 23/2015/TT-BYT dated August 20, 2015 promulgating the
National technical regulation for cigarette is amended as follows:
“Regulations
on maximum permissible contents of tar and nicotine specified in QCVN
16-1:2015/BYT will be reviewed every 02 years and adjusted where necessary”.
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28
legislative documents promulgated or jointly promulgated by the Minister of
Health specified in Appendix 6 hereof are abrogated.
Article 3. Effect
1. This
Circular comes into force from February 15, 2021.
2.
Regulations of Clauses 5, 6, 7, 8 and 11 Article 1 of this Circular come into
force from January 1, 2021.
3.
Regulations on online submission and access of documents shall apply during
Covid-19 pandemic until revised by the Ministry of Health.
Article 4. Transition clauses
1. The
documents that are submitted before the effective date of this and are still
processed will apply relevant regulations of this Circular or the regulations
that are effective before the effective date of this Circular, whichever is
more convenient for enterprises, organizations and individuals.
2.
Regulations of this Circular on online publishing, update, declaration and
reporting of information shall be applied as instructed by competent
authorities.
Article 5. Responsibility for implementation
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MINISTER
Nguyen Thanh Long
APPENDIX 2
(Promulgated together with Circular No. 29/2020/TT-BYT
dated 31/12/2020 of the Minister of Health)
Form
No. 13/TT
DECLARATION OF COMPLIANCE TO GMP REGULATIONS OR OTHER
REGULATIONS/STANDARDS FOR MANUFACTURE OF EXCIPIENTS APPLIED BY OTHER
INTERNATIONAL ORGANIZATIONS OR FOREIGN REGULATORY AUTHORITIES
Is the
manufacturer of the drug or semi-finished medicinal ingredient below:
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Active ingredients,
content/concentration:
Dosage
form:
Which has
been granted marketing authorization by the Ministry of Health (Drug
Administration of Vietnam) of Vietnam.
On the
basis of the purposes and uses of excipients in the formula in the manufacture
of the finished drug product or medicinal ingredient;
On the
basis of our assessment of risks and impacts of the excipients to safety of
users, dosage form, manufacturing process and evaluation of ingredient
suppliers,
We hereby
declares that the following excipients manufactured in our facility comply to
GMP regulations or other regulations/standards for manufacture of excipients
applied by other international organizations or foreign regulatory authorities
prescribed in Point dd Clause 12 Article 23 of Circular No. 32/2018/TT-BYT and
are suitable for the purposes of manufacture of the drug product or medicinal
ingredient:
No.
Name of excipient
Excipient manufacturer
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Applied standards
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We are
legally individual this declaration./.
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APPENDIX 3
(Promulgated together with Circular No. 29/2020/TT-BYT
dated 31/12/2020 of the Minister of Health)
APPENDIX IIA
GOOD MANUFACTURING PRACTICES: PHARMACEUTICAL EXCIPIENTS
(The Ministry of Planning and Investment Circular No. 35/2018/TT-BYT dated
November 22, 2018 of the Minister of Health)
TABLE OF CONTENTS
1.
General considerations
2.
Glossary
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4.
Equipment
4.1. Use
of equipment
4.2.
Cleaning programme
4.2.1.
Detailed cleaning procedure
4.2.2.
Sampling plan
4.2.3. Analytical
methods/cleaning limits
5.
Materials
5.1.
General
5.2.
Starting materials
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5.4.
Returned excipients
5.5.
Storage practices
6.
Documentation
6.1.
General
6.2.
Specifications
6.3.
Batch production records
6.4.
Other documents
7. Good
practices in production and quality control
7.1.
Change control and process validation
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7.2.1.
Prevention of cross-contamination
7.2.2.
In-process blending/mixing
7.2.3.
Control of microbial contamination
7.2.4.
Water systems/water quality
7.2.5.
Packaging operations
7.2.6.
Delivery
7.3. Good
practices in quality control
7.3.1.
General
7.3.2.
Control of starting materials
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7.3.4.
Quality records and retention samples
7.3.5. Stability
studies
7.3.6.
Expiry/re-evaluation dating
7.3.7.
Calibration of measuring and test equipment
1.
General considerations
These
guidelines, which focus on aspects of good manufacturing practices (GMP) specific
for pharmaceutical excipients, supplement the general GMP guidelines for
pharmaceutical products published by WHO. They also incorporate some of the
concepts for quality management systems determined by the International
Organization for Standardization (ISO).
Excipients
significantly affect the finished product quality, in some cases making up
almost the entire formulation. Many pharmaceutical excipients are used in much
greater quantities in other industries such as the food, cosmetic or industrial
chemical industry. Consistency and rigour of product specifications may not be
as critical in these industries as they are for pharmaceuticals, and many of
the excipients used are highly variable . Therefore, a programme must be in
place which will monitor these excipients and provide the necessary assurance
that they meet the quality parameters for pharmaceutical manufacturing
processes. The purpose of this document is to lay out some criteria which may
be used to achieve this level of assurance.
The formulator
of the finished dosage form is highly dependent on the excipient manufacturer
to provide bulk substances that are uniform in chemical and physical
characteristics. This is particularly important in the product approval
process, where bioequivalence comparisons are made between clinical
bioequivalence (“biobatch”) production and commercial scale-up batches. To
provide adequate assurance of drug product performance in vivo, the excipient
used to manufacture commercial batches should not differ significant from what
used in biobatches. Where significant differences may be expected, additional
testing by the finished dosage manufacturer may be required to establish the
bioequivalence of the finished product. It remains equally important to ensure
that the bioequivalence of the subsequent, post-approval commercial batches of
drug products is not adversely affected over time.
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In the
manufacture of excipients, the environmental conditions, equipment and
operational techniques employed reflect the chemical industry rather than the
finished drug manufacturing industry. In some processes chemical and
biochemical mechanisms have not been fully characterized; therefore, the
methods and procedures for materials accountability will often differ from
those applicable to the manufacture of finished dosage forms. Many chemical
processes are performed in closed systems that tend to provide protection
against contamination, even when the reaction vessels are not enclosed in
buildings. However, this does not preclude the introduction of contaminants
from equipment, materials used to protect equipment, corrosion, cleaning and
personnel.
Some
excipient manufacturing processes may require observance of GMP applicable to
finished drug products or bulk active ingredients because of the excipient’s
intended use. However, such observance is neither feasible nor necessary in
many processes, particularly during the early processing steps. The
requirements increase as the process progresses. At some logical processing
step, usually well before the final finishing operation, appropriate GMP should
be imposed and maintained throughout the remainder of the process. To determine
the processing step at which these GMP should be implemented, good judgment and
a thorough knowledge of the process are required. A detailed process flow
should identify the unit operations, equipment used, stages at which various
substances are added, key steps in the process, critical parameters (time,
temperature, pressure, etc.) and monitoring points.
An excipient
manufacturer should be able to identify critical or key points in the process
where selective intermediate sampling and testing is necessary in order to
monitor process performance. Towards the end of the process, the records should
be increasingly thorough.
Significant
processing steps, required to produce an excipient that meets the established
physical and chemical criteria, should be identified by the excipient
manufacturer. These steps can involve a number of unit operations or unit
processes. Unit operations include physical processing steps involving energy
transfer where there is no chemical change of the molecule. Unit processes are
those processing steps where the molecule undergoes a chemical change.
Significant
processing steps include but are not limited to the following:
- Phase
changes involving either the desired molecule, a solvent, inert carrier or
vehicle (e.g. dissolution, crystallization, evaporation, drying, sublimation,
distillation or absorption).
- Phase
separation (e.g. filtration or centrifugation).
-
Chemical changes involving either the desired molecule (e.g. removal or
addition of water of hydration, acetylation, formation of a salt).
-
Adjustments of the solution containing the molecule (e.g. adjustment of pH).
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- Mixing
of multiple components.
- Changes
that occur in the surface area, particle size or batch uniformity (e.g.
milling, agglomeration, blending).
Automated
process controls and processing equipment are more likely to be used in an
excipient plant than in a plant manufacturing finished dosage forms. Use of
automated equipment is appropriate when adequate inspection, calibration and
maintenance procedures are performed. Production equipment and operations will
vary depending on the type of excipient being produced, the scale of
production, and the type of operation (i.e. batch versus continuous).
ISO
“certification” for excipient manufacture is increasingly being required by
final dosage formulators in the USA, Europe and Japan. Compliance to ISO 9000
series, in particular to ISO 9002, can confer greater acceptability of a
supplier’s excipients in world markets. There is additional value to applying
the principles of ISO 9000 to excipient manufacture, since quality system
measures enhance GMP. Such ISO considerations as conformance to specific
customer requirements, purchase of raw materials and statistical techniques
benefit both the excipient customer and the manufacturer, and strengthen the
relationship between the two.
It is
therefore recommended that excipient manufacturers establish and implement a
formal company-wide quality policy. Management should be committed to this
policy and should appoint appropriate company personnel to be responsible for
coordination and implementation of the quality system. Management should
participate in the development of the company’s quality policy and provide the
resources necessary for development, maintenance and periodic review of such a
policy and quality system. Any significant changes in the processes should be
validated with respect to excipient performance. It is recommended that all
pharmaceutical manufacturers and also local agents should be informed of these
changes. Ideally, excipient manufacturers should not subcontract any part of
their process without the explicit knowledge of the pharmaceutical
manufacturer.
Safe
handling instructions should be provided by the excipient manufacturer to
ensure that the purchaser is adequately equipped to handle the material. This
should include information on the material’s toxicity and the measures to be
taken upon accidental exposure. The equipment requirements for proper handling
of the material should also be established.
2.
Glossary
The
definitions given below apply to the terms used in these guidelines.
They may
have different meanings in other contexts.
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The
blending of carry-over material from one grade of an excipient with another,
usually due to a continuous process.
* drug
master file (exclusively applied to regulations of USA)
Detailed
information concerning a specific facility, process or product submitted to the
drug regulatory authority, intended for incorporation into the application for
marketing authorization.
* model
product
A product
which simulates a group of similar products.
* mother
liquor
A
concentrated solution from which the product is obtained by evaporation,
freezing and/or crystallization.
* pharmaceutical
excipients
Substances
other than active ingredient , which have been appropriately evaluated for
safety and are included in a drug delivery system to:
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Protect, support or enhance stability, bioavailability, or patient
acceptability;
- Assist
in product identification; or
- Enhance
any other attribute of the overall safety and effectiveness of the drug during
storage or use.
3.
Self-inspection and quality audit
An inspection
team consisting of appropriate personnel (e.g. auditors, engineers, laboratory
analysts, purchasing agents, computer experts) should participate in
inspections. The operational limitations and validation of the critical
processing steps of a production process should be examined, to make sure that
the manufacturer is taking adequate steps to check that the process works
consistently.
The
exicpient’s end use should be identified and considered during inspection of
excipient manufacturers. It is particularly important to know whether the
excipient is a direct or indirect component of a drug dosage form; whether the
excipient will be used in the preparation of a sterile dosage form; and whether
the excipient is presented as pyrogen/endotoxin free. The excipient
manufacturer is responsible for ensuring that the excipients are pyrogen free
if the manufacturer makes such a representation in specifications, labels or a
drug master file.
A good
starting point for an excipient plant inspection is a review of the following
areas:
-
Non-conformance, such as the rejection of a batch not complying with
specifications, return of a product by a customer, or recall of a product. The
cause of non-conformance should have been determined by the manufacturer, a
report of the investigation prepared, and subsequent corrective actions
initiated and documented. Records and documents should be reviewed to ensure
that such non-conformance is not the result of a poorly developed or
inconsistent process.
-
Complaint files. Customers may report some aspects of product attributes that
are not entirely suitable for their use. These may be caused by impurities or
inconsistencies in the excipient manufacturing process.
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- Master
formula and batch production records. Frequent revisions may reveal problems in
the production process.
-
Specifications for the presence of unreacted intermediates and solvent residues
in the finished excipient.
- Storage
areas for rejected products.
In
evaluating the adequacy of measures taken to preclude contamination of
materials in the process, it is appropriate to consider the following factors:
- Type of
system (e.g. open or closed). “Closed" systems in chemical plants are
often not closed when they are being charged and/or when the final product is
being removed. Also, the same reaction vessels are sometimes used for different
reactions.
- Form of
the material (e.g. wet or dry)
- Stage
of processing and use of the equipment and/or area (e.g. multipurpose or
dedicated)
Other factors
that should be considered in evaluating an excipient plant are:
- Degree
of exposure of the material to adverse environmental conditions.
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- Sterile
versus non-sterile operations.
4.
Equipment
4.1. Use of
equipment
Many
excipients are produced using multipurpose equipment. Fermentation tanks,
reactors, driers, grinders, centrifuges and other pieces of equipment are
readily used or adapted for a variety of products. With few exceptions such
multiple usages is satisfactory provided the equipment can be adequately
cleaned according to written procedures. Equipment that contains tarry or gummy
residues that cannot be removed easily should be dedicated for use with these
products only.
Some
fermentation tanks, reaction vessels, and other equipment are not situated
within a building and a considerable amount of processing occurs in a closed
system.
Where
temperature control is important, temperature recording devices should be used,
with recording charts kept as part of the batch record.
4.2.
Cleaning programme
Where
multipurpose equipment is in use, it is important to be able to determine
previous usage when investigating cross-contamination or the possibility of
such contamination. An equipment cleaning and use log, while desirable and
perhaps preferable, is not the only method of determining prior use. Any
documentation system which clearly identifies the previous batch and shows that
the equipment was cleaned is acceptable. For operations where multiple grades
of the same chemical entity are processed, there must be documentation showing
that the previous grade was removed. Validation data must exist to prove
acceptability of the cleaning procedure.
Cleaning
of multiple-use equipment should be confirmed. The manufacturer should
determine the effectiveness of the cleaning procedures for each excipient or
intermediate chemical used in that particular piece of equipment. The
validation data required depend on the types of raw materials being made in the
multiple-use equipment and the impact of trace contaminants on drug safety and
performance. Validation data should verify that the cleaning process has
removed residues to an acceptable level.
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4.2.1.
Detailed cleaning procedure
There
should be a written equipment cleaning procedure that provides details of what
should be done and which cleaning materials should be used. Some manufacturers
list the specific solvents used for each excipient and intermediate.
4.2.2.
Sampling plan
There
should be some periodic testing after cleaning to ensure that the surface has
been cleaned to the required level. One common method is to analyze the final
rinse water or solvent for the presence of the substance last used in that
piece of equipment. In some cases, visual inspections may be appropriate. A
specific analytical method to determinate residual substances may not always be
available, but is preferred. The need for an analytical method would be based
on the potential adverse effect on product quality, performance or safety. When
safety is a concern, there should be a specific analytical determination for a
residual substance.
4.2.3.
Analytical methods/cleaning limits
The
toxicity of the residual materials should be considered when deciding on the
appropriate analytical method and the residual cleaning limits. The residual
limits established for each piece of apparatus should be practical, achievable
and verifiable. The manufacturer should be able to show, with supporting data,
that the residual level permitted is scientifically based. Another factor to
consider is the possible non-uniformity of the residue. The level of residue
found by random sampling, such as taking a swab from a limited area on a piece
of equipment, does not necessarily represent the highest level of
contamination.
5.
Materials
5.1.
General
In case
of labile products that may be sensitive to environmental factors such as air,
light, water, heat or cold, appropriate manufacturing and storage conditions
must be used to ensure product quality throughout the process.
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The
excipient manufacturer should verify that the supplier of starting materials
and components can meet the agreed-upon requirements. This may require periodic
audits of the vendor’s plant if necessary. Purchasing agreements should contain
data clearly describing the product ordered including, where applicable, the
following:
- The
name, type, class, style, grade, item code numbers or other precise
identification as appropriate.
-
Drawings, process requirements, inspection instructions and other relevant
technical data, including requirements for approval or verification of product,
procedures, process equipment and personnel.
Starting
materials, including solvents and recovered solvents, are sometimes stored in
silos or other large containers, making precise separation of batches
difficult. Usage of such materials should be demonstrated, via inventory or
other records, with reasonable accuracy.
When
purchased and recovered solvents are commingled, the suitability of the
recovered solvent must be demonstrated through either validation or actual
testing. The purchased materials should comply with existing specifications.
Outdoor
storage of starting materials (e.g. acids, other corrosive substances,
explosive materials) is acceptable if the containers give suitable protection
to their contents, identifying labels remain legible and containers are
adequately cleaned prior to opening and use.
5.3.
Rejected and recovered materials
Any
starting material, intermediate or finished excipient not complying with
specifications must be clearly identified and segregated to prevent inadvertent
use or release for sale. A record of non-compliance should be maintained. All
cases of non-compliance should be investigated to identify the root cause.
These
materials may be:
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Regraded for alternative applications; or
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Rejected or scrapped.
Occasional
reprocessing/reworking of an excipient may be acceptable. However, relying on
the final testing only of the reprocessed excipient to demonstrate compliance
to specification is not acceptable. The quality of the reprocessed material
must be evaluated and documented showing adequate investigation and
demonstrating that the reprocessed excipient is at least equivalent to other
acceptable excipients. When reprocessing has to be done frequently, it may be
an indication that the process, work instruction or training is inadequate and
needs to be adjusted or reinforced.
5.4.
Returned excipients
Returned
excipients should be identified as such and kept. If the conditions under which
the products have been stored and shipped or if the condition of the container
itself casts doubt on the safety, quality or purity of the excipient, the
product should be destroyed, unless thorough examination, testing, or other
investigation shows that the product meets the appropriate predefined
standards. If returned excipient containers are reused, all previous labelling
should be removed or defaced. If the containers are used repeatedly solely for
the same excipient, all previous batch numbers, or the entire label, should be
removed or completely obliterated.
5.5.
Storage practices
Pharmaceutical
excipients should be stored under conditions established by the manufacturer on
the basis of stability data. Records should be kept of the distribution of each
batch of pharmaceutical excipient, to facilitate the recall of the batch if
necessary, according to written procedures.
6.
Documentation
6.1.
General
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The
following minimal requirements for documentation should be applied:
- To
assign a unique batch number to the excipient to be released and/or certified.
- To
prepare a batch record.
- To
demonstrate that the batch has been prepared under GMP conditions from the
processing point at which excipient GMP have been applied.
- To
demonstrate that the batch is homogeneous within the manufacturer’s
specifications. This does not require a final blending of continuous process
material, if process controls can demonstrate compliance with specifications
throughout the batch.
- To demonstrate
that the batch has not been commingled with material from other batches for the
purpose of either hiding or diluting an adulterated substance.
- To
demonstrate that the batch has been sampled in accordance with a sampling plan
that ensures a representative sample of the batch is taken.
- To
demonstrate that the batch has been analyzed using scientifically established
tests and methods designed to ensure that the product meets accepted standards
and specifications for quality, identity and purity.
- To
demonstrate that the batch has stability data to support the intended period of
use; these data can be obtained from actual studies on the specific excipient
or from the applicable “model product” stability studies that can reasonably be
expected to simulate the performance of the excipient.
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Starting
material specifications should be organized to separate those tests that are
routine from those that are performed infrequently or only for new suppliers.
Relevant pharmacopoeial monographs, when available, provide a basis for
the development of internal manufacturer’s specifications.
A
positive identification test uniquely applicable to the excipients should be
established through analytical technology, such as infrared spectrophotometry
and chromatography.
It is
important that manufacturers identify and set appropriate limits for
impurities. These limits should be based upon appropriate toxicological data,
or limits described in national compendial requirements. Manufacturing
processes should be adequately controlled so that the impurities do not exceed
such established specifications.
Many
excipients are extracted from or purified by the use of organic solvent. These
solvents are normally removed by drying the moist excipient. In the view of the
varying and sometimes unknown toxicity of solvents, it is important that
excipient specifications include tests and limits for residues of solvents and
other reactants.
Container
specifications should be established for all excipients to assure consistency
in protecting the product during transport from the excipient manufacturer to
the pharmaceutical producer. The specifications should not only provide for
containers that maintain the stability of the product, but should also meet requirements
for protection during shipping, against insect infestation, during handling,
etc.
6.3.
Batch production records
Computer
systems are increasingly used to initiate, monitor, adjust and otherwise
control manufacturing processes. These operations may be accompanied by
recording charts that show key parameters (e.g. temperature) at suitable
intervals, or even continuously, throughout the process. In other cases, key
measurements (e.g. pH) may be displayed temporarily on a monitor screen, but
are not available in hard copy.
Records
showing addition of ingredients, actual performance of operations by
identifiable individuals, and other information usually seen in conventional
records, may be missing. When computers and other sophisticated equipment are
employed, the emphasis must be change from conventional, hand-written records
to:
- Systems
and procedures that show the equipment and software are in fact performing as
intended;
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- Retention
of suitable back-up systems such as copies of the program and files, duplicate
tapes or microfilm;
-
Assurance that changes in the program are made only by authorized personnel and
that they are clearly documented and validated.
6.4.
Other documents
Shipping
and storage requirements should be established to ensure that the product
reaches the manufacturer with proper quality attributes. This should be
mutually agreed upon between the vendor and purchaser and established prior to
transportation of product.
Written
procedures should be established and followed for maintenance of equipment. All
maintenance activities performed must be recorded. This may be in the form of a
log, computer database or other appropriate documentation, as long as the system
can identify who was responsible for performing each function.
7.
Good practices in production and quality control
7.1.
Change control and process validation
Process
changes may lead to changes in inherent product characteristics. Manufacturers
should have a formal process change system in place, with written standard
operating procedures covering such changes. Management of the change system
should be assigned to an independent quality unit having responsibility and
authority for final approval of process changes.
Excipient
manufacturers often produce laboratory or pilot batches. Scale-up to commercial
production may involve several stages and data should be reviewed to
demonstrate the adequacy of the scale-up process. Scale-up may introduce
significant problems of consistency between patches. Pilot batches should serve
as the basis for establishing in-process and finished product purity
specifications.
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A
document comprising scale-up data and describing the process reactions,
operating parameters, purifications, impurities and key tests needed for
process control should be written. A retrospective analysis of historical data
(through statistical data and process capability data analysis) as well as the
previous documentation will provide a good basis for validation.
7.2. Good
practices in production
7.2.1.
Prevention of cross-contamination
Potential
for cross-contamination should be considered in the design of the manufacturing
process and facility. The degree to which cross-contamination should be
minimized depends on the safety and intended use of the excipient.
The
precautions taken to minimize cross-contamination should be appropriate to the
conditions of the manufacturing facility and will take account of the range of
materials manufactured. When the excipient product is initially recovered, it
should be in a clean environment and not exposed to airborne contaminants, such
as dust from other excipient or industrial chemicals. Typically, the damp
product will be unloaded into clean, covered containers and transported for
drying and other manipulations. These subsequent operations should be performed
in separate areas or under controlled conditions because once dry, the
excipient is more likely to contaminate its environment, including any
surrounding products. The primary consideration is that the building and
facilities should not contribute to an actual or potential contamination of the
excipient.
The air
handling systems at the site of manufacture should be designed to prevent
cross-contamination. In dedicated areas processing the same excipient, it is
permissible to recycle a portion of the exhaust air back into the same area.
The adequacy of such a system of operation for multi-use areas, especially if
several products are processed simultaneously, should be carefully analyzed. in
multi-use areas where several products are completely confined in closed vessels
and piping systems, filtration of the supply air (combined fresh make-up air
and recycled air) is acceptable if the conditions are consistent with other
existing regulations (e.g. environmental, safety).
In those
areas where the excipient is in a damp or moistened form, such as filter or
centrifuge cake, and may be exposed to room air, filter efficiencies in the
supply air system as low as 85% may be adequate. In those areas where one or
more of the products is being processed in a dry form, such filtration may not
be enough to prevent cross-contamination. In all cases, manufacturers should be
able to demonstrate the adequacy of their air handling systems.
Excipient
manufacturers should have a documented programme identifying all insecticides,
pesticides, rodenticides and herbicides used at the site manufacture. Adequate
measures should be taken to prevent these agents contaminating the excipients.
7.2.2.
In-process blending/mixing
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Collection of multiple batches or continuous accumulation of batches with
defined endpoint in a single holding tank (with a new batch number).
-
Recycling material from one batch for further use in a subsequent batch.
-
Repeated crystallizations of the same mother liquor for better yield of
crystals.
-
Collecting several centrifuge loads in a single drier/blender.
Incidental
carry-over is another type of in-process mixing that frequently occurs.
Examples include:
- Residue
adhering to the wall of micronizer used for milling the finished excipient.
-
Residual layer of damp crystals remaining in a centrifuge bowl after discharge
of the bulk of the crystals from a prior batch.
-
Incomplete discharge of fluids, crystals or particles from a processing vessel
upon transfer of the material to the next step in the process.
These
residues are usually acceptable since clean-up between successive batches of
the same excipient is not normally required during production. However, in the
case of non-dedicated production units, complete cleaning procedures designed
to prevent contamination that would alter the quality of the substance must be
employed when changing from one excipient to another. Checking the
effectiveness of these cleaning procedures may require the use of analytical
testing for the substances involved.
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- The
final blending operation to produce the finished batch;
- The
point in the process at which the batch number is assigned;
- The
sampling procedure used to obtain the sample that is intended to be
representative of the batch.
Blending
of excipient batches to salvage adulterated material is not an acceptable
practice.
Mother
liquors containing recoverable amounts of excipients are frequently reused.
Secondary recovery procedures for such excipients are acceptable, if the
recovered excipient meets it specifications and if recovery procedures are
indicated in batch production records. Secondary recovery procedures for
reactants and intermediates are acceptable provided that the recovered
materials meet suitable specifications.
7.2.3.
Control of microbial contamination
The manufacture
of sterile excipients for use in aseptic/sterile processing presents technical
challenges. It is essential that adequately qualified and trained personnel be
used to supervise and perform procedures associated with the manufacture of
sterile excipients. The environment in which procedures are conducted, and the
operators themselves, are significant potential source of contamination in
aseptic operations. Processes should be designed to minimize contact between
excipient and the environment and the operators. Those aseptic excipient
operations which require considerable operator involvement must have adequate
controls. Major potential problem areas include aseptic removal of the
excipient from centrifuges, manual transfer to drying trays and mills, and the
inability to sterilize the drier. Not all equipment currently in use can be
sterilized.
The
excipient manufacturer must document the cleaning of critical processing
equipment such as centrifuges and driers. Any manipulation of sterile
excipients after sterilization must be performed as a validated aseptic
process. This is particularly important for those excipients which are not
further sterilized prior to packaging into final containers. In some instances,
the compendial monographs may specify that an excipient which does not meet
parenteral grade standards must be labelled as not suitable for use in the
preparation of injectable products.
Some
manufacturers of non-sterile excipients use heat, gamma radiation and other
methods to reduce the microbial burden. These methods are acceptable provided
the manufacturer has shown that the product meets microbial requirements and
that the process is under control within the manufacturer’s specifications. Any
procedure should be validated in accordance with recognized international
standards to demonstrate that the process will produce the intended result.
Post-production treatment of excipients should not be used as a substitute for
attention to microbiological control during production.
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Special
environments required by some processes must be monitored at all times to
ensure product quality (e.g. inert atmosphere, protection from light). If
interruptions in the special environment occur, adequate evidence must be
provided that they have not compromised the quality of the excipient. Such
environmental concerns become increasingly important after purification of the
excipient has been completed.
The
environment to which the excipient may be exposed should be similar to that
used in the manufacture of the final dosage form. This is especially true in
the case of excipients intended for parenteral dosage forms. For example,
controlled areas may need to be established along with appropriate air quality
classifications. Such areas should be serviced by suitable air handling systems
and there should be adequate environmental monitoring programmes. Any
manipulation of sterile excipient after sterilization must be performed as an
aseptic process, using Class 100 air and other aseptic controls.
7.2.4.
Water systems/water quality
While
drinking water is used for many excipient processes, purified water is also
widely used. Because of the well-known potential for microbial growth in
deionizers and ultrafiltration or reserve osmosis systems used to produce
purified water, such systems must be properly validated and checked. Proper
control methods include the establishment of water quality specifications and
corresponding action levels, remedial action when microbial levels are exceeded
and adequate maintenance procedures such as regeneration and
sanitation/sterilization.
Appropriate
specifications for chemical and microbial quality should be established and
periodic testing conducted. Such specifications will vary depending on the
process and the point in the process when the water is used. For example, in
some cases, if the water is used in later processing steps such as for a final
wash of the filter cake, or if the excipient is crystallized from an aqueous
system, the water quality standards may need to be higher than normally
specified or purified water. This is particularly important where the
excipient’s intended use is in parenteral dosage forms. The frequency of
microbial and chemical testing of purified water depends on a variety of
factors, including the test results and the point in the process (e.g. final
wash in centrifuge) at which such water is used.
Most
purified water and water for injection systems, including reverse osmosis and
ultrafiltration systems, have the potential for endotoxin contamination. If the
final excipient is supposed to be pyrogen free or sterile, or will be used in
preparing parenteral products, validation of the system to control endotoxins
should be conducted and routine testing of the process water for endotoxins
should be performed (preferably by the LAL (Limulus amoebocyte lysate) method).
7.2.5.
Packaging operations
When the
programme for packaging operations is being set up, particular attention should
be given to minimizing the risk of cross-contamination, mix-ups, or
substitutions. Different products should not be packaged in close proximity
unless there is physical segregation or the use of electronic surveillance.
7.2.6.
Delivery
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7.3. Good
practices in quality control
7.3.1.
General
The
quality control unit, in addition to having the responsibility and authority to
approve or reject all components, in-process materials, packaging materials and
finished excipients, and to review production records, etc., should also be
responsible for approving or rejecting excipients manufactured, processed,
packaged, or held under contract by another company, as well as for approving
or rejecting all procedures, specifications and process changes having an
effect on the quality of the excipient.
7.3.2.
Control of starting materials
All
starting materials must be tested or otherwise verified prior to use.
Verification should include a certificate of analysis from the supplier and, wherever
feasible, an identification test. There should be clear guidance or standard
operating procedures established for the approval of each starting material.
Starting
materials are usually subjected to an identity test and additional testing to
confirm that they meet appropriate specifications. Some starting materials may
not be acceptance tested by the manufacturer because of the hazards involved or
other valid considerations. In such cases, quality certification for each batch
from the vendor should be on file. There should always be some evidence of an
attempt by the excipient manufacturer to establish identity, even if it is only
a visual examination of containers, examination of labels, or recording of
batch numbers from the labels.
7.3.3.
In-process testing
In-process
inspection and testing should be performed by monitoring the process or by
actual sample analysis at defined locations and times. The result should
conform to established process parameters or acceptable tolerances. Work
instructions should delineate the procedure to follow and how to use the
inspection and test data to control the process.
7.3.4.
Quality records and retention samples
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All
quality records should be legible and identifiable to the product involved.
Quality records should be stored and maintained in such a way that they are
readily retrievable, in facilities that provide a suitable environment to minimize
deterioration or damage and to prevent loss. Retention times of quality records
should be established and recorded. Where agreed contractually, quality records
should be made available for evaluation by the purchaser or the purchaser’s
representative for an agreed period.
All
appropriate records relating to inspection and testing must be available for
review. Where the process is continuously monitored, acknowledgement must be
made of this and the result of the monitoring should be available.
Reserve
samples of the released excipient should be retained for 1 year after the
expiry or re-evaluation date, or for one year after distribution is complete.
Sample size should be twice the amount required to perform release
specification testing.
7.3.5.
Stability studies
Many
excipient products are very stable and may not require extensive testing to
check stability. The stability of some excipients may be affected by undetected
changes in starting material specifications, or subtle changes in manufacturing
procedures. Excipients may also be shipped in a large variety of different
packaging types that can affect their stability (e.g. metal and plastic drums,
bags, plastic and glass bottles, bulk tanks).
Some
excipients may be similar in chemical structure to other excipients, and some
may be mixtures or blends of other excipients. These excipients may be very
similar to others within a product group. Minor quantitative differences of
some of the components may be the only significant variation from one product to
another. For these excipients, a “model product” approach to assess the
stability may be appropriate. Stability studies of this type should involve
selection of several “model products” that would be expected to simulate the
stability of the product group being assessed. This selection must be
scientifically based. Data from stability studies of these “model products” can
be used to determine the theoretical stability of similar products.
The full
stability testing programme, when needed, usually contains the following
features and takes into account historical data:
- The
programme should be formalized in writing and ongoing studies should be
reviewed at least annually.
- The
programme should periodically include a sample from at least one commercial size
batch.
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- The
samples should be stored under conditions similar to those recommended for the
marketed excipient product.
-
Additional samples may be stored under stress conditions (e.g. elevated
temperature, light, humidity or freezing) if such conditions might reasonably
be encountered during distribution and storage.
-
Stability-indicating test methods should be used.
- Where
stability of the excipient appears to be a significant issue is its use in
pharmaceutical manufacturing, additional periodic testing of either the
specific material or “model products” may have to be performed to ensure that
the expected stability does not significantly change with the future batches.
The frequency of testing should be determined by the impact that the
excipient’s stability may have on its usage
7.3.6.
Expiry/re-evaluation dating
Conducting
a stability testing programme does not necessarily mean that expiry dates must
be used. Where stability testing indicates a limited shelf-life, the label
should declare an expiry date of indicate the need for re-evaluation testing at
an appropriate interval to assure quality at time of use. If the need for
special storage conditions exists (e.g. protection from light, heat) such
restrictions should be placed on the label.
7.3.7.
Calibration of measuring and test equipment
All
measuring and test equipment identified as being part of the quality system
should be properly calibrated and maintained. This includes all in-process
instruments identified as critical quality instruments, as well as test
equipment used in the laboratory. The control programme should include the
standardization or calibration of reagents, instruments, apparatus, gauges and
recording devices at suitable intervals, in accordance with an established
written programme containing specific directions, schedules, limits for
accuracy and precisions, and provisions for remedial action in the event that
accuracy and/or precision limits are not met. reagents, instruments, apparatus,
gauges and recording devices not meeting established specifications should not
be used. Computer systems used to verify that the product conforms to
specifications must be audited to ensure satisfactory performance in the
laboratory.
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SOCIALIST REPUBLIC OF VIETNAM
Independence - Freedom – Happiness
----------------
No. :…
Tel/Fax:
<Location, date>
REPORT (1)
Violations committed by bidders during bidding and supply
of drugs
To:
..........................................................................
Pursuant
to Clause 4 Article 5 of Circular No. 15/2019/TT-BYT, .... <name of
reporting unit> .... prepares a report on Violations committed by bidders
during bidding and supply of drugs in the year:
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Drug name
Business registration certificate/import license of
violating products
Bidder’s name
Violations
(2)
Violation time
Violation records
Notes
I.
Violations during contract execution (3)
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II.
Violations during drug recall (3)
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III.
Other violations (3)
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Notes: (1) In
consideration of the reporting unit’s reports and documents mentioned in Clause
4 Article 5 of Circular No. 15/2019/TT-BYT, Drug Administration of Vietnam will
publish this report on its website for 12 months.
(2)
Specify the violations committed by the bidders during the bidding process and
execution of contracts for drug supply against applicable regulations on drug
bidding and relevant regulations.
( 3)
Documents proving the violations and actions taken by competent persons must be
provided.
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APPENDIX 5
(Promulgated together with Circular No. 29/2020/TT-BYT
dated 31/12/2020 of the Minister of Health)
Criteria
Scale
Score
1.
The offered drug products are manufactured by a production line that (1):
24
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a) In a
country with reference authorities.
24
b) In a
country with a SRA but without reference authorities
22
c) In a
country other than those mentioned in (a) and (b).
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20
1.2.
Comply with PIC/S-GMP regulations in a that is both a PIC/S and ICH member
country
20
1.3.
Comply with GMP regulations:
a) as
evaluated by a Vietnamese pharmaceutical authority, and the drug undergoes
processing/technology transfer in Vietnam from a SRA country.
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b) in
Vietnam and is evaluated by a Vietnamese pharmaceutical authority as in
compliance with WHO-GMP.
23
1.4.
Cases other than those specified in 1.1, 1.2 and 1.3
19
13.
The drug product is provided by a bidder with good reputation in contract
execution (11):
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8
13.2.
The bidder was awarded the contract by the reporting unit and:
a)
provides drugs on schedule under the contract
10
b)
fails to provide drugs on schedule under the contract
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8
13.3.
The bidder has not been awarded any contract by the reporting unit
8
Notes:
(1):
If the drug is manufactured in Vietnam and satisfies more than one criterion,
the highest score shall apply. In case multiple manufacturers participate in
the manufacturing process of the drug, the score will be given according to the
manufacturer with the lowest GMP regulations. For foreign drugs that are
processed or undergo technology transfer in Vietnam, GMP regulations of the
hiring or transferring party shall apply).
(11)
This will be evaluated according to:
- Information
about violations committed by the bidder during supply of drugs for health
facilities nationwide published on the website of Drug Administration of
Vietnam at http://www.dav.gov.vn.
-
Execution of drug supply contracts between the bidder and the reporting unit.
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APPENDIX 6
LIST OF ABROGATED LEGISLATIVE DOCUMENTS
(Promulgated together with Circular No. 29/2020/TT-BYT dated 31/12/2020 of
the Minister of Health)
A.
LIST OF WHOLLY ABROGATED LEGISLATIVE DOCUMENTS
I.
Food safety
1.
Decision
No. 01/2006/QD-BYT dated 09/01/2006 of the Ministry of Health promulgating
the “Regulations on reporting and model reports on food safety under the
management of health authorities”
2.
Decision
No. 12/2006/QD-BYT dated 9/3/2006 of the Ministry of Health on management
hierarchy and participation in state management of food safety in the health
sector
3.
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4.
Circular
No. 11/2013/TT-BYT dated 08/4/2013 of the Minister of Health on appointment
and management of conformity-certifying organization
5.
Circular
No. 11/2014/TT-BYT dated 18/3/2014 of the Minister of Health on management of
rapid test kits
6.
Joint
Circular No. 13/2014/TTLT-BYT-BNNPTNT-BCT dated 09/4/2014 of the Ministry of
Health, the Ministry of Agriculture and Rural Development and the Ministry of
Industry and Trade on assignment of tasks and cooperation in state management
of food safety.
II.
PHARMACEUTICALS - COSMETICS
7.
Decision
No. 47/2007/QD-BYT dated 24/12/2007 of the Minister of Health on application
of good manufacturing practice, good laboratory practice, good storage
practice and good distribution practice to facilities manufacturing, testing,
selling, distributing, exporting, importing, storing vaccines and biologics.
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Circular
No. 02/2007/TT-BYT dated 24/01/2007 of the Minister of Health elaborate some
Articles of the Law on Pharmacy and the Government's Decree No. 79/2006/ND-CP
dated August 09, 2006 on conditions for drug business
9.
Circular
No. 13/2015/TT-BYT dated 28/05/2015 of the Minister of Health amending Clause
2 Article 21 of Circular No. 47/2010/TT-BYT
10.
Circular
No. 44/2014/TT-BYT dated November 25, 2014 of the Minister of Health on drug
registrations
11.
Circular
No. 32/2019/TT-BYT dated 16/12/2019 of the Minister of Health amending Clause
4 Article 4 and Appendix No. 01-MP of Circular No. 06/2011/TT-BYT on
cosmetics management
III.
PLANNING - FINANCE
12.
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13.
Joint Circular
No. 03/TT-LB dated 04/03/1994 of the Ministry of Health and the Ministry of
National Defense on combination between military and civilian medicine units
in provision of care for disaster victims.
IV.
SCIENCE, TECHNOLOGY AND TRAINING
14.
Circular
No. 03/2012/TT-BYT dated 02/02/2012 of the Minister of Health on clinical
drug trial
V.
PERSONNEL MANAGEMENT
15.
Decision
No. 3051/2000/QD-BYT dated 29/08/2000 of the Ministry of Health on contents
and forms of examinations for promotion of health officials.
16.
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17.
Joint
Circular No. 02/2008/TTLT-BYT-BNV dated 24/01/2008 of the Ministry of Health
and the Ministry of Home Affairs providing guidance on implementation of the
Government’s Decree No. 43/2006/ND-CP on autonomy in personnel management,
organizational structure, payrolls and finance of public service providers in
the health sector.
18.
Joint
Circular No. 06/2010/TTLT-BYT-BNV-BTC dated 22/03/2010 of the Ministry of
Health and the Ministry of Home Affairs providing guidance on implementation
of the Government’s Decree No. 64/2009/ND-CP on benefits for health officials
and public employees working in extremely disadvantaged areas
VI.
MEDICAL EQUIPMENT AND WORKS
19.
Circular
No. 07/2002/TT-BYT dated 30/05/2002 of the Minister of Health on applying for
marketing authorization of medical devices.
20.
Decision
No. 1629/2001/QD-BYT dated 23/05/2001 of the Minister of Health promulgating
10 health sector standards for medical devices.
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Decision
No. 326/2002/QD-BYT dated 04/02/2002 of the Minister of Health promulgating
09 health sector standards for medical devices.
22.
Decision
No. 4380/2003/QD-BYT dated 18/08/2003 of the Minister of Health promulgating
8 health sector standards for medical devices.
VII.
MEDICAL ENVIRONMENT MANAGEMENT
23.
Circular
No. 05/1999/TT-BYT dated 27/03/1999 of the Minister of Health on registration
and licensing use of substances subject to stringent labor hygiene
regulations.
24.
Directive
No. 12/2001/CT-BYT dated 20/11/2001 of the Minister of Health on organization
of the annual National Week of “Labor Hygiene and Safety, Fire Safety”.
25.
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26.
Circular
No. 02/2003/TT-BYT dated 28/03/2003 of the Minister of Health providing
guidance on execution of the Programme for cooperation in improvement of
public healthcare.
27.
Decision
No. 26/2007/TT-BYT dated 19/4/2007 of the Minister of Health abrogating
Decision No. 1635/2004/QD-BYT dated 11/5/2004 of the Minister of Health
promulgating the Regulations on recognition of the titles of “Health Family”,
“Health Village”, “Health Neighborhood”.
VIII.
MOTHER AND CHILD HEALTH
28.
Joint
Circular No. 10/2006/TTLT/BYT-BTM-BVHTT-UBDSGDTE dated 25/8/2006 providing
guidance on implementation of the Government’s Decree No. 21/2006/ND-CP dated
27/02/2006 on sale and use of dietary products for infants
B. LIST
OF PARTIALLY ABROGATED LEGISLATIVE DOCUMENTS
No.
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ABROGATED CONTENTS
1
Circular
No. 52/2015/TT-BYT dated 21/12/2015 of the Minister of Health on state
inspection of food safety and quality of imported foods, control of imported
foods, certification of imported foods under the management of the Ministry
of Health.
All
regulations of the Circular except for those on documentation and procedures for
issuance and revocation of health certificates of imported food products.
2
Decision
No. 46/2007/QD-BYT dated 19/12/2007 of the Ministry of Health promulgating
the “Regulation of maximum level of biological and chemical pollution in
food”.
Regulations
on maximum permissible limits of B.cereus in dried food and nutritious food
for children, special food substitutes (requiring heat treatment before use),
dried food and nutritious food for children, special food substitutes (not
requiring heat treatment before use) in Part 6.9.
Regulations on maximum permissible limits of micro-organisms in food in
special foods in Part 6. Maximum permissible limits of micro-organisms in
food in the Regulation on maximum permissible limits of biological and
chemical contamination in foods promulgated together with the Decision.