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    2010

    Good Manufacturing Practice (2010 revision)

    Annex1 to Annex5 Technical Reviewed by ISPE

    Michael Lee, Zhao Chunhua

    Zhao Yunxia, He Guoling, Ji Yiyun

    Initial Translation from NNE Pharmaplan

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    Chinese GMP revised in 2010

    1

    Annex 1:

    Sterile Medicinal Products

    Table of Contents

    .....................................................................................................4

    Chapter 1 Scope ...............................................................................................4

    .....................................................................................................4

    Chapter 2 Principle............................................................................................ 4

    ...............................................................................5

    Chapter 3 Cleanliness classification and monitoring ........................................5

    ....................................................................................15

    Chapter 4 Isolator technology ......................................................................... 15

    ........................................................................................16

    Chapter 5 Blow/fill/seal technology................................................................. 16

    ...................................................................................................17

    Chapter 6 Personnel .......................................................................................17

    ............................................................................................19

    Chapter 7 Premises.........................................................................................19

    ...................................................................................................21

    Chapter 8 Equipment ......................................................................................21

    ...................................................................................................23

    Chapter 9 Sanitation........................................................................................23

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    ............................................................................................24

    Chapter 10 Processing....................................................................................24

    ........................................................................................29

    Chapter 11 Sterilisation ...................................................................................29

    ........................................................................................31

    Chapter 12 Sterilisation method...................................................................... 31

    ......................................................................37

    Chapter 13 Finishing of sterile products..........................................................37

    ........................................................................................38

    Chapter 14 Quality control ..............................................................................38

    ...............................................................................................39

    Chapter 15 Glossary .......................................................................................39

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    Chapter 1 Scope

    Article 1 The sterile medicinal products, including sterile drug products and

    drug substances, refer to the drug product and drug substances which are

    subject to sterility test items as required in the statutory drug specifications

    Article 2 This annex applies to the whole manufacture process for sterile

    drug products, and to the process of sterilisation and sterile production for sterile

    drug substances.

    Chapter 2 Principle

    Article 3 The manufacture of sterile products should meet the requirements of

    quality and the intended use. It should minimize risks of microbiological

    contamination, and of particulate and pyrogen contamination. The skill, training

    and attitudes of the personnel involved are critical factors. The manufacture of

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    sterile products must strictly follow the established and validated methods of

    preparation and procedure. The sterility or other quality characteristics of

    products cannot only rely on any form of terminal process or finished product

    test (including sterility test).

    Article 4 Sterile medicinal products, according to the manufacturing process, can

    be divided into two categories: Termininally sterilised products, where the

    products are terminally sterilised; and non-terminally sterilised products, where

    the manufacture processes are partially or completely aseptic.

    Article 5 The manufacture of sterile products should be carried out in clean areas

    entry to which shall be through airlocks for personnel and/or for equipment and

    materials. If equipment is used to achieve continuous transfer of materials,

    positive pressure air flow shall be used to protect materials and pressure

    difference shall be monitored.

    Article 6 The various operations of component preparation, product preparationand filling should be carried out in separate areas within the clean area.

    Article 7 Clean areas for the manufacture of sterile products are classified

    according to the properties of products, the characteristics of process and

    equipment used. Each step of manufacturing operation requires an appropriate

    environmental cleanliness level in the operational state in order to minimise the

    risks of particulate or microbial contamination of the product or materials being

    handled.

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    Chapter 3 Cleanliness Classification and Its Monitoring

    Article 8 The design of each clean room or suite of clean rooms shall meet the

    requirements of corresponding cleanliness classification, of which in operation

    and at rest states shall be defined.

    4

    A

    0.36-0.54m/s

    BA

    CD

    /

    (3)

    0.5m 5.0m(2) 0.5m 5.0m

    A(1) 3520 20 3520 20

    B 3520 29 352000 2900

    C 352000 2900 3520000 29000

    D 3520000 29000

    Article 9 For the manufacture of sterile medicinal products 4 grades can be

    distinguished.

    Grade A: The local zone for high risk operations, e.g. filling zone, stopper bowls,

    open

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    containers that are in direct contact with sterile preparations, making aseptic

    connections. Normally such conditions are provided by a uni-directional air flow

    work station. uni-directional air flow systems should provide a homogeneous air

    speed in a range of 0.36 0.54 m/s (guidance value) at the working position inopen clean room applications.Uni-directional state must be validated, and data

    must be available to prove the validation status.

    A lower velocities may be used in closed isolators and glove boxes.

    Grade B: For aseptic preparation and filling, this is the background environment

    for the grade A zone.

    Grade C and D: Clean areas for carrying out less critical operation stages in the

    manufacture of sterile products.

    The maximum permitted airborne particle concentration for each grade is given

    in the following table.

    Maximum permitted number of particles per m3

    equal to orgreater than the tabulated size

    At rest In operation (3)Grade

    0.5m 5.0m(2)

    0.5m 5.0m

    A (1) 3520 20 3520 20

    B 3520 29 352000 2900

    C 352000 2900 3520000 29000

    D 3520000 29000 Not defined Not defined

    1A1A

    ISO 4.85.0mB

    ISO 5

    CISO 7ISO 8

    DISO 8ISO14644-1

    2

    5.0m

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    (2) For Grade A zones, particle monitoring should be undertaken for the full

    duration of critical processing, including equipment assembly, except wherejustified by contaminants in the process that would damage the particle counter

    or present a hazard, e.g. live organisms and radiological hazards. In such cases,

    monitoring should be undertaken during routine equipment set up operations, or

    during simulated operations. The Grade A zone should be monitored at such a

    frequency and with suitable sample size that all interventions, transient events

    and any system deterioration would be captured if alert limits are exceeded. It is

    accepted that it may not always be possible to demonstrate low levels of5.0

    m particles at the point of fill when filling is in progress, due to the generation of

    particles or droplets from the product itself.

    BA B

    A

    (3) It is recommended that a similar monitoring system be used for Grade B

    zones as the one used for Grade A zone. The sampling frequency and the

    sample size can be adjusted according to the effectiveness of the segregation

    between the adjacent Grade A and B zones.

    (4) Where airborne particle monitoring systems are used, the length of tubing

    and the radii of any bends in the tubing must be considered in the context of the

    effect on test result.

    (5) The sample sizes taken for monitoring purposes is not necessary to be the

    same as that used for formal qualification of clean rooms and air handling

    systems..

    AB5.0 m

    (6) In Grade A and B zones, it should be investigated if a few particle 5.0 m

    ocurrs

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    consecutively or on a regular basis.

    1520

    (7)The particle limits given in the table for the at rest state should be achievedafter a

    short clean up period of 15-20 minutes (guidance value) in an unmannedstate after completion of operations

    CD

    (8)The monitoring of Grade C and D areas in operation (when necessary) shouldbe performed in accordance with the principles of quality risk management. The

    requirements and alert/action limits will depend on the nature of the operations

    carried out, but the recommended clean up period should be attained.

    (9) Temperature and relative humidity depend on the product and nature of the

    operations carried out. These parameters should not interfere with the defined

    cleanliness standard.

    Article 11 Monitoring in operation should be done on microbe to evaluate its

    status. The monitoring methods are settle plates, volumetric air and surface

    sampling (e.g. swabs and contact plates),etc. Sampling methods used in

    operation should not negatively impact cleanliness level in the zone. Results

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    from monitoring should be reviewed as a part of batch documentation for

    finished product release.

    Surfaces and personnel should be monitored after critical operations. Additional

    microbiological monitoring is also required outside production operations, e.g.after

    validation of systems, cleaning and sanitisation.

    (1) Limits for microbiological monitoring of

    clean areas during operation:

    cfu/m3

    90mm

    cfu /4(2)55mm

    cfu /

    5

    cfu /

    A

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    Notes

    (1) These are average values.

    (2) Individual settle plates may be exposed for less than 4 hours..At each points,

    several settle plates may be used for continuously monitoring and cumulatively

    counting.

    Article 12 Appropriate alert and action limits should be set for the results of

    particulate and microbiological monitoring. Corrective actions shall be defined in

    operating procedures in case such limits are exceeded ..

    C A

    (1)

    C

    1.2.(2)3.

    4.

    D

    1.2.3.

    Article 13 The selection of production operations environment for sterile

    medicinal products, refer to the examples in the following table.

    Classification Examples of operations for terminally sterilised productsGrade A

    environment

    with aGrade

    C background

    Filling (or sealing)of products, when risk of contamination is

    high(1)

    Grade C

    1. Filling (or sealing) of products;

    2. Preparation and filtration of products, when risk of

    contamination is high(2);

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    3. Preparation and filling(or sealing) of ophthalmic

    preparation, sterile ointment, sterile emulsion or

    suspension, etc.

    4. Handling of primary packaging materials and tools

    after final washing, which are in direct contact with

    medicinal products

    Grade D

    1. Capping;

    2.Material preparation before filling;

    3.Preparation and filtration of products(concentration or

    dilution in a closed system) and ,final washing of primary

    packaging material tools a which directly contact with

    medicinal products.

    1

    2

    Note:

    (1) Here the high risk of contamination refers to the situations where the product

    promotes microbial growth, and filling operation is slow or the containers - are

    wide- necked or must be exposed for more than a few seconds before sealing.(2) Here the high risk of contamination refers to the situations where the product

    promotes microbial growth or must be held for a long period before sterilisation

    or is not processed in closed systems.

    B

    A

    1.(1)(2)2.

    3.4.

    B1.(1)2

    C1.2.

    D

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    1

    2

    C DAA

    A

    Note:

    (1) The products before capping are deemed as not completely sealed.

    (2)According to the sealing reliability, design of capping equipment, characteristics

    of aluminium caps etc, capping operation can be conducted -in Grade A air

    supply environment with a Grade C or D background. The Grade A air supply

    environment should conform with at least the requirement of Grade A at rest.

    Classificatio

    n

    Examples of operations for aseptic preparations

    Grade A

    environment

    with a Grade B

    background

    1. Operation and transfer of those products which are not completelysealed in process(1), such as filling/sealing, subpackaging,

    stoppering capping(2) of products etc.

    2. Preparation of solutions or products which are not able to go

    through sterile-filtration before filling;

    3. Assembling of sterilised primary packaging materials and

    apparatus which will directly contact with medicinal products.

    Transfer and storage ofthose sterilised and partially sealed

    apparatus and materials.Milling, sieving, mixing and subpackaging

    of sterile drug substances.

    Grade B

    1. Transfer of partially sealed products in fully sealed containers.2. Transfer and storage of sterized primary packaging materials and

    apparatus , which will direct contact with medicinal products. in

    sealed containers

    Grade C

    1. Preparation of solutions or products which could be sterile filtered

    before filling.

    2. Filtration of products.

    Grade D

    Final washing, assembling or packaging, and sterilisation of primary

    packaging materials and apparatus which will directly contact with

    medicinal products.

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    Chapter 4 Isolator technology

    D

    Article 14 Operations associated with high contamination risk should be

    performed inside isoloator. The isolator and the background environment should

    be designed so that the required air quality for the respective zones can be

    realised. Transfer devices may vary from a single door or double door designs to

    fully sealed systems incorporating sterilisation mechanisms.

    Special attention should be paid to prevent contamination when transferring of

    materials into and out of the isolator.

    The air classification required for the background environment depends on

    the design of the isolator and its application. It should be controlled and for

    aseptic processing it should be at least grade D.

    Article 15 Isolators should be applied for routine operations only afterappropriate validation. Validation should take into account all critical factors of

    isolator technology, for examples, the quality of the air inside and outside

    (background) the isolator, sanitisation of the isolator, the transfer process and

    isolator integrity.

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    Article 16 Monitoring should be carried out routinely and should include frequent

    leak testing of the isolator and glove/sleeve system.

    Chapter 5 Blow/fill/seal technology

    A

    A/B C

    D

    Article 17 Blow/fill/seal equipment used for aseptic production which is fitted with

    an effective grade A air shower may be installed in at least a grade C

    environment, provided that grade A/B clothing is used. Under at rest condition,

    the suspended particles and microorganism should meet the standards. Under

    in operation condition, the microorganism should meet the standards.Blow/fill/seal equipment used for the production of products which are terminally

    sterilised should be installed in at least a grade D environment.

    Article 18 Because of this special technology particular attention should be paid

    to, at least the following:

    equipment design and qualification

    validation and reproducibility of cleaning-in-place and sterilisation-in-place

    background clean room environment in which the equipment is located

    operator training and gowning

    operations in the critical zone of the equipment including any aseptic

    assembly or set-up? prior to the commencement of filling.

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    Chapter 6 Personnel

    Article 19 The total number of personnel shall be rigorously controlled .

    Inspections and controls should be conducted outside the clean areas as far as

    possible.

    Article 20 All personnel (including those concerned with cleaning and

    maintenance) employed in such areas should receive regular training in

    disciplines relevant to the correct manufacture of sterile products. This training

    should include reference to hygiene and to the basic elements of microbiology.

    When outside staff who have not received such training (e.g. building ormaintenance contractors) need to be brought in, particular care should be taken

    over their instruction and supervision.

    Article 21 Personnel who have been engaged in the processing of animal tissue

    materials or of cultures of micro-organisms other than those used in the current

    manufacturing process shall not enter sterile-product areas unless rigorous and

    clearly defined cleaning procedures have been followed.

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    Article 22 Personnel involved in the manufacture of sterile preparations should

    be instructed to report any condition which may cause the shedding of abnormal

    numbers or types of contaminants. Actions to be taken about personnel who

    could be introducing undue microbiological hazard should be decided by adesignated competent person.

    Article 23 Changing and washing should follow a written procedure designed to

    minimize contamination of clean area or carry-through of contaminants to the

    clean areas.

    Article 24 The garment and its quality should be appropriate for the process and

    the grade of the working area. It should be applied in such a way as to protect

    the products and personnel from contamination.

    The description of gowning required for each grade is given below:

    D

    Grade D: Hair and, where relevant, beard should be covered. A general

    protective suit and appropriate shoes or overshoes should be worn. Appropriate

    measures should be taken to avoid any contamination coming from outside the

    clean area.

    C

    Grade C: Hair and where relevant beard and moustache should be covered. A

    face mask should be worn. A jump suit or two-piece trouser suit, gathered at the

    wrists and with high neck and appropriate shoes or overshoes should be worn.

    They should be virtually free of fibres or particulate matter.

    A/B

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    Grade A/B: Headgear should totally enclose hair and, where relevant, beard

    and moustache; it should be tucked into the neck of the suit; safety goggles

    should be worn; a face mask should be worn to prevent the shedding of droplets.

    Appropriate sterilised, non-powdered rubber or plastic gloves and sterilised or

    disinfected footwear should be worn. Trouser-legs should be tucked inside the

    footwear and garment sleeves into the gloves. The sterilized jump suit should be

    used. The suit should shed virtually no fibres or particulate matter and retainparticles shed by the body.

    B C

    A/B

    Article 25 Outdoor clothing should not be brought into changing rooms leading to

    grade B and C rooms. Every worker should change clean sterile protectivegarments at every time when he enters a grade A/B area; or at least once a shift

    while feasibility of the methods should be verified by the results from monitoring.

    Gloves should be regularly disinfected during operations. Masks and gloves

    should be changed when necessary.

    Article 26 Clean area garments should be cleaned and handled in such away that it does not introduce additional contaminants which can latercontaminate clean areas. The operations should follow written procedures.Separate laundry facilities for such clothings cleaning and sterilisation aredesirable.

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    Chapter 7 Premises

    B

    Article 27 The design of the clean premise should avoid the unnecessary access

    of supervision or monitoring person . Grade B area should be designed as that

    the inside operations could be monitored by supervision or monitoring person

    from outside

    Article 28 To reduce accumulation of dust and to facilitate cleaning there should

    be no uncleanable recesses on shelves, cupboards and equipment in cleaning

    area. Doors should be designed to avoid those uncleanable recesses.

    A/B

    Article 29 Sinks and drains should be prohibited in grade A/B areas used for

    aseptic manufacture. In other areas, sinks and drains should have proper design,

    layout and maintainance. Cleanable facilities with air break function should be

    fitted to prevent backflow. The connection with outside drain system should be

    designed to prevent microbial contamination.

    Article 30 Changing rooms should be designed as airlocks and used to provide

    physical separation of the different stages of changing and so minimize microbial

    and particulate contamination of protective clothing. They should be flushed

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    effectively with filtered air. The final stage of the changing room should, in the

    at-rest state, be the same grade as the area into which it leads. The use of

    separate changing rooms for entering and leaving clean areas is sometimes

    desirable. In general hand washing facilities should be provided only in the firststage of the changing rooms.

    Article 31 Both airlock doors should not be opened simultaneously. An

    interlocking system or a visual and/or audible warning system should be

    operated to prevent the opening of both doors at a time.

    Article 32 A filtered air supply should maintain a positive pressure and an air flow

    relative to surrounding areas of a lower grade under all operational conditions

    and should flush the area effectively.

    Particular attention should be paid to the protection of the zone of greatest risk,

    that is, the immediate environment to which a product and cleaned components

    which directly contact the product are exposed.

    The various recommendations regarding air supplies and pressure differentials

    may need to be modified where it becomes necessary to contain some materials,

    e.g. pathogenic, highly toxic, radioactive or live viral or bacterial materials or

    products. Decontamination of facilities and treatment (eg. Install a filter at the

    exit) of air leaving a clean area may be necessary for some operations.

    Article 33 It should be demonstrated and documented (e.g. the video of smoke

    test) that air-flow patterns do not present a contamination risk.

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    Article 34 A warning system should be provided to indicate failure in the air

    supply. Indicators of pressure differences should be fitted between areas where

    these differences are important. These pressure differences should be recorded

    regularly or otherwise documented.

    Article 35 There should be a separate zone and adequate air extraction devicefor capping due to the generation of particles from the operation. If there is no

    separate zone for capping, it should be demonstrated that the capping operation

    will not have negative impact on product quality.

    Chapter 8 Equipment

    A/B

    Article 36 A conveyor belt should not pass through a partition between a grade A

    or B area and a processing area of lower air cleanliness, unless the belt itself is

    continually sterilised (e.g. in a sterilising tunnel).

    Article 37 As far as practicable equipment, fittings and services should be

    designed and installed so that operations, maintenance and repairs can be

    carried out outside the clean area. If sterilisation is required, it should be carried

    out, wherever possible, after complete reassembly.

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    Article 38: HVAC system for the clean area of sterile medical products

    manufacturing should keep running continuously in order to maintain the

    corresponding cleanness classification. If the HVAC system is interrupted and

    recommenced, testing is necessary to ensure the clean area can meet the

    regulated classification requirement.

    Article 39 When equipment maintenance has been carried out within the clean

    area, the area should be cleaned, disinfected and/or sterilised where appropriate,

    before processing recommences if the required standards of cleanliness and/or

    asepsis have not been maintained during the work. The operation can be

    restarted when the monitoring result is acceptable.

    Article 40 All equipment such as sterilisers, air handling system and process

    water systems etc., should be subject to validation and planned maintenance;their return to use should be approved.

    Article 41 Fibre-shedding characteristics of filters should be minimal. Asbestine

    filters are prohibited. The filter should not have negative impact on product

    quality by reaction with product , release of substances into it or absorption .

    Article 42 The process gas (e.g. compressed air, nitrogen, except flammable gas)

    should be filtered before entering sterile area. The integrity test of sterilization

    filters and vent filters should be performed periodically.

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    Chapter 9 Sanitation

    Article 43 Clean areas should be cleaned thoroughly in accordance with an

    operation procedure. Where disinfectants are used, more than one type should

    be employed. UV should not replace chemical disinfectants. Monitoring shouldbe undertaken regularly in order to detect the development of resistant strains.

    A/B

    Article 44 Disinfectants and detergents should be monitored for microbial

    contamination; Prepared disinfectants and cleaning agents should be stored in

    cleaned containers and should only be stored for defined periods. Disinfectants

    and detergents used in Grades A and B areas should be sterile or sterilized priorto use.

    Article 45 Fumigation of clean areas may be useful for reducing microbiological

    contamination in inaccessible places. The residue level of the fumigant should

    be validated.

    Chapter 10 Processing

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    Article 46 Precautions to minimize contamination should be taken during all

    processing stages including the stages before sterilisation.

    3

    1

    Article 47 Validation of aseptic processing should include a process simulation

    test using a nutrient medium (media fill).

    Selection of the nutrient medium should be made based on dosage form of theproduct and selectivity, clarity, concentration and suitability for sterilisation of the

    nutrient medium. The process simulation test should imitate as closely as

    possible the routine aseptic manufacturing process and include all the critical

    subsequent manufacturing steps which may affect the aseptic result. It should

    also take into account various

    interventions known to occur during normal production as well as worst-case

    situations.

    Process simulation tests should be performed as initial validation with three

    consecutive

    satisfactory simulation tests per shift and repeated at defined intervals and after

    any

    significant modification to the HVAC-system, equipment, process and number of

    shifts.

    Normally process simulation tests should be repeated twice a year per shift and

    process., one batch at least in each time.

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    The number of containers used for media fills should be sufficient to enable a

    valid

    evaluation. For small batches, the number of containers for media fills should at

    least equal the size of the product batch. The target should be zero growth andthe following should apply:

    5000

    5000 10000

    1.1

    2.2

    10000

    1.1

    2.2

    1. When filling fewer than 5000 units, no contaminated units should be

    detected.

    2. When filling 5,000 to 10,000 units:

    One (1) contaminated unit should result in an investigation, including

    consideration of a repeat media fill test;

    Two (2) contaminated units should result in revalidation, following

    investigation.

    3. When filling more than 10,000 units:

    One (1) contaminated unit should result in an investigation;

    Two (2) contaminated units should result in revalidation , following

    investigation.

    4. All microbial contamination should be investigated.

    Article 48 Care should be taken that any validation does not compromise the

    processes.

    A/B

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    Article 49 Water used in the purification of sterile APIs, preparation of sterile

    medical products, final rinsing of utensils and packing material which directlycontact with products, and preparation of disinfectants and detergents used ingrades A and B areas should meet the specifications of water for injection.

    Article 50 Endotoxins for processing water should be monitored regularly.

    Records should be maintained of the results of the monitoring and of any

    corrective action taken.

    Article 51 Activities in clean areas and especially when aseptic operations are in

    progress should be kept to a minimum and movement of personnel should be

    controlled and methodical, to avoid excessive shedding of particles and

    organisms due to over-vigorous activity. The ambient temperature and humidity

    should be comfortable because of the nature of the garments worn.

    Article 52 Microbiological contamination of starting materials should be minimal.

    Specifications should include requirements for microbiological limits, bacterial

    endotoxin or pyrogen.

    Article 53 Containers and materials with fibre-shedding characteristics should be

    minimised in clean areas. They are prohibited to be used in aseptic process.

    Article 54 Where appropriate, measures should be taken to minimize the

    particulate contamination of the end product.

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    Article 55 Components, containers and equipment should be handled after the

    final cleaning process in such a way that they are not recontaminated.

    Article 56 The interval between the washing and drying and the sterilisation of

    packaging material, containers and equipment as well as between their

    sterilisation and use should be minimised and subject to a time-limit appropriate

    to the storage conditions.

    Article 57 The time between the start of the preparation of a solution and its

    sterilisation or filtration through a micro-organism-retaining filter should be

    minimised. There should be a set maximum permissible time for each product

    that takes into account its composition and the prescribed method of storage.

    Article 58 There should be working limits on contamination immediately before

    sterilisation, which are related to the efficiency of the method to be used. Whereappropriate the level of endotoxins or pyrogen should be monitored.

    Article 59 Components, containers, equipment and any other article required in a

    clean area where aseptic work takes place should be sterilised and passed into

    the area through double-ended sterilisers sealed into the wall, or by a procedure

    which achieves the same objective of not introducing contamination.

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    Article 60: Unless otherwise specified, the principle for batch classification

    of sterile pharmaceutical products:

    1. Large/small volume injection: Homogeneous products, which are derived

    from the solution that terminally prepared in one tank at once should be

    regarded as one batch. One batch of products which is sterilized in different

    equipment or in the same equipment but in several loads should be trackable.

    2. Powder for injection: Homogeneous products which are produced from

    the same batch of sterile APIs within the same continuous production cycle

    should be regarded as one batch.

    3. Lyophilized powder for injection: Homogeneous products which are

    produced by the same Lyophilizer with the same batch of solution within the

    same production cycle should be regarded as one batch.

    4. Eye Preparation, Sterile Ointment, Emulsion and Suspension:

    Homogeneous products, which are terminally prepared in the same tank should

    be regarded as one batch.

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    Chapter 11 Sterilisation

    SAL 10-6

    F0 8

    Article 61 Where possible, heating sterilization is the method of choice for Sterileproducts. For terminally sterilized products, the microbial survival probability

    (Sterility Assurance Level ,SAL) should be not more than 10-6

    . For moist heat as

    terminal sterilization, the standard sterilization time F0 should be more than 8

    minutes. Flow steam treatment should not be considered as terminal

    sterilization.

    Aseptic process operation or sterile filtration should be considered as

    alternatives for thermal instable products.

    Article 62 Moist heat, dry heat, radiation, ethylene oxide or filtration could be

    applied as sterilization methods. Every sterilization method has its specific

    application scope. In any case, the sterilisation process must be in accordance

    with the marketing and manufacturing authorisations. All sterilisation processes

    should be validated.

    Article 63 Before any sterilisation process is adopted its suitability for the

    product and its efficacy in achieving the desired sterilising conditions in all parts

    of each type of load to be processed should be demonstrated by physical

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    measurements and by biological indicators where appropriate.

    Article 64 The validity of the sterilisation process should be verified at scheduled

    intervals, at leastannually. And whenever significant modifications have been

    made to the equipment, revalidation should be performed. Records should be

    kept of the results.

    Article 65 For effective sterilisation the whole of the material must be subjectedto the required treatment and the process should be designed to ensure that this

    is achieved.

    Article 66 Validated loading patterns should be established for the material

    which is sterilised in the chamber of sterilisation equipment.

    Article 67 Biological indicators should be stored and used according to the

    manufacturers instructions, and their quality checked by positive controls.

    If biological indicators are used, strict precautions should be taken to avoid

    transferring microbial contamination from them.

    Article 68 There should be a clear means of differentiating products which have

    not been sterilised from those which have. Each basket, tray or other carrier of

    products or components should be clearly labelled with the material name, its

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    batch number and an indication of whether or not it has been sterilised.

    Indicators such as autoclave tape may be used, where appropriate.

    Article 69 Sterilisation records should be available for each sterilisation run.

    They should be approved as part of the batch release procedure.

    Chapter 12 Sterilisation method

    Article 70 Sterilisation by heat include moist heat and dry heat, it should

    conform to the following requirements:

    -

    (1) During the validation and production, control instrumentation should normally

    be independent of monitoring instrumentation and recording charts. The position

    of the temperature probes used for controlling and/or recording should have

    been determined during the validation . Each heat sterilisation cycle should berecorded on a time/temperature chart.

    Where automated control and monitoring systems are used for these

    applications theyshould be validated to ensure that critical process requirements are met. System

    and cycle faults should be registered by the system and observed by the

    operator. The reading of the independent temperature indicator should be

    routinely checked against the chart recorder during the sterilisation period.

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    (2)Chemical or biological indicators may also be used to monitor aseptic process,

    but should not take the place of physical measurements.

    (3)Sufficient time must be allowed for the whole of the load to reach the required

    temperature before measurement of the sterilising time-period is commenced.

    This time must be determined for each type of load to be processed.

    (4) Precautions should be taken against contamination of a sterilised load

    during cooling. Any cooling fluid or gas in contact with the product should be

    sterilised unless it can be shown that any leaking container would not be

    approved for use.

    Article 71 Moist heat sterilization should conform to the following requirements:

    (1) Sterilization time, temperature and pressure should be used to monitor the

    process.

    For sterilisers fitted with a drain at the bottom of the chamber, it may also be

    necessary to record the temperature at this position, throughout the sterilisation

    period. There should be frequent leak tests on the chamber when a vacuum

    phase is part of the cycle.

    (2) The items to be sterilised, other than products in sealed containers, should

    be wrapped in a material which allows removal of air and penetration of steam

    but which prevents recontamination after sterilisation. All parts of the load should

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    be in contact with the sterilizing agent at the required temperature for the

    required time.

    Article 72 Dry heat sterilization should conform to the following requirements:(1) The process used should include air circulation within the chamber and

    the maintenance of a positive pressure to prevent the entry of non-sterile

    air. Any air admitted should be passed through a HEPA filter, which

    should be qualified by the integrity test.

    (2) Where this process is also intended to remove pyrogens, challenge

    tests using endotoxins should be used as part of the validation.

    (3) Temperature, time and pressure difference between inside and outside

    of the chamber should be recorded during sterilization process.

    Article 73 Sterilisation by radiation should conform to the following requirements:

    (1) Radiation sterilisation is permissible only when the absence of deleterious

    effects on the product has been confirmed experimentally. Radiation sterilisation

    should conform to and registered authorisation.

    (2) Radiation sterilisation process should be validated. The validation protocol

    should include the radiation dose, radiation time, packaging material, loading

    pattern. Validation procedures should ensure that the effects of variations in

    density of the

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    packages are considered.

    (3) During the sterilisation procedure the radiation dose should be measured by

    using dosimetry indicators.

    (4) Biological indicators may be used as an additional control.

    (5) Measures should be taken to prevent mix-up between irradiated and

    non-irradiated materials. Radiation sensitive colour disks should also be used on

    each package to differentiate between packages.

    (6) The total radiation dose should be administered within a predetermined time

    span.

    (7)The radiation sterilisation process should be recorded.

    Article 74 Sterilisation with ethylene oxide should conform to the following

    requirements:

    (1) The Sterilisation with ethylene oxide should conform to and registered authorisation

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    (2) During process validation it should be shown that there is no damaging

    effect on the product and that the conditions and time allowed for degassing are

    such as to reduce any residual gas and reaction products to defined acceptable

    limits for the type of product or material.

    (3) Direct contact between gas and microbial cells is essential; precautions

    should be taken to avoid the presence of organisms likely to be enclosed in

    material such as crystals or dried protein. The nature and quantity of packaging

    materials can significantly affect the process.

    (4) Before exposure to the gas, materials should be brought into equilibrium with

    the

    humidity and temperature required by the process.

    (5) Each sterilisation cycle should be monitored with suitable biological

    indicators, using the appropriate number of test pieces distributed throughout the

    load. The information so obtained should form part of the batch record.

    (6) For each sterilisation cycle, records should be made of the time taken to

    complete the cycle, of the pressure, temperature and humidity within the

    chamber during the process and of the gas concentration and of the total

    amount of gas used. The pressure and temperature should be recorded

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    throughout the cycle on a chart. The record(s) should form part of the batch

    record.

    (7) After sterilisation, the load should be stored in a controlled manner under

    ventilated conditions to allow residual gas and reaction products to reduce to the

    defined level.

    Article 75 Filtration of medicinal products which cannot be sterilised in their

    final container should conform to the following requirements:

    0.22m

    (1)Filtration alone is not considered sufficient when sterilisation in the final

    container is

    possible. If the product cannot be sterilised in the final container, solutions or

    liquids can be filtered through a sterile filter of nominal pore size of 0.22 micron(or less), or with at least equivalent micro-organism retaining properties, into apreviously sterilised container. Such filters can not remove all viruses ormycoplasmas. Consideration should be given to complementing the filtrationprocess with some degree of heat treatment.

    (2) Due to the potential additional risks of the filtration method as compared with

    other

    sterilization processes, a second filtration via a further sterilised micro-organism

    retaining filter, immediately prior to filling, may be advisable. The final sterile

    filtration should be carried out as close as possible to the filling point.

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    (3) The integrity of the sterilised filter should be confirmed immediately after use

    by an appropriate method such as a bubble point, diffusive flow or pressure hold

    test.

    (4)The time taken to filter a known volume of bulk solution and the pressure

    difference to be used across the filter should be determined during validation

    and any significant differences from this during routine manufacturing should be

    noted and investigated. Results of these checks should be included in the batch

    record.

    (5) The using time of filters with the same specification should be validated.

    Normally it should not be used for more than one working day.

    Chapter 13 Finishing of sterile products

    Article 76 Crimping of the cap should be performed as soon as possible after

    stopper insertion. Appropriate measures should be taken to prevent

    contamination if the product leaving the clean area/room before capping.

    100%

    Article 77 The integrity of the sterile medical product containers should be

    validated to avoid the product contamination. Containers closed by fusion, e.g.

    glass or plastic ampoules should be subject to 100% integrity test. Samples of

    other containers should be checked for integrity according to appropriate

    procedures.

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    Article 78 Containers sealed under vacuum should be tested for maintenance of

    that vacuum after an appropriate, pre-determined period.

    Article 79 Filled containers of parenteral products should be inspected

    individually for extraneous contamination or other defects. When inspection is

    done visually, it should be done under suitable and controlled conditions of

    illumination and background. Operators doing the inspection should pass regular

    eye-sight checks, and be allowed frequent breaks from inspection. Where other

    methods of inspection are used, the process should be validated and the

    performance of the equipment checked at intervals. Results should be recorded.

    Chapter 14 Quality control

    /

    Article 80 Sample plan for sterility testing should based on the result of risk

    assessment, Samples should in particular include samples taken from parts of

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    the batch considered to be most at risk of contamination. The sterility testing

    samples should at least comply with the followings:

    a. for products which have been filled aseptically, samples should include

    containers filled at the beginning and end of the batch and after any significantintervention.

    b. or products which have been heat sterilised in their final containers,

    consideration should be given to taking samples from the potentially coolest part

    of the load.

    c. For one batch of product which are sterilised by different equipment or by the

    same equipment but in deferent sterilization cycles, samples should be taken

    from each equipment/cycle involved.

    Chapter 15 Glossary

    Article 81 The definitions of the glossary are:

    (1)Blow/fill/seal units are purpose built machines in which, in one continuous

    operation, containers are formed from a thermoplastic granulate, filled and then

    sealed, all by the one automatic machine.

    (2)The in operation state is the condition where the installation is functioning in

    the defined operating mode with the specified number of personnel working.

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    (3) Laminar flow means the method that the air flows unidirectional with the

    stable symmetrical way and enough rate. It can continuously remove the

    particles at the critical operation area.

    B ISO 5

    (4) Isolator is a barrier or system that is equiped with Grade B (ISO 5) or

    even higher cleanness air handling units and can isolate completely the internal

    environment from external environment (e.g clean room and operators).

    The at-rest state is the condition where the installation is installed, complete

    with production equipment but with no operating personnel present and no

    production activities.

    (6) Seal means using an appropriate method to keep the containers or

    utensils in closed in order to prevent outside microbe entering.

    Annex 1 reviewed by Michael Lee, Ji Yiyun, He Guoling

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    2

    Annex 2:

    Active Substances Used As Starting Materials

    Table of content

    ..............................................................................................43

    Chapter 1 Scope .............................................................................................43 ...................................................................................43

    Chapter 2 Buildings and Facilities...................................................................43

    ..............................................................................................44

    Chapter 3 Equipment ......................................................................................44

    ..............................................................................................46

    Chapter 4 Materials.........................................................................................46

    ..............................................................................................48

    Chapter 5 Validation........................................................................................48

    ..............................................................................................52

    Chapter 6 Documentation ...............................................................................52

    .............................................................................................54

    Chapter 7 Production Management................................................................ 54

    ......................................................... 60

    Chapter 8 Rejected Intermediates or APIs......................................................60

    .............................................................................................63

    Chapter 9 Quality Management ......................................................................63

    ...........................................64

    Chapter 10 Specific Requirement for APIs Manufactured

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    by Fermentation ..............................................................................................64

    .................................................................................................68

    Chapter 11 Glossary........................................................................................68

    Chapter 1 Scope

    Article 1 The annex applies to the manufacture of non-sterile active

    substances and the operations of non-sterile process during the sterile

    substance production.

    Article 2: The point at which production of the active substance begins and its

    process should be designated in accordance with the registered and authorised

    process.

    Chapter 2 Buildings and Facilities

    D

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    Article 3: The exposed environment where purification, drying, milling, and

    packaging of non-sterile active substances are carried out should meet grade D

    area described in Annex 1.

    Article 4: Where pyrogen or endotoxin specification have been established

    for the intermediate or API, , The facilities,should be designed with particular

    attention to prevent the microbialogical contamination, e.g. relevant precautions

    should be set up according to the intended use of products and process

    requirements.

    Article 5: Quality control laboratory areas should normally be separated

    from production areas. Laboratory areas used for in-process control can be

    located in production areas , provided the manufacturing operations do not affect

    the accuracy of the laboratory measurements, and the laboratory and its

    operations do not adversely affect the production process.

    Chapter 3 Equipment

    Article 6: Any substances associated with the operation of equipment, suchas lubricants, heating fluids or coolants, should not contact intermediates or APIs

    so as to alter their quality beyond the official or other established specifications.

    Any deviations from this should be evaluated and handled properly to ensure

    that there are no detrimental effects upon the fitness for purpose and quality of

    the products.

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    Article 7: Closed or contained equipment should be used whenever

    appropriate. Closed equipment and pipelines can be placed outdoor. Where

    open equipment is used, or opened, appropriate precautions should be taken to

    avoid the risk of contamination.

    Article 8: Where equipment shared with different intermediates or APIs, the

    rational should be provided. Appropriate precautions should be taken to prevent

    from the risk of cross-contamination.

    Article 9: The equipment or component which is difficult to clean should be

    used dedicated.

    Article 10: Equipment cleaning

    1. Where the equipment is assigned to continuous production or campaign

    production of successive batches of the same intermediate or API, the

    equipment should be cleaned at appropriate intervals to prevent build-up of

    contaminants (e.g. degradants or objectionable levels of micro-organisms). The

    equipment should be cleaned thoroughly between productions of different

    batches to prevent cross-contamination where carry-over with adversely affect

    the quality of APIs or intermediates.

    2. Non-dedicated equipment (especially the ones for the starting material

    purification) should be cleaned between productions of different products to

    prevent cross-contamination.

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    3. Acceptance criteria for residues and the choice of cleaning procedures

    and cleaning agents should be defined and justified.

    Article 11: Process water used in the final purification steps of non-sterile

    APIs should, at a minimum, meet the quality standards of purified water.

    Chapter 4 Materials

    Article 12: The incoming materials should be labelled correctly. After

    sampling (or testing), these material can be mixed with existing stocks (e.g.,solvents or stocks in silos), then release for production using. Procedures should

    be available to prevent discharging wrong incoming materials into the existing

    stock.

    Article 13: If bulk deliveries are made in non-dedicated tankers,

    precautions should be taken to assure no cross-contamination from the tanker.

    Article 14: Large storage containers, and their attendant manifolds, filling

    and discharge lines should be appropriately labeled.

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    Article 15: At least one test to verify the identity of each batch of material

    should be conducted. A supplier's Certificate of Analysis can be used in place of

    performing other tests, provided that the manufacturer has a system in place to

    evaluate suppliers.

    Article 16: Processing aids, hazardous or highly toxic raw materials, other

    special materials, or materials transferred to another production area within the

    companys control do not need to be tested if the manufacturers Certificate ofAnalysis is obtained, showing that these raw materials conform to established

    specifications. Visual examination of containers, labels, and recording of batch

    numbers should help in establishing the identity of these materials. The lack of

    on-site testing for these materials should be justified and documented.

    Article 17 Full analyses should be conducted on at least the first threebatches before reducing in-house testing. However, a dull analysis should be

    performed at appropriate intervals and compared to the Certificates of Analysis

    from supplier. The reliability and accuracy of the certificates offered by supplier

    should be evaluated periodically.

    Article 18: Certain materials in suitable containers can be stored outdoors,

    provided identifying labels remain legible and containers are appropriately

    cleaned before opening and use.

    Article 19: Materials should be re-evaluated as appropriate to determine

    their suitability for use (e.g., after prolonged storage or exposure to heat or

    humidity).

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    Chapter 5 Validation

    Article 20: The critical product quality attributes , critical process

    parameters that could affect these attributes, the range for each critical

    process parameter expected to be used during routine manufacturing and

    process control should be defined before process validation. The reproducibility

    of the process operations should be ensured by validation activities.

    Critical quality attributes and process parameters should normally be identified

    during the development stage or from historical data.

    Article 21: Validation should cover those operations determined to be

    critical to the quality (especially to the purity and impurity)

    Article 22 Approaches to process validation

    1. Prospective validation should normally be performed for all API

    processes. Concurrent validation can be conducted when API batches are

    produced infrequently, only a limited number of API batches have been

    produced, or API batches are produced by a modified process, where data

    from replicate production runs are unavailable.

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    2. An exception can be made for retrospective validation for processes that

    have been used without significant changes to API quality due to changes in raw

    materials, equipment, systems, facilities, or the production process. This

    validation approach may be used where:

    1.

    1) Critical quality attributes and critical process parameters have been

    identified;

    2.

    2) Appropriate in-process acceptance criteria and controls have beenestablished;

    3.

    3) There have not been significant process/product failures attributable to

    causes other than operator error or equipment failures unrelated to equipment

    suitability; and

    4.

    4) Impurity profiles have been established for the existing API.

    3. Batches selected for retrospective validation should be representative of

    all batches made during the review period, including any batches that failed to

    meet specifications, and should be sufficient in number to demonstrate process

    consistency. Where necessary, the testing data of retained samples can be used

    as supplements of retrospective validation.

    Article 23: Process Validation program

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    1. The number of process runs for validation should depend on the

    complexity of the process or the magnitude of the process change being

    considered. For prospective and concurrent validation, three consecutive

    successful production batches should be used as a guide, but there may be

    situations where additional process runs are warranted to prove consistency of

    the process (e.g., complex API processes or API processes with prolonged

    completion times).

    2. Critical process parameters should be controlled and monitored during

    process validation studies. Process parameters unrelated to quality, such as

    control variables to minimize energy consumption or equipment use, need not to

    be included in the process validation.

    3. Process validation should confirm that the impurity profile for each API

    is within the limits specified. The impurity profile should be comparable to the

    data of the profile determined during process development or of batches usedfor pivotal clinical and toxicological studies.

    Article 24: Cleaning validation

    1. Cleaning procedures should normally be validated. In general, cleaning

    validation should be directed to situations or process steps where contaminationor carryover of materials poses the greatest risk to API quality.

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    2. Validation of cleaning procedures should reflect actual equipment

    usage patterns. If various APIs or intermediates are manufactured in the same

    equipment and the equipment is cleaned by the same process, a representative

    intermediate or API can be selected for cleaning validation. This selection should

    be based on the solubility and difficulty of cleaning and the calculation of residue

    limits based on activity, toxicity, and stability.

    3. The cleaning validation protocol should describe the equipement to be

    cleaned, cleaning procedures, cleaning agents, acceptable criteria, parameters

    to be monitored and controlled, and analytical methods. The protocol should

    also indicate the type of samples (e.g. chemicals or micro organisms), location of

    sampling, methods of sampling, label of samples to be obtained. Visual

    inspection can be adapted as the testing method to dedicated equipment and

    with consistent product quality.

    4. Sampling should include swabbing, rinsing, or alternative methods

    (e.g., direct extraction), as appropriate, to detect both insoluble and soluble

    residues.

    5. Validated and high sensitive analytical methods should be used to

    detect residues or contaminants. The detection limit for each analytical method

    should be sufficiently sensitive to detect the established acceptable level of the

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    residue or contaminant. The methods attainable recovery level should be

    established. Residue limits should be practical based on the most deleterious

    residue. Limits can be established based on the minimum known

    pharmacological, toxicological, or physiological activity of the API or its mostdeleterious component.

    6. Equipment cleaning validation protocol should address pyrogen and

    endotoxin contamination for those processes where there is a need to control

    endotoxins or pyrogens.

    7. Cleaning procedures should be monitored by analytical methods

    established at appropriate intervals after validation to ensure that these

    procedures are effective when used during a routine production.

    Chapter 6 Documentation

    Article 25: Incoming material quality specification should be established

    according to process requirements, the impact on the product quality, material

    nature, as well as the suppliers quality assessment .

    Article 26: Quality specification should be established for certain materials,

    such as process aids, gaskets, and other materials with critical impact on quality

    during the production of intermediates or APIs.

    Article 27: Master production instructions should include:

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    1. The name of the intermediate or API being manufactured;

    2. A complete list of raw materials and intermediates designated bynames or codes;

    3. An accurate statement of the quantity or ratio of each raw material or

    intermediate to be used, including the unit of measure. Where the quantity is not

    fixed, the calculation for each batch size or rate of production should be included.

    Variations to quantities should be included where they are justified;

    4. The production location and major production equipment to be used

    (model type and materials etc.);

    5. Detailed production instructions, including:

    1.

    1) The sequences to be followed;

    2.

    2) Ranges of process parameters to be used;

    3.

    3) Sampling instructions and quality specification of raw materials,

    intermediates and APIs;

    4.

    4) Time limits for completion of individual processing steps and/or the total

    process, where appropriate;

    5.

    5) Expected yield ranges at appropriate phases of processing or according

    to time;

    6.

    6) Where appropriate, special notations and precautions to be followed, or

    cross references to these; and

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    7.

    7) The instructions for storage of the intermediate or API to assure its

    suitability for use, including the labeling and packaging materials and special

    storage conditions with time limits, where appropriate.

    Chapter 7 Production Management

    Article 28: Production operations

    Raw materials should be weighed or measured under appropriate

    conditions that do not affect their suitability for use. Weighing and measuring

    devices should be of suitable accuracy for the intended use.

    If a material is subdivided for later use in production operations, the

    receiving container should be suitable and should be so identified with the

    following information:

    1.

    1) Material name and/or item code;

    2.

    2) Receiving lot number or serial number;

    3.

    3) Weight or measure of material in the sub-container; and

    4.

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    4) Re-evaluation or retest date if appropriate.

    3. Critical weighing, measuring, or subdividing operations should be

    reviewed or subjected to an equivalent control. Prior to use, production

    personnel should verify that the materials is for intended used t.

    4. Actual yields should be compared with expected yields at designatedsteps in the production process. Expected yields with appropriate ranges should

    be established based on previous laboratory, pilot scale, or manufacturing data.

    Deviations in yield associated with critical process steps should be investigated

    to determine their impact or potential impact on the resulting quality of affected

    batches.

    5. If time limits are specified in the master production instruction, these

    time limits should be met strictly. Deviations should be documented and

    evaluated. Time limits may be inappropriate to a target value, where completion

    of reactions or processing steps are determined by in-process sampling and

    testing.

    6. Intermediates held for further processing should be stored under

    appropriate conditions to ensure their suitability for use.

    Article 29: In-process controls and sampling

    1. The acceptance criteria, type and extent of testing can depend on the

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    nature of the intermediate or API being manufactured, the reaction or process

    step being conducted, and the degree to which the process introduces variability

    in the products quality. Less stringent in-process controls may be appropriate in

    early processing steps, whereas tighter controls may be appropriate for laterprocessing steps (e.g., isolation and purification steps).

    2. In-process controls can be performed by qualified personnel in

    production department and the process adjusted without prior quality unit if the

    adjustments are made within pre-established limits approved by the quality

    unit(s). Out-of-specification (OOS) investigations are not normally needed forin-process tests that are performed during the adjusting process.

    3. Written procedures should describe the sampling methods for

    in-process materials, intermediates, and APIs.

    4. In-process sampling should be conducted according to the written

    procedures, and samples should be sealed properly to prevent contamination ofthe sampled material and other intermediates or APIs.

    Article 30 Viral removal/inactivation steps

    1. Viral removal and viral inactivation steps should be performed

    according to validated procedure.

    2. Appropriate precautions should be taken to prevent potential viral

    contamination from pre-viral to post-viral removal/inactivation steps. Open

    processing should be performed in areas that are separate from other

    processing activities and have separate air handling units.

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    3. The same equipment is not normally used for different purification

    steps, i.e. different products or different phases of the same product. If the same

    equipment is to be used, the equipment should be appropriately cleaned and

    sanitized before reuse. Appropriate precautions should be taken to prevent

    potential virus carry-over (e.g. through equipment or environment) from previous

    steps.

    Article 31 Blending batches of intermediates or APIs

    1. For the purpose of this article, blending is defined as the process of

    combining APIs within the same specification to produce a homogeneous API.In-process mixing of fractions from single batches (e.g., collecting several

    centrifuge loads from a single crystallisation batch) or combining fractions from

    several batches for further processing is considered to be part of the production

    process and is not considered to be blending.

    2. Out-Of-Specification batches should not be blended with other

    batches.

    3. Each batch incorporated into the blend should have been

    manufactured using an established process and should have been individually

    tested and found to meet appropriate specifications prior to blending.

    4. Acceptable Blending operations include but not limited to:

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    1.

    1) Blending of small batches to increase batch size

    2.

    2) Blending of tailings from batches of the same API to form a single

    batch.

    5. Blending processes should be adequately controlled and documented

    and the blended batch should be tested for conformance to established

    specifications where appropriate.

    6. The batch record of the blending process should allow traceability

    back to the individual batches that make up the blend.

    7. Where physical attributes of the API are critical (e.g., APIs intended

    for use in solid oral dosage forms or suspensions), validation should include

    testing which can show homogeneity of the combined batch, and testing of

    critical attributes (e.g., particle size distribution, bulk density, and tap density)

    that may be affected by the blending process.

    8. If the blending could adversely affect stability, stability testing of the

    final blended batches should be performed.

    9. The expiry or retest date of the blended batch should be based on the

    manufacturing date of the oldest tailings or batch in the blend.

    Article 32: Principles for distinguishing batches

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    In case of continuous production , the homogenous product which is

    produced in a fixed time intervalshould be considered as a single batch.

    For batch production, a specific quantity of homogenous product which

    is blended by a certain number of products should be considered as a single

    batch.

    Article 33: Contamination control

    Adequate controls should be implemented where residual materials are

    carried over into successive batches of the same intermediate or API. Such

    carryover should not result in the carryover of degradants or microbial

    contamination that may adversely alter the established API impurity profile.

    Production operations should be conducted in a manner that prevent

    contamination of intermediates or APIs from other materials.

    Precautions to avoid contamination should be taken when APIs are

    handled after purification.

    Article 34: Packaging of APIs and intermediates

    1. Containers should provide an adequate protection against

    deterioration or contamination of the intermediate or API that may occur during

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    transportation and recommended storage. These containers should not be

    reactive, additive, or absorptive so as to alter the quality of the intermediate or

    API beyond the specified limits.

    2. Containers should be clean and, where indicated by the nature of the

    intermediate or API, sanitized to ensure that they are suitable for their intended

    use.

    3. If containers are re-used, they should be cleaned in accordance withoperational procedures and all previous labels should be removed or defaced.

    4. Intermediate or API containers that are transported outside of the

    manufacturer's control should be properly sealed in a manner such that, the

    recipient will be alerted when the seals alter.

    Chapter 8 Rejection

    Article 35: Intermediates and APIs failed to meet specifications can be

    reprocessed or reworked as described in Articles 36 and 37. The final disposition

    of rejected materials should be recorded.

    Article 36: Reprocessing

    1. Introducing an intermediate or API, including one that does not conform

    to standards or specifications, back into the process and reprocessing by

    repeating a crystallisation step or other appropriate chemical or physical

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    manipulation steps, e.g., distillation, filtration, chromatography, milling, that are

    part of the established manufacturing process is generally considered

    acceptable.

    2. If such reprocessing is used for a majority of batches, such

    reprocessing should be included as part of the standard manufacturing process.

    3. Introducing unreacted material back into a process and repeating a

    chemical reaction is considered to be reprocessing unless it is part of the

    established process. Such reprocessing should be preceded by careful

    evaluation to ensure that the quality of the intermediate or API is not adversely

    impacted due to the potential formation of by-products and over-reacted

    materials.

    4. If continuation of a process step after an in-process control test hasshown that the step is incomplete, it still can be processed following the normal

    process. This is not considered to be reprocessing.

    Article 37: Reworking

    1. Batches that have been reworked should be subjected to appropriate

    evaluation, testing, stability testing if warranted, and documentation to show that

    the reworked product is of equivalent quality to that produced by the original

    process. Concurrent validation can be used to define the rework procedure, how

    it will be carried out, and the expected results.

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    2. Reworking should be performed according to approved operational

    procedure, comparing the impurity profile of each reworked batch against

    batches manufactured by the established process. Where routine analytical

    methods are inadequate to characterize the reworked batch, additional methods

    should be used.

    Article 38: Recovery of materials and solvents

    1. Recovery (e.g. from mother liquor or filtrates) of reactants,

    intermediates, or the API is considered acceptable, provided that approved

    procedures exist for the recovery and the recovered materials meet

    specifications suitable for their intended use.

    2. Solvents can be recovered and reused in the same process step or in

    different process step of the same product, provided that the recovery

    procedures are controlled and monitored to ensure that recovered solvents meet

    appropriate standards. Provided no adverse impact on product quality , recovery

    solvents can be used in different products.

    3. Fresh and recovered solvents and reagents can be combined if anadequate testing has shown their suitability for all manufacturing processes in

    which they may be used.

    4. The use of recovered solvents, mother liquors, and other recovered

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    materials should be adequately documented with traceability, and the impurity

    be tested regularly.

    Chapter 9 Quality Management

    Article 39: The specifications should include a control of impurities (e.g.

    organic impurities, inorganic impurities, and residual solvents). Microbiological or

    endotoxin specification should be established where applicable.

    Article 40: An impurity profile describing the identified and unidentified

    impurities present in a typical batch produced by a specific controlled production

    process should normally be established for each API. The impurity profile should

    include the identity or some qualitative analytical designation (e.g. retention

    time), the range of each impurity observed, and classification of each identified

    impurity (e.g. inorganic, organic, solvent). The impurity profile is normally

    dependent upon the production process and an origin of the API. Impurity

    profiles are normally not necessary for APIs from herbal or animal tissue origin

    and manufactured by fermentation process.

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    Article 41: The impurity profile should be compared at appropriate

    intervals against the impurity profile in the register submission or compared

    against historical data in order to detect changes to the API resulting from

    modifications in raw materials, equipment operating parameters, or the

    production process.

    Article 42: Stability monitoring of APIs

    1) Stability samples should be stored in containers that simulate or are

    same with the marketed product container.

    2) Normally the first three commercial production batches should be

    placed on the stability monitoring program to confirm the expiry date.

    3) For APIs with short shelf-lives, testing should be done more frequently

    during the stability monitoring.

    Chapter 10 Specific Requirement for APIs Manufactured

    by Classical Fermentation

    (?????)

    Article 43: Appropriate control should be used to minimize the risk of

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    microbial contaminations during manufacture of APIs, which are produced by

    classical fermentation process

    Article 44: Process controls should take into account:

    1. Maintenance of the working cell bank;

    2. Proper control of inoculation and expansion of the culture;

    3. Control of the critical operating parameters during fermentation/cell

    culture;

    4. Monitoring of the process for cell growth and productivity

    5. Harvest and purification procedures while protecting the intermediate or

    API from contamination

    6. Monitoring of microbial contamination level and, where needed,

    endotoxin levels at appropriate stage of production

    Article 45: Where appropriate, the removal of media components, host cell

    proteins, other process-related and product-related impurities and contaminants

    should be demonstrated.

    Article 46: Cell bank maintenance and record keeping

    1. Access to cell banks should be limited to authorized personnel.

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    2. Cell banks should be maintained under storage conditions designed to

    maintain a required viability level and prevent contamination.

    3. Records of the use of the vials from the cell banks and storage

    conditions should be maintained.

    4. Cell banks should be periodically monitored to determine suitability for

    use.

    5. When necessary, strain identification should be conducted.

    Article 47: Cell culture/fermentation

    1. Where aseptic addition of cell substrates, media, buffers, and gases is

    needed, closed or contained systems should be used. If the inoculations of the

    initial vessel, subsequent transfers or additions (media, buffers) are performed in

    open vessels, there should be controls and procedures in place to avoid the risk

    of contamination.

    2. Where the quality of the API can be affected by microbial

    contamination, manipulations using open vessels should be performed in theproper controlled environment.

    3. Personnel should be appropriately gowned and take special

    precautions when handling the cultures.

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    pH

    4. Critical operating parameters (for example temperature, pH, agitation

    rates, addition of gases and pressure) should be monitored to ensure

    consistency with the established process. Cell growth, productivity should also

    be monitored where appropriate.

    5. As appropriate, fermentation equipment should be cleaned, and

    sanitized or sterilised.

    6. Culture media should be sterilised before use.

    7. There should be appropriate procedures in place to detect microbial

    contamination occurred during the process operations and determine the course

    of action to be taken, including procedures to determine the impact of microbialcontamination on the product and those to decontaminate the equipment and

    return it to normal production condition. When dealing with contaminated

    materials, foreign micro organisms observed during fermentation processes

    should be identified as appropriate and the effect of their presence on product

    quality should be assessed, if necessary.

    8. Records of micro contamination events and corresponding handling

    should be maintained.

    9. Shared (multi-product) equipment should be warranted by conducting

    necessary tests after cleaning between product campaigns, as appropriate, to

    minimize the risk of cross-contamination.

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    Article 48: Harvesting, isolation and purification

    1. Harvesting steps, either to remove cells or cellular components or to

    collect cellular components after disruption, should be performed in equipment

    and areas designed to minimize the risk of contamination.

    2. Harvest and purification procedures including inactivating cells,removing cellular debris and media components should be established and

    corresponding procedures should be conducted to minimize degradation and

    contamination, so as to ensure that the intermediate or API is recovered with

    consistent quality.

    3. If open systems are used, isolation and purification and should be

    performed under environmental conditions appropriate for the preservation of

    product quality.

    4. Additional controls, such as the use of dedicated chromatography

    medium or additional testing, may be appropriate if the equipment is to be used

    for harvest, isolation or purification of multiple products.

    Chapter 11 Glossary

    Article 49: The following glossaries mean:

    1. Classical fermentation

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    The term classical fermentation refers to processes that use

    microorganisms existing in nature and/or modified by conventional methods (e.g.

    irradiation or chemical mutagenesis) to produce APIs. APIs produced by

    classical fermentation are normally low molecular weight products such as

    antibiotics, amino acids, vitamins, and carbohydrates.

    2. Non-sterile APIs

    This refers to APIs of which the sterile inspection items are not listed instatutory standards.

    3. Critical quality attributes

    This refers to attributes of physical, chemical, biological or

    microorganism, should be of certain limits, scope or distribution, so as to meetexpectant product quality.

    4. Process aids

    This refers to the materials (e.g. filter aid, activated carbon, etc,

    excluding solvents), used as an aid in the production of an intermediate or API

    that do not participate in a chemical or biological reaction itself.

    5. Mother liquor

    The residual liquid remains after the crystallisation or isolation processes.

    Annex 2 reviewed by Zhao Chunhua, Zhao Yunxia

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    3