CPhI expert warns without urgent regulatory change improving quality is a fool's game

Girish Malhotra believes the pharmaceutical industry should be allowed to commercialise process improvements without regulatory re-approval
Amsterdam, 17 September 2015: CPhI Worldwide, (#cphiww) organised by UBM EMEA, launches part i of its annual report ahead of CPhI Worldwide 2015 in Madrid – as CPhI expert, Girish Malhotra calls for a radical solution to improve pharma manufacturing processes in his thought provoking piece.
He argues that for far too long we have allowed the status quo to continue, and that for true continual improvement we need to make it easier for companies to make vital alterations to manufacturing processes, without being hindered by a full re-approval process.
Under his guidelines the pharmaceutical industry will be allowed to commercialise process improvements (yield, process/operating conditions, operating parameters, cycle time) in the manufacture of approved APIs and their formulations. Guarantees on quality will then be provided from the manufacturing company, and they must ensure that the product efficacy and performance will not lessen, and the product will be equal to or better than the approved product produced by the company.

Crucially, if for any reason these standards are not met, he suggested a stipulation that the company proposing improvements will be barred from making the product using the alternate process for the next two or three years. And, if they do decide to use the alternate process, they will have to go through the full re-approval process.

Additionally, Girish states that minor changes that do not change the current filed processing methods will be excluded, and this will apply to OTC, brand and generic products.

The FDA established 21CFR314.7[1] and it assures that there is no "by manufacturer's choice" deviation from the manufacturing methods and practices that have been filed for the components involved in the manufacture of any saleable drug – the active pharmaceutical ingredient (API) and their formulation – and labelling, packaging etc. However, as every change has to be reported, drastic process changes, even when there are clear benefits for the finished drug and patient, are summarily discouraged.
Girish, commented: "21 CFR314.70 encourages 'continuous improvements' in the processes that will create the best product for clinical trials and that's the way it should be. However, in my estimation under the current rules all of this has to be done prior to going to clinical trials. QbD (quality by design) becomes a natural part of the process development before a process is commercialised. But after the fact process change is extremely difficult."

Girish believes that the benefits of a new regulatory regime far outweigh the risks, as cost reduction, improved profits and a larger customer base due to improved manufacturing technologies and efficiencies, will be a huge step forward.

Despite a commitment to continuous improvement anything "after the fact", under the current regulatory environment, simply will not happen due to the financial and time constraints of re-approval. Thus, although the current regulations and QbD are well intentioned, they do not yet breed a culture of continuous improvement.

He added: "I admit that my proposal is a quite audacious, but unless such bold steps are considered, very little will change in the current pharma's manufacturing methodologies or anywhere, for that matter. If incorporated in pharmaceutical manufacturing landscape, continuous improvements and innovation could become a routine and it could be extended to the whole healthcare industry. It has an opportunity to add as much as 20% of the global population (~1.4 billion) to its customer base, an unprecedented opportunity for any industry on the planet. Profits will improve and healthcare costs can come done. It would be a win-win."

The full article will be featured within the CPhI annual report, which is to be released at CPhI Worldwide 2015 in Madrid, October 13-15th. For more details or to review Girish's full proposal and article online, please visit: http://www.cphi.com/europe/networking/cphi-pharma-insights

Please also join the debate on Twitter and look out for our live tweet chat at CPhI Worldwide 2015 using the hashtag (#cphichat2015) – which will be displayed throughout the event.

Notes to editors
About CPhI
CPhI drives growth and innovation at every step of the global pharmaceutical supply chain from drug discovery to finished dosage. Through exhibitions, conferences and online communities, CPhI brings together more than 100,000 pharmaceutical professionals each year to network, identify business opportunities and expand the global market. CPhI hosts events in Europe, Korea, China, India, Japan, South East Asia, Turkey and Russia and co-locates with ICSE for contract services, P-MEC for machinery, equipment & technology, InnoPack for pharmaceutical packaging and BioPh for biopharma. CPhI provides an online buyer & supplier directory at CPhI-Online.com.
For more information visit: www.cphi.com
The UBM EMEA annual schedule of Pharmaceutical events includes; CPhI Korea (7-9 September, 2015 at the COEX Hall D- Seoul, South Korea); CPhI, ICSE, P-MEC and InnoPack Worldwide (13-15 October 2015, IFEMA- Feria de Madrid, Spain); CPhI, P-MEC, ICSE and BioPh India (1-3 December, 2015 at the Bombay Convention and Exhibition Centre, Mumbai, India); CPhI, P-MEC and Innopack South East Asia (06-08 April, 2016 at the Jakarta International Expo- Jakarta, Indonesia); CPhI, ICSE, P-MEC, BioPh and InnoPack Japan (20-22 April, 2016 at the Big Sight Exhibition Centre- Tokyo); CPhI Istanbul (1-3 June, 2016 at the ICC Istanbul Congress Center, Istanbul, Turkey); CPhI China and P-MEC (21-23 June, 2016 at SNIEC, Shanghai, China).
UBM EMEA connects people and creates opportunities for companies across five continents to develop new business, meet customers, launch new products, promote their brands, and expand their market. Through premier brands such as TFM&A, Internet World, IFSEC, MD&M, CPhI, Cruise Shipping Miami, the Concrete Show, and many others, UBM Live exhibitions, conferences, awards programs, publications, Websites, and training and certification programs are an integral part of the marketing plans of companies across more than 20 industry sectors.
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