ICH Q10 Pharmaceutical Quaity System

PHARMACEUTICAL QUALITY SYSTEM:
ICH Q10ICH Q10
1
Seetharam Kandarpa,
ASQ-CPGP & ASQ-CQA

Index
• Introduction to ICH Q10: Pharmaceutical Quality System
• Basic Terms & Definitions related to Pharmaceutical Quality
System
• Contents of ICH Q10: Pharmaceutical Quality System• Contents of ICH Q10: Pharmaceutical Quality System
• Key Message of ICH Q10: Pharmaceutical Quality System
2

INTRODUCTION
TO
ICH Q10:ICH Q10:
PHARMACEUTICAL QUALITY SYSTEM
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3

• Good business practice
• Significant changes in external business environment
– Fewer new products / ‘blockbusters’
– Reduced margins / greater competition / low-cost sources
– Focus on efficient, effective organisations and lean processes
– Public health issues
• Pharmaceutical industry way behind other industries in Quality
Why do we need a ‘Modern Effective PQS’?
• Pharmaceutical industry way behind other industries in Quality
Management philosophies / practices
– Marketed products ARE safe and efficacious
– BUT costs of quality are high
– Often reactive, not designed-in / preventative
• THE STATUS QUO IS NO LONGER AN OPTION !!
4

• Historically innovation and improvement have
been constrained
– Inflexible regulatory environment
– Focus on Compliance, not Science and Risk-Based approach
= BLIND COMPLIANCE
– Industry margins didn’t provide drive for change
Why do we need a ‘Modern Effective PQS’?
• GMPs do not provide a ‘full modern’ Quality
System
– Originated in 1970s – only incrementally added to
– ISO Quality Management thinking not embedded
– SOPs focused on GMP compliance
– Need to be complemented
5

• Evolution of regional GMPs 1970s
• Evolution of ISO 9000 approaches 1980s
• FDA 21st Century initiative 2002
• ICH Quality Vision / Q8, Q9, Q10 2003
History
• ICH Quality Vision / Q8, Q9, Q10 2003
• FDA Quality Systems guide 2006 *
• ICH Q10 Pharmaceutical Quality System 2008
• ICH Q8/9/10 IWG 2008
* FDA commitment to update or withdraw when Q10 issued
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• “Develop a harmonised pharmaceutical quality system applicable across the
lifecycle of the product emphasising an integrated approach to quality risk
management and science.”
Brussels July 2003
• Resulting in ICH Q Guidelines:
ICH Quality Vision
• Resulting in ICH Q Guidelines:
– Q8: Pharmaceutical Development
– Q9: Quality Risk Management
– Q10: Pharmaceutical Quality System
– Q11: Development and Manufacture of Drug Substances
• For maximum utility need to consider 8/9/10 together
7

• ICH Q10 aims to promote a paradigm shift from discrete GMP compliance
procedures at each stage of the product lifecycle to a comprehensive quality
systems approach over the lifecycle of the product.
• The objective of Q10 is to establish a new tripartite guideline describing the
model for an effective quality management system for the pharmaceutical
What is ICH Q10?
industry, referred to as the Pharmaceutical Quality System.
• The specifics of a pharmaceutical quality system vary depending with the stage
of the product lifecycle, but the overall principles and components are the
same.
• It describes one approach deemed acceptable to regulators.
8

Where is ICH Q10?
• Document is available on the ICH Webpage
www.ich.org
9

ICH Q10
Where is ICH Q10?
ICH Q10
10
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BASIC TERMS & DEFINITIONS
RELATED TORELATED TO
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11

• Quality:
– The degree to which a set of inherent properties of a product, system or process fulfils
requirements. (ICH Q9)
• Quality Policy:
– Overall intentions and direction of an organisation related to quality as formally expressed
by senior management. (ISO 9000:2005)
• Quality Objectives:
Basic Terms & Definitions
• Quality Objectives:
– A means to translate the quality policy and strategies into measurable activities. (ICH Q10)
• Pharmaceutical Quality System (PQS):
– Management system to direct and control a pharmaceutical company with regard to quality.
(ICH Q10 based upon ISO 9000:2005)
12

• Quality Planning:
– Part of quality management focused on setting quality objectives and specifying necessary
operational processes and related resources to fulfil the quality objectives. (ISO 9000:2005)
• Senior Management:
– Person(s) who direct and control a company or site at the highest levels with the authority
and responsibility to mobilise resources within the company or site. (ICH Q10 based in part
on ISO 9000:2005)
on ISO 9000:2005)
• State of Control:
– A condition in which the set of controls consistently provides assurance of continued
process performance and product quality. (ICH Q10)
• Continual Improvement:
– Recurring activity to increase the ability to fulfil requirements. (ISO 9000:2005)
13

• Innovation:
– The introduction of new technologies or methodologies. (ICH Q10)
• Enabler:
– A tool or process which provides the means to achieve an objective. (ICH Q10)
• Feedback / Feedforward:
– Feedback: The modification or control of a process or system by its results or effects.
– Feedback: The modification or control of a process or system by its results or effects.
– Feedforward: The modification or control of a process using its anticipated results or effects.
(Oxford Dictionary of English. Oxford University Press; 2003)
– Feedback/ feedforward can be applied technically in process control strategies and
conceptually in quality management. (ICH Q10)
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• Control Strategy:
– A planned set of controls, derived from current product and process understanding, that
assures process performance and product quality. The controls can include parameters and
attributes related to drug substance and drug product materials and components, facility and
equipment operating conditions, in-process controls, finished product specifications, and the
associated methods and frequency of monitoring and control. (ICH Q10)
• Product Realisation:
• Product Realisation:
– Achievement of a product with the quality attributes appropriate to meet the needs of
patients, health care professionals, and regulatory authorities (including compliance with
marketing authorisation) and internal customers requirements. (ICH Q10)
• Knowledge Management:
– Systematic approach to acquiring, analysing, storing, and disseminating information related
to products, manufacturing processes and components. (ICH Q10)
15

• Performance Indicators:
– Measurable values used to quantify quality objectives to reflect the performance of an
organisation, process or system, also known as “performance metrics” in some regions.
(ICH Q10)
• Quality Manual:
– Document specifying the quality management system of an organisation. (ISO 9000:2005)
• Quality Risk Management:
• Quality Risk Management:
– A systematic process for the assessment, control, communication and review of risks to the
quality of the drug (medicinal) product across the product lifecycle. (ICH Q9)
• Change Management:
– A systematic approach to proposing, evaluating, approving, implementing and reviewing
changes. (ICH Q10)
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• Corrective Action:
– Action to eliminate the cause of a detected non-conformity or other undesirable situation.
NOTE: Corrective action is taken to prevent recurrence whereas preventive action is taken
to prevent occurrence. (ISO 9000:2005)
• Preventive Action:
– Action to eliminate the cause of a potential non-conformity or other undesirable potential
situation. NOTE: Preventive action is taken to prevent occurrence whereas corrective action
situation. NOTE: Preventive action is taken to prevent occurrence whereas corrective action
is taken to prevent recurrence. (ISO 9000:2005)
• Capability of a Process:
– Ability of a process to realise a product that will fulfil the requirements of that product. The
concept of process capability can also be defined in statistical terms. (ISO 9000:2005)
• Outsourced Activities:
– Activities conducted by a contract acceptor under a written agreement with a contract giver.
(ICH Q10)
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CONTENTS OF
ICH Q10:ICH Q10:
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• The document is divided into 5 sections and 2 annexure
– Pharmaceutical Quality System
– Management responsibility
– Continual improvement of process performance and product quality
– Continual improvement of the pharmaceutical quality system
– Glossary
Composition of the Q10 Document
– Glossary
– Annex 1 - potential opportunities to enhance science and risk based regulatory approaches
– Annex 2 - diagram of the Q10 model
19

• 1.1 Introduction
– ICH Q10 demonstrates industry and regulatory authorities’ support of an effective
pharmaceutical quality system to enhance the quality and availability of medicines around
the world in the interest of public health.
– Implementation of ICH Q10 throughout the product lifecycle should facilitate innovation
and continual improvement and strengthen the link between pharmaceutical development
and manufacturing activities
1. Pharmaceutical Quality System
and manufacturing activities
• 1.2 Scope
– To the systems supporting the development and manufacture of, throughout the product
lifecycle:
» Pharmaceutical drug substances (i.e., API) and drug products, including
biotechnology and biological products
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• 1.3 Relationship of ICH Q10 to Regional GMP Requirements, ISO
Standards and ICH Q7
– ICH Q10 provides a harmonised model for a pharmaceutical quality system throughout the
lifecycle of a product and is intended to be used together with regional GMP requirements
Q10FDA QSISO 9000GMP
21
Lifecycle
Opportunities
Knowledge
QRM
Continual Imp
Management
GMPs
∆

• 1.4 Relationship of ICH Q10 to Regulatory Approaches
– Regulatory approaches for a specific product or manufacturing facility should be
commensurate with the level of product and process understanding, the results of quality
risk management, and the effectiveness of the pharmaceutical quality system.
– When implemented, the effectiveness of the pharmaceutical quality system can normally be
– When implemented, the effectiveness of the pharmaceutical quality system can normally be
evaluated during a regulatory inspection at the manufacturing site. Potential opportunities to
enhance science and risk based regulatory approaches are identified in Annex 1. Regulatory
processes will be determined by region.
22

• 1.5 ICH Q10 Objectives
– Implementation of the Q10 model should result in achievement of three main objectives
which complement or enhance regional GMP requirements.
• Achieve Product Realisation
• Establish and Maintain a State of Control
• Facilitate Continual Improvement
• Facilitate Continual Improvement
• 1.6 Enablers: Knowledge Management and Quality Risk Management
– Use of knowledge management and quality risk management will enable a company to
implement ICH Q10 effectively and successfully.
– These enablers will facilitate achievement of the objectives described above by providing
the means for science and risk based decisions related to product quality.
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• 1.7 Design and Content Considerations
– The design, organisation and documentation
– The elements of ICH Q10 should be applied in appropriate manner
– The size and complexity of the company’s activities
– Should include appropriate processes, resources and responsibilities to provide assurance of
the quality of outsourced activities and purchased materials
the quality of outsourced activities and purchased materials
– Management responsibilities should be identified
– Should include:
• process performance and product quality monitoring,
• corrective and preventive action,
• change management
• management review
– Performance indicators should be identified and used to monitor the effectiveness of
processes
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• 1.8 Quality Manual
– A Quality Manual or equivalent documentation approach should be established and should
contain:
• The quality policy
• The scope of the pharmaceutical quality system
• Identification of the pharmaceutical quality system processes, as well as their sequences,
• Identification of the pharmaceutical quality system processes, as well as their sequences,
linkages and interdependencies.
• Management responsibilities within the pharmaceutical quality system
25

• 2.1 Management Commitment
– Senior management has the ultimate responsibility to ensure an effective pharmaceutical
quality system is in place to achieve the quality objectives, and that roles, responsibilities,
and authorities are defined, communicated and implemented throughout the company
– Management should:
2. Management Responsibility
– Management should:
• Participate in the design, implementation, monitoring and maintenance of an effective
pharmaceutical quality system
• Demonstrate strong and visible support
• Ensure a timely and effective communication and escalation process exists to raise quality issues
to the appropriate levels of management
• Define individual and collective roles, responsibilities, authorities and inter-relationships of all
organisational units
– An independent quality unit/structure with authority to fulfil certain pharmaceutical quality system
responsibilities is required by regional regulations
• Conduct management reviews
• Advocate continual improvement
• Commit appropriate resources
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• 2.2 Quality Policy
– Senior management should establish a quality policy that describes the overall intentions
and direction of the company related to quality
– Should include an expectation to comply with applicable regulatory requirements and should
facilitate continual improvement of the pharmaceutical quality system
– The quality policy should be communicated to and understood by personnel at all levels in
– The quality policy should be communicated to and understood by personnel at all levels in
the company
– The quality policy should be reviewed periodically for continuing effectiveness
27

• 2.3 Quality Planning
– Senior management should ensure the quality objectives needed to implement the quality
policy are defined and communicated
– Quality objectives should be supported by all relevant levels of the company
– Quality objectives should align with the company’s strategies
– Management should provide the appropriate resources and training to achieve the quality
objectives
objectives
– Performance indicators that measure progress against quality objectives should be
established, monitored, communicated regularly and acted upon appropriately
• 2.4 Resource Management
– Management should determine and provide adequate and appropriate resources (human,
financial, materials, facilities and equipment) to implement and maintain the pharmaceutical
quality system and continually improve its effectiveness
– Management should ensure that resources are appropriately applied to a specific product,
process or site
28

• 2.5 Internal Communication
– Management should ensure appropriate communication processes are established and
implemented within the organisation.
– Communications processes should ensure the flow of appropriate information between all
levels of the company.
– Communication processes should ensure the appropriate and timely escalation of certain
product quality and pharmaceutical quality system issues.
product quality and pharmaceutical quality system issues.
• 2.6 Management Review
– Senior management should be responsible for pharmaceutical quality system governance
through management review to ensure its continuing suitability and effectiveness.
– Management should assess the conclusions of periodic reviews of process performance and
product quality and of the pharmaceutical quality system, as described in Sections 3 and 4.
29

• 2.7 Management of Outsourced Activities and Purchased Materials
– The pharmaceutical company is ultimately responsible to ensure processes are in place to
assure the control of outsourced activities and quality of purchased materials
– These processes should incorporate quality risk management and include:
• Assessing prior to outsourcing operations or selecting material suppliers, the suitability and
competence of the other party to carry out the activity or provide the material using a defined
competence of the other party to carry out the activity or provide the material using a defined
supply chain (e.g., audits, material evaluations, qualification);
• Defining the responsibilities and communication processes for quality-related activities of the
involved parties. For outsourced activities, this should be included in a written agreement
between the contract giver and contract acceptor;
• Monitoring and review of the performance of the contract acceptor or the quality of the material
from the provider, and the identification and implementation of any needed improvements;
• Monitoring incoming ingredients and materials to ensure they are from approved sources using
the agreed supply chain.
30

• 2.8 Management of Change in Product Ownership
– When product ownership changes, (e.g., through acquisitions) management should consider
the complexity of this and ensure:
• The ongoing responsibilities are defined for each company involved;
• The necessary information is transferred.
• The necessary information is transferred.
31

• 3.1 Lifecycle Stage Goals
3. Continual Improvement of
Process Performance and Product Quality
Pharmaceutical
Development
Technology Transfer Commercial
Manufacturing
Product
Discontinuation
To design a product and its
manufacturing process to
consistently deliver the
intended performance and
To transfer product and
process knowledge
between development
and manufacturing, and
Achieving product
realisation,
establishing and
maintaining a state of
To manage the terminal
stage of the product
lifecycle effectively.
32
intended performance and
meet the needs of patients
and healthcare
professionals, and
regulatory authorities and
internal customers’
requirements.
and manufacturing, and
within or between
manufacturing sites to
achieve product
realisation.
maintaining a state of
control and
facilitating continual
improvement.

• 3.2 Pharmaceutical Quality System Elements
– The Q10 model’s intent is to enhance these elements in order to promote the lifecycle
approach to product quality. These four elements are:
• Process performance and product quality monitoring system;
• Corrective action and preventive action (CAPA) system;
• Change management system;
• Management review of process performance and product quality.
33

• 3.2.1 Process Performance and Product Quality Monitoring System
– To ensure a state of control is maintained
– An effective monitoring system provides assurance of the continued capability of processes
and controls to:
• Produce a product of desired quality
• Identify areas for continual improvement
Pharmaceutical
Development
Technology Transfer Commercial
Manufacturing
Product Discontinuation
34
Development Manufacturing
Process and product
knowledge generated and
process and product
monitoring conducted
throughout development can
be used to establish a control
strategy for manufacturing.
Monitoring during scale-up
activities can provide a
preliminary indication of
process performance and the
successful integration into
manufacturing. Knowledge
obtained during transfer and
scale up activities can be
useful in further developing
the control strategy.
A well-defined system for
process performance and
product quality monitoring
should be applied to assure
performance within a state of
control and to identify
improvement areas.
Once manufacturing ceases,
monitoring such as stability
testing should continue to
completion of the studies.
Appropriate action on
marketed product should
continue to be executed
according to regional
regulations.

• 3.2.1 Process Performance and Product Quality Monitoring System
– The process performance and product quality monitoring system should:
• Use quality risk management to establish the control strategy. The control strategy should
facilitate timely feedback / feedforward and appropriate corrective action and preventive action;
• Provide the tools for measurement and analysis of parameters and attributes identified in
the control strategy (e.g., data management and statistical tools);
the control strategy (e.g., data management and statistical tools);
• Analyse parameters and attributes identified in the control strategy to verify continued
operation within a state of control;
• Identify sources of variation affecting process performance and product quality for potential
continual improvement activities to reduce or control variation;
• Include feedback on product quality from both internal and external sources, e.g., complaints,
product rejections, non-conformances, recalls, deviations, audits and regulatory inspections and
findings;
• Provide knowledge to enhance process understanding, enrich the design space (where
established), and enable innovative approaches to process validation.
35

• 3.2.2 Corrective Action and Preventive Action (CAPA) System
– System for implementing corrective actions and preventive actions resulting from the
investigation of:
• Complaints
• Product rejections
• Non-conformances
• Non-conformances
• Recalls
• Deviations
• Audits
• Regulatory inspections and findings
• Trends from process performance and product quality monitoring
– CAPA methodology should result in product and process improvements and enhanced
product and process understanding
36

• 3.2.2 Corrective Action and Preventive Action (CAPA) System
37

• 3.2.3 Change Management System
– Innovation, continual improvement, the outputs of process performance and product quality
monitoring and CAPA drive change.
– The change management system ensures continual improvement is undertaken in a timely
and effective manner. It should provide a high degree of assurance there are no unintended
consequences of the change.
consequences of the change.
– The change management system should include:
• Quality risk management should be utilised
• All changes should be evaluated by a company’s change management system
• Prospective evaluation criteria for a proposed change should be set
• After implementation, an evaluation of the change should be undertaken to confirm the change
objectives were achieved and that there was no deleterious impact on product quality
38

• 3.2.3 Change Management System
39

• 3.2.4 Management Review of Process Performance and Product Quality
– Management review should provide assurance that process performance and product quality
are managed over the lifecycle.
– Depending on the size and complexity of the company, management review can be a series
of reviews at various levels of management and should include a timely and effective
communication and escalation process to raise appropriate quality issues to senior levels of
communication and escalation process to raise appropriate quality issues to senior levels of
management for review.
40

• 3.2.4 Management Review of Process Performance and Product Quality
– The management review system should include:
• The results of regulatory inspections and findings, audits and other assessments, and
commitments made to regulatory authorities
• Periodic quality reviews, that can include:
– Measures of customer satisfaction (such as product quality complaints and recalls)
– Measures of customer satisfaction (such as product quality complaints and recalls)
– Conclusions of process performance and product quality monitoring
– The effectiveness of process and product changes including those arising from corrective action and
preventive actions
• Any follow-up actions from previous management reviews
– The management review system should identify appropriate actions, such as:
• Improvements to manufacturing processes and products;
• Provision, training and/or realignment of resources;
• Capture and dissemination of knowledge.
41

Continual
Improvement
Inputs
• Manufacturing
Experience
• Deviations / CAPA
• Performance Monitoring
• Customer Complaints
Product Lifecycle
Adjustment
• Readily achieved as part
of routine feedback
• Require permanent &
substantial
process/facility design to
Continual Improvement of the Product
42
Improvement
Feed Forward
Feedback
• Customer Complaints
• Management Reviews
• Material Variance
process/facility design to
improve original concept
Expanded
Body of Knowledge
Product Lifecycle
Management

• 4.1 Management Review of the Pharmaceutical Quality System
– The management review system should include:
• Measurement of achievement of pharmaceutical quality system objectives
• Assessment of performance indicators that can be used to monitor the effectiveness of
Pharmaceutical Quality System
• Assessment of performance indicators that can be used to monitor the effectiveness of
processes within the pharmaceutical quality system, such as:
– Complaint, deviation, CAPA and change management processes;
– Feedback on outsourced activities
– Self-assessment processes including risk assessments, trending, and audits
– External assessments such as regulatory inspections and findings and customer audits
43

• 4.2 Monitoring of Internal and External Factors Impacting the
– Factors monitored by management can include:
• Emerging regulations, guidance and quality issues that can impact the Pharmaceutical Quality
System
• Innovations that might enhance the pharmaceutical quality system
• Changes in business environment and objectives
• Changes in product ownership
44

• 4.3 Outcomes of Management Review and Monitoring
– The outcome of management review of the pharmaceutical quality system and
monitoring of internal and external factors can include:
• Improvements to the pharmaceutical quality system and related processes;
• Allocation or reallocation of resources and/or personnel training;
• Revisions to quality policy and quality objectives;
• Documentation and timely and effective communication of the results of the management
review and actions, including escalation of appropriate issues to senior management.
45

Continual Improvement of the PQS
Inputs
• PQS Processes: (e.g. Complaint,
deviation, change management)
• Outsourced activities
• Self-assessment processes (audits,
risk assessments, trending)
• External assessments (e.g.
PQS Adjustment
• Improvements to PQS and
related processes
• Allocation of resources
• Personnel training
• Revisions to quality
policy and objectives
Continual
Improvement
46
• External assessments (e.g.
inspections)
• Emerging regulations
• Changes in business environment
• Product ownership
policy and objectives
• Documentation
• Communication
Improvement
Expanded
Body of Knowledge
Feed Forward
Feedback
PQS Management

Annex 1: Potential Opportunities to Enhance
Science and Risk Based Regulatory Approaches
Scenario Potential
1. Comply with GMPs Compliance – status quo
2. Demonstrate effective pharmaceutical
quality system, including effective use
of quality risk management principles
(e.g., ICH Q9 and ICH Q10).
Opportunity to:
• increase use of risk based
approaches for regulatory
inspections.
47
3. Demonstrate product and process
understanding, including effective use
of quality risk management principles
(e.g., ICH Q8 and ICH Q9).
Opportunity to:
• facilitate science based
pharmaceutical quality assessment;
• enable innovative approaches to
process validation;
• establish real-time release
mechanisms.

Annex 1: Potential Opportunities to Enhance
Science and Risk Based Regulatory Approaches
Scenario Potential
4. Demonstrate effective pharmaceutical
quality system and product and
process understanding, including the
use of quality risk management
principles (e.g., ICH Q8, ICH Q9 and
ICH Q10).
Opportunity to:
• increase use of risk based
approaches for regulatory
inspections;
• facilitate science based
pharmaceutical quality assessment;
• optimise science and risk based post-
48
• optimise science and risk based post-
approval change processes to
maximise benefits from innovation
and continual improvement;
• enable innovative approaches to
process validation;
• establish real-time release
mechanisms.

Annex 2: Diagram of the ICH Q10
Pharmaceutical Quality System Model
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KEY MESSAGE OF
ICH Q10:ICH Q10:
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• ICH Q10 is a guideline on the essential elements of a PQS throughout the
product life cycle
• ICH Q10 complements Q8 and Q9
– ICH Q8 - strengthens the link between development and manufacturing
– ICH Q9 - as an enabler of the PQS
Key Messages of ICH Q10
• Implementation of PQS should provide enhanced assurance of product
quality
• GMP is applicable to the Manufacturing part of the life cycle
– Manufacturing of Investigational (medicinal) Product
– Manufacturing of commercial products
51

• A ICH Q10 type PQS reinforces/introduces some elements
– Link manufacturing and development (incl. feedback)
– Continual improvement
• Products
• Processes
• PQS itself
• PQS itself
– Role and Responsibilities of Senior Management
– Quality Risk Management and Knowledge Management
– Product Lifecycle
• Development through to Discontinuation
– Management of outsourcing and purchasing material
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• Building quality into the product during development is fundamental
• ICH Q10 is a harmonised model of a PQS based on ISO Quality Management
Systems (ISO 9000 series) which reinforces GMP and introduces some elements
beyond GMP
• No intent to create new regulatory expectations
• Applies to e.g.
– Drug Substance (small molecule & biotech)
– Drug Product
– Enhanced and Traditionally Developed Products
53
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ICH Q10 Pharmaceutical Quaity System

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