Importance of Quality in Pharmaceuticals
Patients or consumers aren’t able to visibly see the quality of drug products. It is mostly assumed that what they will take in their bodies is safe and effective—trusting what was written on the label or packaging. The patient automatically expects quality. They’ll assume that the drug is developed, manufactured, and packaged in a manner that meets industry quality standards and the requirements of regulations such as the FD&C Act. Therefore, it is the duty of the company handling pharmaceutical products to perform quality assurance and quality control at each stage of the process while complying to GMP requirements.
Assurance of Quality
Labels on drug products alone will not give the assurance that consumers and patients expect. According to the World Health Organization (WHO),“Biological products, like any pharmaceutical product, should be manufactured in accordance with the requirements of a Pharmaceutical Quality System (PQS).”
PQS is a quality management system that is used to direct and oversee the processes of a pharmaceutical company in terms of quality. According to the Regulatory Education for Industry (REdI) provided by the US FDA, the real assurance of quality in pharmaceuticals is a complete PQS that includes the following:
Pharmaceutical Quality System (PQS) Elements
Four Elements of a Pharmaceutical Quality System (PQS)
ICH is the council that brings together “regulatory authorities and pharmaceutical industry to discuss scientific and technical aspects of pharmaceuticals and develop ICH guidelines.” These guidelines are grouped into four: (1) Quality guidelines, (2) Efficacy guidelines, (3) Safety guidelines, and (4) Multidisciplinary guidelines. Q10 guidelines are where ICH focused on PQS and its elements. These elements are:
Process performance and product quality monitoring system –used to evaluate the performance of processes and identify areas that need to improve.
Corrective Action and Preventive Action (CAPA) system –used to evaluate the effectiveness of an action.
Change management system –used in assurance that proper scientific and risk-based assessments are provided.
Management review of process performance and product quality –used to support continuous improvement.
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cGMP in Pharmaceutical Industry
The second assurance of quality is cGMP. While GMP and cGMP are mostly used interchangeably, the addition of the term “current” to cGMP intends to remind manufacturers that the system and technology they’re using must be up-to-date, aligned to current standards, or compliant with the latest regulations enforced by FDA.
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FDA Evaluation by Inspection
FDA is the one who assures the public of a product’s quality and efficacy worldwide. They determine whether or not an organization complies through inspection and evaluation of their product and facilities. FDA does the evaluation through the following:
FDA’s Compliance Programs –this provides instructions to FDA personnel for conducting activities to evaluate the industry in their compliance with the Federal Food, Drug, and Cosmetic Act .
Quality System (QS) Regulations –a system consisting of the quality system, the control unit, and all of the validation and review responsibilities associated with quality management.
21 CFR 211 (cGMP for Finished Pharmaceuticals) –this governs the manufacturing and specifications of quality products.