DEPARTMENT OF HEALTH AND HUMANSERVICES
12420 Parklawn Drive, Room 2032
Rockville, MD 2085
0/21/2023*
Dr. Ranjana B Pathak, Global Head of Quality
Dr. Reddy's Laboratories Surveys 41, 42 Part, 45 Part & 46 Part,
_ Bachupally
Medchal-Malkajgiri, Telangana, 500090 |
rug Manufacturer
India
This document lists observations made by the FDA representatives) during the inspection of your facility. They are inspectional
jobservations, and donot represont a final Agency determination regarding your compliance. Ifyou have an objection regarding an
‘observation, or have implemented, or plan 1o implement, corrective action in response to an observation, you may discuss the objection or
‘ction with the FDA representative(s} during the inspection or submit this information to FDA atthe address above, Ifyou have any
questions, please contact FDA at the phone number and adress above.
DURING AN INSPECTION OF YOUR FIRM WE OBSERVED:
OBSERVATION 1
Equipment and utensils are not cleaned and maintained at appropriate intervals to prevent contamination
that would alter the safety, identity, strength, quality or purity of the drug product,
Specifically, major production equipment used to manufacture oral solid dosage drug products is not
appropriately cleaned and maintained to prevent contamination. For example:
A. On BEBE, we observed pale yellow to light yellowish color powdery materials along with
white to off-white color powder on the product contact areas inside the firm’s Rapid Mixture
Granulator (RMG) EEE Along with colored powdery materials inside the RMG, we
observed pale yellow to yellowish color liquid spillage and dried powder of off-white and:
yellowish color on the floor underneath RMG [REE while this equipment and the area’
Was in “TO BE CLEANED” status. Production Operators and IPQA employees
identified the pale yellow to yellowish color powdery materials pertaining to the previously
nanuicired dng 7 rs aa
ME 216 white color powdery material pertaining to the recently manufactured product|
The sequence of manufacturing these drug products
included Common Blend (CB) for
MC a
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Drug Cadre Fee.
XSPECTIONAL OBSERVATIONS ae PACES‘SEE REVERSE
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
fe, Room 2032
De_Ranjana_B Pathak,
Head of Quality
eys 41, 42 Part, 45 Part & 46 Part,
Dr. Reddy's Laboratories Ltd
Medchal-Malkajgiri, Telangana, 500090 Drug Manufacturer
seb
(RMG )
(RMG. ).
On BBE, the firm collected samples (pale yellow to yellowish and white to-off-white color
powdery materials) from inside the lid of RMG and underneath floor of RMG. The qualitative
analyses of these samples by HPLC revealed the presence of EN peak in sample
injections at the same retention time to that of standard injections indicating potential mix-up and
conyover 0 TE :ctive ; YS ors product
B. — the firm collected additional samples from the interior surface of RMG (J
lid and underneath floor and analyzed those samples by LC-MS/MS method in the firm's QC
laboratory. The analyses of samples revealed the similar peak response for EEE and
actives in the samples and standard injections confirming the presence of these actives
in samples collected from the product contact areas of RMG lid and non-product contact areas of |
undemeath floor of RMG while this area and equipment was used in the campaign manufacturing
of
During the inspection, QC Unit of the firm analyzed
and EMI £0: Related Substances by HPLC test methods of [IEEE and
ME finished drug products. The analyses revealed the presence of [III and
BEE «cscs inthe test sap les EEE 1 presence
of BEBE cciive in test sample of MINIM. The details of sampling
locations, products analyzed, and test results obtained are tabulated below:
10/27/21
eem A Akhtar, Investigator
Drug Cadre
FORTDAWa em Tenn aoe INSPECTIONAL OBSERVATIONS, PAGE 212 FACESDEPARTMENT OF HEALTHAND HUMAN SERVICES
12420 Parklawn Drive, Room 2032
Rockville, MD 20857
Dr. Ranjana B Pathak, Global Head of Quality
Dr. Reddy's Laboratories Ltd, Surveys 41, 42 Part, 45 Part & 46 Part,
: Bachupally
Medchal-Malkagiri, Telan
India
aria, 500090 Drug Manufacturer
Location Product [LC-MS/MS Related Substances by
[HPLC
aS a
PPM)
interior of fd
Binder addition granules
iner-18 (Middle) [ER tablets
ME Conta
iner-36 (End) _ ER tablets
NA: Not Applicable ND: Not detected
(PPM)
=
port - Cl
Floorbereth TT =
IRMG - C3 leranules *
Floor beneath = = =
RMG-C4 [granules |
ae INA -_ =
tablets
Co: a Na INA = =
iner-1 (Initial) ER tablets
a Con (NA INA = =:
= =
Zz
S|
[NA
‘There is a potential that the obtained carryover materials may react with the product components
and form unknown impurity which may increase over the period of the product’s shelf life. There
is no mechanism established by the firm to identify those impurities for all the batches
manufactured using RMGs across the firm and that the firm has limited number of batches
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FORD, 9 08) ws rome‘DEPARTMENT OF HEALTH AND HUMAN SERVICES
12420 Parklawn Drive, Room 2032 10/19/2023-10/27/2023+
Rockville, MD 20857 ey
eee 3002949099
Dr. Ranjana 5 Pathak, Global Head of Quality
Dr. Reddy's Laboratories Ltd. Surveys 41, 42 Part, 45 Part 6 46 Part,
Bachupal ly
Medchal-Malkajgiri, 7%
India
angana, 500090 Drug Manu£
charged on stability annually depending on pack sizes.
As a result of finding powdery materials of [/ ond EEE actives in [|
drug product, the firm reported Field Alert for [EE
|, Batch Number: EEE, Expiry date:
C. The [EEE non-dedicated Rapid Mixture Granulators (RMGs) used in the manufacturing of]
finished drug products at the firm have not been cleaned and verified for cleanliness underneath|
the mounted platform areas since their installation several years ago. There is a potential for
deposition of powder} materials and microbial growth in these areas in all RMGs across the|
facility.
[Serial. ]Equipment name Equipment |PQ Date
INo. number
i Rapid Mixer Granulator Il L — |
2, Rapid mixing granulator [lL — |
3. Rapid mixing granulator if L —
la. Saizoner Mixer Granulator Iii | NT [
5 [Saizoner Mixer Granulator AL | |
6. [Rapid mixing granulator
7, [Rapid Mixer Granulator [i L
Rapid mixing granulator Ill L |
9. Rapid Mixer Granulator-fiil a —
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Drug Cadre 7
ony 4.8390 mean oon INSPECTIONAL OBSERVATIONS race ta as12420 Parklawn Drive, Room 2032
Rockville, MD 20857 [meno
a 6 3002949099
DEPARTMENT OF HEALTHAND HUMAN SERVICES
FOOD AND DRUG ADMINISTRATION
7
1-20/27/2023*
Dr. Ranjana
B
ak, Global Head of Quality
Dr. Reddy's
Laboratories Ltd, Surveys 41, 42 Part,
Bachupally
Part & 46 Part,
Medchal-Malkajgiri, Telangana, 500090
India
g Manufacturer
10. Rapid mixing granulator [ll
Hl. [Rapid mixing granulator [ll L
12, Rapid mixing granulator Ill L
13, Rapid Mixer Granulator [lf L
14, [Rapid Mixer Granulato
15. [Rapid Mixer Granulator Il L
16. [Rapid Mixer Granulator [ll
17. Rapid Mixer Granulator [ll
18, Rapid Mixer Granulator [il
[9 Rapid Mixer Granulator lll
On IEEE \.c observed thick deposition and layers of off-white, pale yellowish to yellowish
and black to brownish powdery materials underneath the mounted platform of RMG Jz
This RMG mounted platform has about 1.5 feet opening from all four (4) sides through which
powdery residues of drug products manufactured in this room [ME may have deposited
throughout the machine components of this RMG over the period of several years due to positive
air pressure inside the room. Along with the powdery materials, we observed the sut
underneath RMG platform had pale yellow to dark brown color liquid and wet surface acros:
areas which is indicative of potential microbial growth in those areas of RMG. The swab s
were collected from these areas which revealed the presence of [J growth on mounted aa
surface underneath RMG 1D: J
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Drug Cadre
Foun. 09, srs
(CTIONAL OBSERVATION:DEPARTMENT OF HEALTHAND HUMAN SERVICES
12420 Parklawn Drive,
Rockville, MD 20857
Room 2032
/19/202
3002949099
0/27/2023*
Dr. Ranjana B Pathak, Global Head of Quality
Dr. Reddy's Laboratories Ltd. Surveys 41, 42 Part, 45 Part & 46 Par
7 Bachupally _
Medchal-Nalkajgiri, Telangana, 500090 Drug Manufacturer
India a
‘Location Details ITAMC TYMC [Colony Characteris
(CFU/Swab) |(CFC/Swab) |match
[Gear box upper shaft
|Gear box end base Left side
Motor and gear box middle
(Gear box base right side
IRMG bow! bottom outside
\(close to product discharge)
are sold into the US market.
D. On SEE during the inspection of |
Fluid Bed Dryer (equipment
There arc IIE drug products manufactured in [EE area of which about [IIE
manufacturing area,
|) was observed with two cracks on the view glass. Both
cracks impacted the view glass surface from one end to the other. This view glass is a
'BD Bowl attached to
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‘ade
xDEPARTMENT OF HEALTH AND HUMAN SERVICES
FOOD AND DRUG ADWINSTRATION
12420 Parklawn Drive, Room 2032 10/19/2023~10/27/2023*
Rockville, MD 20857
Dr. Ranjana B Pathak, Global Head of Quality
aS [erence
Dr. Reddy's Laboratories Ltd. Surveys 41, 42 Part, 4§ Part 6 46 Part,
| Bachupaliy.
Drug Manufacturer
Medchal-Malkajgiri, Telangana, 500090
India
product contact surface. There is a reasonable chance that the tiny pieces from the racked view
glass can potentially be introduced into the product. Equipment use logbook indicated the firm
performed product changeover cleaning on this equipment on fter manufacturing a
US batch of| eee
OBSERVATION 2
The responsibilities and procedures applicable to the quality control unit are not fully followed.
Specifically, There is a lack of adequate evaluation of equipment conditions upon preventative
maintenance, equipment cleaning, and line clearance. For example
A. On HBB, we observed the firm’s production operators and IPQA officers conducted
inadequate visual inspection of RMG [EEE upon major cleaning (Type B). This RMG
contained powdery residues of previously manufactured colored products on RMG lid and
discharge port (product contact areas). As a result of this, colored residues of previously
manufactured drug products were observed inside RMG while the firm manufactured
In addition to equipment clearance, we observed concerns
pertaining to area clearance. There were pale yellow to yellowish color powdery residues of|
previously manufactured drug product underneath produet discharge port and mounted platform
of RMG EEE (Refer to OBSERVATION 1A to C).
B. The firm performed quarterly preventative maintenance (PM) of RMG EE on EE
|, we observed broken silicon sealant along with missing pieces of sealant
‘on many areas of RMG EEE. The firm’s PM is deficient in that there is no evaluation of
uneven, and dent marks on equipment surfaces along with the presence of powdery residues and
] emoreraanine —
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brug Cadre |
FORA 0H rcs ceete INSPECTIONAL OBSERVATIONS PAGE 2S PAGESDEPARTMENT OF HEALTH AND HUMAN SERVICES
10/19/2023-10/21/20
3002949099
12420 Parklawn Drive, Room 2032
Rockville, MD 2085
Dr. Ranjana B Pathak, Global Head of Quality
Dr. Reddy's Laboratories Ltd Surveys 41, 42 Part, 45 Part & 46 Part,
Bachupally
Medchal-Malkajgiri, Telangana, 500090 Drug Manufacturer
India
potential leakage leading to wet surfaces underneath equ'pment in the surrounding areas of gear
box (Refer to OBSERVATIONS IA to C and 9B).
OBSERVATION 3 .
Determinations of conformance to appropriate written specifications for acceptance are deficient for
drug products,
Specifically, determination of conformance to written specifications are deficient for TAMC (Total
Aerobic Microbial Count) test and TYMC (Total Yeast and Mold Count) test conducted for purified water
and drug products.
On BEBE, the colony counter (equipment [IEEE in micro lab was observed missing the
colony counts when the analyst was reading the plates and reviewer was verifying the counted colonies
for water samples collected on [EEE For example:
A. The colony counter did not count every colony for multiple samples including LIMS sample #
f= (location: Return to Tank [J KL, Location 1D: [EEE when micro lab analyst
PI
yressed the media plate placed on the colony counter (ED with his pen.
B. The colony counter did not count every colony for multiple sas including LIMS sample #
HEE (0cation: EE MEE, 1 ocation 1: when micro lab reviewer Ii
performed the verification of the colonies counted by analyst J. During the verification [i
pressed the media plate placed on the colony counter (EEE with his pen. For this sample, the
colony counter failed to count the colony even when the reviewer pressed the plate with such a
force that the tip of her pen broke.
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Drug ¢
vomNerD4 3908) pau toot INSPECTIONAL OBSERVATIONS TAGE a PACESDEPARTMENT OF HEALTH AND HUMAN SERVICES
- FOOD AND DRUG ADNANISTRATION _
12420 Parklawn Drive, Room 2032
Rockville, MD 20857 A
pean 3002949099
0/27/2023*
Dr. Ranjana B Pathak, Global Head of Quality
Dr. Reddy's Laboratories Ltd. Surveys 41, 42 Part, 45 Part & 46 Part,
Bachupally
Medchal-Nalkajgiri, Telangana, 500090 Drv
India
Manufact:
This colony counter (MIRED has been in use since it was qualified on [EINE In addition to}
routine environmental monitoring samples, this equipment has been used for the last [ll MII
to test [Mf batches (I commercial release and If stability batches) of drug products for the US|
market.
C. Discrepancies were observed in number total colony counted by the analyst and the reviewer
pertaining to many media plates that were read on IEEE. Following are few examples:
Sample Colony Counts | Colony Counts
LIMS# _| by Analyst
ro lab for about [if and ff years respectively.
The analyst and reviewer are working in the n
OBSERVATION 4
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x!
Fon roa (008) renee cect INSPECTIONAL OBSERVATIONS ace 9of29 PACsDEPARTMENT OF HEALTHAND HUMAN SERVICES
1000 AND DRUG ADMINISTRATION
12420 Parklawn Drive, Room 2032 0/27/2023%
Rockville, MD 20857 [Rio !*!S”*~ of I AP, Batch Number: SMM and standard
injections. This unknown peak at around [EEE was absent in blank injections and system
suitability injection. QC Supervisor of the firm deviated from section | of SOP No.: I
by applying inhibit peak integration function.
There was no investigation conducted to identify these unknown peaks which were not present
historically during the validation of analytical method and qualification of working standards.
Further, the firm provided no explanation for the presence of the unknown peak EE in
standard solution injection but not in system suitability injection while the inhouse working
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Drug Cadre x|
oR Fo 90) nour ae INSPECTIONAL OBSERVATIONS Or oPDEPARTMENT OF HEALTH AND HUMAN SERVICES
FOOD AND DRUG ADMINISTRATION
ve, Room 2032
Rockville, MD 20857 3002549099
1ak, Global Head of Quality
tories Ltd. Surveys 41, 42 Part, 45 Part & 46 Part,
Bachupally
Medchal-malkajgiri, Telangana, 500090 Drug Manufacturer
standard used for preparing both standard solutions remained the same.
OBSERVATION 5
‘The use of instruments, apparatus and recording devices not meeting established specifications was
observed,
Specifically, major Laboratory equipment including but not limited to HPLCs, GCs, and UV
Spectrophotometers that are actively used in commercial release and stability analysis were observed not
‘meeting the calibration specifications.
In the last [III the firm initiated [J incident reports when laboratory equipment failed to meet
routine calibration specifications. [IM of the I incidents are listed below
[ Incident No Date Equipment name | Equipment
Reported iD
| } Results not
spectrophotometer meeting,
acceptance
| criteria
Ba iric %RSD not
meeting the
| acceptance
ee | _feeriteria |
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OF THIS PAGE
1 estigator 10/27/2023
Pratik § Upadhyay, Investigator - Dedicated
Drug Cadre12
DEPARTMENT OF HEALTHAND HUMAN SERVICES
FOOD AND DRUG ADMINISTRATION
0 Parklawn Drive, Room 2032 /1.9/2023~10/27/2023*
Rockville, MD 20857 ERT
3002949099
jana B Pathak, Global Head of Quality
dy's Laboratories Ltd Surveys 41, 42 Part, 4§ Part & 46 Part,
Bachupally.
Nedchal-Malkajgiri, Telangana, 500090 Drug Manufacturer
India
Deficiencies were observed in the incident investigation reports (EEE and MI) generated
for
laboratory equipment calibration and preventive maintenan:
UV Spectrometer (equipment ID: [NEED and HPLC (equipment ID: JRE and the firm’s
program. For example:
A. Incident report IEEE was initiated on [IE when UV Spectrophotometer (1D
failed to mect the limit of stray light during routine calibration that was being performed on
MIMI Te soroance of sry light Mum was observed as MB agains the
specification of not less IEEE This equipment has J mirrors |. During
the investigation, the firm observed — mirrors ( appeared to have
scratches that caused the OOS results for stary light. The firm replaced all three mirrors, repeated
the calibration, and reported the conforming results. It was observed the firm performed preventiv:
maintenance of the equipment EIEN replaced the [IJ mirror ( as well as I
lamps (Tungston Halogen Lamp and Deuterium Lamp) during the preventive maintenance that
was performed before the calibration
This UV spectrophotometer is calibrated after [IEEE and previous successfull calibration’
for this equipment was performed EEE This cquipment was initially qualified
and since then its mirrors were not changed, The QC Lab Head stated stray light can’
impact the absorbance of samples and standards, The absorbance value is used to calculate the
potency of drug products that are tested by using this equipment. During the impact assessment,
the firm did not test any retain samples to assess if the data generated from this equipment is
reliable. The firm routinely uses this equipment in quantitative analysis. For example, this
equipment was used to test for about Ii
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10/27/2023
Drug Cadre x
oma sp4 san onsen sce INSPRCTIONAL OBSERVATIONS TAGE 1