SOP Managing Recalls
SOP Managing Recalls
SOP Managing Recalls
SOP
VQD-SOP-16604 Managing Recalls
Quality BeNeLux
Authentification
Name Function
SOP
VQD-SOP-16604 Managing Recalls
Quality BeNeLux
Contents
1 PURPOSE ..................................................................................................................... 3
2 SCOPE .......................................................................................................................... 3
3 RESPONSIBILITIES ..................................................................................................... 4
4 INSTRUCTIONS ............................................................................................................ 6
4.1 Seek Approval from the Impacted Regulatory Authorities ................................. 7
4.2 Appoint a Recall Coordinator ............................................................................... 7
4.3 Initiate the Recall ................................................................................................... 8
4.4
4.5 e
Perform the Recall ................................................................................................. 8
Document a Summary of the Recall ..................................................................... 9
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4.6 Close the Recall................................................................................................... 11
4.7 Perform Product Incident and Recall Simulations ............................................ 12
4.8 Perform an Effectiveness Check ........................................................................ 13
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5 REFERENCES ............................................................................................................ 13
6 GLOSSARY ................................................................................................................ 13
7 REVIEW AND REVISION ........................................................................................... 15
8 CONTINGENCIES ....................................................................................................... 15
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SOP
VQD-SOP-16604 Managing Recalls
Quality BeNeLux
1 PURPOSE
To define a systematic, standardised, risk-based approach for managing recalls to ensure
patient safety, product quality, efficacy / performance and regulatory compliance.
2 SCOPE
This procedure is also applicable to the Belgium/Luxembourg LOC and to products related
to ViiV Healthcare.
This procedure covers the management of recalls, within Pharma Supply Chain (PSC),
initiated by GSK or regulatory authorities from:
the internal GSK distribution chain
wholesalers
hospitals
pharmacies and surgeries
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retail outlets
patients
It applies to internal and external recalls of:
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medical devices
promotional stock, demonstration samples, medical samples, registration samples
It applies to third party Marketing Authorisation Holder (MAH) recalls where GSK is
responsible for an element of recall execution. However, the relevant quality agreement
must be consulted to determine which steps in the process must be performed by GSK.
It does not apply to the commercial market withdrawal of a product from the internal or
external distribution chain for commercial reasons, for example stock rotation, application
withdrawal, which is not related to a quality defect, product incident or recall.
This procedure starts once the Global Recall Board (GRB) have approved the recall.
SOP
VQD-SOP-16604 Managing Recalls
Quality BeNeLux
3 RESPONSIBILITIES
Product Incident Seeking approval for the recall from regulatory authorities, where
Chair required
Appointing a recall coordinator
Initiating the recall
Providing periodic updates to regulatory authorities, as required
Managing recalled product in accordance with the recall strategy
Performing a risk assessment, with the Recall Coordinator, if the
recall is assessed as ineffective
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Performing an AAR on the recall
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Retaining all primary documentation associated with the recall
Closing the recall in PRS
SOP
VQD-SOP-16604 Managing Recalls
Quality BeNeLux
General Manager Accountable for ensuring the full deployment of this SOP
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SOP
VQD-SOP-16604 Managing Recalls
Quality BeNeLux
4 INSTRUCTIONS
Process Flow
Start
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4.3 Initiate the Recall
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of the Recall
End
4.8 Perform an
Effectiveness Check
SOP
VQD-SOP-16604 Managing Recalls
Quality BeNeLux
4.1.2 If the regulatory authority approves the proposal to recall, or where Product
regulatory authority approval is not required, go to Step 4.2. Incident Chair
or delegate
If the regulatory authority decides that a recall is not required:
work with the regulatory authority to determine the required
course of action
assess if further product incident committee meetings are
needed
notify the GRB of the recall cancellation in PRS to inform them
of a change to the original recommendation
update the product incident meeting minutes and the
associated product incident record in PRS, where required
4.2.1 Appoint a recall coordinator and enter their name into the recall record Product
in PRS. Incident Chair
Where multiple sites and / or markets are impacted, consider
SOP
VQD-SOP-16604 Managing Recalls
Quality BeNeLux
4.3.2 If not already completed, perform batch tracing activities to identify and Recall
locate all impacted product. Coordinator or
delegate
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Ensure that all remaining product at GSK sites and companies and / or Product
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4.3.3
distributors is on hold. Incident Chair
or delegate
4.3.4 Distribute the recall communication materials in accordance with the Product
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4.3.5 Inform all indirectly impacted markets, where required, of the recall. Product
Incident Chair
or delegate
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4.3.7 If the scope of the recall changes, for example a change to the level or Product
class of the recall (see Appendix 1), to the impacted product(s), or to Incident Chair
the number of batches or markets involved, amend the recall record in or delegate
PRS.
SOP
VQD-SOP-16604 Managing Recalls
Quality BeNeLux
4.4.1 Monitor the progress of the recall in all impacted markets. Recall
Coordinator
4.4.3 Provide interim status updates in PRS as the recall progresses. Recall
Coordinator
4.4.4 Provide periodic updates on the progress of the recall to regulatory Product
authorities, as required. Incident Chair
or delegate
4.4.5 Manage and put on hold all recalled product according to the local Quality
warehouse management procedure.
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4.4.6 Manage the recalled product in accordance with the recall strategy, for Product
example arrange for the destruction of the product, rework internally Incident Chair
recalled product. or delegate
Retain the certificates of destruction or rework documentation.
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4.4.7 Confirm that any required decommissioning of the impacted packs has Product
been performed in accordance with the decommissioning strategy. Incident Chair
or delegate
Retain the evidence of decommissioning.
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4.5.2 Using the Recall Summary Report Template, perform and document Recall
the reconciliation, including an effectiveness check, of the recalled Coordinator
SOP
VQD-SOP-16604 Managing Recalls
Quality BeNeLux
Incident Chair
and Recall
Coordinator
4.5.5 If an unacceptable level of risk is identified for any product that cannot Product
be located and / or retrieved, take appropriate action, for example Incident Chair
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4.5.6 Collate all documentation relating to the recall, including, where Recall
applicable: Coordinator
reconciliation records
recalled product certificates of destruction
evidence of decommissioning
rework documentation, including reconciliation
4.5.7 Amend and document the batch disposition for all recalled batches by: Quality
retrieving and updating batch records
assigning the appropriate batch status in any relevant
electronic system
4.5.8 Using the Recall After Action Review Template, perform and document Product
an AAR on the recall. Incident Chair
or delegate
SOP
VQD-SOP-16604 Managing Recalls
Quality BeNeLux
4.5.9 Using the Recall Summary Report Template, determine whether the Recall
recall closure criteria have been met: Coordinator
All identified product has been recovered from the GSK
distribution chain (internal recall)
It is unlikely that any further stock will be returned from the
market (external recall)
The impacted stock has been returned or destroyed, in
accordance with the recall strategy (internal and external recall)
Where stock has been destroyed, the certificates of destruction
have been received (internal and external recall)
Where rework has been performed, the rework documentation,
including reconciliation, has been received (internal recall)
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Where decommissioning has been performed, the evidence of
decommissioning has been received (internal and external
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recall)
The batch records and batch status in any relevant electronic
system have been updated with the disposition for all recalled
batches (internal and external recall)
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4.6.1 Approve the recall summary report and upload a copy of it and all Recall
associated documentation into PRS, including, where applicable: Coordinator
recall communication with regulatory authorities, including any
periodic regulatory updates
SOP
VQD-SOP-16604 Managing Recalls
Quality BeNeLux
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When assigning the GRS, consider the retention requirements of all
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impacted products and assign the GRS with the longest retention
period.
Ensure that the product incident and recall documentation retention
periods are aligned.
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4.6.3 Review the recall record in PRS and check that: Product
Incident Chair
it has been completed correctly
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4.6.4 Close the recall in the local quality system, as required. Product
Incident Chair
or delegate
4.7.1 Follow the procedure for managing product incidents and perform a Quality
product incident and recall simulation.
SOP
VQD-SOP-16604 Managing Recalls
Quality BeNeLux
4.8.1 Follow the procedure for managing product incidents and perform an Quality
annual effectiveness check of the product incident and recall process.
5 REFERENCES
Parent document – PGSOP 028 Managing Recalls v 1.0
POL-GSK-506 e
Policy on Global Records Retention
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Global Records Retention Policy
POL-GSK-506
http://recordsretention.gsk.com/retweb/default.asp
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6 GLOSSARY
Term Description
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Directly Impacted A market that has received product impacted by the product incident.
Market
External Recall The process of recovering product no longer owned by a GSK Entity from
the external distribution chain, due to a product incident.
Indirectly Impacted A market where the regulator requires formal notification of product
Market incidents for products registered in the market, even if they have not
received the impacted batches.
Internal Distribution Storage and distribution of product owned by GSK, includes sites, LOCs
Chain and third parties that are under contract for GSK, for example Local
Service Providers, multi-market warehouses.
SOP
VQD-SOP-16604 Managing Recalls
Quality BeNeLux
Manufacturing Product
LOC QA
Site Final QA Owned by
Release Step
Release Step GSK
Product
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A generic term to describe an API, intermediate, bulk or finished product.
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Product Incident Suspected or confirmed product related incidents that potentially affect
quality, safety, efficacy / performance, compliance with regulatory
standards, product specific registered details, or clinical trial registered
details, and the product is beyond the final quality assurance release step
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Product Incident and A GSK IT platform used to record and track product incidents and recalls.
Recall System
(PRS)
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SOP
VQD-SOP-16604 Managing Recalls
Quality BeNeLux
8 CONTINGENCIES
Adherence to the requirements of an SOP is mandatory. Under certain circumstances an
exemption from the requirements of an SOP may be permitted.
When an individual activity needs to deviate from the requirements of an SOP for
compelling business reasons, written authorization of this deviation is obtained, in advance,
from the SOP approver(s) of the affected functional area and documented in a file note.
For QA related procedures, a planned deviation from a SOP is to be in the QMS (e.g.
Veeva QMS) as a temporary Change Control.
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9 HISTORY OF CHANGE
Effective Date
Version
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Changes
Adoption of PGSOP 028 Managing Recalls into local documentation system.
1.0
Added Appendix 2-4 to include local requirements for BE end NL.
This SOP replaces the SOP 8.001 SOP Management of Product Incidents and
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recalls.
This SOP replaces the BeLux SOP SOP GSK B 6048 Product Incidents and
recalls.
Update of Lay-out due to VQD implementation.
2
Update of Appendix 3 (NL specific details): Change LSP Alloga to
EuroTransPharma/Movianto (CC 1475833)
SOP
VQD-SOP-16604 Managing Recalls
Quality BeNeLux
Class and Level of local regulations must be applied for impacted markets.
FDA Classifications:
Class I – a situation in which there is a reasonable probability that the use of, or
exposure to, a violative product will cause serious adverse health consequences or
death.
Class II – a situation in which use of, or exposure to, a violative product may cause
temporary or medically reversible adverse health consequences or where the probability
of serious adverse health consequence is remote.
Class III – a situation in which use of, or exposure to, a violative product is not likely to
cause adverse health consequences.
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EU Classifications:
Class 1 – the defect is potentially life-threatening or could cause serious risk to health.
Class 2 – the defect could cause illness, mistreatment or harm but is not life-threatening
or serious.
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Class 3 – the defect is unlikely to cause harm to the patient, and the recall is carried out
for other reasons, such as non-compliance with the marketing authorisation or
specification, and is not Class 1 or 2.
Level of Recall from the Distribution Chain:
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Level 1 – Consumer or user level, which may vary with product, including any
intermediate wholesale or retail level.
Level 2 – Retail level, all distribution facilities, hospitals, pharmacies, retail outlets,
including any intermediate wholesale level.
Level 3 – Wholesale level.
SOP
VQD-SOP-16604 Managing Recalls
Quality BeNeLux
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SOP
VQD-SOP-16604 Managing Recalls
Quality BeNeLux
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recall costs by GSK. Therefore it is advisable to decide on a reimbursement strategy
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early during the LIC-process and to involve the communication department in the LIC.
proposed market actions. The IGJ approves the recall based on the risk to public
health. The classification triggers the level of recall. There are three levels of recalls:
- Patient level (level 1)
- Pharmacist level (level 2)
- Wholesaler level (level 3)
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SOP
VQD-SOP-16604 Managing Recalls
Quality BeNeLux
Make sure to inform wholesalers first about the recall and not at the same time as the
rest of the market (pharmacists and patients), because wholesalers need to be
prepared for the returning process.
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The content of the letter is in agreement with MAH, CBG and IGJ. However, the VIG
requests to share the letter and approval of IGJ when ordering the envelopes.
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In order to be prepared by GSK on incoming calls, it is advisable to prepare a Q&A
document by the communication department for customer facing roles.
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Recall letter
The IGJ has a template for recall letters. It is advisable, in case of a recall at patient
level, to add an example of the patient letter to the recall letter in the envelop. This will
support pharmacists in sending out a high volume of patient letters. If a picture of the
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product is presented in the patient letter, make sure the batch number is not readable
or the batch number is identical to the recalled batch. Otherwise this can lead to
confusion of the patient. Some pharmacists may request GSK to send the recall letter
with patient letter digitally. This can be done, but it is important to agree in the LIC who
is handling these requests within the LOC.
Publication
Any recall in the Netherlands will be published on the website of the KNMP and IGJ.
For the duration of 5 years, all recalls on the Dutch market will be mentioned on the
website of the CBG and in the CBG Geneesmiddeleninformatiebank. Based on the
classification of patient risk, IGJ can decide to inform other Inspectorates as well trough
the rapid alert system.
Returns
SOP
VQD-SOP-16604 Managing Recalls
Quality BeNeLux
After sending out the recall letter, patients will start to return the impacted product to the
pharmacy. The pharmacies then will send the returned products back to their
wholesalers. LSP EuroTranspharma/Movianto should be instructed to pick up the
recalled products from the wholesalers. LSP EuroTranspharma/Movianto will then
quarantaine all returned products for the reconciliation as per the returns process,
(VQD-SOP-016645).
Reimbursement
It is advisable to decide on a reimbursement strategy early in the LIC process, because
pharmacists may request reimbursement of the recall costs in case of a level 1 or 2
recall. However, the reimbursement of the costs is not mandatory. The reimbursement
policy of that specific recall should also be communicated to the customer facing roles.
It is preferable to add the information on the (potential) reimbursement in the recall
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letter. If this is not possible, then it is advisable to add this information as fast as
possible in the Q&A document.
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SOP
VQD-SOP-16604 Managing Recalls
Quality BeNeLux
Before initiating any recall, inform the Belgian and Luxembourg authorities. Provide
the reason of the recall and any relevant description of the issue resulting in the
recall.
Assess if the recalled batch has also been distributed as a medical samples.
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If yes, then contact the third party distributor to initiate the recall following the
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process in place.
Go on APB website :
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open the electronic form under the tab ‘’Téléchargez ici le formulaire de demande
de retraits’’
always specify the following information regarding the reimbursement via APB +
Price to be reimbursed as well as the destruction to be done by the APB
SOP
VQD-SOP-16604 Managing Recalls
Quality BeNeLux
Note: APB will only credit private Pharmacies, GSK still have to credit the wholesalers
and hospitals.
Print and sign off the form and send it to the APB using the address :
[email protected]
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The APB will generate the recall notification and send it to GSK for review before
publication.
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Once approved by GSK, the recall notification will be published within 24h on the
APB website then published in the ‘’Nouvelles Brèves/ Korte Berichten
All products from ALL distribution channels should be sent to APB for counting and
storage for destruction.
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At recall closure, APB will send an overview list of all products returned, quantities
and customers who have returned the products.
Request a destruction certificate when the destruction has been completed by the
APB.
Note 1: the recall via APB covers also all distribution channels in the Luxembourg and
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Note 2: Patient level recall must always be discussed and agreed with the authority
before to initiated.
This type of recall can only be organized if it is not possible to do it through APB and if all
end users (not at patient level), delivered quantities and batch numbers can be clearly
retrieved from CERPS recall lists. e.g delivery only to hospitals or tenders communities.
SOP
VQD-SOP-16604 Managing Recalls
Quality BeNeLux
Prepare a mailing using the regular mail; specify a delivery within 1 working day.
Where possible use also e-mailing for faster delivery.
Agree with Customer Service to arrange the Pick-up of the recalled product at the
customer and bring them back to local warehouse for destruction (e.g. Movianto)
Perform regular follow-up and reconciliation check on returned product and provide
regular update to the Regulatory authorities if requested.
When the ultimate recall due date is reached and the destruction of the recalled
product have been completed by the local warehouse, request the final return list
and destruction certificate then perform recall reconciliation and closure.
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