CAPA Change Management

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A presentation on

Change Management
&
CAPA

Presented by
Nasir Uddin Gazi
Assistant Manager, QAD
Renata Limited.
Change
Management
This will be dealt with a SOP.
SOP NO.: RGF/SOP/QA/004/04
Title of the SOP: SOP for Change Control Procedure

Purpose:
To establish a standard procedure to address a broad set of
possibilities including changes to
• product formulation or design,
• manufacturing instructions,
• SOPs, test methods and specifications,
• any new raw materials,
• upgrades to facilities, utilities, equipment
• computer systems
• Even any changes in policy.
Change control will allow to enable certain changes after comply with
regulatory requirements.
Responsibility:
Responsibility of Department in-charge: Make intra/inter
department consultation to raise the change proposal and formal
request to QA to initiate a Change Control Request Form (CCR
form)

Responsibility of Quality Assurance Personnel: Support to


establish a system for controlling, documenting and assessment of
any change procedure.

Responsibility of Head of Quality Assurance: Establish a system


for controlling the changes as per GMP and Regulatory requirement.
He/she is responsible for making different team for the change
control process and give initial & final approval of the change
process.
Applicability:
This SOP is applicable for all department of General Manufacturing
Facility, Renata Limited to implement any type of change which have
direct or indirect impact on Product quality. It is not applicable for the
documents where changes of document are controlled by introducing
new version (e.g. SOP, TP etc).

Procedure:
• Proposal
• Initiation
• Assessment for GMP impact
• No. for CCR
• Approval for Implementation
• Change management
Procedure (Cont…)

Identification, record, classify and critical review of change


control:

The process must control any type of change that will have impact on
SQIPP (Strength, Quality, Identity, Potency and Purity) of the drug
product.

Identify the requirement of any significant change required in manufacturing,


analysis, release and distribution which may includes (but not limited to):

• New facility validation


• Equipment qualification change
• Source of starting material
• Change in existing processes
• Changes in laboratory test methods and procedures.
Procedure (Cont…)

• Changes associated with product rework


• Batch Size
• Changes in labeling & packaging
• Introduction of new procedures
• Introduction of new processes
• Changes to approved applications
• Document Changes
• Changes associated with product specifications
• Changes related to the CAPA system
• New process validation
• Changes related with the quality management system,
• Location
• Introduction of new products
• Change critical spare parts.
• Change in critical service provider. E.g. pest control, calibration etc.
• Anything which stay in product contact.
Procedure (Cont…)

Any one of the organization can propose a change. Initially the


proposal should be shared with the department head.

Concern department head will finalize the proposal assessing


the feasibility. Concern Department head may conduct intra and
inter (if necessary) department consultation before raising the
proposal.

Concern department will initiate change procedure by making a


formal request to Quality Assurance for issuance of a ‘Change
Control Request Form (CCR form)’.

CCR form will be initiated by putting the name of the initiator,


Department, signature of the initiator along with a short title of
the change.

Change request will be registered on the Log register for the


change control.
Procedure (Cont…)

The initiator department will give a brief description about the


proposed change along with supporting document (if required).

The initiator department will mention the change type (Temporary or


Permanent) with remarks.

Need and justification for the change will be illustrated by the


concern department.

Quality Assurance will assess the impact of the change on GMP.


•If the change has no impact on GMP, then the change will be
approved by the Head of Quality Assurance and close the
report.

•If the change has impact on GMP, then Quality Assurance will
give a unique number for the CCR and manage the change as
described below.
Procedure (Cont…)

A unique sequential number will put by Quality Assurance Department


as a reference number of the CCR form which will be structured as
below: RGF/CCR/XX/YY/ZZZ

Different department Head will evaluate the proposal and put their
comments. Also suggest necessary action (e.g. validation study,
stability study etc.) regarding the change.

During review if any one disagrees with the proposal, he must justify
his opinion.

Head of Quality Assurance will review the proposal. He will also


suggest for Risk Assessment, if necessary. Risk Assessment will be
conducted as per SOP No.: RGF/SOP/QA/089/01 by the Risk
Assessment Team.
Procedure (Cont…)

Head of Concern Department will arrange a meeting (if necessary) with


Risk Assessment Team (if any) and the technical experts to review the
risk assessment report before set up the action plan for the change
implementation.

Considering the review of Risk Assessment report and/or suggestion


from different Department Head, concern Department Head will finalize
the action plan with a proposed timeline for the implementation of the
change and its management. And submit to Quality Assurance for the
approval of the change proposal for implementation.

Finally Head of Quality Assurance will review the action plan and
approve the change proposal for implementation.
Procedure (Cont…)

Change Management:

First step of Change Management plan is the approval of the change to


administer.

Originating department will implement the change as per the change


proposal and action plan mention in the CCR form.

Concern personnel shall be trained properly (according to Training SOP)


for the execution of any activity necessary for the implementation of the
Change.

Documentation is a part of change control Management plan, hence all


document should be updated according to the change, which includes:
Document for Control, SOPs, Qualification Reports, Validation
Reports, Room data sheet, Others.
Procedure (Cont…)

Change management plan will have some follow up task (e.g.


Validation study, Stability Study, Trend Analysis, Hold time Study
etc.) to conclude the impact of the change during routine/future
practice which will be carried out by concern people.

If the change is a consequence of any quality management activity


(e.g. deviation, CAPA etc) or this change suggests any further
quality management activity, reference no. of that activity will be
mentioned as cross reference.

After successful completion and review the result of follow up task


change control will be close by final approval. Head of Quality
Assurance will review the total report and give final authorization of
the change.

Approved change proposal will be implemented and closed within


agreed timeline. If originating department will unable to do so,
timeline may be extend by approval of HOD and agreed by Head of
Quality Assurance with proper justification.
Procedure (Cont…)
If change proposal need to be rejected by the originating
department after approval of the change for implementation,it
will be handled by raising Deviation Notification Report (As per
SOP No.: RGF/SOP/QA/002)

If the implemented change has some relation with any


Business Partner/contract Manufacturing then the total report
will be reviewed and authorized by the Business
partner/Contract Giver.

Log book will be maintained to issue and close of change


control. Also Microsoft Excel ‘Data Tracker’ will be maintained
for the data storage and tracking.

All changes will be preferably reviewed annually, carried out by


Quality Assurance.
CAPA
This will be dealt with a SOP.
SOP NO.: RGF/SOP/QA/090/01
Title of the SOP: SOP for Corrective And Preventive Action
Purpose:
To describe a procedure to be used for correction and prevention of any
event that may/can adversely affect the quality of the product. This is a
procedure mostly (but not limited to) followed by an investigation and root
cause analysis.

Responsibility:
•Head of Departments: All concerned department heads shall be
responsible for conducting investigation regarding their departments and
suggesting possible corrective and preventive action.

•QA shall be responsible for doing active role in investigation and CAPA
report preparation.

•Head of Quality Assurance shall be responsible for the final approval of


the CAPA report.
Applicability:
This SOP will be applicable for taking corrective and preventive action
against any unexpected event occurred during processing or testing
which may hamper product quality.

Procedure:

Definition:
There are three types of action related to CAPA.
1.Correction/Remedial Action: It is the immediate action which
is taken to manage any non-conformance or deviation instantly.
2.Corrective Action: It is the action taken to eliminate the
cause/s responsible for the non-conformity or deviation.
3.Preventive Action: Action taken to prevent the recurrence of
the same incident.
Procedure (Cont…):

CAPA may be initiated as a result of (but not limited to) following event
•Deviation
•Investigation
•Out of Specification
•Self inspection
•Audit
•Management review/decision
•System effectiveness improvement
•Customer complain
•Reviews: Annual product quality review, Validation review,
Suppliers performance assessment.
•Risk Assessment
Procedure (Cont…)

Quality Assurance/concern person (or department) will initiate the CAPA


Form (Annexure- I) against a documented evidence of non-conformity
with cause/s which need to be corrected, eliminated and prevented.

Each CAPA will have a unique sequential number as below


RGF/CAPA/XX/YY/ZZZ

After initiation of the CAPA form, Quality Assurance will put the
preliminary information of the CAPA form (Title, Date of Initiation,
Department name, Source of CAPA with Reference no.).

Initiator along with a representative from concern department will


document the immediate action had taken, summery of the root cause/s
and scope of the CAPA.

A multi department CAPA team shall be formed under the supervision of


Head of Quality Assurance to determine the action plan and
implementation of CAPA.
Procedure (Cont…)

CAPA team will propose a action plan to eliminate and prevent the root
causes which will be reviewed by concerned department heads. During
determine the action plan, must consider the magnitude of the problem.

After review the proposed action plan, CAPA team will finalize the
Action plan which must be agreed by Head of Quality Assurance and
Head of Manufacturing.

Fix a time frame for the implementation and Closing of the CAPA
according to the criticality of the cause and effect.

Implement CAPA by the time frame.

If any change recommended by the CAPA, appropriate change


management will be followed (According to the SOP No:
RGF/SOP/QA/004)
Procedure (Cont…)

Affected procedure and document due to CAPA will be updated


accordingly by the concern person who will be notified before.

Conduct proper training for the updated procedure and document to


the concern persons.

Before closing the CAPA check the commitment compliance regarding


CAPA implementation by CAPA team.

Finally CAPA form shall forward to Head of Quality Assurance for


review and approval.

CAPA team can apply for CAPA timeline extension for the CAPAs which
will not close in time. Time line will be extended only after the approval
of department head and agreed by Head of Quality Assurance.
Procedure (Cont…)

Head of Quality Assurance will review and approve the CAPA for closing
or extend the CAPA closing timeline.

A log book will maintain to issuance and closing of CAPA. Also a


Microsoft Excel Track sheet will maintain for tracking the status of CAPA.

Quality Assurance will annually review the pattern and trends of CAPA.

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