WHO - TRS - 996 - annex06-GTDP For Starting Material
WHO - TRS - 996 - annex06-GTDP For Starting Material
WHO - TRS - 996 - annex06-GTDP For Starting Material
Introduction 212
1. Quality management 213
2. Organization and personnel 214
3. Premises 215
4. Procurement, warehousing and storage 216
5. Equipment 218
6. Documentation 219
7. Repackaging and relabelling 220
8. Complaints 223
9. Recalls 223
10. Returned goods 224
11. Handling of non-conforming materials 224
12. Dispatch and transport 225
13. Contract activities 226
References 226
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Introduction
Good manufacturing practices for active pharmaceutical ingredients were
published in 2000 by The International Conference on Harmonisation of
Technical Requirements for Registration of Pharmaceuticals for Human Use
(ICH), in ICH Q7 (1). Section 17 of this ICH text includes guidelines for agents,
brokers, traders, distributors, repackers and relabellers. This section was written
based on the outcome of the World Health Organization (WHO) investigation
into deaths resulting from the intentional relabelling of industrial grade
ethylene glycol as pharmaceutical grade material. This material was subsequently
formulated into a paediatric medicine that caused many deaths. Section 17 of this
good manufacturing practice (GMP) guide for active pharmaceutical ingredients
(APIs) applies to any party other than the original manufacturer which may trade
and/or take possession, repack, relabel, manipulate, distribute or store an API or
API intermediate. The scope of ICH Q7 does not include excipients.
Following a number of incidents involving diethylene glycol and a World
Health Assembly resolution (WHA52.19), WHO published the Good trade and
distribution practices for pharmaceutical starting materials in 2004 (2). At the time
of publication of these guidelines, WHO had not yet adopted the text from ICH
Q7 as GMP for APIs. The WHO guidance for excipients (3), published in 1999,
did not cover trade and distribution practices for excipients.
In 2010, WHO published Good manufacturing practices for active
pharmaceutical ingredients (4), which reflect the text from ICH Q7 and include
Section 17 of that document, to replace the existing WHO GMP for APIs.1
The WHO Expert Committee on Specifications for Pharmaceutical
Preparations discussed the revision of the Good trade and distribution practices
for pharmaceutical starting materials at several meetings. The scope of this
WHO guidance on Good trade and distribution practices for pharmaceutical
starting materials is applicable to any ingredient that is used in the manufacture
WHO Technical Report Series No. 996, 2016
It is important to note that any party that engages in repackaging or blending of an API is considered to
1
be a manufacturer and must submit appropriate registration documents for such manufacturing. He or
she must also comply with the GMP for APIs as stated in WHO Technical Report Series, No. 957, Annex 2,
2010 (4).
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1. Quality management
1.1 Within an organization, quality assurance serves as a management tool. In
contractual situations, quality assurance also serves to generate confidence
in the supplier. There should be a documented quality policy describing
the overall intentions and direction of the distributor regarding quality,
which should be formally expressed and authorized by management. The
quality policy should clearly indicate that the distributor implements and
maintains good trade and distribution practices (GTDP) as described in
these guidelines, within the organization and its services.
1.2 Quality management should include:
■■ an appropriate infrastructure or “quality system”, encompassing the
organizational structure, procedures, processes and resources. The
size, structure and complexity of the distributor and its activities
should be taken into consideration when developing or modifying
the quality system;
■■ an independent quality unit (or designee), which is responsible for
all quality-related matters;
■■ an appropriate quality risk management (QRM) system to enable a
systematic process for the assessment, control, communication and
review of risks to the quality of the product. The extent of application
of the QRM system should reflect the operations performed;
■■ a validation/qualification system to ensure that the resulting product
is capable of meeting the requirements for the specified application;
■■ systematic actions necessary to ensure adequate confidence that a
material (or service) and relevant documentation will satisfy given
requirements for quality – the totality of these actions is termed
quality assurance;
■■ a clear documented procedure for selecting, approving, disqualifying
and re-approving suppliers of pharmaceutical starting materials
and services;
■■ a robust deviation management and change control programme
designed to ensure that quality is continually assessed and
maintained: these should include a customer notification where
appropriate;
■■ a system ensuring traceability of products and associated
documentation throughout the entire supply chain.
1.3 The system should cover for example, but not be limited to, the quality
assurance principles in these guidelines.
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1.4 All parties involved in the manufacture and supply chain must exercise
responsibility to ensure the quality and safety of the materials and
products, and that they are fit for their intended use in accordance with
their specifications.
1.9 A system should be in place for the performance of regular internal audits
with the aim of continuous improvement. The findings of the audit and
any corrective and preventive actions taken, including verification of their
effectiveness, should be documented and brought to the attention of the
responsible management.
3. Premises
3.1 Premises, including laboratory facilities, must be located, designed,
constructed, adapted and maintained to suit the operations to be carried
out. Their layout and design must aim to minimize the risk of errors and
permit effective cleaning and maintenance in order to avoid contamination,
cross-contamination, mix ups, build-up of dust, dirt or waste and, in
general, any adverse effect on the quality of materials.
3.2 Measures should be in place to prevent unauthorized persons from
entering the premises.
3.3 Premises should be designed, equipped and maintained so as to afford
maximum protection against the entry of insects, rodents or other animals.
A pest control programme should be implemented and maintained. Its
effectiveness should be monitored.
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3.4 Suitable supporting facilities and utilities (such as air control, ventilation
and lighting) should be in place and appropriate to the activities performed,
in order to avoid contamination, cross-contamination and degradation of
the material. Utilities that could affect product quality should be identified
and monitored.
3.5 If sampling of pharmaceutical starting materials is performed, the sampling
area should be separate and in a controlled environment. Sampling should
only be performed in a storage area if it can be conducted in such a way
that there is no risk of contamination or cross-contamination. Adequate
cleaning procedures should be in place for the sampling areas.
4.17 A process should be in place to ensure that materials that have reached
their expiry or retest date should be withdrawn immediately from saleable
stock. Materials with a retest date should be retested according to the
appropriate specifications. Materials with an expiry date should not be
retested or used after that date.
4.18 Stock inventory should be checked regularly, at least for quantity, overall
condition and retesting or expiration dates. Any discrepancies should
be investigated.
4.19 Controls should be in place to ensure that the correct product is picked,
packed and distributed. The material should have an appropriate remaining
shelf life. All batch numbers should be recorded.
4.20 Storage areas should be clean and free from accumulated waste and from
vermin. A written sanitation programme should be available, indicating the
frequency of cleaning and the methods to be used to clean the premises
and storage areas.
5. Equipment
5.1 Equipment must be located, designed, constructed, adapted, qualified,
used, cleaned and maintained to suit the operations to be carried out.
Its layout, design and use should aim to minimize the risk of errors
and permit effective cleaning and maintenance so as to avoid cross-
contamination, build-up of dust or dirt and any adverse effect on the
quality of materials.
5.2 Defective equipment should not be used and should either be removed or
labelled as defective. Equipment should be disposed of in such a way as to
WHO Technical Report Series No. 996, 2016
6. Documentation
6.1 Documents, in particular instructions and procedures relating to any
activity that might have an impact on the quality of materials, should
be designed, completed, reviewed and distributed with care. Documents
should be completed, approved, signed and dated by appropriate authorized
persons and should not be changed without authorization. Specifications
for materials, including packaging materials, should be available, reviewed
and revised on a regular basis.
6.2 Documents should have unambiguous contents: their title, nature and
purpose should be clearly stated. They should be laid out in an orderly
manner and be easy to check.
6.3 Certificates of analysis (COAs) issued by the original manufacturer should
be provided. If additional testing is done, all COAs should be provided.
COAs should document product traceability back to the
manufacturer by naming the original manufacturer and the manufacturing
site. COAs should indicate which results were obtained by testing the
original material and which results came from skip-lot testing or other
testing and should specify the organization responsible for issuing the COA.
6.4 Before any material is sold or distributed, the supplier should ensure
that the COAs and results are available and that the results meet the
required specifications.
6.5 The original manufacturer and the intermediaries handling the material
should always be traceable and transparent; and this information should
be made available to authorities and end-users, downstream and upstream,
when requested.
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6.6 Depending upon risk assessment, and in accordance with the national
requirements, quality agreements should form the basis of the relationship
for all parties involved in the supply chain. The agreements should include
mechanisms to allow transfer of information, e.g. quality or regulatory
information and change control.
6.7 Labels applied to containers should be clear, unambiguous, permanently
fixed and should be printed in the company’s agreed format. The
information on the label should be indelible.
6.8 Each container should be identified by labelling bearing at least the
following information:
–– the name of the pharmaceutical starting material (including grade
and reference to pharmacopoeias where relevant);
–– if applicable, the International Nonproprietary Name (INN);
–– the amount (weight or volume);
–– the batch number assigned by the original manufacturer or the
batch number assigned by the repacker, if the material has been
repacked and relabelled;
–– the retest date or expiry date (where applicable);
–– the storage conditions;
–– handling precautions, where necessary;
–– identification of the original manufacturing site;
–– name and contact details of the supplier.
6.9 Relevant storage and handling information and safety data sheets should
be available.
WHO Technical Report Series No. 996, 2016
6.10 Records should be kept and must be readily available upon request in
accordance with GMP and GSP (6).
registration documents for such manufacturing. They must also comply with the
GMP for APIs as set out in WHO Technical Report Series, No. 957, Annex 2,
2010 (4).
7.2 Special attention should be given to the following points:
–– prevention of contamination, cross-contamination and mix ups;
–– appropriate environmental conditions for dispensing, packaging
and sampling;
–– security of stocks of labels, line clearance checks, online inspections,
destruction of excess batch-printed labels and label reconciliation;
–– good sanitation and hygiene practices;
–– maintaining batch integrity (mixing of different batches of the same
solid material should normally not be done);
–– as part of batch records, all labels that were removed from the
original container during operations, and a sample of the new label,
should be kept;
–– if more than one batch of labels is used in one operation, samples of
each batch should be kept;
–– maintaining product identity, integrity and traceability.
7.3 Upon receipt, packaging materials should be placed in quarantine and
should not be used prior to release. There should be procedures for the
inspection, approval and release of the packaging materials.
7.4 When different batches of a material from the same original manufacturing
site are received by a distributor and combined into a homogeneous batch,
the conformity of each batch with its specification should be confirmed
before it is added.
7.5 Only materials from the same manufacturing site, received by a distributor
and conforming to the same specifications, can be mixed. If different
batches of the same material are mixed to form a homogeneous batch
it should be defined as a new batch, tested and supplied with a batch
certificate of analysis. In such cases the customer should be informed that
the material supplied is a mixture of manufacturers’ batches.
7.6 In all cases, traceability back to the manufacturer should be documented
by identifying the original manufacturer of the specific batch of the
material and its manufacturing site.
7.7 If batches are combined or mixed, the oldest batch should determine the
expiry or retest date assigned to the combined or mixed batch.
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7.8 If the integrity and quality of the batch is maintained during repackaging
and relabelling, then the original COA of the original manufacturer should
be provided.
If retesting is done, both the original and the new COA should be
provided as long as the batch integrity is maintained. The batch referred to
on the new COA should be traceable to the original COA.
7.9 Repackaging of materials should be carried out using approved packaging
materials for which the quality and suitability have been established as
being equal to or better than those of the original container.
7.10 The reuse of containers should be discouraged unless they have been
cleaned using a validated procedure. Recycled containers should not be
used unless there is evidence that the quality of the material packed in
them will not be adversely affected.
7.11 Materials should be repackaged only if efficient environmental control
exists to ensure that there is no possibility of contamination, cross-
contamination, degradation, physicochemical changes and/or mix ups.
The quality of air supplied to the area should be suitable for the activities
performed, e.g. there should be efficient filtration.
7.12 Suitable procedures should be followed to ensure proper label control.
7.13 Containers of repackaged material and relabelled containers should bear
both the name of the original manufacturing site and the name of the
distributor/repacker.
7.14 Procedures should be in place to ensure maintenance of the identity
and quality of the material by appropriate means, both before and after
repackaging operations.
WHO Technical Report Series No. 996, 2016
7.15 Each batch of repackaged material should be tested to ensure that the
material conforms to documented specifications.
7.16 There should be a procedure to ensure that appropriate repackaging
documentation, in addition to the test results, is evaluated prior to release
of the repackaged material.
7.17 Sampling, analytical testing and batch release procedures should be in
accordance with GMP.
7.18 Only official pharmacopoeial methods or validated analytical test methods
should be used for the analysis. Where alternatives to the test methods
specified in a monograph are used to provide test results, those alternative
methods should be demonstrated to be suitable and equivalent.
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7.21 The repacker and relabeller should ensure that the stability of the material
is not adversely affected by the repackaging or relabelling. Stability studies
to justify assigned expiration or retest dates should be conducted if the
pharmaceutical starting material is repackaged in a container different
from that used by the original manufacturer. It is recognized that some
excipients may not need additional stability studies.
8. Complaints
8.1 All complaints and other information concerning potentially defective
materials must be carefully reviewed according to written procedures
that describe the action to be taken and specify the criteria on which a
decision to recall a product should be based. Records of complaints should
be retained and evaluated for trends at defined intervals.
9. Recalls
9.1 There should be a system for recalling promptly and effectively from the
market, materials known or suspected to be defective.
References
1. ICH harmonised tripartite guideline: Good manufacturing practice guide for active pharmaceutical
ingredients – Q7. Geneva: International Conference on Harmonisation of Technical Requirements
for Registration of Pharmaceuticals for Human Use; 2000.
2. Good trade and distribution practices for pharmaceutical starting materials. In: WHO Expert
Committee on Specifications for Pharmaceutical Preparations: thirty-eighth report. Geneva:
World Health Organization; 2004: Annex 2 (WHO Technical Report Series, No. 917).
3. Good manufacturing practice: supplementary guidelines for the manufacture of pharmaceutical
excipients. In: WHO Expert Committee on Specifications for Pharmaceutical Preparations: thirty-
WHO Technical Report Series No. 996, 2016
fifth report. Geneva: World Health Organization; 1999: Annex 5 (WHO Technical Report Series,
No. 885).
4. Good manufacturing practices for active pharmaceutical ingredients. In: WHO Expert Committee
on Specifications for Pharmaceutical Preparations: forty-fourth report. Geneva: World Health
Organization; 2010: Annex 2 (WHO Technical Report Series, No. 957).
5. WHO good distribution practices for pharmaceutical products. In: WHO Expert Committee
on Specifications for Pharmaceutical Preparations: forty-fourth report. Geneva: World Health
Organization; 2010: Annex 5 (WHO Technical Report Series, No. 957).
6. Guide to good storage practices for pharmaceuticals. In: WHO Expert Committee on Specifications
for Pharmaceutical Preparations: thirty-seventh report. Geneva: World Health Organization;
2003: Annex 9 (WHO Technical Report Series, No. 908).
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