( (3 30 0 T TH H A AN ND D 3 31 1 S ST T O OF F J JA AN NU UA AR RY Y 2 20 01 12 2) )
Date : 20/03/2012 From : Benot SCHNEE
To : Antonio CASTILLO Roberto CORTEZ Claudia KUBOKAWA Patricia SALAS Ruben Dario VILLENA LEON
Copies : Jean Louis DAUDET Philippe DARTIGUELONGUE Philippe GAUCHER Pierre FARALDO Cline GAUTRAND-POIREE
Page 2/23 CONTENT I I. . I IN NT TR RO OD DU UC CT TI IO ON N . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 3 32 2 1 1. .1 1 O OB BJ JE EC CT TI IV VE ES S . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 3 32 2 1 1. .2 2 P PE EO OP PL LE E M ME ET T . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 3 32 2 1 1. .3 3 P PR RE ES SE EN NT TA AT TI IO ON N O OF F C CI IF FA AR RM MA A . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 3 32 2 1 1. .4 4 S SE ER RV VI IE ER R P PR RO OD DU UC CT TS S . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 3 32 2 I II I. . F FA AC CI IL LI IT TI IE ES S . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 4 42 2 2 2. .1 1 W WA AR RE EH HO OU US SE ES S . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 4 42 2 2 2. .1 1. .1 1 O OR RG GA AN NI IS SA AT TI IO ON N : : . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 4 42 2 2 2. .1 1. .2 2 P PR RO OC CE ES SS S . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 4 42 2 2 2. .2 2 S SA AM MP PL LI IN NG G A AR RE EA A . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 5 52 2 2 2. .3 3 M MA AN NU UF FA AC CT TU UR RI IN NG G . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 5 52 2 2 2. .3 3. .1 1 C CL LO OA AK KR RO OO OM MS S . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 5 52 2 2 2. .3 3. .1 1 W WE EI IG GH HI IN NG G A AR RE EA A . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 5 52 2 2 2. .3 3. .2 2 W WA AS SH HI IN NG G A AR RE EA A . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 5 52 2 2 2. .3 3. .3 3 G GR RA AN NU UL LA AT TI IO ON N . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 6 62 2 2 2. .3 3. .4 4 C CO OM MP PR RE ES SS SI IO ON N . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 6 62 2 2 2. .3 3. .5 5 I IN N P PR RO OC CE ES SS S S ST TO OR RA AG GE E A AR RE EA AS S . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 6 62 2 2 2. .3 3. .6 6 C CO OA AT TI IN NG G . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 6 62 2 2 2. .4 4 P PA AC CK KA AG GI IN NG G . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 7 72 2 2 2. .4 4. .1 1 P PR RI IM MA AR RY Y P PA AC CK KA AG GI IN NG G . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 7 72 2 2 2. .4 4. .2 2 S SE EC CO ON ND DA AR RY Y P PA AC CK KA AG GI IN NG G . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 8 82 2 2 2. .5 5 L LA AB BO OR RA AT TO OR RY Y . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 8 82 2 2 2. .5 5. .1 1 P PH HY YS SI IC CO O- -C CH HE EM MI IC CA AL L L LA AB BO OR RA AT TO OR RY Y . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 8 82 2 2 2. .5 5. .2 2 S ST TA AB BI IL LI IT TY Y S ST TU UD DI IE ES S A AR RE EA A . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 9 92 2 2 2. .6 6 U UT TI IL LI IT TI IE ES S . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 9 92 2 2 2. .6 6. .1 1 H HV VA AC C S SY YS ST TE EM M . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 9 92 2 2 2. .6 6. .2 2 P PU UR RI IF FI IE ED D W WA AT TE ER R S SY YS ST TE EM M . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 9 92 2 I II II I. . Q QU UA AL LI IT TY Y R RE EV VI IE EW W. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 1 10 02 2 3 3. .1 1 M MA AN NU UF FA AC CT TU UR RI IN NG G A AN ND D A AN NA AL LY YT TI IC CA AL L F FI IL LE ES S R RE EV VI IE EW W . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 1 10 02 2 3 3. .1 1. .1 1 B BM MR R/ /B BP PR R . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 1 10 02 2 3 3. .1 1. .2 2 A AN NA AL LY YT TI IC CA AL L F FI IL LE ES S . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 1 11 12 2 3 3. .1 1. .3 3 S ST TA AB BI IL LI IT TY Y S ST TU UD DI IE ES S . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 1 11 12 2 3 3. .1 1. .4 4 P PR RO OD DU UC CT T S SH HE EE ET T . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 1 11 12 2 3 3. .1 1. .5 5 A AN NN NU UA AL L S SA AM MP PL LI IN NG G . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 1 11 12 2 3 3. .2 2 Q QU UA AL LI IT TY Y S SY YS ST TE EM M . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 1 11 12 2 3 3. .2 2. .1 1 S SE EE E A AN NN NE EX X . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 1 11 12 2 3 3. .3 3 C CO ON NT TR RA AC CT T . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 1 12 22 2 3 3. .4 4 G GM MP P C CE ER RT TI IF FI IC CA AT T . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 1 12 22 2 I IV V. . C CO ON NC CL LU US SI IO ON N . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 1 12 22 2 ANNEX 1: QUALITY CHECKING............................................................................................ 132 ANNEX 2: ACTION PLAN ................................................................................................... 162 ANNEX 3: PRODUCT SHEET ............................................................................................... 192 ANNEX 4: GMP CERTIFICATE .............................................................................................. 232
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I I. . I IN NT TR RO OD DU UC CT TI IO ON N 1 1. .1 1 OBJECTIVES In the context of our partner follow-up, the IDPT proceeded to a quality and technical audit of the licensee GRUNENTHAL and its partner CIFARMA.
The items assessed during the audit were: Pharmaceutical building review (Warehouse, Packaging, Laboratories, Utilities) Products & Quality System review (SOP, etc.)
The audit of CIFARMA has been performed in collaboration with the GRUNENTHAL qualified Person; M. Roberto CORTEZ. 1 1. .2 2 PEOPLE MET During this audit, the CIFARMA persons met are: .. Technical Director Patricia SALAS .. Process Managing Antonio CASTILLO .. Quality Assurance Manager Claudia KUBOKAWA .. Quality Control Manager Ruben Dario VILLENA LEON 1 1. .3 3 PRESENTATION OF CIFARMA Official name: CIFARMA Address Carretera Central Km 3.0 N1315 Santa Anita, Lima, Peru Pharma forms: Solid (tablet, Capsule), Liquid (Syrup), Pasty product (cream, ointment), suppository Cosmetic products Production for other international companies: GRUNENTHAL, VIFOR, SANOFI, NOVARTIS, BOEHRINGER INGELHEIM Volume (total): 350 million tablets per year (SERVIER Products represent around 6% with 21 million tablets per year) Plant area: 3300 m ISO Certifications: 9001/14001/18001 Pharma Certifications: Peru (DIGEMID): GMP & BPL Columbia (INVIMA): GMP Personal: Processing 23 people / Packaging operation 47 people CIFARMA work for the SERVIER license owners for 14 years 1 1. .4 4 SERVIER PRODUCTS PRODUCT NAME PRESENTATION SHELF LIFE CIFARMA OPERATIONS Arcalion Blister Alu/PVC Full Manufacturing Daflon 500 mg Blister Alu/PVC 1st and 2ndary Packaging Diamicron MR 30 Blister Alu/PVC 1st and 2ndary Packaging Natrilix SR 1.5 mg Blister Alu/PVC 1st and 2ndary Packaging Vastarel MR 35 Blister Alu/PVC 1st and 2ndary Packaging
Page 4/23 I II I. . F FA AC CI IL LI IT TI IE ES S 2 2. .1 1 WAREHOUSES 2 2. .1 1. .1 1 O Or rg ga an ni is sa at ti io on n: : The warehouses are physically divided into different areas: Raw material Packaging item Closed area dedicated to the imported bulk product Dedicated area for product temperature sensitive
The area dedicated to the Products to be destroyed is located outside the main warehouse.
The warehouse counts around 26 racks lines of 4 levels (1000 pallets positions). 2 2. .1 1. .2 2 P Pr ro oc ce es ss s At reception, materials are cleaned, weighted, registered into the ERP system (SAP) in quarantine status and sampled by the QC dept. Then, materials are transferred to the dedicated warehouses (Raw Material, Bulk, Packaging material articles, temperature sensitive products area) to the relevant location (given by the ERP system).
The good practices are followed and clearly documented: Access restricted to the authorised personal only ERP system that ensure the materials traceability and status Status identification (quarantine, sampled, released) under QC responsibility Temperature and humidity registered twice a day (Temp [10; 30]C RH% <70%) Pest system in place in most of the warehouses FIFO (First In First Out) policy guaranteed by the ERP system
It is important to underline that CIFARMA does not have a finish product warehouse since CIFARMA is working only under order and send directly the finished product to its customers warehouse.
Nevertheless some points have to be improved (cf. below).
Points to be improved: The manufacturing area is protected by a pest control program but not the warehouse (absence of insectocutor and pest system) - Traps and insectocutors to be added to ensure the warehouses protection. We recommend CIFARMA to close the warehouse door to avoid any temperature increase of the warehouse and to protect the warehouse against the pests. CIFARMA has to pay a particular attention to the storage conditions of the imported bulk products and avoid letting the product waiting for outside (only protected by a canopy). The waiting area (for the finished product) is quite small, in case of an important order (quantity) the space dedicated is not sufficient. Weighing system: The scale calibration has to be revised; indeed the scale range is 10 kg to 750 kg when the calibration program is done with a 500 kg mass only.
Page 5/23 2 2. .2 2 SAMPLING AREA The sampling area, well designed (Material and personal Airlocks) and equipped (Laminar flow), is located into the reception warehouse.
The good practices are followed: API: 100 % of the containers are sampled for identification Chemical and physical analysis for the complete sample Excipient: Sampling of 1 + N containers 2 2. .3 3 MANUFACTURING The design of the manufacturing plant and the internal fittings used for the clean areas are generally satisfactory (minimum ISO 8 classified, airlocks for each rooms, corridor separation between the different pharmaceutical forms working area, resin floor, clean partition panels). Note: Due to the presence of product inside the manufacturing rooms, we did not go into the rooms.
Point to be improved: Classification, flows and pressure difference of the corridor used to access to the manufacturing plant have to be reviewed and clearly described. (Necessity to add some airlocks to be studied). 2 2. .3 3. .1 1 C Cl lo oa ak kr ro oo om ms s Before going through the production area, we have to go first through the civil cloakroom then through the clean one. The gowning/de gowning SOP are clearly displayed in the cloakrooms. 2 2. .3 3. .1 1 W We ei ig gh hi in ng g A Ar re ea a The weighing area, well designed (Material airlock and personal one), is equipped with a laminar flow and 4 balances with different weighing scales.
The good practices are followed and clearly documented: only Plastic pallets are used in clean area 100 000 classified Area 10 000 classified Area Efficient extraction to protect the operator Weighing sequence complies with the current standard (API: last material weighted) ERP weighing recipe only the approved material could be used Double checking (human and ERP System) Strict requirement for weighing.
2 2. .3 3. .2 2 W Wa as sh hi in ng g A Ar re ea a The washing operations are done manually. All the material is dried using clean compressed air (0.22m filter). The washed material is stored into the cleaned process rooms. The cleaning status is valid for 14 days (validation performed previously).
Point to be improved: It could be convenient to indicate where the dirty material is stored in the washing room before cleaning. The hoses have to be clearly identified to ensure the cleaning traceability and status. The sink is damaged and have to be replaced.
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2 2. .3 3. .3 3 G Gr ra an nu ul la at ti io on n CIFARMA is working with the High Shear Mixer Fluid Bed Dryer technology. EQUIPMENT SUPPLIER MODEL HSM FREWIIT MG 400/A HSM GLATT WSG-UD 60 FBD GLATT FDB GLATT 2 2. .3 3. .4 4 C Co om mp pr re es ss si io on n The CIFARMA Plant is equipped with 7 tablets press machines. EQUIPMENT SUPPLIER MODEL Tablet Press TALLERES SANCHEZ D-27 Tablet Press KORSCH EK II Tablet Press MANESTY D4 Tablet Press MANESTY B3B Tablet Press RIVA CIII Tablet Press KILLIAN PRESCORTER III Tablet Press STOKES B-2
The IPC are performed every 30 minutes. Each compression room is equipped with the relevant IPC measurement equipment (Scale, hardness tester, thickness tester). Following the CIRARMA policy, each compression room is equipped with a deduster and a metal detector machine to ensure the tablet quality. 2 2. .3 3. .5 5 I In n P Pr ro oc ce es ss s S St to or ra ag ge e A Ar re ea as s There is only one dedicated room to the IPS.
Point to be improved: The surface dedicated to the IPS is not sufficient. During the audit, we observed some cleaned containers and some bulk material containers for trials into the IPS. The organisation has to be revised and only the products waiting for processing have to be stored temporarily into the IPS. 2 2. .3 3. .6 6 C Co oa at ti in ng g For the moment, the coating and polishing solutions are prepared in the Coating room and following the GMP policy (only one product per room). With the current workload the design of the area could be acceptable but if workload increase in the futures, it could be then convenient to dedicate a room for the solution preparation operation to avoid any mix up or cross contamination issue. Following the CIFARMA policy, the coating solution has to be used within 24 hours.
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EQUIPMENT SUPPLIER MODEL Equipment Supplier Model Film Coating machine WALTER BRUCKS 8 Film Coating machine R.MORANDI S/M Film Coating machine WALTER BRUCKS 8 Sugar Coating machine MORANDI S/M 2 2. .4 4 PACKAGING For the solid dosage form CIFARMA is equipped with 2 blistering machines and 3 secondary packaging lines (manual operation).
EQUIPMENT SUPPLIER MODEL Equipment Supplier Model Blistering Machine FABRIMA BP-5 Blistering Machine GAMMA 010-81 2 2. .4 4. .1 1 P Pr ri im ma ar ry y P Pa ac ck ka ag gi in ng g A - Design and workflow The design of primary packaging area is satisfying: The clean corridor is in over pressure compared to the blistering room Blistering room in overpressure compared to the secondary packaging area Pressure and ambient conditions data (temp less than 25 C and humidity less than 70%) controlled and registered (manometer and thermo-hygrometer calibrated) Primary packaging is ISO 8 classified
Point to be improved: HVAC qualification: Pressure difference to be clearly indicated and measured during the qualification reference point for pressure measurement to be clarified. When no operation is performed, the HVAC system of the area is stopped. Be careful about the pressure inversion and the qualified status maintenance. A risk analysis has to be performed as well as a qualification (documented) to ensure that the ambient conditions remain compliant during the installation stopping.
B - operations The operations are well managed and the good practices are followed: 100% of the blisters are checked by the in line camera. In case the camera is under maintenance, 100% of the blisters are visually checked by the operators Room status (product, batch number, date) Packaging material is double checked before starting and before each material change (alufoil roll, PM batch number) IPC performed at the beginning, after each stop and every one hour (Leak test, Batch number, expiry date) Presence of the relevant SOP on line (line cleaning, operations) Process well documented Process and procedures knowledge No wood pallets in first packaging area
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Point to be improved: The packaging line cleaning SOP has to be more detailed (checklist to be implemented, pictures to be added) to ensure the correct and reliable cleaning of the packaging line. There is no de blistering SOP in place. The HVAC System is stopped in case no operation is performed during the night, the week end. This status is not qualified and no risk analysis has been performed. We request CIFARMA to evaluate and document the possible impact like temporary pressure inversion, room cleaning status 2 2. .4 4. .2 2 S Se ec co on nd da ar ry y P Pa ac ck ka ag gi in ng g CIFARMA follows the good practices: Physical separation between the line one product per line/area line status (product, batch number, date) 100% of the blisters are visually checked Pack material checking before using Inkjet printer tested before production starting IPC performed at the beginning, after each stop and every one hour (Presence of the relevant quantity and material, Batch number, expiry date, weight checking) Material Reconciliation at the end of the operations 2 2. .5 5 LABORATORY The laboratories are divided into 3 main parts: Physico-chemical laboratory Microbiological laboratory Stability studies 2 2. .5 5. .1 1 P Ph hy ys si ic co o- -c ch he em mi ic ca al l l la ab bo or ra at to or ry y The good practices are followed and clearly documented: All the technicians are equipped with the relevant personal protection equipment Analyses management using the SAP software Calibration program in place and followed All the preparations are clearly identified and dated Presence and correct using of logbooks Traceability of the solution, instruments used Retain samples stored in a dedicated area (temperature controlled) till the expiry date + one year Analytical standard storage (Temperature follow-up and presence of a backup) Laboratories well equipped and maintained (cf. non exhaustive list below) EQUIPMENT NUMBER TRADEMARK MODEL HPLC 2 AGILENT VWD-RID 1100 & 1260 HPLC 3 MERCK HITACHI LACHROM ELITE GC 1 VARIANT 430-GC DISSOLUTION EQUIPMENT 1 SOTAX AT7 SMART DISSOLUTION EQUIPMENT 2 VANKEL VK 7000 & 7010 TOC 1 SCALES METTLER TOLEDO
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Points to be improved: The solutions are not kept waiting for the analysis results. In case of OOS, it is then not possible to investigate on the solution. Analytical standard management (for VASTAREL) to be revised to avoid any stock breakdown. 2 2. .5 5. .2 2 S St ta ab bi il li it ty y s st tu ud di ie es s a ar re ea a CIFARMA is able to perform stability studies under conditions for the following areas II, IVa and IVb (25 +/-2 C; 65+/-5% - 30 +/-2 C; 75+/-5%). Till now, no stability studies have been performed for the SERVIER Products even for the product fully manufactured locally. Even if it is no required by the local authorities, we consider important to perform, on at least one batch per year, some on-going stability studies. It would help a lot discussing with local authorities in case of any quality issue. 2 2. .6 6 UTILITIES 2 2. .6 6. .1 1 H HV VA AC C S Sy ys st te em m The qualification of the system is subcontracted to an external company and documented.
Points to be improved: Plant drawing pressure difference and HVAC qualification report are not coherent. CIFARMA has to clearly indicate their requirements and update the relevant documents in consequence. At the same time, the air flow (clean corridor, liquid plant concept) should be revised as well as the relevant documents. 2 2. .6 6. .2 2 P Pu ur ri if fi ie ed d W Wa at te er r S Sy ys st te em m The purified water specification complies with the standard.(conductivity less than 1.3 S)
Points to be improved: A loop and plant sanitation has to be performed every 2 days to stabilize the purified water quality (conductivity and microbiological growth). This situation is abnormal A working group / project team has to be implemented to analyse the possible causes and find the origin and solve as soon as possible this issue that could impact the product quality.
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I II II I. . Q QU UA AL LI IT TY Y R RE EV VI IE EW W 3 3. .1 1 MANUFACTURING AND ANALYTICAL FILES REVIEW 3 3. .1 1. .1 1 B BM MR R/ /B BP PR R The BMR (Batch Manufacturing Record) and the BPR (Batch Packaging Record) of the following products have been revised: Diamicron MR 30 mg batch 1102481 22/11/2011 Arcalion batch 10708900/10702790
It has not been possible to review a Diamicron 80 BMR due to the fact that the files are kept on site only 6 months before being stored in another building outside the factory.
The level of information in the BMR and BPR are satisfactory.
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Points to be improved: Arcalion: P3/13 There is no cleaning certificate for a container used in production. P3/13 The product residual humidity is measured using halogen equipment following the following parameters; 2g 105C during 5 minutes (currently the specifications are given for 5 g at 90C for 10 min) There is no intermediate yield calculation (granulation, compression). This data is compulsory to first follow up the production and the waste and overall to adjust if necessary the quantity of Talc or Magnesium stearate (dilution and homogenisation step). P6/13 The adjustment limits and rejection limits in compression have to be revised (the standard ones for Arcalion are: Adjustment limit = +/- 1.9 % and rejection limit = +/- 2.6%)
Note: the temperature storage condition indicated on the Box and in the leaflet is: to store below 30C. 3 3. .1 1. .2 2 A An na al ly yt ti ic ca al l F Fi il le es s The analytical files are complete and well documented.
Points to be improved: No analytical transfer neither analytical method validation have been performed for the SERVIER Products. In case of products packed locally, the analytical transfer could be enough. For the products manufactured locally, an analytical method validation is required by the local authority. 3 3. .1 1. .3 3 S St ta ab bi il li it ty y s st tu ud di ie es s We recommend CIFARMA to perform on at least one batch per year some on-going stability studies to be able to argue in case of Quality Issue with a product. 3 3. .1 1. .4 4 P Pr ro od du uc ct t S Sh he ee et t The product sheets will be forwarded by CIFARMA and GRUNENTHAL within the next 4 weeks. (Template in Annex 3) 3 3. .1 1. .5 5 A An nn nu ua al l s sa am mp pl li in ng g SERVIER France is performing a complete full sampling of each product manufactured by its partners. Within this context, CIFARMA will have to send to Ms Christel COCHIN 905 route de SARAN 45520 GIDY FRANCE a complete box of each product processed and packed locally every year since March 2012. 3 3. .2 2 QUALITY SYSTEM 3 3. .2 2. .1 1 S Se ee e a an nn ne ex x Points to be improved: Pharmaceutical contract CIFARMA: The contract has been signed on February 15 th , 2007. An update should be done within the next weeks on GRUNENTHAL Peruana demand The packaging yield for VASTAREL MR detailed in the contract is different from the BPR documents to be updated
Product Release: Abbreviation used in the document that are not detailed/explained in the general glossary Complaints G21 V10 from 19.04.2011: In case CIFARMA receive a patient complaint, the industrial customer (GRUNENTHAL) has to be informed within 48 hours (and not within 12 days as indicated in the SOP).
Page 12/23 3 3. .3 3 CONTRACT A quality agreement has been signed between CIFARMA and GRUNENTHAL PERUANA that defines the pharmaceutical responsibility. 3 3. .4 4 GMP CERTIFICAT CIFARMA granted in January 2012 the GLP and GMP certifications from the local authority (cf the enclosed documents). CIFARMA is the first Peruvian pharmaceutical laboratory to get the GLP. I IV V. . C CO ON NC CL LU US SI IO ON N I would like to thank you for your welcome and your professionalism. The audit has been conclusive and we confirm that CIFARMA comply with the SERVIER requirements for manufacturing and packaging operations for the local market. As agree, CIFARMA will propose SERVIER (IDPT) a CAPA within three weeks after report sending.
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A AN NN NE EX X 2 2: : A AC CT TI IO ON N P PL LA AN N
N U M E R O
REFERENCIAL AREA/ASUNTO PUNTO A MEJORAR CRITICIDAD FECHA DE AUDITORIA ACCIN RESPONSABILIDAD ACTOR FECHA LIMITE 1 GMP 10.1 Almacn Programa de control del almacn debe aplicarse. Mayor 30/01/12 2 GMP 10.1 Almacn La puerta del almacn debe estar siempre cerrada. Menor 30/01/12 3 GMP 10.1 & GMP 7.4 Almacn Las condiciones de almacenamiento de a granel importado deben ser respetadas. Mayor 30/01/12 4 GMP 5.3 Almacn Programa de calibracin de la bscula debe ser revisado. Mayor 30/01/12 5 GMP 4.1 Edificio Revisin de diseo y clasificacin del corredor de acceso a la fabricacin. Menor 30/01/12 6 GMP 4.1 Edificio El material sucio tiene que ser almacenado por lo menos en un rea especfica dentro de la zona de lavado (ya que no es posible almacenar en un espacio dedicado) Mayor 30/01/12 7 GMP 6.2 Edificio Las mangueras usadas en el rea de lavado y fabricacin deben ser identificadas claramente para garantizar su trazabilidad. Menor 30/01/12 8 GMP 5.2 Edificio Lavabo de la zona de lavado daado y debe ser sustituido. Menor 30/01/12 9 GMP 4.1 Edificio IPS no es suficiente y no se utiliza correctamente (recipientes limpios almacenado en el IPS) Menor 30/01/12
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REFERENCIAL AREA/ASUNTO PUNTO A MEJORAR CRITICIDAD FECHA DE AUDITORIA ACCIN RESPONSABILIDAD ACTOR FECHA LIMITE 10 GMP 4.2 & GMP 12.3 Utilidades / climatizacin Las especificaciones de requisitos de usuario tienen que estar claramente definido y climatizacin calificacin protocolo y el informe debe ser actualizado (diferencia de presin, punto de referencia ...) Mayor 30/01/12 11 GMP 12.3 Utilidades / climatizacin Para el ahorro de energa, el sistema de climatizacin se para durante el periodo de no produccin. El anlisis de riesgos debe hacerse como calificacin para garantizar el retorno al estado de condicin de ambiente calificada despus de un perodo de no produccin. Mayor 30/01/12
GMP 4.2 & GMP 12.3 Utilidades / climatizacin La diferencia de presin establecida entre la planta y el informe de calificacin de climatizacin no es homognea. Mayor 30/01/12
GMP 4.3 & GMP 12.3 Utilidades / PW Ausencia de estabilidad de los parmetros de agua purificada. Este tema tiene que ser seguido con mucho cuidado para evitar cualquier contaminacin microbiolgica de producto Mayor 30/01/12 12 GMP 9.1 SOP / documentacin La lnea de embalaje hace aparecer SOP que existe pero no est detallada - Lista de verificacin debe aplicarse para garantizar la capacidad de repeticin y la eficiencia de la SOP Menor 30/01/12 13 GMP 11.7 Laboratorio / Solucin de gerencia En el caso de fuera de especificaciones( OOS), soluciones tienen que estar preparadas otra vez. Nota 30/01/12
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REFERENCIAL AREA/ASUNTO PUNTO A MEJORAR CRITICIDAD FECHA DE AUDITORIA ACCIN RESPONSABILIDAD ACTOR FECHA LIMITE 14 GMP 11.5 Laboratorio / Estudios de estabilidad Como no existe un requisito local, no hay estudios de estabilidad relacionados con el producto de fabricacin en el pas. Sin embargo, se recomienda realizar estudios de estabilidad en curso sobre al menos un lote por ao para los productos fabricados por CIFARMA. Nota 30/01/12 15 GMP 6.5 Aseguramiento de la Calidad Arcalion BMR Calculo de rendimiento debe realizarse despus de cada prctica para ajustar algunos parmetros y la cantidad, si es necesario. Mayor 30/01/12 16 GMP 11.3 Laboratorio Sin la validacin del mtodo analtico no transferencia de anlisis se han realizado. Menor 30/01/12 17 GMP 6 Documentacin CIFARMA enviara las hojas de productos (product sheets)o las informaciones adecuadas a SERVIER dentro de las tres prximas semanas. Nota 30/01/12 18 GMP 11 Control de Calidad Muestras a enviar al departamento DTPI segn la demanda por e-mail cada ao. Nota 30/01/12
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A AN NN NE EX X 3 3: : P PR RO OD DU UC CT T S SH HE EE ET T
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A AN NN NE EX X 4 4: : G GM MP P C CE ER RT TI IF FI IC CA AT TE E