Friday, May 15, 2020

FDA’s Pre-Approval Inspection (PAI)


Facility Evaluation by FDA

Before approval, FDA evaluates the firm or facility by on-site inspections and/or by establishment file review when the firm is called within the Chemistry, Manufacturing, and Controls (CMC) section of a New Drug Application (NDA), Abbreviated New Drug Application (ANDA) or Biologic License Application (BLA)

FDA’s Pre-Approval Inspection (PAI)

Facility evaluations are conducted for:

– Finished dosage manufacturers

– API manufacturers

– Finished dosage and API testing sites

– Primary packaging and labeling sites

– For animal-derived APIs, the power that performs the crude extraction

FDA generally doesn't evaluate the subsequent sites for a pre-approval inspection:


Intermediate manufacturers

• On a case-by-case basis; evaluated on condition that the intermediate is taken into account critical to the standard of the drug product.

Exhibit batch manufacturers (if not proposed commercial site)

• Note: the positioning may be added on a for-cause basis if the review identifies concerns

Component manufacturers

• Includes syringes, glass vials, or rubber-stoppers manufacturers and component-only sterilization sites

• OPF/DIA generally doesn't evaluate these sites unless the for-cause basis

• it's the drug product manufacturer’s responsibility to qualify their suppliers.

Excipient manufacturers

• OPF/DIA generally doesn't evaluate these sites, unless it's a completely unique excipient and/or the excipient

the manufacturing process is taken into account a critical step within the overall drug manufacturing process.

Secondary packager/labeller

• OPF/DIA generally doesn't evaluate these sites

*note all the above sites are required to fulfil the statutory CGMPs per FD&C Act and should be routinely inspected if registered as a drug manufacturer.

When does FDA perform PAIs?

Use risk-based Priority Inspection Criteria to create the choice supported the subsequent risks:

•Facility Risk

•Product Risk

•Process Risk

Facility Risk

• CGMP issues relevant to application product

• Recent FARs relevant to application product

• Recent recalls relevant to application product

• Numerous applications filed without delay

Product Risk

• New molecular entity

• First application filed by the applicant

• First ANDA filed for an approved drug

• RLD has complaints, ADEs, stability issues

• Patient population or for a heavy condition

• Breakthrough therapy, shortage situation

Process Risk

• Narrow therapeutic range (95%-105%)

• Derived API is high risk (derived from animal tissues)

• PAT, NIR, QbD

• Development data is incomplete

• Batch records non-specific

• Complicated process

• Substantially different process than previously covered at the power.

The Pre-Approval Inspection team

If an inspection is confirmed to be conducted, FDA will send a team of people to conduct the pre-approval inspection. The team may include:

• Investigators

• Other Specialists

– Chemistry Expert

– Microbiology Expert

– Process/Facility Expert

– Formulation Expert


Scope of PAI

A pre-approval inspection (PAI) is performed to contribute to FDA’s assurance that a producing establishment named during a drug application is capable of producing a drug, which submitted data are accurate and complete.

PAI is product specific

• Limited or no commercial manufacturing

• More specialise in development data

• More emphasis on the authenticity of information and application commitments.

• Process validation commonly not completed

• Trend toward more experts involved.

PAI Coverage: Objectives

Objective 1: Readiness for Commercial Manufacturing

Determine whether the establishment(s) includes a quality system that's designed to attain sufficient control over the power and commercial manufacturing operations.


Objective 2: Conformance to Application

Verify that the formulation of product, processing methods and analytical (or examination) methods are according to descriptions contained within the CMC section of the application for the bio-batch (and other pivotal clinical batches, when applicable), the proposed commercial-scale batch, and also the API(s).

Objective 3: Data Integrity Audit

Audit the information, hardcopy or electronic, to authenticate the data submitted within the CMC section of the application. Verify that each one relevant data (e.g., stability, bio-batch data) were submitted within the CMC section that product reviewers can depend on the submitted data as complete and accurate.

PAI Outcomes

The lead investigator will make a recommendation at the conclusion of the inspection:

Recommend Approval

• Depicts that the inspection has no significant issues

• Response to observations is vital

Recommend Withholding of Approval

• Investigators observed that the positioning isn't GMP compliant, the data in CMC isn't according to site records, or information submitted isn't accurate and complete.

• Response to observations is critical

*CDER’s Office of latest Drugs or Office of Generic Drugs makes the final word decision on whether to approve or withhold approval of the applying or licensure



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