Annexes 2, 5 and 14 Flashcards

(31 cards)

1
Q

What is in Annex 2

A

Manufacture of biological active substances and drug products for human use

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2
Q

What are particularly important for this class of medicines? (Atmps)

A

QRM – more variability and contamination than you can shake a stick at

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3
Q

What’s different about health of personnel with biologics

A

Personnel engaged in production, maintenance, testing and animal care (and inspections) should be vaccinated and have regular health checks if needed

Any changes in the health status of personnel, should preclude work. appropriate records kept.

Production of BCG vaccine and tuberculin products should be carefully monitored by regular checks of immunological status or chest X ray

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4
Q

Dedicated or multi product premises for biologics?

A

Dedicated please.

Multi is OK but there are a lot of additional stipulations in the annex

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5
Q

What premises things have more emphasis for biologics?

A

HVAC,
drains need to decontaminate the effluent,
pressure cascades if need neg pressure for safety

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6
Q

What additional concerns for stuff derived from animals

A

TSE

Disease – zoonotic for patient and in the animal sources.

Decisions dedicated.

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7
Q

What do you need to do if have disease in animal

A

Document and assess. Include look-back to other products that used that animal

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8
Q

What’s required for traceability of starting and raw materials when human cell or tissue donors are used?

A

Full traceability is required including all substances coming into contact with the cells or tissues through to confirmation of the receipt of the products at the point of use.

Records to be kept for 30 years AFTER expiry date

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9
Q

What’s the approach when the starting and raw material tests take a really long time?

A

It might be OK to process starting materials before the results of the tests are available.

If so, the risk of using a potentially failed material and its potential impact on other batches should be clearly understood and assessed under the principles of QRM.

Release of a finished product is conditional on satisfactory results of these tests.

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10
Q

What’s the favourite method for sterilising starting materials?

A

Heat

If not then can use irradiation and filtration

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11
Q

What’s the directive for tissue and cell sampling

A

2004/23/EC – mandates they are released by an RP at the origin site

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12
Q

Talk to me about doubling?

A

The number of generations / doublings between cell bank, the active biological substance and the finished product should be consistent with specifications in the MA or CTA

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13
Q

What’s considered a short shelf life?

A

<14 days

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14
Q

What does the annex say about the release process for short shelf life products?

A

It’s a 2-part release:

Part 1 = Assessment by designated person(s) of batch processing records, results from environmental monitoring (where available) which should cover production conditions, all deviations from normal procedures and the available analytical results for review in preparation for the initial certification by the Qualified Person

Part 2 = final certification when the results are in

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15
Q

If you’re getting starting material from third-country abattoirs then what’s important

A

Need to be equivalent to eu

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16
Q

What is IgE

A

Immunoglobulin E (IgE) is an antibody that plays a key role in allergic responses. It is produced by the immune system in response to a possible invader.

17
Q

What are Allergoids

A

Allergens which are chemically modified to reduce IgE reactivity

18
Q

What are Antigens

A

Substances (e.g. toxins, foreign proteins, bacteria, tissue cells) capable of inducing specific immune responses

19
Q

What is Ex-vivo

A

Where procedures are conducted on tissues or cells outside the living body and returned to the living body

20
Q

Define Monosepsis

A

A single organism in culture which is not contaminated with any other

21
Q

Define axenic

A

A single organism in culture which is not contaminated with any other

22
Q

What are Somatic cells.

A

Cells, other than reproductive (germ line) cells, which make up the body of a human or animal

23
Q

What does autologous mean?

A

from the patient cells

24
Q

What does allogeneic mean? v

A

from another human being

25
What does xenogeneic mean wrt cells?
from animals
26
What is Annex 14
Blood and plasma and goo
27
What classification should thawing and pooling of plasma units be done in
At least Grade D
28
what additional contamination concerns for blood, plasma and biologics generally
Viruses – there should be viral removal or inactivation steps and processes in place not to mix with non-treated
29
Why should freezing of blood plasma be performed as soon as possible after collection
Freezing is a critical step for the recovery of proteins that are labile in plasma, e.g. clotting factors
30
Who releases plasma units for fractionation once they’ve entered the fractionation plant?
The QP
31
How long should plasma pool retention samples be kept for
For at least one year after the expiry date of the finished medicinal product with the longest shelf-life derived from the pool