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Introducing cGMP – What you need to know

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cGMP stands for “current Good Manufacturing Practices”. It is a set of regulations that are put in place by the US Food and Drug Administration (FDA) to ensure that medical products (e.g. pharmaceutical drugs and medical devices) are produced in a consistent, controlled, and safe way. The manufacturing method must meet specific quality standards appropriate for the intended use of the medical product. 

The cGMP regulations are designed to minimize the risk of contamination or other problems that could compromise the safety or effectiveness of medical products. Companies that manufacture or distribute medical products are required to follow cGMP regulations to ensure that they meet the appropriate quality standards.

cGMP regulations cover all aspects of the production process, from raw materials and ingredients, to the finished product. They also cover aspects of the distribution process, such as storage and transportation. They cover a wide range of topics, including:

  • Facility design and construction
  • Equipment maintenance and calibration
  • Production and process controls
  • Packaging and labeling
  • Training and qualification of personnel
  • Testing and quality control procedures
  • Complaint handling and product recall procedures

Companies that manufacture or distribute medical products are required to follow cGMP regulations in order to ensure that they meet the appropriate quality standards. 

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Why is cGMP important?

cGMP is important because it helps to ensure the quality, safety, and effectiveness of medical products. These products are used to treat and prevent diseases, and it is critical that they are consistently produced and controlled to the appropriate quality standards. By following cGMP regulations, manufacturers and distributors can help to ensure that the products they produce and distribute are safe and effective.

In addition to ensuring the safety and effectiveness of medical products, cGMP regulations also help to protect the public by establishing a level of trust in the quality and consistency of these products. When the public trusts that medical products are of high quality, they are more likely to use them as directed, which can help to improve public health outcomes.

cGMP regulations are also important for manufacturers and distributors because they help to ensure that the products they produce are of consistent quality. This can help to reduce the risk of product recalls or other problems that could compromise the reputation of the company and its products.

Overall, cGMP is an important part of the regulatory framework that helps to ensure the safety, effectiveness, and quality of medical products.

Enforcement of cGMP 

In the United States, the FDA is the primary regulatory agency responsible for ensuring that facilities that manufacture or distribute medical products are in compliance with cGMP regulations; however, other regulatory agencies may also be involved in enforcing cGMP requirements, depending on the specific products and industries involved.

For example, the US Department of Agriculture (USDA) is responsible for regulating the production and distribution of certain medical products, such as veterinary drugs and biological products. The USDA has its own set of cGMP regulations that are specific to these products and industries.

In addition to federal regulatory agencies, state agencies may also be involved in enforcing cGMP requirements. For example, many states have their own regulatory agencies that are responsible for regulating the production and distribution of medical products within their borders. These agencies may be responsible for conducting inspections and enforcing cGMP requirements in their respective states.

In addition to regulatory agencies in the United States, there are also regulatory agencies in other countries that are responsible for enforcing cGMP requirements. For example, the European Medicines Agency (EMA) and the Medicines and Healthcare Products Regulatory Agency (MHRA) in the United Kingdom are responsible for regulating the quality, safety, and effectiveness of medical products in their respective regions. These agencies also have their own cGMP regulations that manufacturers and distributors must follow.

Example of how the FDA audit cGMP 

Taking the FDA as an example cGMP auditor, where other regulations take a similar approach, the FDA conducts inspections of facilities that manufacture or distribute medical products to ensure that they are in compliance with cGMP regulations. These inspections are carried out by FDA inspectors who are trained in cGMP requirements and have the authority to review records, observe manufacturing processes, and collect samples of products for testing.

During an inspection, the FDA inspector will review the facility’s written policies and procedures, as well as its manufacturing and quality control processes, to ensure that they are in compliance with cGMP regulations. The inspector may also review the facility’s records and documentation, including batch records, standard operating procedures (SOPs), and training records, to verify that the facility is following cGMP requirements.

If the FDA inspector identifies any deviations from cGMP regulations or other issues of concern during the inspection, they will document these findings in a report called an “Form 483”. The facility will then be required to respond to the Form 483 and provide a plan for correcting the identified issues. If the FDA determines that the facility is not in compliance with cGMP regulations, it may take regulatory action, such as issuing a warning letter or issuing an injunction to stop the facility from manufacturing or distributing products until the issues are corrected.

Examples of where cGMP has failed

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There have been several examples in which cGMP failures have resulted in significant issues with the quality and safety of medical products. 

For example, in 2008, the FDA issued a warning letter to the manufacturer of the blood pressure medication “valsartan” (Diovan), stating that the company’s manufacturing practices did not comply with cGMP regulations. The FDA found that the company had not properly investigated instances of contamination in the manufacturing process and had not adequately controlled the conditions under which the drug was manufactured. As a result of these issues, several batches of valsartan were recalled because they were contaminated with a probable carcinogen (a substance that may cause cancer).

This example demonstrates the importance of following cGMP regulations to ensure the safety and quality of medical products. If the manufacturer had followed cGMP regulations and properly investigated and controlled the manufacturing process, it is possible that the contamination issue could have been identified and prevented, and the recalled batches of medication could have been avoided.