CGMP Problems Found in Fresenius Kabi Inspection
A 4/6-4/14/17 FDA inspection at Fresenius Kabi Oncology Limited, Hirnachal Pradesh, India, found significant violations of current good manufacturing practice (CGMP) regulations for finished pharmaceuticals, according to a 12/18/17 Warning Letter. The specific violation cited in the letter was failing to thoroughly investigate any unexplained discrepancy or failure of a batch or any of its components to meet any of its specifications, whether or not the batch has already been distributed. The letter notes that FDA made a similar CGMP observation in a 5/14-5/22/15 inspection in which the company invalidated sterility test failures without adequately investigating the root causes.
“Although you proposed remediations in your responses following the 2015 inspection, and discussed these plans during a 2016 regulatory meeting with the agency, our current inspection found that your facility’s oversight and control over the manufacture of drugs remains deficient,” the letter says.
FDA says it strongly recommends that the company retain a qualified consultant to help it meet CGMP requirements. “In particular,” the letter says, “the consultant should assess risks in your manufacturing operation, retrospectively review all sterility failure investigations since 2014, retrospectively evaluate chemistry out-of-specification investigations to determine their adequacy, and assist with improvements to your investigation systems."
Fresenius was told to respond with a list of steps taken since the inspection to correct the violations and prevent their recurrence, with a timetable for completion.