More Drug Compounding Improvements Needed: Woodcock

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CDER director Janet Woodcock says that the Center’s experience monitoring pharmacy compounding since passage of the Drug Quality and Security Act “has demonstrated a need for further improvement in compounding practices.” Writing in the New England Journal of Medicine, Woodcock says that the agency has discovered problematic conditions in the vast majority of the 425 inspections of compounding pharmacies it has conducted since 2012. “Examples of observations include dead insects in compounding areas designated for sterile processing, visible mold on ceiling tiles in compounding rooms, and dog beds and dog hairs in close proximity to compounding areas,” she writes.

FDA has received reports, Woodcock says, of serious adverse events, including deaths, associated with improperly compounded drugs as recently as 2017. She noted CDER has issued draft guidance with examples of “insanitary conditions” observed in compounding facilities and actions companies should take if they identify such conditions at their facilities. It also issued draft guidance to aid compounding facilities in identifying and correcting insanitary conditions and to help state regulators assess whether the conditions they observe during inspections would be considered insanitary.

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