Sterile Drug Compounding Deficiencies at Roger Williams Center
A 7/22/19-8/14/19 FDA inspection at Roger Williams Medical Center Oncology Pharmacy Clinic, Providence, RI, found deficiencies in the clinic’s practices for producing compounded sterile drug products that put patients at risk. A just-released 3/18 Notice of Violation says the agency investigators found that drug products intended or expected to be sterile were prepared, packed, or held under insanitary conditions, whereby they may have become contaminated with filth or rendered injurious to health, causing the products to be legally adulterated.
The letter says some of the firm’s proposed corrective actions appear to be adequate, while others appear to be inadequate.
“FDA strongly recommends that your management undertake a comprehensive assessment of operations, including facility design, procedures, personnel, processes, maintenance, materials, and systems,” the letter says. “In particular, this review should assess your aseptic processing operations. A third-party consultant with relevant sterile drug processing expertise should assist you in conducting this comprehensive evaluation.”
The clinic was told to respond with a list of steps being taken to correct the violations and prevent their recurrence, with copies of related supporting documentation and a timetable for completing the corrections.