Sterile Drug Issues at Optum Infusion

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A 3/8-3/18/22 FDA inspection at Optum Infusion Services in Chandler, AZ, found “serious deficiencies” in the firm’s practices for producing drug products intended or expected to be sterile, which put patients at risk. A just-released 12/13/22 Warning Letter says the FDA inspector noted 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 them to be adulterated under the Federal Food, Drug, and Cosmetic Act.

The letter says FDA reviewed Optum’s responses to the form FDA-483 that was issued following the inspection and found that while some of the corrective actions appear to be adequate, others could not be fully evaluated because the company did not include sufficient information or supporting documentation.

“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 experience should assist you in conducting this comprehensive evaluation.”

Optum was told to take prompt action to correct the violations and prevent their recurrence, and to respond with a list of specific actions it has taken with related documentation and a schedule for completing the corrections.

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