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Nucleic Acid Analysis with UV-vis and NMR - Spectroscopy

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26 <strong>Spectroscopy</strong> 24(11) November 2009 www.spectroscopyonline.com<br />

• FDA has now set postinspection<br />

deadlines for responses by organizations.<br />

The response time for firms to<br />

respond has been halved to 15 working<br />

days. This is not just to send a letter<br />

to begin a cozy correspondence <strong>with</strong><br />

the agency but to have a complete<br />

response to all the 483 observations.<br />

If the compliance problems are significant,<br />

the timeframe for the response is<br />

critical <strong>and</strong> the response must be full,<br />

adequate, <strong>and</strong> complete. The letter will<br />

not be able to show that the problems<br />

have been resolved for all but the simplest<br />

observations but will demonstrate<br />

how they will be resolved <strong>and</strong> in what<br />

timeframe. If a response is not received<br />

in this time or the response is inadequate,<br />

then the agency can start work<br />

on a warning letter or other enforcement<br />

action. We’ll take a look at ways<br />

to respond to a 483 or warning letter in<br />

a later section of this column.<br />

An important point to underst<strong>and</strong><br />

here is that the FDA now takes the<br />

systems-based approach to inspections<br />

<strong>and</strong> coupled <strong>with</strong> ICH Q10 on<br />

pharmaceutical quality systems (6)<br />

you will need a different approach to<br />

respond to 483 observations. If there<br />

is an observation that has an impact<br />

outside of the area inspected, you will<br />

be expected to fix it as part of the systems-based<br />

approach. Remember, the<br />

wording at the end of virtually every<br />

warning letter on the FDA website:<br />

“this letter is not intended to be an<br />

all-inclusive list of the violations at<br />

your facility. It is your responsibility<br />

to ensure compliance <strong>with</strong> applicable<br />

laws <strong>and</strong> regulations administered by<br />

FDA.” However, there is an onus on<br />

the inspector to discuss findings <strong>with</strong><br />

management to minimize surprises<br />

<strong>and</strong> errors when issuing the 483 at the<br />

inspection closing meeting.<br />

• The warning letter issuing process<br />

is being streamlined <strong>and</strong> speeded<br />

up by the FDA. Instead of the FDA<br />

lawyers reviewing all warning letters,<br />

only those where there are significant<br />

legal issues will now get the legal eagle<br />

eye. The agency will not delay issuing<br />

a warning letter if you are late in<br />

responding to the 483. Even if your<br />

response to the 483 is perfect, the FDA<br />

does “not plan to routinely include a<br />

response on the apparent adequacy<br />

of the firm’s corrective actions in the<br />

warning letter (4).” Instead, the agency<br />

will respond to evaluate both your<br />

response to the 483 <strong>and</strong> the warning<br />

letter together. Therefore, the message<br />

is clear to all: Your 483 response must<br />

be timely <strong>and</strong> complete, or else you<br />

could end up <strong>with</strong> a warning letter on<br />

the front doormat pretty quickly afterwards.<br />

• Next, the FDA will prioritize<br />

enforcement follow-up. After a warning<br />

letter is issued or a major product<br />

recall occurs, the FDA will make it a<br />

priority to follow up promptly <strong>with</strong><br />

appropriate action, such as an inspection<br />

or investigation to assess whether<br />

or not a company has made required<br />

changes in its compliance practices.<br />

• In the past, it was not uncommon<br />

for a company to have a number<br />

of warning letters after several inspections;<br />

it may be the companies

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