Regulatory Science Symposium: "Ensuring Clinical Trial Compliance" Session 5 - Good Distribution Practices: Application of supply chain management and quality management systems

Regulatory & Quality Sciences
Study & Site Management
Research & Study Conduct

Competencies: GCP, GDP, Audits, Pharmacy, Regulatory Science, Clinical Trial Quality, Clinical Research and Regulations, Project Management, Clinical Trials, Regulatory and Quality Sciences, Clinical Trial Workforce

Course Syllabus/Topics:

  1. Objectives
  2. General overview supply chain management
  3. Challenges
  4. GDP and GMP
  5. “Amazon” effect; transformed how we think about supply chain, extended to clinical trials
  6. Definition of supply chain management
  7. Pharmaceutical supply chain
    1. Distribution in a nutshell
    2. Drug product distribution
    3. Right patient, blinding of information
    4. Traceability of information, reverse logistics pathway for recalls
  8. Clinical supply chain management
  9. Good distribution practices (GDP)
    1. Key pillars: medicines in the supply chain are authorized in accordance with legislation, prevent cross-contamination, ensure proper delivery
  10. International GDP standards and variations
    1. Labeling, packaging, distribution guidelines may differ
  11. GDP Pillars
    1. Quality management
    2. Personnel
    3. Internal audits
    4. Vendor qualification program
  12. Differences between GDP and GMP
    1. Responsibilities, personnel, security level, validation, temperature controls, broker supervision
  13. Conflict of interest
  14. Quality management system
  15. Quality policy, manual, appointed responsible person, third party distributor and their system
  16. Quality system need to be compliant with GDPs
  17. Risk management/ Product traceability
    1. Risk-based approach
  18. Organizational chart and personnel
    1. Note: Training for transport personnel on clinical trial protocol among others
  19. Premises
  20. Preventative Maintenance
    1. Equipment list, temperature mapping, run studies to ensure temperature controls
    2. Ensure proper repairs, calibration intervals and records are maintained
  21. Validation and qualification
    1. Process controls
  22. Packaging and labeling
    1. Languages, declarations in different languages
  23. Documentation- Good Documentation Practices (GDocP)
  24. Computer systems
    1. Backups for documentation
    2. Record retention policies and practices
    3. Archived hard copies
    4. Verification and validation
  25. Self-inspections
    1. Internal audit schedule
    2. Corrective actions documentation
    3. Third party provider may ask for audits
    4. Control of quality management system
  26. Complaints and recalls
    1. Recall procedures
    2. documentation of destruction
  27. Supplier qualification
  28. Broker provisions
  29. Group exercise
  30. Questions
  31. Raffle prize winner announcement


Acknowledgements:

Accompanying text created by: Roxy Terteryan, Project Administrator, SC CTSI
Rushaanaaz Sokeechand, Student Worker; Mahita Parasa, Student Worker

NIH Funding Acknowledgment: Important - All publications resulting from the utilization of SC CTSI resources are required to credit the SC CTSI grant by including the NIH funding acknowledgment and must comply with the NIH Public Access Policy.