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The Introduction of GMP for APIs in

the European Union


European Directive 2004/27/EC, which was passed in the closing breath of the 2003/2004
European Parliament, will have massive repercussions on the manufacture and marketing
of active pharmaceutical ingredient (API) products — and some excipients — across
Europe. Norman Franklin gives a detailed guide to the Directive to help you through the
maze of legislation, which takes force from October 2005.

Norman Franklin
is the founder of Interactive
Consulting Associates Ltd,
A t the end of the 2003/2004 parliamentary session,
the European Parliament approved the modified
proposals of the European Commission to amend the
This Directive will affect medicinal products
manufactured for both marketing within the EU
as well as exporting from the EU, and medicinal
Switzerland. EU Directive 2001/83 on medicinal products for products manufactured outside the EU if these are
human use. to be marketed within the EU. This is very
The amendments have been incorporated into the comprehensive legislation.
new Directive 2004/27 and will affect all companies This Directive will also require certain excipients to
holding a manufacturing authorization, for they will be manufactured under GMP, but these have not been
be obliged to use active substances (APIs) manufac- identified yet.
tured following GMP guidelines, which the The commission has redefined manufacture to also
Commission will publish. include the principle of “partial manufacture” so that

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EU LEGISLATION

manufacturers of API intermediates, guidance is based and in the EU this Introducing GMP for APIs
agents, importers, repackers and rela- is a “Directive” and the “guidance” is Alongside these legal proposals the
bellers of APIs who must follow GMP Guidelines. Commission also need a regulation
GMP. Companies that import medic- An early move to provide the legal or a guide on GMP for “starting
inal products will also need to ensure instrument occurred in October 1994 materials” (i.e. any component of a
that the medicinal products they when the German Ministry of Health medicinal product, be it an active
import contain APIs manufactured published a proposal for the “regula- substance or an excipient).
according to API GMPs. tion of the manufacturers of active A subcommittee of the PIC/S
The Commission and the substances.” Because this proposed (Pharmaceutical Inspection
European Medicines Agency regulation was also to be applied to Convention Scheme) had in fact
(EMEA) will establish a list of API manufacturers of APIs located out- been working on such a document
manufacturers that comply with EU side Germany the Commission was since early 1997, but because it
GMPs for APIs, presumably Annex 18 forced to take action and make their appeared that this would not be the
of the EU Guide to GMP. own proposal. This occurred in only GMP Guide for APIs — with
The proposal also provides a legal February 1995. the resulting chaos if an API manu-
basis for the inspection of all starting The industry commented on these facturer had to try to follow both a
material manufacturers, who may proposals, and at the same took the PIC/S and an FDA GMP guide for
request an inspection, but it is the initiative in drawing up guidance on APIs — the Commission proposed
competent authorities who will GMPs for APIs. This guidance was that this question of GMPs for
decide if an inspection is necessary. published in August 1996 as a “starting materials” be put to the
The result of this legislation for Conseil European des Federations ICH Steering Committee as a pro-
API manufacturers is that if they de l’Industrie Chimique/European posed topic and this was accepted in
wish to sell APIs to pharmaceutical Federation of Pharmaceutical February 1998, a full year before the
manufacturers located in the EU, Industries (CEFIC/EFPIA) hand- Commission published its first final
they will need to to provide book called Good Manufacturing “Draft Proposal” in February 1999.3
evidence that their APIs were Practices for Active Ingredient
manufactured according EU Manufacturers.2
GMPs for APIs. At the same time negotiations
Now that this Directive has been were being held with the US on a An API manufacturing facility in India that has been
approved, the competent authorities Mutual Recognition Agreement inspected by a “Competent Authority” and where there
in certain EU member states where (MRA) on GMPs and, to decrease, if were “No major reservations.” This facility should
there was no previous legal require- not eliminate, FDA inspections of receive its “Certificate of GMP.”
ment to insist on GMPs for APIs, API manufacturers in Europe it was
for example, Germany, the UK, requested that such inspections be
Italy, etc, and the new member included in the negotiations.
states are examining how they can Following these negotiations in May
conduct GMP inspections of API 1997, and the inclusion of GMP
manufacturers to ensure that these inspections of APIs in the agree-
are complying with GMPs for APIs ment, the Commission needed to
before the Directive 2004/27 comes make firm proposals on how to
into force on 31 October 2005. introduce GMPs into the API
industry.
Clarification This was included in the First
It should be noted that none of the Draft of a Legislative Proposal from
comments or remarks constitute 30 September 1997 and again the
legal advice, but are a common sense industry was asked to submit its
interpretation of the specific texts comments.
found in the “Proposals” and the We do not need to go into the
“Directives” from the European details of how these proposals were
Commission (the Commission) and reviewed, revised, reviewed again,
the European Parliament, (the republished and superseded.
Parliament). The terms “active sub- Suffice to say that the
stance” and “API” are used inter- Commission, who had had placed
changeably depending on the this topic on their list of “Items to be
literature source used. completed in 1998” was forced to
wait until February 1999 before
Historical Background publishing what it hoped would be
I previously reviewed the activities its ‘’final’’ proposals for a Directive.3
leading up to the proposals of the Even these were not the “final”
Commission for the regulation of proposals and they were modified
APIs. Such regulation requires a and republished again in November
legal instrument upon which a 2001.4

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EU LEGISLATION

At the first meeting of the ICH This reformulation of some of the 2004/27/ EU.7 It had it fact taken
Expert Working Group (EWG) — basic concepts of GMP was not con- nearly 10 years from the date of the
which was set up to draft this guideline cluded overnight, but I, as a one-time first German proposal for GMP for
on GMP for “starting materials” — it member of this ICH Q 7a Expert APIs in October 1994 until this was
was agreed that this should be limited Working Group, believe that the passed into European legislation in
to giving advice on the application of 2 years of intensive work that the March 2004.
GMP to active substances (subse- governmental and industrial repre- Although it does not say in EU
quently called APIs in the EWG). The sentatives spent in this rewriting, and Directive 2004/27/EC that Annex 18
name then given to this EWG was reconsidering the wording, resulted of the EU GMP Guide will be the
ICH Q ( for Quality) 7 (the seventh in a document that is a classic Guidance that will be applied to
quality topic) and “a” (because it example of how both industry and determine whether an API manufac-
would only work on guidance for the authorities can effectively con- turer is manufacturing its products
APIs). Hence the title ICH Q 7a. tribute to a very pragmatic docu- “according to GMP,” it is now
Although some of the civil servants ment, which clearly takes into accepted that this will be the case.
attached to the Commission expected account the daily situations that arise This paper will assume that an API
that the EWG would rapidly complete in an API plant and how to deal with manufacturer will be judged against
their work by taking over this previ- these. the guidance given in ICH Q 7a
ously mentioned and, by that time, By November 2000, however, the (now called Annex 18 in the EU).
almost completed PIC/S GMP Guide ICH Q 7a document had reached Thus, we now have both a
for APIs, this was not to be. Both the Step 4 of the harmonization process Directive (2004/27/EC) that requires
European industrial representatives and was signed off by the representa- that APIs used in medicinal products
on the ICH Q 7a EWG and the people tives of the EU, FDA and the made or imported into the EU be
nominated by the Commission to rep- Japanese Ministry of Health and made under GMP and the necessary
resent the EU itself had grave reserva- Welfare. GMP Guide, (Annex 18 to the EU
tions about this PIC/S draft and, as no Thus, the Commission had their GMP Guide).
unanimous agreement could be GMP Guide for APIs, but no legisla-
reached, this was not adopted, and the tive means for introducing this. This Reasons for the Legislation.
work started afresh. GMP Guide for APIs was published In addition to the reasons already
by the EMEA in November 2000,5 mentioned, that is, the need to extend
but with the comment that the “date the German proposed regulation on
for coming into operation for this APIs to the whole of the EU, and the
An API manufacturing facility in guideline will be released by the need to introduce GMPs into the
China was inspected by FDA European Commission, DG API industry to meet the objectives
inspectors who concluded: “The Enterprise, Unit for of the MRA with the US (which has
premises were very dirty. Although Pharmaceuticals.” now quietly been “laid to rest”) the
this facility was only 4 years old Unfortunately, although the Commission has also included the
when this picture was taken it is Commission had completed the need that “the quality of medicinal
extremely unlikely that this facility “Draft Legislative Proposal” in products manufactured or available
will receive a “Certificate of GMP” February 1999,3 and the required in the Community should be
unless major improvements are GMP Guide for APIs had been pub- guaranteed by requiring that the
made.” lished by the EMEA in November active substances … comply with the
2000 as “Notes for Guidance”5 (and principles of GMP” as a reasoning
as Annex 18 to the EU GMP Guide for the proposals.7
in July 20016), these were not incor- The Commission points out that
porated into the new Pharmaceutical when an application for a market
Directive 2001/83 passed on authorization for a pharmaceutical is
6 November 2001.7 made to any member state, this is
There were good reasons for evaluated on its scientific merits.
decoupling these two pieces of There is, however, no mechanism to
legislation, and fast tracking those control whether the statements made
necessary changes to the EU concerning starting materials are
pharmaceutical legislation into the correct, or whether such starting
Directive called 2001/83, but this materials are manufactured
“fast tracking” also meant that the according to GMP.
legislation on GMPs for APIs was The Commission also included the
“slow-tracked.” words “or available in the
Thus the formal proposal to incor- Community” to indicate that this
porate GMP for active substances Directive is applicable not only to
(APIs) into European legislation was medicinal products manufactured in
not reproposed until 26 November the Community but also to medicinal
2001,4 and was not finally approved products imported into the
until 31 March 2004 in Directive Community.

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The Commission was also


concerned about the risks associated
with APIs that have passed through
several hands and the Directive is
applicable to “both total and partial
manufacture or import of an active
substance.”
The inclusion of the words “partial
manufacture” means that the manu-
facture of API intermediates, will be
subject to GMP, but the words
“import of an active substance” may
lead to different interpretations,
which will be discussed later.
After the incident in Haiti in 1996
“when a number of children died as
a result of taking a medicinal
product contaminated with dieth-
ylene glycol”4 (more than 88 chil-
dren died and the solvent used to
make the medicinal product was pri-
marily diethylene glycol “contami-
nated” with sugar and water)8 the
Commission also announced that the
“manufacture of starting materials”
would include “the various processes
of dividing up, packaging or presen- GMPs should be applied to as broad Legislation — Title II
tation including repackaging and a range of starting materials as pos- Exclusions from the applicability of
relabelling as carried out by a sible, in the end this Directive this Directive 2004/27/EC are found
starting material wholesaler, broker 2004/27/EC stated that “certain in Title II, Scope of the Directive
or trader.” Thus the Directive also excipients should be subject to these 2004/27/EC, where in the amend-
applies to brokers and traders in requirements which shall be estab- ments to Articles 2,11 it is said that
pharmaceutical starting materials, lished by a Directive adopted by the this Directive shall apply to medic-
who were specifically excluded from Commission.”9 inal products prepared either indus-
the original German draft of 1994. The Commission will not immedi- trially or manufactured by a method
There is little point in speculating ately introduce GMPs for a large involving an industrial process.
whether the use of this “synthetic number of excipients (which is what This exclusion means that APIs
glycerine” in the manufacture of the some members of the Scientific used by pharmacies in their own
syrup for children in Haiti would Committee would have preferred), compounding to a physicians pre-
have been prevented if the pro- but I have been informed that it is scription need not necessarily have
posed German regulation had intended to gain experience with been manufactured in accordance
included “agents, brokers, repackers applying GMPs to APIs before with GMP for APIs.
and relabellers” — because the taking action on excipients, Similarly the activities of compa-
actual handling of the drums of (assuming no repeat of the Haiti nies that divide up, package or pre-
“synthetic glycerine” occurred out- incident). sent such active substances directly
side Germany, even if the A further cause for concern, for pharmacies are not to be viewed
Certificate of Analysis was ‘issued’ included in the original proposal of as “active substance manufacturers”
in Hamburg.8 September 1997, was that starting within the meaning of this Directive.
Another concern that originally material manufacturers could make Scientifically speaking it appears
influenced the thinking of the changes to their products, but the difficult to justify this exclusion of
Commission was the risk of transmis- medicinal product manufacturer pharmacies that use APIs for their
sion of BSE because of the use of would never be aware of these. Thus own compounding. However, per-
starting materials derived from it was originally proposed that the haps this requirement will be incor-
animal sources, and therefore origi- manufacturer of the starting mate- porated into legislation specific for
nally the Commission was not willing rial should obtain the prior agree- pharmacies so that they also should
to limit the requirement to observe ment of the medicinal product only use APIs made under GMP, and
GMP solely to active substances, but manufacturer for such changes. thus give their patients protection
specifically included two nonactives However although this concern had equal to that provided to patients
(gelatine and tallow).3 already been dropped in the official taking industrially prepared medic-
Although the Scientific “Proposal” of 26 November 2001,4 it inal products.
Committee on Medicinal Products was later incorporated elsewhere in A second exclusion is also found
and Medical Devices believed that the Directive 2003/63/EC.11 in Title II where, in the amendments

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EU LEGISLATION

to Article 3, it says that this Directive to use only active substances which medicinal products to the holder of a
shall not apply to medicinal products have been manufactured in accor- manufacturing authorization means
intended for research and develop- dance with the detailed guidelines on those subsidiaries of, for example,
ment, but without prejudice to good manufacturing practice for Swiss or US parent companies will
Directive 2001/20 EC.12 starting materials.9 also be affected by the proposed
This exclusion means that it is not This wording transfers the responsi- Directive if they import from their
necessary to use active substances bility of complying with GMP for parent company, because they will
(APIs) manufactured according to APIs from the API manufacturer to have to ensure that the medicinal
GMP in materials for clinical trials, the API user. products they import only contain
although the ICH Q 7a EWG specif- This is primarily because there is “APIs made under GMP.”
ically wrote Chapter 19 of this guide insufficient legal authority to insist The same is also true for importers
to cover this particular use of APIs. that an API manufacturer should of generic medicinal products if
It is, at present, not known follow GMP if the manufacturer was these were made outside the EU.
whether the Commission will located outside the EU, that is, the
consider amending Directive EU cannot insist that an API manu- Starting materials — Article 111
2001/20/EC (The Clinical Trials facturer located in China follow EU It is neither the role of the compe-
Directive)13 to require that clinical GMPs for APIs. tent authorities nor the EMEA to
trials materials must also contain Thus if the user (not the API man- check that each starting material
APIs made under appropriate GMP, ufacturer) is located within the EU, manufacturer is following GMP,
but at present this does not seem they must hold a manufacturing (that is the job of the medicinal
likely — although the situation is authorization and, therefore, must products manufacturer), but “to
known to the responsible staff of the use APIs made under GMP. ensure that, by means of repeated
EMEA.15 If the medicinal products them- inspections, and if necessary unan-
selves are manufactured outside the nounced inspections … that the legal
Legislation — Title IV EU then the holder of the marketing requirements governing medicinal
The key to the whole part of the authorization is the importer of such products are complied with.”17
legislation is found in Title IV, medicinal products. It is, therefore, Under certain circumstances the
Manufacture and Importation of the the responsibility of such an Directive also provide for “unan-
Directive 2004/27/EC, where in the importer of medicinal products to nounced inspections at the premises
amendment to Article 46 it is said in ensure that such products, even if of API manufacturers … when there
Subsection (f): manufactured outside the EU, never- are grounds for suspecting noncom-
The holder of a manufacturing theless contain APIs manufactured pliance with … GMP.”17
authorization shall at least be obliged according to GMP for APIs. The Directive also permits the
to comply with the principles and This assignment of responsibility EDQM to request an inspection “to
guidelines of good manufacturing for ensuring that only “APIs made verify whether the data submitted to
practices for medicinal product and under GMP” may be used to make obtain a conformity certificate
comply with the monographs of the
European Pharmacopoeia.”16
There is thus now legislative
support for the EDQM practice of
requesting inspectors from certain
‘’competent authorities’’ to confirm
the statements made by applicants
for a European “Certificate of
Suitability’’ that the product “is man-
ufactured following GMP.” Such a
request by the EDQM must how-
ever, not necessarily be made to a
“competent authority’’ but may be
made to the Commission or the
EMEA, thus the initiative lies with
the EDQM. This will be discussed
later in the section covering the
GMP status of API manufacturers.
Finally the “competent authori-
ties” may carry out inspections of
starting materials manufacturers at
the specific request of the manufac-
turer himself.16
This wording of Article 111 makes
the difference between inspection of
medicinal products manufacturers

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and starting material manufacturers critical GMP deviation because it is in the distribution chain from the
quite clear. In the first case the com- contrary to the Directive. manufacturer of the API to the
petent authorities must conduct patient. This was not only to ensure
“repeated inspections’’ of medicinal Consequences for starting that the source of the API is known
products manufacturers whilst the material manufacturers to the medicinal product manufac-
inspection of starting materials man- Starting material manufacturers who turer, (so it can be checked that this
ufacturers by the competent authori- are not manufacturing in accordance source is complying with GMP for
ties will only be done under one of with ICH Q7a GMP will probably APIs), but also to prevent a repeat of
three circumstances: not be able to sell their products to the Haiti incident.
• when the authorities suspect the European pharmaceutical If the “starting material whole-
noncompliance with GMP industry after 2005, even if their saler, broker or trader” does not
• when EDQM wishes to check the products are of Ph. Eur. standard or actually “import” the API into the
veracity of statements made in an have a Ph. Eur. Certificate of EU, that is, it remains in bond in a
Application for a Certificate of Suitability, (unless they have been community port, it is still intended
Suitability inspected by EDQM within the last that this activity will fall under the
• when a starting material manufac- 2 years). Directive. For example, if any addi-
turer specifically requests an Similarly foreign manufacturers of tional label is applied to the con-
inspection, and a competent medicinal products who are not tainers of the API before forwarding
authority has agreed to conduct using APIs manufactured in accor- to a third country this activity would
such an inspection. dance with EU GMP (i.e. ICH Q 7a) be covered by this Directive
In the latter case the disturbing word will not be able to market their prod- 2004/27/EC.
in the Directive — from the point of ucts in Europe after late 2005. So although the intention of the
view of a starting material manufac- Further parts of the legislation Directive is clear, the final word on
turer — is the word “may.” regulating this use of APIs made this type of activity may be subject to
The “competent authorities” have under GMP are also found in Title IV, national interpretation when the
been given an “approval” to inspect “Manufacture and Importation,”
when requested, but are not where a new article 46a is added.17
required to do so. Some authorities This covers the concepts of total and
that are under severe financial partial manufacture and states: For Another API manufacturing facility in China that has
restraints specifically requested this the purpose of this Directive, manu- been inspected by FDA with the comment: “The lack
limitation. facture of APIs shall include both of maintenance was apparent in spite of the recent
There is no provision in the total and partial manufacture or painting of the equipment.” This facility had been
Directive for GMP “self-certifica- import of an API and the various “modernized” before this picture was taken, but the
tion” as practised under the Ph. Eur. processes of dividing up, packaging recent painting was done before the rust was
“Certificate of Suitability” scheme, or presentation prior to its incorpora- removed. The facility has introduced major quality
so one must presume that in the tion into a medicinal product, system improvements and is preparing for a
future a “Certificate of Suitability” including repackaging or relabelling reinspection.
will only be issued if there is firm as are carried out by a distributor of
evidence, for example, through entry starting materials.
in the “Community Register,” that As stated earlier the use of the
the API manufacturer is truly in wording “partial manufacture”
compliance with the ICH Q 7a GMP allows the authorities to inspect —
guide. either “for cause” or “on request” —
The control mechanism by which a manufacturer of an intermediate
the “competent authorities” will for an API, (but NOT an API
check whether the APIs used in starting material manufacturer, as
medicinal products were made under these manufacturers were specifi-
GMP is the repeated inspections of cally excluded from the need to
the medicinal products manufacturer follow GMP in the ICH Q 7a
because, under the legislation, it is (Annex 18) documents).4 It also
the responsibility of the medicinal permits a contract micronizer to
products manufacturer to know if request an inspection as an API
the APIs used were manufactured manufacturer under the situation
under GMP. described in 4.4 (c) above, as this
One must therefore presume that activity is also “partial manufacturer
medicinal products that are not using of an active substance.”
APIs manufactured in accordance The inclusion of the word
with GMP will not be in compliance “import” has been raised earlier. The
with GMP for medicinal products. intention of both the Commission
This fact will presumably then be a and the ICH Q 7a Expert Working
cause for an entry in the Community Group in their wording of Chapter
GMP Register with the EMEA as a 17 of Annex 185 was to close the link

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Directive is transformed into involved just takes a sample for This wording makes it clearer that
legislation in the member states, too lax analysis, (another GMP activity). not only “manufacturers” (i.e. both
an interpretation may however result In this context an interesting total and partial manufacturers) are
in the medicinal product manufac- scenario is the broker located in a subject to inspection, but also that
turers avoiding those sites of importa- “third country” who handles an API other commercial establishments,
tion if the Directive does not fully that will be used to manufacture a such as distributors, repackers and/or
apply there, with the consequent loss of medicinal product in this “third relabellers as well as contract labora-
Community business at the importer. country,” which then is exported to tories entrusted with the examina-
The inclusion of the wording “var- the EU. This author sees this broker tion of imported products are subject
ious processes of dividing up, pack- also falling under Article 46 a, (1) as to “repeated inspections.”
aging … prior to its incorporation a “manufacturer of an active sub- During such inspections the
into a medicinal product” is another, stance” and, therefore, subject, (at authorities were given wide powers
and sensible, addition to ensure that least) to Chapter 17 of Annex 18 of in Directive 2001/83/EC7 to examine
APIs are not contaminated if they the EU GMP Guidelines, i.e. subject documents albeit with certain limita-
are repacked into smaller units for to ICH Q 7a).5 tions placed on the description of the
further distribution or that they are In contrast to the GMPs for medi- method of preparation of medicinal
not mislabelled. cinal products, the Commission does products. These limitations however
There may be some who contend not intend to adopt GMP for APIs in do not apply to the description of the
that this Article 46a (1) will not the form of a Directive, but in the method of preparation of an API,
apply to those distributors of starting form of detailed guidelines. and thus the “documents relating to
materials who do not perform any of Thus also in Title IV, Manufacture the object of the inspection” also
the activities specifically listed in and Importation of the Directive cover the master production instruc-
Article 46a (1). However by 2004/27/EC, a new paragraph is tions mentioned in Annex 18, § 6.4.5
including earlier in the paragraph the added to Article 4718 that covers Essentially, as far as inspections of
words “partial manufacture” (which the principles of GMP for APIs as manufacturers are concerned, the
per GMP includes even just follows: The principle of good wording of Article 111 § 3 of
attaching an additional “Distributors manufacturing practice for active Directive 2001/83/EC is not changed,
Name Label”) the intention of the substances (APIs) used as starting although this now applies not only
Commission is clear, namely that any materials referred to in Article 46, medicinal product, but to API
distributor of an API (and later the Point (f) shall be adopted in the form manufacturers as well.
specified excipients) will need to of detailed guidelines.9 This wording Thus it is the duty of the officials
follow the “detailed guidelines on was initially introduced before the representing the competent authori-
GMP for starting materials” irre- proposal was accepted that such ties (i.e. the “GMP inspectors”) to
spective of where the facility is GMPs should be internationally “report” whether the both the medi-
located or whether the company harmonized via the ICH process cinal products and the API manufac-
resulting in the document ICH Q 7a, turer comply with the principles of
which was published by the GMP, albeit different GMPs.
Commission in July 2001 as Annex 18 However, in a new paragraph
Comparatively modern API manufacturing facilities in to the EU GMP Guide. Although it inserted into of Article 111 of
China showing mother liquors being collected to does not say in this EU Directive Directive 2004/27/EC,19 after such an
recover a second crop of crystals. Although this 2004/27/EC that Annex 18 of the EU inspection a “Certificate of Good
facility was only 4 years old when this picture was GMP Guide will be the Guidance Manufacturing Practices” shall be
taken, it illustrates the lack of precautions to prevent that will be applied, it is now issued to a manufacturer within
oxidation of the product resulting in “unknown” accepted that this will be the case. 90 days of the inspection. We must
by-products in the API. Again it is unlikely that this The wording does, however, permit therefore assume that the “report”
facility will receive a “Cerfificate of GMP” unless major the Commission to introduce any referred to in § 3 of Article 111 must
improvements are made. additional “detailed guidelines” also be issued within 90 days (other-
without the need to go through the wise how can a Certificate be
legal hurdles of getting another issued?).
Directive approved. This part of Directive 2004/27/EC
The conduct of the inspections corrects the no longer acceptable
referred to in §1 of Article 111, situation in which once a
includes manufacturing authorization had
• inspecting manufacturing or com- been granted there was no legal
mercial establishments and any compulsion to ensure that the original
laboratory entrusted by the holder situation which lead to the granting of
of the manufacturing authoriza- this authorization was still valid. Such
tion with the task of performing a “GMP Certificate” is also one way
checks according to §20 of providing evidence to a medicinal
• taking samples product manufacturer that the
• examining any documents relating starting material manufacturer
to the object of the inspection. complies with the appropriate GMPs.

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Up to the passing of this Directive the deaths in Haiti, (if it was known This division of responsibilities
2004/27/EC only certain member who this was!). between Hamburg and Denmark
states had legislation that required may be satisfactory to the authori-
GMP inspections of (certain) API Who is responsible for ties, but may leave open who should
manufacturers, but the competent inspections? inspect the actual API manufacturer
authorities of all member states can In the past the question as to who in China.
expect to receive requests for GMP would actually be responsible for Should “the point of entry” be the
inspections of API facilities falling performing GMP inspections was not criteria for assigning the responsi-
under their jurisdiction well before entirely clear. However, the wording bility, then the German inspectorate
30 October 2005. Otherwise one paragraph of Article 111 of Directive in Hamburg will have their hands
cannot insist that only APIs made 2004/27/EC makes this clearer.16 more than full in having to cover all
following these GMP principles are The responsibility is assigned to the manufacturers in Asia (maybe as
used in the manufacture of medicinal those authorities in the member state many as 700!), which use Hamburg
products after that date. where the legal requirements must as their port of importation and it is
As it is left to the competent be checked. For example, if a medic- hoped that these authorities respon-
authorities of the member states to inal product manufacturer located in sible for inspections in Hamburg
decide whether they should inspect Denmark is using an API and this accept that the retention of this
or not, the requirements contained in API is being imported via Hamburg, import trade in Hamburg will
these paragraphs may, in a couple of Germany, then the Hamburg author- depend upon the service that the
years time, not be so valuable to a ities are responsible for inspecting inspectorate can give to the rest of
starting material manufacturer. the importer for compliance with the EU and that they will, therefore,
This is because there is no obliga- Chapter 17 of Annex 185 (as a min- make provisions for this additional
tion for the competent authorities to imum). work load on their inspectors.
perform “repeated inspection” as is Even assuming the Danish medic- The German/Danish inspection sce-
the case for medicinal product manu- inal product manufacturer is the only nario described above may however
facturers. Thus starting material user up to the present of the API this be ameliorated by the “Community
manufacturers who already have a still does not compel the Danish Register” described in Paragraph 6
GMP Certificate of Compliance (for Authorities to inspect the foreign and 7 of Article 111 of Directive
example, due to a European API manufacturer, but they may 2004/27/EC22 in which the “member
Pharmacopoeia inspection as part of perform such an inspection. The states shall enter the Certificates of
the granting of a “Certificate of Danish Authorities are however GMP which they issue in a
Suitability”) may be forced to use compelled to inspect the Danish Community Register” (evidently to be
other means to demonstrate that medicinal product manufacturer to managed by the EMEA in London).
they are continuing to be in compli- determine whether they are using an This register is however also to be
ance with GMPs for APIs, particu- API manufactured in compliance used to record the fact that the manu-
larly as the EU Certificates of GMP with API GMPs. facturer does not comply with GMP.
are only valid for 3 years.20
All that remains of the original
proposal of the Commission
requiring API manufacturers to
comply with GMP is the requirement
that “manufacturers established
(“located”?) in a third country (i.e.
outside the EU) may be required to
undergo an inspection.”21
This wording suggests that the
Commission was thinking of “for
cause” inspections, that is to say,
possibly, as condition for granting
a marketing authorization, the
manufacturer situated in a “third”
country must agree to be inspected,
— a scenario not adequately covered
by legislation in Directive 2001/83/EC.
This paragraph of Article 111
would also permit manufacturers of
starting materials located in a “third
country” to be inspected by “officials
representing competent authorities”
for other causes. For example, to
inspect the manufacturer of the
“synthetic glycerine,” which caused

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I 37
EU LEGISLATION

ment between two member states


Although the Scientific Committee on medicinal products who are contesting the inspection
would have liked all excipients to be subject to GMP, evaluation.
insurmountable difficulties at present prevented the It is also presumable that
Paragraph 3 of Article 122, which
Commission for complying with this wish immediately and states: “The conclusions following an
Annex II has been eliminated altogether. inspection shall be valid throughout
the Community” will also apply to
the conclusions reached after such
repeat inspection, that is, be binding
Although it is stated that the from a foreign power for an on the original parties in dispute.24
member states shall make entries in inspection of a manufacturer of It was also initially proposed that
the register, it is left open as to either a starting materials or medi- APIs should be subject to manufac-
whether only member states may cinal product (Pharmaceutical ture in compliance with GMP
make entries. Thus a scenario could Manufacturer) the EMEA can (Annex 1 Products), together with
be envisaged in which an API check whether a new inspection is certain excipients (Annex II
manufacturer requests an necessary, or whether there was a Products), but no specific excipients
inspection, but no member state can recent inspection. are now listed (i.e. both Annex 1 and
perform such an inspection in the In the latter case, whether the report Annex II have been dropped) and
immediate future. of this last inspection or the secondly the introduction of GMP
The API manufacturer may then Certificate of GMP is forwarded to for excipients has been made the
turn to an independent organization the requesting authority will depend subject of a “Directive adopted by
that is knowledgeable enough about on the circumstances. the Commission.”10
API GMPs and has at its disposal Originally in the Proposals to The initial Annex II only con-
well-qualified auditors to perform a modify Directive 2001/83/EC3,4 it tained two products, gelatine and
“contract audit.” Although such con- was envisaged that inspections in tallow as these were thought to
tract auditors may not issue a other member states may be done on provide the greatest risk for BSE
“Certificate of GMP” — this is behalf of the EU. This has however, transmittance, but then there was a
reserved for the competent authori- been modified and incorporated into proposal to add glycerine, possibly
ties of the member states — the Article on exchange of informa- because of the serious incident in
nevertheless one could imagine the tion between the Member States — Haiti mentioned earlier.
EMEA acting as a repository of such Article 122 of Directive Although the Scientific
an “evaluation of Compliance with 2004/27/EC.24 Committee on medicinal products
GMP” as has already been indicated Some member states did not want would have liked all excipients to be
by responsible people in the EMEA.14 to accept this original proposal at all, subject to GMP, insurmountable dif-
The advantage of the Community as it opens the door to Community ficulties at present prevented the
Register of GMP Compliance for the Inspections and by having such an Commission for complying with this
authorities is clear: it will prevent instrument on the statute books it wish immediately and Annex II has
two or more different member states would also imply that inspections by been eliminated altogether.
performing inspections at the same some member states are more “thor-
API manufacturer. ough” than those by other member The timetable
However, this Community states, a presumption that the The provisions of this Directive shall
Register should also be opened up responsible officials in the be applied from 30 October 2005.
to medicinal product manufac- Commission have always denied. Although in some member states the
turers. This will then provide a The Commission had, therefore, to necessary legislation will be in place
holder of a manufacturing autho- propose another way of dealing with before that date, there have been
rization with one way of checking if matters if one member state could protests that the traditional period of
their API manufacturer has been not accept the conclusions reached 18 months between the enactment of
inspected, (and the “results” of such by another member state, (don’t the Directive (31st March 2004) and
an inspection). Other advantages forget there is no “Office of the date of coming in to effect,
are that Compliance” in the EU that has “the (30 October 2005) is far too short for
• When the European final say” in the event of such a API manufacturers to introduce the
Pharmacopoeia issues its dispute!). necessary GMP guidance at their
Certificates of Suitability they can Such disputes “for reasons of establishments.
be sure that such Certificates of public health” shall be so resolved Foreign manufacturers of medic-
Suitability are only issued to that the original inspector shall be inal products will have an even
starting material manufacturers asked to repeat the inspection; the shorter transition period because
who have a GMP Certificate. inspector may be accompanied by they have to ensure that if their prod-
• As part of the Mutual Recognition two other inspectors from member ucts are in the hands of their importers
Agreements (for example, with states who are not parties to the dis- after 30 October 2005 these products
Canada, Australia and New pute.24 This elegant solution should will need to have been manufactured
Zealand), when there is a request take the heat out of any disagree- from APIs that are themselves made

38

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EU LEGISLATION

under GMP. There is pressure to delay and of the Council for amending 16. Article 40 §3 of Directive 2001/83/EC,
the date of introduction of this part of Directive 2001/83/EC from Official Journal of the European Union,
the Directive. 26 November 2001. L 311 pp 67–128 (28.11.2001).
The officials of the Commission 5. EMEA “ICH Q 7a GMP Guide for 17. Article 111, § 1 of Directive 2004/27/EC
however take the view that these APIs” ICH Step 5, EMEA, London, of the European Parliament and the
proposals to introduce GMP for 16 November 2000. Council of 31 March 2004, Official
APIs have been known since 6. The Rules Governing Medicinal Products Journal of the European Union, L 136
September 1997 and the GMP guide- in Europe, Volume 1V, GMP for pp 34–57 (30.4.2004).
lines themselves were published by Medicinal Product, Annex 18 GMP for 18. Article 46 (a) of Directive 2004/27/EC of
the Commission in July 2001 as Active Pharmaceutical Ingredients. the European Parliament and the Council
Annex 18 to the EU GMP Guide so 7. Directive 2001/83/EC of the European of 31 March 2004, Official Journal of the
that in actual fact the “transition Parliament and the Council of European Union, L 136 pp 34–57
period’’ is at least 4 years and not 6 November 2001 on the Community (30.4.2004).
just 18 months. code relating to medicinal products for 19. Article 47 of Directive 2004/27/EC of the
Although it is anticipated that cer- human use, Official Journal of the European Parliament and the Council of
tain member states that traditionally European Union, L 311 pp 67–128 31 March 2004, Official Journal of the
take far too long to convert EU (28.11.2001). European Union, L 136 pp 34–57
Directives into national legislation 8. Directive 2004/27/EC of the European (30.4.2004).
will not meet this deadline of Parliament and the Council of 31 March 20. Article 111, § 5 of Directive 2004/27/EC
30 October 2005, this will be of little 2004 amending Directive 2001/83/EC on of the European Parliament and the
help for an API manufacturer who is the Community code relating to medic- Council of 31 March 2004, Official
relying on such a delay. inal products for human use, Official Journal of the European Union, L 136
If their API is used in a medicinal Journal of the European Union, L 136 pp 34–57 (30.4.2004).
product sold in a member state that pp 34–57 (30.4.2004). 21. EU Certificate of GMP Compliance of a
has met the deadline then this API 9. Results of FDA analysis of samples taken Manufacturer, Doc. Ref.:
will have to have been made under by FDA Investigator David Pulham from EMEA/MRA/48/02 Final, EMEA
GMP — and at least three member the two remaining drums of the solvent at London, 26 April 2002.
states already have this legislation the site of the pharmaceutical manufac- 22. Article 111, § 4 of Directive 2004/27/EC
in place. turer in Haiti. of the European Parliament and the
One can, therefore, conclude that 10. Article 46 (f) of Directive 2004/27/EC of Council of 31 March 2004, Official
unless the pharmaceutical manufac- the European Parliament and the Council Journal of the European Union, L 136
turer is certain that their API manu- of 31 March 2004, Official Journal of the pp 34–57 (30.4.2004).
facturer will meet the requirements European Union, L 136 pp 34–57 23. Article 111, §6 of Directive 2004/27/EC of
of Annex 18 of the EU GMP within (30.4.2004). the European Parliament and the Council
the next 12 months, then they better 11. Directive 2003/63/EC of the European of 31 March 2004, Official Journal of the
start looking VERY QUICKLY for Parliament and the Council of 25 June European Union, L 136 pp 34–57
an alternative API supplier. 2003 amending Directive 2001/83/EC on (30.4.2004).
Any API Manufacturer whose the Community code relating to medic- 24. Article 122 of Directive 2004/27/EC of
products are used in Europe to inal products for human use, Official the European Parliament and the Council
manufacture a medicinal product Journal of the European Union, L 159 of 31st March 2004, Official Journal of the
should assume that the deadline of pp 46–78 (27.6.2003). European Union, L 136 pp 34–57
30 October 2005 will be enforced in at 12. Article 2, § 1 and Article 3, § 2 of (30.4.2004). ■
least some member states of the EU, so Directive 2004/27/EC of the European
time is running out to comply fully with Parliament and the Council of 31 March
GMPs for APIs. 2004, Official Journal of the European
Union, L 136 pp 34–57 (30.4.2004).
References 13. Article 3, § 1 of Directive 2004/27/EC of
1. European Pharmaceutical Review, Vol. 2, the European Parliament and the Council
No. 3, March (1999). of 31 March 2004, Official Journal of the
2. Good Manufacturing Practices for Active European Union, L 136 pp 34–57
Ingredient Manufacturers, Joint publica- (30.4.2004).
tion by CEFIC and EFPIA, (CEFIC 14. Directive 2001/20/EC of the European
APIC – GMP Committee, Avenue E. van Parliament and of the Council on the
Nieuwenhuyse 4, PO Box 2, B 1160 implementation of GCP in the conduct
Brussels, Belgium August 1996). of clinical trials on medicinal products,
3. Draft Proposal for a European Official Journal of the European
Parliament and Council Directive on Communities, L 121 pp 34–44,
GMP for Starting Materials and (1.5.2001).
Inspection of Manufacturers, European 15. Statement made by a senior EMEA rep-
Commission, DG III February 1999. resentative at the 5th CEFIC Annual
4. 2001/0253 (COD) Proposal for a Conference on GMPs for APIs,
Directive of the European Parliament Barcelona, November 2002.

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