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Aseptic processing   67


              process. The intent of the study is to confirm that the process or process
              change achieves its intended outcome and that there are no unintended
              consequences or residual risks introduced by the process or process change
              that pose a risk or can adversely affect product quality.
                 Aseptic process simulations should also be performed periodically to
              determine that unintended or missed changes or variables have not been in-
              corporated into the process that poses a risk to product quality. Aseptic pro-
              cesses are complex, and it would not be realistic to expect that all changes
              can be captured all the time. To this point, many health authorities have
              expressed expectations that these periodic studies be performed on a semi-
              annual basis.


              4.24  What process steps should be included in the aseptic
              process simulation?

              As presented in Fig. 4.7, any process steps that may pose a risk or adversely
              affect the sterility of the product should be included in the aseptic process
              simulation, unless those steps are adequately validated by some other means
              or study.
                 Aseptic process simulations should include such process steps as:
              •  aseptic additions during compounding,
              •  product transfer,
              •  material transfer,
              •  component transfer,
              •  fill line setup,
              •  aseptic connections—including those to sterilizing filter outlets,
              •  special assemblies—such as PUPSIT (pre-use, post-sterilization integrity
                 test) assemblies,
              •  inherent (routine) and representative corrective (nonroutine)
                 interventions,
              •  filling and sealing operations,
              •  environmental monitoring,
              •  fill checks conducted in the aseptic processing area,
              •  shift changes,
              •  component loading,
              •  intervention response sanitization,
              •  lyophilized product transfer and cycle mechanical operations.
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