The regulatory
scene
Currently, no federal regulations define cold-chain packaging
standards. Individual FDA inspectors, however, have begun to write Form
483 citations for temperature violations on the basis of their own
subjective notions of how to apply the FDA’s general authority to
regulate the safety and efficacy of drugs. FDA is reportedly working on
cold-chain requirements, and other groups are working to develop
specific guidelines.
The PDA’s Pharmaceutical Cold Chain Discussion Group (PCCDG, Bethesda,
MD, www.pda.org) posted for comment a
draft advisory guidance regarding
cold-chain processes and testing more than a year ago. As of 1 January
2005, the document, “Medicinal Cold Chain Guideline,” remains in draft
form, according to George Robertson, PhD, PDA’s vice-president of
science and technology.
A PDA committee is in the final phase of reviewing comments from its
technical advisors. The process is lengthy because the guidance is
meant to be a ground-breaking document that would, for the first time,
spell out cold-chain packaging standards in some detail. The committee
is now wrestling with competing notions of how much detail to provide.
One school of thought argues for specific standards while other
participants believe the document should be left more general,
Robertson says.
The initial draft contained a lot of field-specific terminology. More
explanatory language is being included in the final version because the
end result is intended to serve as a practitioner’s document, Robertson
says. Robertson expects PDA to issue the guidance sometime in 2005.
The work of the United States Pharmacopeia (USP, Rockville, MD, www.usp.org) touches on various
aspects of the cold chain. The USP has
some mandatory standards pertaining to cold-chain packaging such as the
storage and packaging definitions contained in chapters 〈661〉
“Containers” and 〈671〉 “Containers—Permeation.” In addition, it
has informational guidelines for controlled thermal packaging in
chapter 〈386〉, storage, shipping, and distribution handling in
chapter 〈1079〉, and good packaging practices in chapter 〈1177〉.
Europe does not have specific cold-chain standards yet, either. The
European Guidelines on Good Distribution Practice of Medicinal Products
for Human Use (94/C 63/03) state only that drugs requiring
temperature-controlled storage should be transported by appropriate and
specialized means.
The PDA discussion group is partnering with Europe’s Cold Chain
Committee (C3), which is writing a strong guidance for the continent.
Participants hope to harmonize the two efforts with the eventual goal
of having a single standard published by the International Conference
on Harmonisation (ICH, Geneva, Switzerland, www.ich.org), according to
a source close to the PDA group.
Radio
frequency identification (RFID) and the cold chain
RFID is being widely adopted to track and trace all manners of products
and is seen as a potential tool for cold-chain management.
There is strong interest in RFID. Although McKesson Corp. (San
Francisco, CA, www.mckesson.com),
the nation’s largest pharmaceutical
wholesaler, is not currently using the technology in the cold chain
beyond track-and-trace, that scenario could quickly change. McKesson is
primarily waiting for RFID-reader technology to improve and prices to
decrease, according to Ron Bone, McKesson’s senior vice-president for
distribution support.
One cold-chain products and solutions vendor, which counts most of the
top pharmaceutical companies in the country as customers, is running an
RFID cold-chain pilot project. The RF-enabled monitors are placed
inside test packages to record temperature and humidity at specified
intervals and wirelessly download the data to a Web-accessible database
when they pass a reader. Active, self-powered tags (i.e., wireless
sensors) are being used in the pilot, but commercial solutions could
incorporate passive tags and bar codes as well. The pilot does not
feature global positioning, but whenever a tag passes a reader, time
and temperature data are transmitted along with location and shipment
status (Sensitech, Beverly, MA, www.sensitech.com).
Herein lies the benefit of RFID for the cold chain. With near real-time
reporting and e-mail alerting of temperature trends inside a package, a
distributor can take action if a temperature violation is about to
occur. If the maximum allowable temperature has already been breached,
the customer can be alerted and a new package can be shipped
proactively instead of waiting for the customer to report that the
product went bad. Temperature tracking and trip history are completely
visible without first having to retrieve and read monitors buried
inside shipments. (continued)