CASE STUDY:

MANAGING NITROSAMINE RISKS IN PHARMACEUTICAL PRODUCTS

01 | The starting point

Review of all chemical and biological human medicines for the possible presence of nitrosamines

as asked for by CHMP

The Committee for Medicinal Products for Human Use (CHMP) asked marketing authorisation holders (MAHs) to review all chemical and biological human medicines for the possible presence of nitrosamines.

Included in this request is the testing of products at risk by following the guidelines.

Companies are now required to have appropriate control strategies in place to prevent or limit the presence of these impurities, and, where necessary, to improve their manufacturing process.

Our client: A global pharmaceutical company

Global:

distribution in over 120 countries

Specialised in...

...acquisition and commercialisation of pharmaceutical and medical products

Substantial growth:

revenues approached €1.3 billion by 2024

02 | Impact and risks

Our client had already identified 30 products at risk, which meant facing the following consequences:

Financial loss

An inadequate approach to managing the presence of nitrosamines could have led to revenue loss from product withdrawals, thereby affecting the company's financial stability.

Reputation damage

Failure to resolve the issue may have undermined trust among customers, healthcare professionals, and regulators – which could, in consequence, have damaged the company's brand image and long-term customer confidence.

Market risk

Product recalls or distribution delays could have resulted in supply shortages, allowing competitors to gain an advantage and potentially resulting in a loss of market share.

To avoid the significant impact of these factors, the main task of our team in this project was to maintain as many at-risk products as possible – while balancing the risk of patient safety and economic viability of each product.

03 | Identified challenges

1Lack of document organisation across various products within the project scope.

This was compounded by the need for a more efficient and structured storage system to ensure better accessibility and management of project materials.

2Lack of clear tracking of actions and activities.

There was a need to improve visibility and to ensure that all tasks and milestones were clearly documented as well as monitored for better progress tracking.

At the same time, emerging demands from the project team had to be effectively addressed on a daily basis.

3Poor interdepartmental communication & insufficient cross-functional collaboration.

This issue had to be addressed to enable smoother project execution.

It required substantial efforts to improve communication and promote stronger, more effective collaboration between departments.

4Limited capacity of laboratories capable of conducting the required analysis.

This resulted in significant delays in product testing.

However, through the project, additional laboratory agreements were secured, mitigating this issue. Despite the past delays, no agreements with regulatory authorities were impacted by these capacity constraints.

04 | Our solution as THE FORCE

Project management

We established a project management framework with key performance indicators (KPIs) to track progress and measure success.

With the application of PRINCE2® methodology, we ensured a structured approach that allowed not only for effective project management but also for a prompt identification of issues.

Primary point of communication

We served as the central communication point, coordinating information exchange across stakeholders.

Process coordination and guidance

We guided the client in establishing an overall process for managing nitrosamine risks in order to ensure clear roles and responsibilities.

CAPA implementation

We secured the definition, documentation, and implementation of corrective and preventive actions (CAPAs) for all affected products.
Our team implemented these key services as part of a comprehensive strategy to make sure the client's portfolio remained intact and profitable.

05 | Key outcomes

97%

of deliverables


were successfully met within this project.
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Maintaining product availability

By ensuring the continued availability of affected products, our team was able to safeguard the company's revenue as well as patient access.

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Organisational + operational efficiency

Our team optimised document management and accessibility for nitrosamine evaluations, which benefitted future projects.

In terms of operational efficiency, streamlined processes, improved communication, and defined roles, leading to reduced delays and bottlenecks.

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Stakeholder engagement

Through structured meetings and proactive engagement, we overcame initial communication challenges.

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Adaptability

We managed varying risks for each product, maintaining flexibility in timelines while tracking progress effectively.

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Regulatory compliance

Equipped to navigate regulatory requirements, our team ensured compliance and minimized risks.

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Long-term preparedness

The management process for nitrosamine evaluation established by us equipped our client with a flexible framework to address future regulatory challenges, and now allows them to apply the same approach to other products.

06 | Long-term benefits

To ensure sustainable compliance when it comes to managing nitrosamine risks in pharmaceutical products, and not least to protect the company's market position moving forward, our final assessment also included recommendations for the future:

Establishment of a permanent nitrosamine team with clearly defined roles and ongoing oversight
Regular meetings with other teams, in particular Quality, Regulatory, and Pharmacovigilance, for continued collaboration
Maintaining project management activities to implement the defined CAPAs, and to remain agile in response to evolving regulatory changes

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