Industry: Pharmaceutical

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Regulatory Compliance Associates® (RCA) Executive Pharma Compliance Expert & Principal Consultant, Anita Michael, recently shared important FDA updates impacting pharmaceutical manufacturers. With over 25 years of global regulatory and quality experience—including 16 years as the FDA’s Global Pharmaceutical Expert—Anita emphasizes the need for heightened inspection readiness.

 

Key FDA Updates

  • Unannounced Inspections Abroad: The FDA will now conduct unannounced inspections at foreign manufacturing facilities, similar to those already performed in the U.S. This expansion ensures drug substances, finished products, and critical excipients entering the U.S. meet safety and quality standards.
  • Rigorous Reviews: Expect science-based audits across manufacturing operations and quality systems. Companies should ensure their
  • six quality systems (Quality, Production, Laboratory, Facilities & Equipment, Materials, and Packaging/Labeling) are fully inspection-ready.
  • Pre-Approval Program Updates: The FDA has refined its pre-approval inspection focus to include:
    • Readiness for commercial manufacturing (QMS and six systems)
    • Conformance to application and data integrity requirements
    • Commitment to quality and pharmaceutical development
    • Audit preparedness and documentation management

Preparing for Compliance

  • To stay ahead, companies should:Conduct robust internal and external audits
  • Maintain a centralized FDA document repository
  • Ensure subject matter experts are prepared to address complex regulatory questions

 

Why It Matters

These changes highlight the FDA’s commitment to protecting U.S. patients by ensuring consistent global manufacturing standards. Proactive preparation will be critical for pharmaceutical companies with international facilities or partnerships.

 

Need support preparing for FDA inspections or audits? Contact RCA today to speak with our compliance experts and ensure your organization is inspection-ready.

Background

An established pharmaceutical company with a strong background in biologics and biosimilars was preparing to enter Phase 3 clinical trials with a biosimilar product. While their drug development and manufacturing teams were experienced and well-resourced, the organization had no prior experience with medical devices.

With the introduction of FDA’s combination product regulations and 21 CFR Part 4, the company realized they needed to house their drug product in a drug delivery system—triggering a set of new design and regulatory requirements. Despite their mature quality system aligned to 21 CFR Parts 210/211, they lacked the internal expertise and infrastructure to integrate device development, design controls, and risk management into their QMS.

RCA Approach

Regulatory Compliance Associates® (RCA). was brought in to establish a compliant and sustainable combination product development framework. The engagement began with a comprehensive gap assessment to evaluate the client’s current quality system against the regulatory requirements in 21 CFR Part 820 and Part 4.

While foundational systems like CAPA were already robust, gaps were identified in design controls, risk management, and supplier controls. RCA worked closely with the client to integrate these new requirements into the organization’s operations.

Key activities included:

  • Developing and revising SOPs: 
    • Multiple SOPs were created covering design controls, risk management, and management responsibilities. 
    • Existing SOPs (such as Purchasing Controls) were updated to reflect device-specific needs. 
  • Training cross-functional teams: 
    • RCA conducted training sessions for QA, regulatory affairs, manufacturing operations, and marketing on combination product regulations and new procedures. 
  • Establishing design documentation: 
    • Created complete design history files (DHFs) using new SOPs. 
    • Developed design and development plans, design input requirements, and detailed design specifications for all components, packaging, and labeling. 
    • Facilitated risk assessments through cross-functional collaboration. 
  • Technical and manufacturing support: 
    • Integrated device tests into ongoing stability studies. 
    • Worked with external vendors on component specifications. 
    • Helped develop and qualify an in-house final assembly process and supported manufacturing process qualifications for new equipment. 
    • Conducted and documented a design transfer to manufacturing. 
  • Verification & validation (V&V): 
    • Executed comprehensive testing, including: 
      • Container Closure Integrity 
      • Delivered Volume 
      • Break Loose and Glide Force 
      • Human Factors (Formative and Summative) per IEC 62366 
  • Regulatory support: 
    • Assisted in authoring the Device Section of the BLA, ensuring alignment with FDA expectations. 

Result

Thanks to RCA’s support, the company was able to initiate its Phase 3 clinical trials on schedule, with a fully compliant combination product. 

Over the next two years, the organization successfully launched three commercial combination products—two prefilled syringes and one vial kit—all of which passed FDA audits. The quality system enhancements and DHFs stood up to regulatory scrutiny, and the trained internal teams were able to carry the work forward independently. 

RCA also temporarily stood up a Device Development Department, mentoring internal staff and ensuring a seamless handoff post-acquisition. The company has since maintained compliance and continues to expand its biosimilar product portfolio with confidence. 

Combination product submissions require a tailored regulatory strategy that blends device, drug, and biologic requirements. The complexity increases when multiple FDA centers could be involved.

 

The journey begins with identifying the product’s primary mode of action (PMOA). This determines which FDA center will lead the review:

  • CDER: Center for Drug Evaluation and Research
  • CBER: Center for Biologics Evaluation and Research
  • CDRH: Center for Devices and Radiological Health

If the PMOA is unclear, companies can submit a Request for Designation (RFD) to the Office of Combination Products.

 

Once the lead center is determined, companies must ensure their submission addresses the regulatory requirements of both drug/biologic and device frameworks. This includes integrating device GMPs (21 CFR Part 820) with existing pharma QMS (21 CFR Part 210/211).

 

Key requirements typically include:

  • Quality system alignment with 21 CFR Part 4
  • Documentation of design controls, CAPA, and purchasing controls
  • Evidence of human factors testing for design validation
  • Management responsibility and risk management processes

Recent FDA draft guidance (e.g., on essential performance outputs) further clarifies what must be demonstrated in combination product submissions. The focus is shifting toward system-level outputs that directly impact drug delivery and therapeutic performance.

 

For companies planning international expansion, the regulatory roadmap extends beyond the U.S. CE marking under the EU MDR often requires a Notified Body Opinion confirming that the device component is adequately controlled.

 

Success starts with early planning and cross-functional alignment. Regulatory, quality, and product development teams must work together to:

  • Identify regulatory gaps
  • Align SOPs and systems
  • Develop submission-ready documentation
  • Engage proactively with regulatory bodies

Navigating the regulatory maze of combination product submissions is complex but manageable—with the right roadmap, tools, and expertise in place.

 

Work with RCA to Streamline Your Submission Process Regulatory Compliance Associates helps companies navigate the complexities of combination product submissions in both U.S. and global markets. From regulatory strategy to documentation support, RCA is your trusted partner. Reach out today to get started.

Many companies don’t realize they have a combination product until it’s too late. With increased regulatory scrutiny from the FDA, properly identifying your product type is not just important—it’s essential for compliance, market access, and patient safety.

 

A combination product, as defined by the FDA, is a therapeutic and diagnostic product that combines drugs, devices, and/or biological products. These products can take multiple forms, including:

  • Prefilled syringes (drug + delivery device)
  • Drug-eluting stents (device coated with a drug)
  • Convenience kits (e.g., vials packaged with filters and needles)
  • Cross-labeled products (e.g., drug and device sold separately but intended for combined use)

Some of these combinations are obvious, but many are not. A product that seems like simple packaging may actually trigger combination product regulations under FDA’s 21 CFR Part 4, effective since 2013. The FDA began strict enforcement in 2014, prompting many companies to reevaluate their portfolios.

 

One of the biggest risks is operating under outdated assumptions. If your company has historically marketed a device or drug in conjunction with another regulated product, you may already be in combination product territory without knowing it.

 

If there’s uncertainty, the FDA allows companies to submit a Request for Designation (RFD). This formal process helps determine which regulatory center (CDER, CBER, or CDRH) will have primary jurisdiction over your product based on its primary mode of action (PMOA).

 

Identifying whether your product qualifies as a combination product is a foundational step. Doing so early allows for proper planning of your development pathway, avoids regulatory surprises, and helps build a robust compliance strategy.

 

Partner with Regulatory Experts Regulatory Compliance Associates (RCA) has extensive experience helping companies identify and navigate combination product requirements. Contact RCA today to ensure you’re on the right path from the start.

Why Design Controls Matter for Combination Products

Design controls represent one of the most significant regulatory challenges for companies entering the combination product market, especially those with a pharmaceutical or biologics background.

 

Key Regulatory Frameworks Involved

Pharma companies are well-versed in process validation under GMPs (21 CFR Part 210/211). However, combination products that include a device component require adherence to device regulations under 21 CFR Part 820, which mandates design controls.

 

What’s Required Under Design Controls?

Design controls involve structured development planning and documentation, including:

  • Design and development planning
  • User needs and design inputs
  • Design outputs and verification
  • Design validation (often including human factors/usability testing)
  • Design transfer
  • Design history files (DHF)

 

The Importance of Human Factors and Validation Testing

These are not just technicalities—they’re critical quality elements the FDA uses to determine whether a product will perform as intended when used by real patients. One of the most commonly misunderstood areas is design validation, which often requires human factors testing to confirm that the user can safely and effectively operate the device component.

 

How to Integrate Design Controls into a Pharma QMS

For many drug companies, integrating these design requirements means:

  • Creating new SOPs for design and development
  • Training teams on device regulations
  • Hiring or consulting with medical device experts

 

Get Help From Combination Product Experts

RCA offers deep expertise in integrating design controls into pharmaceutical systems. Whether you need support with SOP development, training, or validation planning, RCA is here to help. Contact us today to learn more.