Sterilization & Decontamination

Pharmaceutical sterilization is a validatable process aimed at rendering a product free from viable micro-organisms.

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Impact of the new EU GMP Annex 1 on sterilization processes: the new EU GMP Annex 1 has updated the guidelines for sterilization processes. Here is a review of these changes, following a reminder of the definitions and operating principles of sterilization.

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What is a sterilization process?

According to ISO, a sterilization process is a validated process aimed at rendering a product free from viable micro-organisms. The objective is to achieve sterility — i.e. the measured absence of any contaminating agent (including spore-forming organisms) — which permits a product to be placed on the market with legal accountability.

Several key points must be highlighted before proceeding:

  • A single 6-log reduction of the bioburden or initial concentration is not sufficient
  • Special case for injectables: the Probability of a Non-Sterile Unit (PNSU) must be < 10⁻⁶ (Ph.Eur.)
  • Sterilization is a matter of probability and can never reach zero
  • It is not an all-risk guarantee: sterilization does not degrade pyrogens or prions (TSE agents)
  • A validation supported by design, installation, operational and performance qualifications (SAL, reproducibility, homogeneity…) is required
  • Sterility is an absolute state, ensuring the absence of viable micro-organisms, statistically demonstrable (EN 556-1:2001, definition 3.4)
  • Normative reference: EN 285 / ISO 17665

Further reading

Steam: Heat transfer properties

Steam has several phases: wet steam, saturated or dry steam and superheated steam. Discover the phase diagram.

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Sterilization methods

Various methods are referenced in the international guides on Good Manufacturing Practices (GMP) appended to the Pharmacopoeias.

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Sterilization value

The sterilization value "Fo" is expressed in units of time and is used to quantify the effect of a sterilizing treatment during a decontamination process.

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Regulatory approach: focus on EU GMP Annex 1

Chapter 8: Specific manufacturing and technologies — Sterilization

  • 8.34: Addition of detail on sterilization in its final container, using a controlled and validated process
  • 8.34 & 8.37: Addition of a line giving preference to thermal treatment over other processes
  • 8.35: Entire paragraph adding detail on the choice of equipment and process based on scientific principles, as well as control mechanisms for a sterilization cycle demonstrating repeatability and reliability
  • 8.38: Addition of a validity check of the process in the event of a change in product packaging, load configuration (min/max), equipment modification (revamping) or parameter changes
  • 8.39: Periodic (annual) requalification, worst-case parameters and load; reference to the CCS for others
  • 8.40: All current operating parameters must be established and adhered to (previously only the load plan was mentioned)
  • 8.42/43: Biological Indicators (BIs) considered as an additional control method but controlled (number and viable spore identity) + positive control on each cycle (if used in support of validation) and precaution regarding contamination introduced by BIs. Verification of D & z values for new lots.
  • 8.44: Addition of detail regarding the flow and storage of sterilized products (classification to be respected, no crossing, double-door autoclave…), distinction between sterilized and non-sterilized loads
  • 8.45: Addition of detail regarding the transfer of sterilized equipment, materials or components to an aseptic zone (double door on the sterilizer)
  • 8.45: Single cycle report, compliance determined according to a procedure (standardisation of release criteria)
  • 8.50: Thermal sterilization cycle: monitoring and recording systems must be independent of the control system
  • 8.51: Validation studies must be conducted to demonstrate the adequacy of the control system and the location of probes
  • 8.54: Addition on parametric release: reference to Annex 17 describing the review of process monitoring documentation (temperature, pressure, sterilization time, etc.) — Real-Time Parametric Release (RTPR)
  • 8.50: Each heat sterilisation cycle should be recorded (e.g. by the use of duplex/double probes connected to independent control and monitoring systems) → Direct reference to EN 285

Moist heat sterilization

  • 8.57: Systematic inspection of sterilized products for porous loads and dryness > Load integrity → traceability in the sterilization report
  • 8.58: For SIP systems: temperature control at the drain point recommended during sterilization > Identification of cold spots → drain point accepted as a reference indicator
  • 8.59: Requirement to take into account equilibration time, exposure time, P/T correlation and temperature range; control of these parameters during validation and routine controls → Reference to EN 285: equilibration time for all probes and start of count. Spatial and temporal homogeneity.
  • 8.61: In cycles including an air purge, loads must be designed to allow effective air extraction and free drainage of condensate → Process/machine consideration, but also direct reference to packaging selection (which is not universal but specific to the load/process)
  • 8.62: Avoid distortion and damage to flexible containers (particularly BFS and FFS) during terminal sterilization through parameter adjustment → Care in cycle development/optimisation with respect to the load: no "one-size-fits-all" cycle
  • 8.63: Sterilization systems must be designed and validated so that everything is subjected to treatment at critical points and treatment reproducibility is demonstrated → QbD & Design Qualification + Qualification
  • 8.64: For superheated water processes, it is necessary to demonstrate that all required contact points are covered → QbD & Design Qualification + Qualification


Dry heat sterilization

  • 8.68: Use of endotoxin loads for validation: specific Fh and required 3-log₁₀ reduction
  • 8.69: Control of time, pressure, heat penetration and uniformity, and exposure temperature with verification of reproducibility within pre-established tolerances for depyrogenation ovens and those used for initial, intermediate or final sterilization → Increased control and detailed use of depyrogenation tunnels (for details see Annex 1, 8.65)
  • 8.70: Oven/Tunnel: critical parameters to be monitored: temperature, exposure time, chamber pressure, air velocity and quality, heat penetration and uniformity, load configuration — HEPA filters


Radiation sterilization

  • 8.71: Addition of a reference to a directive in EU GMP Annex 12 (specific to radiation) and removal of detail on the use of BIs or irradiation doses
  • 8.71: UV not accepted as a sterilization method
  • 8.72: Consideration of variations in load density


Ethylene oxide sterilization

  • Addition of EO pressure as a parameter to be monitored
  • Aeration may take place in the sterilizer chamber and/or in a separate aeration chamber. The aeration phase must be validated

Further reading

Lethality table

Pharmaceutical autoclave sterilization is subject to numerous controls. Discover the lethality table used in the pharmaceutical industry.

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Sterilization standards

AFNOR and European Pharmacopoeia sterilization and disinfection standards related to STERIGENE's activities.

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Regnault table

Discover the empirical formula giving the latent heat of vaporisation of water (saturated steam) as a function of temperature and pressure.

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