Not hard to get these. Guided tours not hard to get. I haven’t been in many years at this point but once upon a time I did visit the MIP in Colorado for a guided tour.
I’m not sure that is true. There has been an existing standard for about 18 months that people could have been audited against by the normal accrediting bodies. And there’s nothing preventing people looking at ISO 9001 accreditation (for QMS). And there’s nothing preventing people looking at SQF standards for food/edible production and getting audited and accredited for that as well.
I had to do that for two of my facilities in Michigan - and they came and waved their magic wands… and gave us a piece of paper and made us commit to continuous improvement and have come back twice since then to make sure we are staying committed (as they usually do).
Is that different than having the FDA come in? Or running an FDA licensed establishment? Sure is - because FDA doesn’t require a 3rd party accreditation. They don’t require ISO or SQF or ANAB or any of that stuff - AT ALL.
For them, demonstrating your quality system and filing the appropriate paperwork (like people do with many state licensed establishments) is sufficient. Whether we like it or not. Whether we think they need 3rd party or not. And whether or not we agree that all the thousands of FDA licensed establishments are actually cGMP or not. That’s just how it is.
For one of the facilities - there’s a lot more for us to do, but the bones are there and we make considerable effort along the path each month. For the other facility, I’m not involved anymore - but I did chat with the new director of operations recently and they were expanding more of their qualification efforts (we did very basic commissioning when I was there) and that sounds like something someone would only be doing if they were trying to maintain appropriate levels of quality for a cGMP environment.
I think the hardest part of all of this is that cGMP has always been subjective. One investigator will tell you all is well and another will come and shut your ass down.
Case in point - back in 2007 I was working for Aptuit. They had just recently passed an inspection by the FDA for their sterile clinical trial area. The powers that be in management decided they also wanted to be able to ship those materials into the UK for clinical trials there. So they invited the EMA to come out and do an inspection - the EMA sent the MHRA (UK FDA) - they showed up, took one look at the facility and immediately shut the whole fucking thing down. This meant almost 60% of all the products being made there could no longer be shipped to the EU. It meant 3 rounds of layoffs. It meant 18 months of me tirelessly working to learn how MHRA cGMP worked, fixing everything we were doing to meet the FDA’s requirements (which we had, multiple times!) and literally rewriting the quality system, sterile manufacturing protocols, and all supplier management controls.
I was a new project manager. I remember what it was like to be under consent decree. I remember what it was like to have them come out every 3 months and watching the “management team” get fired, over and over again because each time they came out we didn’t get approval.
Until finally, we did. And how much we learned. And how much we changed.
How much I learned and changed. I was just a sprout in this cGMP world, nothing like learning while the place is burning down around you. But that’s been almost 20 years now. And I remember the process. I remember how wrong many of the senior members of the team were. How many people were shut down by regulators who got to have the final say. How many people were shut down because they didn’t have an appropriate level of respect for the regulator.
And that’s how I help others now. Building on that experience. Looking at those processes. The ones that were broken and the ones that changed so things could be fixed.
But boy - most people they don’t even scratch the surface. And its like they are challenging the regulators to come out and fight them. As though, anyone wins that fight.
Since then I have seen people take regulators to court - and I haven’t seen anyone win. I have seen some settle and I’ve seen everyone else have to change their ways.
So I watch the warning letters and the 483’s. And I listen to what the regulators are saying. And I watch the courts for opinions which might make the rules more flexible.
And all the while I work with other people to create voluntary standards I think will be more flexible to allow for innovation while also keeping consumers safe. Because after all - these rules are supposed to keep us safe from adulterants and mislabeled materials - you know?