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Digital Transformation and
Regulatory Considerations for
Biopharmaceutical and
Healthcare Manufacturers

Volume 1

Digital Technologies for


Automation and Process
Improvement

To order the book, please visit: go.pda.org/TRANS1

Tim Sandle

PDA
Bethesda, MD, USA

DHI Publishing, LLC


River Grove, IL, USA

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10 9 8 7 6 5 4 3 2 1

ISBN: 978-1-942911-52-4
Copyright © 2021 Tim Sandle All rights reserved.

All rights reserved. This book is protected by copyright. No part of it may


be reproduced, stored in a retrieval system or transmitted in any means,
electronic, mechanical, photocopying, recording, or otherwise, without
written permission from the publisher. Printed in the United States of
America.
Where a product trademark, registration mark, or other protected
mark is made in the text, ownership of the mark remains with the lawful
owner of the mark. No claim, intentional or otherwise, is made by reference
to any such marks in the book. Websites cited are current at the time of
publication. The author has made every effort to provide accurate citations.
If there are any omissions, please contact the publisher.
While every effort has been made by the publisher and the author
to ensure the accuracy of the information expressed in this book, the
organization accepts no responsibility for errors or omissions. The views
expressed in this book are those of the author and may not represent those
of either Davis Healthcare International or the PDA, its officers, or directors.

This book is printed on sustainable resource paper approved by the Forest


Stewardship Council. The printer, Gasch Printing, is a member of the Green
Press Initiative and all paper used is from SFI (Sustainable Forest Initiative)
certified mills.

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CONTENTS

1 THE NEW NORMAL? DIGITAL TECHNOLOGIES AND


THE TRANSFORMATION OF PHARMACEUTICALS
AND HEALTHCARE........................................................................ 1
Introduction............................................................................................................................. 1
Why this book and why now?......................................................................................... 6
Digital transformation of pharmaceuticals and healthcare.................................. 7
Summary.................................................................................................................................18
References..............................................................................................................................19

2 AUTOMATING THE PROCESS AND FOSTERING


THE DIGITAL PHARMA COMPANY......................................... 21
Introduction...........................................................................................................................21
What is workplace automation?...................................................................................23
Advantages for pharmaceuticals and healthcare....................................................25
Initiation, systems and models.......................................................................................27
Disruption as a driver for automation.......................................................................29
Examples of automation in pharmaceuticals and healthcare...........................31
Automated workflows......................................................................................................32
Automation engineering...................................................................................................33
Continuous manufacturing..............................................................................................34
Adjusting production processes in real-time...........................................................35
Robotics...................................................................................................................................36
Automating the laboratory.............................................................................................42
Drug discovery.....................................................................................................................44
Medical device and pharmaceutical packaging printing.......................................45
3D printing and bio-engineering...................................................................................46

iii
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iv Digital Transformation and Regulatory Considerations
3D printing and personalized, tablet-form medicines..........................................49
Contract management......................................................................................................51
Information Technology support..................................................................................53
Automation and cybersecurity concerns..................................................................54
Automation: Changing work and job losses............................................................55
Why automation projects may fail..............................................................................57
Risk assessing automation................................................................................................59
Future of automation.........................................................................................................63
Summary.................................................................................................................................63
References..............................................................................................................................64

3 BIG DATA ANALYTICS: COLLECTING PROCESS


AND PRODUCT CENTRIC DATA............................................ 73
Introduction...........................................................................................................................73
What is big data?.................................................................................................................75
Big data analytics..................................................................................................................80
Ethics and big data..............................................................................................................83
Big data strategies...............................................................................................................84
Data science..........................................................................................................................86
Pharmaceuticals and healthcare....................................................................................86
Big data examples................................................................................................................86
Summary.................................................................................................................................97
References..............................................................................................................................98

4 REAL-TIME METRICS: ADVANCES WITH


PROCESS ANALYTICAL TECHNOLOGY..............................105
Introduction........................................................................................................................105
The role of PAT.................................................................................................................108
Regulatory basis of PAT.................................................................................................110
Effective PAT technologies...........................................................................................112
Implementing PAT............................................................................................................113
PAT platforms and digital data....................................................................................115
Examples of PAT...............................................................................................................117
What are metrics?............................................................................................................126
Using metrics......................................................................................................................129
Setting and assessing metrics......................................................................................130
Weakness with metrics..................................................................................................133
Summary..............................................................................................................................133
References...........................................................................................................................135

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Contents v

5 ULTIMATE PREVENTATIVE MEASURES? THE USE


OF PREDICTIVE ANALYTICS TECHNOLOGY ...................139
Introduction........................................................................................................................139
Why predictive analytics?..............................................................................................142
Regulatory inspections as predictors for GMP issues......................................142
Predictive analytics models..........................................................................................144
Pharma 4.0..........................................................................................................................148
Implementation.................................................................................................................149
Applications of predictive analytics..........................................................................150
Predictive manufacturing...............................................................................................155
Predictive maintenance..................................................................................................158
SAP.........................................................................................................................................162
Analyzing competitor behavior..................................................................................163
Pharmaceutical product marketing...........................................................................163
Clinical trials and drug discovery...............................................................................164
Lessons from the food industry.................................................................................167
Errors with predictive models....................................................................................170
Summary..............................................................................................................................171
References...........................................................................................................................173

6 THE NEW VISION USE OF DIGITAL TWINS


AND VIRTUAL REALITY...........................................................181
Introduction........................................................................................................................181
Virtual reality......................................................................................................................183
Augmented reality............................................................................................................189
Augmented reality and the cleanroom...................................................................190
Augmented reality and patient outcomes.............................................................191
Augmented reality and training..................................................................................192
Augmented reality and pharmaceutical sales.......................................................192
Augmented reality and healthcare manufacturing..............................................193
Augmented reality and medical procedures.........................................................195
Augmented reality and “smart” glasses..................................................................196
Digital twins........................................................................................................................198
Process digital twins........................................................................................................200
Digital Twins: Reducing and addressing out-of-specification results...........201
Digital twins and drug development........................................................................202
Digital twins and logistics..............................................................................................203
Data based collected to support digital twin models......................................204
Adoption challenges........................................................................................................205

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vi Digital Transformation and Regulatory Considerations
Summary..............................................................................................................................209
References...........................................................................................................................209

7 SECURING DATA COLLECTION: ADOPTION


OF WIRELESS TECHNOLOGY AND CLOUD
COMPUTING IN PHARMA.......................................................217
Introduction........................................................................................................................217
Wi-Fi......................................................................................................................................218
Application of wireless technology in the pharmaceutical facility
and for healthcare............................................................................................................226
Concerns in relation to wireless deployment in pharmaceuticals..............234
Wireless concern #1: Data security........................................................................235
Wireless concern #2: Data integrity.......................................................................237
Wireless concern #3: Cyberattacks.........................................................................240
Wireless concern #4: Disruption of data signals...............................................244
Wireless concern #5: Data privacy..........................................................................244
Risk assessment.................................................................................................................246
Conclusion...........................................................................................................................246
References...........................................................................................................................247

8 KEY CONSIDERATIONS FOR THE ADOPTION


AND OPERATION OF ELECTRONIC
BATCH RECORDS.......................................................................253
Introduction........................................................................................................................253
Pharmaceutical batch records.....................................................................................254
Electronic batch records...............................................................................................255
GMP considerations........................................................................................................260
Data integrity.....................................................................................................................263
Auditing.................................................................................................................................265
Future state: blockchain.................................................................................................269
Summary..............................................................................................................................269
References...........................................................................................................................270

9 ARTIFICIAL INTELLIGENCE AND


THE DRUG DEVELOPMENT PROCESS.................................273
Introduction........................................................................................................................273
What is AI?..........................................................................................................................275
Drug development...........................................................................................................279
Artificial intelligence advances drug development medical science............281

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Contents vii
Other technologies to advance drug discovery..................................................300
Summary..............................................................................................................................303
References...........................................................................................................................304

10 BLOCKCHAIN, TRACK AND TRACE TECHNOLOGY


AND COUNTERFEIT MEDICINES..........................................309
Introduction........................................................................................................................309
Supply chain........................................................................................................................312
Global concerns with falsified medicines...............................................................316
Regulatory responses......................................................................................................316
Using new technologies.................................................................................................323
Summary..............................................................................................................................343
References...........................................................................................................................345

GLOSSARY OF DIGITAL TRANSFORMATION TERMS................353


Sources..................................................................................................................................366

INDEX.......................................................................................................367

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