Although the pharmaceutical industry has pioneered information technology as a research and development tool, it has consistently
lagged behind other industries in using technology to automate and streamline manufacturing processes. Although in some cases,
massive investments in drug discovery technology have yielded successful new products, inefficient production processes have
prevented companies from meeting market demands quickly and cost effectively.
As the US Food and Drug Administration's Center for Drug Evaluation and Research has observed, "While Americans have the highest
quality of drugs in the world, the process used to produce them can be expensive and wasteful" (1). Government and industry
initiatives addressing this problem attribute much of that inefficiency to limited automation and point to manual recordkeeping
and information collection as major contributors leading to the industry's poor manufacturing-efficiency record. Meanwhile,
the pharmaceutical industry accepts equipment use rates that hover below 40%, a figure no other major industry tolerates,
and batch quality failures range from 5 to 15%. With batches worth as much as $1 million apiece, these failures add up to
significant loses. By comparison, the semiconductor market, which dealt with similar process problems 25 years ago, currently
maintains waste well below 1%.
The industry's manufacturing inefficiency is a result of three factors:
- poor process understanding and control, which causes lower yields and production delays as a result of subsequent quality
control procedures;
- inefficient, voluminous, paper-based production workflow, which produces very slow set up, production, verification, and so
forth;
- the chronic uncertainty of demand in the consumer market.
These factors are a recipe for supply-chain inefficiency that has yielded average inventory turns of 3–5 versus 50 for worldclass manufacturers in other industries. The pharmaceutical industry's evolving economics won't allow companies
to continue in this vein. Consumers already are balking at the high cost of pharmaceuticals. Neither they nor government regulators
are likely to stand for steadily increasing prices caused by manufacturing inefficiency. Markets are becoming more competitive,
forcing companies into a new production paradigm that demands greater agility than today's model can provide. In addition,
companies need more products in the market and higher profit margins on each product. That requires a production paradigm
based on smaller batches produced in less time.FDA identifies process analytical technology (PAT) as the best means for improving pharmaceutical industry production processes.
FDA defines PAT as "a system for designing, analyzing, and controlling manufacturing through timely measurements (i.e., during processing) of critical quality and performance attributes of raw and in-process materials and processes with the
goal of ensuring final product quality" (2). In other words, PAT is a form of in-line quality control that allows small, real-time
adjustments to be made to a batch to maintain its quality and keep its expected process completion on schedule.
PAT is a parallel effort to the longer-established electronic batch record (EBR) movement, which focuses on using one or more
network-based computer systems to replace paper batch records. In the same way that PAT makes production more efficient than
the typical postprocess quality inspection, EBR makes regulatory compliance more efficient by consolidating and organizing
data that companies once had to manage manually with paper. PAT systems themselves produce critical electronic batch records.
PAT and EBR both require highly reliable point-of-production data collection and data processing. The EBR system cannot have
any breaks in the regulatory record chain or the batch in question must be discarded. PAT requires manufacturers to record
process data as well as the adjustments that are made to ensure batches viability. PAT and EBR applications must operate in
a continuous manner to electronic record gaps that reduce their value-add to virtually nothing. Without combined continuous
availability of computer, network, and storage systems, PAT systems could be less useful than manual processes.
Although forward-thinking companies are considering adaptation of PAT and EBR systems, most are unaware of how heavily these
systems depend on continuously available information system infrastructures. This article examines the current pharmaceutical
IT landscape, including how PAT fits into the picture and how a continuously available infrastructure is the mandatory foundation
of a PAT implementation.