The initial project scope was to review the current CAPA backlog and establish interim risk evaluation. While the backlog was initially thought to include a few hundred CAPAs, 1200 CAPAs were ultimately identified. This change in scope increased the workload significantly, as the original review timeline was predicated on the two to three hundred CAPA reviews. Despite the unforeseen expansion, the Treximo team supported the additional scope and provided review within the original deadline provided to the agency.
During the CAPA review, the site received a Warning Letter subsequent to the initial Form 483. This revealed a significantly deeper need for a work plan that would properly support the quality system improvements required. Treximo was selected to provide leadership and SME support to the quality work streams identified, focusing on the following areas:
- Management Controls
- Facilities Improvement
- Equipment Improvement
- Quality Systems Redesign
- Supply Chain and Manufacturing Systems
- Backlog Reductions (Investigations, CAPAs, Complaints)
In total, Treximo deployed more than twenty resources to support site improvement initiatives. Work stream management provided project management and subject matter expertise to inform and establish realistic program timelines and approaches to risk mitigation and process improvement.
Example Remediation Framework