Guest Column | July 1, 2016

An Analysis Of Recent CDER Observation & Warning Letter Data

By Barbara Unger, Unger Consulting Inc.

barbara-unger

Each spring, the FDA publishes data on its website related to Form 483 inspection observations and warning letters issued by the Center for Drug Evaluation and Research (CDER) during the previous fiscal year. By analyzing this annual data — and comparing it to that of other recent fiscal years — pharmaceutical and biopharmaceutical manufacturers can gain a clearer picture of FDA enforcement trends and their potential impact on business and the industry as a whole.

In this article, we will compare results from the FDA’s 2015 fiscal year with results from fiscal years 2013 and 2014. We will start with the inspection observations and determine which were the most common citations, providing potential reasons for obvious changes in 2015 over previous years. It is important to note that the data published on the FDA website represents only Form 483s that were reported via the FDA’s Turbo EIR automated reporting system — manually prepared 483s are not published online and thus are not part of my analysis.

After reviewing the inspection observations, we will move on to CDER GMP warning letters from the same time period and look at product category, geography, and trends in deficiencies that are cited. Appendices 1 through 3 provide listing and links to the warning letters for each of the fiscal years.

High-Level Analysis

The annual number of CDER inspection observations did not change significantly between FY 2013 and FY2015, even though there are some slight increases in the frequency of certain observations. These changes may represent an increased focus on compounding pharmacies and outsourcing facilities, though data is not available to confirm this theory. Remember that this data does not include all 483 observations, only those prepared within the Turbo EIR system.

Drug GMP warning letters issued to compounding pharmacies increased dramatically from FY2013 to FY2014 and 2015. This represents an unusual enforcement focus on a single segment of the drug industry. FDA’s legal authority over these entities was clarified in the Compounding Quality Act, part of the Drug Quality and Safety Act signed into law in November 2013, and explains the apparent explosion of enforcement action.  FDA Office of Regulatory Affairs (ORA) statistics show that approximately 3% of inspections result in warning letters, but for compounding pharmacies and outsourcing facilities the value is close to 40%, according to Lachman Consultants.

The number of warning letters issued to non-compounding pharmacy sites in the U.S. decreased dramatically during the same period. The number of warning letters issued to sites outside the U.S. (OUS) has also decreased since FY2013.  Enforcement focus seems to be sharply focused on compounding pharmacies at the possible expense of both U.S. and OUS pharma sites. (See Tables 2 and 3, Figures 3, 4, and 5)

Between FY 2013 and 2015, many of the warning letters issued regarding sites located outside the U.S. identified deficiencies in data integrity / data management. I will explore this trend — along with a review of recent data integrity-related guidances from FDA and the World Health Organization (WHO) — in my next article.

Inspection Observations

The following data is based on inspections generated using the FDA Turbo-EIR system.  Data from inspections of API manufacturers and form 483s generated outside the system are not included.  Data in the Table 1 is collated based on data from the FDA website with one difference. Some citations, such as 21 CFR 211.192, are actually divided into several line items throughout the FDA tables; I’ve consolidated them into a single line item.  The same change has been made for each of the line items.

When the numbers are consolidated, it is obvious that problems with the topic of “production record review” and “investigation of any unexplained discrepancy” are at the top of the list. As a result, 211.192 moves from third on the FDA list this year and in 2014 to first when all subsets are consolidated — see Table 1. In FY2013, FDA’s tabulation lists 211.192 as second, but again, if all subsets are consolidated it becomes first.Table 1 shows only the most frequent group of inspection observations; the FDA tabulation shows all.

Table 1: Most Common Inspection Observations (2013-2015)

Citation

Short Description

2015

2014

2013

211.192

Production record review, investigations of discrepancies

250

209

239

211.160(b)

Development of scientifically sound specifications

246

165

199

211.42(c)

Requirement for adequate facilities to prevent contamination or mix-ups

235

125

94

211.22(d)

Quality unit responsibilities shall be in writing and should be followed

165

148

168

211.113(b)

Validation of aseptic processes including sterilization

157

109

119

211.166(a)

Expiration dating shall be supported by appropriate studies

126

82

104

211.100(a)

Written procedures shall describe production and process controls

123

107

135

211.25(a)

Staff shall have training, education, and experience to perform their jobs

119

115

132

211.67(a)

Equipment shall be cleaned and maintained

113

94

71

211.188

Batch production records

110

74

114

211.67(b)

Procedures shall describe cleaning and maintenance of equipment

91

80

83

211.110(a)

Processes shall be validated

85

74

79

211.165(a)

Specifications shall be established for drug product

80

64

66

211.68(a)

Automatic equipment including computers shall be routinely calibrated and inspected

72

64

69

211.100(b)

Activities shall be documented at the time of performance

72

62

84

 

Figure 1 shows the above group of inspection observations graphed over the three fiscal years.  While there is some variation from year to year, the frequency with which specific regulations are identified remains fairly constant. 

Figure 2 shows additional detail of several areas where the frequency of the observation was higher in FY2015 than in the two previous years.  This change could be due to the specific form 483s that were generated within the Turbo-EIR system. Alternatively, it’s possible that they are due to FDA’s intense focus on compounding pharmacy and outsourcing facility inspections. Many of these facilities have inspection observations in these four areas:  the absence of scientifically sound specifications, lack of appropriately segregated facility areas to prevent contamination, lack of validation of aseptic processes including sterilization, and expiry dating that is not supported by stability data.  It is impossible to know the real reason why the frequency of these citations has increased.

In conclusion, there is little change in the overall frequency of inspection observations, as characterized by the regulation cited, between FY2013 and 2015. The most frequent observations cite 211.192 (investigations), 211.160(b) (scientifically sound specifications) and 211.42(c) (validation of aseptic processes including sterilization).   Where increases in specific observations are noted in Figure 2, it may be due to FDAs focus on inspections of compounding pharmacies and outsourcing facilities, for which these are frequent observations. Data is not available to validate this possible conclusion.

For those interested in a deeper dive into FDA FY2015 inspection observations, please see the LinkedIn article Trend Analysis of 2015 FDA Inspection Data: DRUGS.

Drug GMP Warning Letters

In this section, we turn to drug GMP warning letters in FDA fiscal years 2013 through 2015.  Appendices 1 through 3 provide tabulations of warning letters from each of the three years that identify product type covered in the letter, the issuing office, number of deficiencies identified, and the country in which the sites in question are located.  Links to each of the warning letters are also provided.

Table 2 shows that the number and percent of warning letters issued to compounding pharmacies increased dramatically between FY2013 and FY2015.  This represents an unusual enforcement focus on a single segment of the pharmaceutical industry.  FDA’s legal authority over these entities was clarified in the Drug Quality Security Act (DQSA) legislation, signed in November 2013, and explains the apparent explosion of enforcement action.  Most of the compounding pharmacies that received these warning letters manufactured sterile injectable products.  When removing compounding pharmacies from consideration, Table 2 also shows a dramatic drop in official enforcement actions against pharmaceutical firms in the U.S. and a continued focus on sites OUS. The numbers and percentage, however, have decreased since FY2013.  This is perhaps due to the focus on the domestic compounding pharmacy industry.  

Table 2: Drug GMP Warning Letters

 

FY2013

FY2014

FY 2015

Total

41*

49**

42

Compounding pharmacies

3

(7%)

27

(55%)

24

(57%)

U.S.

(non-compounders)

13

(32%)

4

(8%)

3

(7%)

OUS

25

(61%)

18

(37%)

16

(38%)

API sites

5

8

9

Drug product

(non-compounders)

29

12

9

API and drug product

3

2

1

* Includes one repackager not counted as either API or drug product

** Includes one warning letter regarding combination products, considered drug product

The involvement of API sites in warning letters has almost doubled since FY2013.  The number of non-compounding drug product sites has decreased by over half, again likely due to the FDA’s focus on compounding pharmacies and outsourcing facilities.  As the percentage of warning letters issued to compounding pharmacies has increased, those issued to pharmaceutical manufacturers both inside and outside the U.S. has diminished.  This seems to represent FDA’s allocation of its limited inspection resources. Figure 3 shows the high-level data presented in Table 2. 

Figure 4 shows data regarding type of manufacturing site associated with warning letters, excluding compounding pharmacies.  The focus on API sites has increased and the number of drug product sites has diminished over the time period.

 

Table 3 shows the geographic distribution of warning letters issued outside the U.S.  European countries are counted together since only in one year, FY2013, did any of the countries receive more than one warning letter. European area countries included over the three years include Ireland, Spain, Czech Republic, Italy, Portugal, Denmark, Austria, Netherlands, and Germany. The decrease in warning letters issued to European sites may represent an “unofficial” reliance on EMA inspections of sites located in this area, even in the absence of an official mutual recognition agreement (MRA). 

Table 3: Drug GMP Warning Letters Issued Regarding Sites Outside the U.S.

Country / Geography

FY2013

FY2014

FY2015

TOTAL

India

7

7

8

22

Europe

7

3

3

13

China

2

4

2

8

Canada

4

1

1

6

Taiwan

1

 

 

1

Hong Kong

 

1

 

1

Australia

1

1

 

2

New Zealand

 

 

1

1

Jamaica

1

 

 

1

Japan

2

 

 

2

Mexico

 

1

 

1

Thailand

 

 

1

1

India received the highest number of warning letters issued to a single country, with China coming in second.  Over this time period, inspections in China have been limited by the number of visas issued to FDA investigators.  Thus, one should not assume the industry in India has more problems than the industry in China.  For those who like graphs rather than tables (like me!), Figure 5 shows the same information as Table 3.

Drug GMP Inspection To Warning Letter Issuance Intervals

Last year seemed to show an increase in the interval between inspection and warning letter issuance.  Here we provide several years-worth of data to demonstrate this is generally true, with a couple of exceptions.  We start with FY2013 and include 1HFY2016.  Data is provided for the total number of warning letters, those issued to compounding pharmacies / outsourcing facilities, pharma firms in the US and outside the US.  When two or more inspections were mentioned in a warning letter, I took the date nearest to the warning letter issued, under the assumption (perhaps incorrect) that the final inspection provided the incentive that made the warning letter issuance appropriate.   When tabulating the individual intervals, they are rounded to the nearest half month. 

Table 4 shows the interval between inspections and warning letter issuance for the fiscal years in question.  Figure 6 provides a graphic representation of the data.  Also see Table 1 for the number of warning letters in each of the FY categories.

Table 4:  Interval Between Inspection and Warning Letter in Months

 

FY2013

FY 2014

FY2015

1H FY 2016

TOTAL WLs

6.7

8.8

10.3

12.4

Compounding Pharmacies

3.7

10.5

10.8

12.5

US sites (non-compounders)

8.3

7.1

4.5

12.6

OUS

6.4

6.5

10.6

12.3

In conclusion:

  • The average interval between inspection and issuance of all warning letters, and those issued outside the U.S. (OUS), almost doubled between FY2013 and 1HFY2016.
  • The average time to warning letter issuance for all drug manufacturer categories, including compounding pharmacies / outsourcing facilities, exceeded 12 months in 1HFY2016.
  • The near-doubling of time between inspection and warning letters issued to sites outside the U.S. between FY2014 and 1HFY2016 is dramatic.  It is not clear why this is the case.  In many of these cases, the warning letters acknowledge that the firms hired third-party consultants to assist in remediation of inspection observations.
  • The exception to the increase in time interval is sites in the U.S., likely due to their limited number.  FY2014, FY2015, and 1H FY2016 saw four, three, and four warning letters respectively issued to sites in the U.S.  FY2013 saw 13 warning letters. The very short duration between inspections and issuance of warning letters for compounding pharmacies in FY2013 was likely due to their small number (three in this case).

Appendix 1: Drug GMP Warning Letters, FY2013

Product Type

 Issue Date

Company Name

Issuing Office

Number of Deficiencies

Country

Repackager

10/9/2012

Stat Rx US

Atlanta

3

USA

Drug product

10/23/2012

International Laboratories Ltd.

Center

5

Canada

Drug product

11/14/2012

Shanghai Huhui Daily Use Chemical Products Co., Ltd

Center

6

China

Drug product

12/12/2012

Novo Nordisk A/S

Center

2

Denmark

Drug product

12/17/2012

Hameln Pharmaceuticals GmbH

Center

3

Germany

Drug product

12/17/2012

Taiwan Three Mast Pharmaceutical Co Ltd.

Center

5

Taiwan

Drug product

1/10/2013

Physicians Total Care, Inc.

Dallas

5

USA

Drug product

1/29/2013

Sovereign Pharmaceuticals, LLC

Dallas

2

USA

Drug product

1/29/2013

P.A. Benjamin Manufacturing Co., Ltd.

Center

6

Jamaica

Drug product

2/14/2013

Laclede Inc

Los Angeles

3

USA

API

2/19/2013

Abbey Color Inc

Philadelphia

3

USA

 Drug product

2/20/2013

Jubilant HollisterStier General Partnership

Center

3

Canada

Drug product

2/21/2013

Apotex Inc

Center

5

Canada

Compounding pharmacy

3/7/2013

Medi-Fare Drug and Home Health Center

Atlanta

6

USA

Drug product

3/18/2013

Keystone Laboratories Inc

New Orleans

5

USA

API

3/22/2013

Alexion Pharmaceuticals

New England

2

USA

API

3/22/2013

Asada Milling Co., Ltd

Center

6

Japan

Drug product

3/22/2013

Peking Medicine Manufactory

Center

5

China

Drug product

3/27/2013

Wyeth Lederle (Pfizer)

Center

2

Italy

Drug product

4/1/2013

Kanebo Cosmetics Inc

Center

4

Japan

Drug product

4/25/2013

CMI Cosmetic Manufacturers

Center

3

Canada

Drug product

4/26/2013

V-SAB Medical Labs

Atlanta

4

USA

API and drug product

5/6/2013

Boehringer Ingelheim

Center

4

Germany

Compounding pharmacy

5/15/2013

Custom Compounding Centers

Los Angeles

5

USA

Drug product

5/17/2013

Contract Pharmaceutical Services

Center

3

Australia

Drug product

5/28/2013

Ebewe Pharma (Novartis)

Center

2

Austria

API and drug product

5/28/2013

RPG Life Sciences Limited

Center

7

India

Drug product

5/31/2013

Baxter Healthcare

Atlanta

5

USA

API

7/1/2013

Fresenius Kabi Oncology Limited

Center

4

India

Drug product

7/2/2013

Cispharma Inc.

New Jersey

4

USA

API and drug product

7/3/2013

Aarti Drug Limited

Center

4

India

Drug Product

7/18/2013

Wockhardt Limited

Center

6

India

API

8/2/2013

Posh Chemicals Private Limited

Center

3

India

Drug product

8/9/2013

Promed Exports Private Limited

Center

2

India

Drug product

8/16/2013

Fenwal, a Fresenius Kabi Company

 San Juan

4

USA (PR)

Compounding pharmacy

8/21/2013

Stewart Compounding Pharmacy

Atlanta

6

USA

Drug product

8/22/2013

Jabones Pardo S.A.

Center

5

Spain

Drug product

8/29/2013

Sanquin Plasma Medical Products

Center

21

Netherlands

Drug product

8/30/2013

Lloyd Inc of Iowa

Kansas City

7

USA

Drug product

9/4/2013

Allergy Laboratories Inc

Center

5

USA

Drug product

9/9/2013

Agila Specialties Private Limited

Center

7

India

 

Appendix 2: Drug GMP Warning Letters, FY2014

Product Type

Issue Date

Company Name

Issuing Office

Number of Deficiencies

Country

Drug product

11/25/2013

Wockhardt Limited

Center

4

India

Drug product

11/27/2013

Jubilant HollisterStier, LLC

Seattle

2

USA

Drug product

12/2/2013

Ameriderm Laboratories, Ltd.

New Jersey

6

USA

Compounding pharmacy

1/14/2014

Avella of Deer Valley

Los Angeles

3

USA

Compounding pharmacy

1/14/2014

Triangle Compounding

Atlanta

6

USA

Compounding pharmacy

1/15/2014

Medaus Inc

New Orleans

6

USA

Compounding pharmacy

1/22/2014

Home Intensive Care Pharmacy

Dallas

5

USA

Combination product

1/27/2014

Amgen Inc.

Los Angeles

3

USA

API

1/31/2014

CBSCHEM Limited

Center

6

Hong Kong

Drug product

6/2/2014

USV Limited

Center

2

India

Compounding pharmacy

2/14/2014

Nora Apothecary Pharmacy

Detroit

5

USA

Compounding pharmacy

2/18/2014

Olympia Pharmacy

Florida

6

USA

Compounding pharmacy

2/19/2014

Pallimed Solutions Inc

New England

7

USA

Compounding pharmacy

2/21/2014

Wedgewood Village Pharmacy

New Jersey

8

USA

API

2/27/2014

Canton Laboratories Private

Center

4

India

Compounding pharmacy

2/28/2014

Village Fertility Pharmacy

New England

4

USA

Compounding pharmacy

2/28/2014

Total Pharmacy Services Inc

New Orleans

6

USA

API

3/6/2014

Smuthri Organics Limited

Center

3

India

Compounding pharmacy

3/7/2014

Pentec Health

Philadelphia

2

USA

Drug product

3/18/2014

SmithKline Beecham

Center

3

Ireland

API/drug product

4/11/2014

SANUM-Kehlbeck GmbH & Co KG

Center

6

Germany

Drug product

4/16/2014

Instituto Bioclon

Center

15

Mexico

Drug Product

4/21/2014

Greer Laboratories

Center

8

USA

Compounding pharmacy

4/30/2014

Blue Ridge Pharmacy

Atlanta

8

USA

Compounding pharmacy

5/2/2014

Grandpa's Compounding Pharmacy

San Francisco

5

USA

Compounding pharmacy

5/2/2014

Brookfield Prescription Center

Minneapolis

7

USA

API and drug product

5/7/2014

Sun Pharmaceuticals

Center

5

India

Compounding pharmacy

5/9/2014

Nature's Pharmacy and Compounding Center

Atlanta

7

USA

Compounding pharmacy

5/27/2014

Oakdell Pharmacy Inc

Dallas

6

USA

Compounding pharmacy

6/6/2014

Lee and Company

Dallas

3

USA

API

6/10/2014

Tianjin Zhongan Pharmaceutical Co Ltd

Center

3

China

Drug product

6/12/2014

ID Biomedical Corp (GSK subsidiary)

Center

5

Canada

API

6/16/2014

Apotex Pharmachem India Pvt Ltd

Center

4

India

Compounding pharmacy

6/23/2014

Pharmacy Creations

New Jersey

8

USA

Compounding pharmacy

6/27/2014

Clinical Specialties Compounding Pharmacy

Atlanta

1

USA

Compounding pharmacy

7/7/2014

JCB Labs LLC

Kansas City

1

USA

API

7/7/2014

Trifarma S.p.A.

Center

3

Italy

Drug product

7/8/2014

Marck Bioscience Ltd.

Center

6

India

API

7/9/2014

Zhejiang Jiuzhou Pharmaceutical Co Ltd

Center

4

China

Compounding pharmacy

7/14/2014

RC Compounding Services

Cincinnati

1

USA

Compounding pharmacy

7/18/2014

PharMEDium Services LLC

Chicago

12

USA

Compounding pharmacy

8/12/2014

The Compounding Shop

Florida

6

USA

Compounding pharmacy, animal drug

8/14/2014

Wickliffe Pharmacy

Cincinnati

1

USA

Compounding pharmacy

8/15/2014

Zion Rx Formulations Services LLC dba Rx Formulations Serv.

Los Angeles

6

USA

Compounding pharmacy

9/4/2014

John W Hollis

New Orleans

7

USA

Drug product

9/19/2014

China Resources Sanjiu Medical and Pharmaceutical Company

Center

4

China

Compounding pharmacy

9/24/2014

Beacon Hill Medical Pharmacy

Detroit

7

USA

Drug product

9/26/2014

Hospira, Mugrave Australia

Center

3

Australia

API

9/29/2014

Beijing Shunxin Medical and BioTechnical

Center

1

China

Appendix 3: Drug GMP Warning Letters, FY2015

Product Type

Issue Date

Company Name

Issuing Office

Number of Deficiencies

Country

API

10/15/2014

Sharp Global Limited

PHS/Center

3

India

API

10/15/2014

Cadila Pharmaceuticals Limited

PHS/Center

3

India

Drug product

10/21/2014

Hikma Farmaceutica

PHS/Center

2

Portugal

Compounding pharmacy

10/23/2014

RX South DBA RX3 Compounding Pharmacy

Baltimore

4

USA

Compounding pharmacy

10/24/2014

Pharmagen Laboratories

New England

4

USA

Compounding pharmacy

10/29/2014

Eastern Pharmacy Inc

Florida

1

USA

Compounding pharmacy

11/11/2014

Wells Pharmacy Network LLC

Florida

6

USA

Cell therapy

(drug product)

11/20/2014

New Hope Fertility Center

New York

6

USA

Compounding pharmacy

12/9/2014

Delta Pharma Inc

New Orleans

4

USA

API and dosage form

12/19/2014

Novacyl Wuxi Pharmaceutical Co. Ltd

PHS/Center

4

China

Drug product

1/9/2015

Micro Labs Limited

PHS/Center

4

India

Compounding pharmacy

1/21/2015

Cantrell Drug Company

Dallas District

4

USA

Compounding pharmacy

1/27/2015

Oregon Compounding Centers

Seattle

6

USA

Drug product

1/30/2015

Apotex Research Private Ltd

PHS/Center

4

India

Compounding pharmacy

2/13/2015

Pine Pharmacy and Home Care Products Inc

New York

5

USA

API

2/27/2015

Novacyl Ltd. (Thailand)

PHS/Center

3

Thailand

Compounding pharmacy

3/27/2015

Kings Park Slope Inc.

New York

3

USA

Compounding pharmacy

3/27/2015

Alexander Infusion LLC

New York

6

USA

Drug product

3/31/2015

Hospira Spa

Center

4

Italy

Dosage form, PADE + GMP

4/3/2015

Galena BioPharma Inc.

Seattle

2

USA

API

4/6/2015

Yunnan Hande Bio-Tech Ltd

Center

3

China

Compounding pharmacy

4/8/2015

Region Care Inc.

Center

6

USA

Compounding pharmacy

4/14/2015

Leiter's Compounding

San Francisco

6

USA

Compounding pharmacy

4/21/2015

I.V. Specialty, Ltd

Dallas

6

USA

Compounding pharmacy

4/27/2015

Premier Pharmacy Labs Inc.

Florida

6

USA

Compounding pharmacy

4/27/2015

Absolute Pharmacy, LLC

Florida

7

USA

Compounding pharmacy

4/29/2015

Vann Healthcare Services Inc

Cincinnati

6

USA

Compounding pharmacy

5/14/2015

HHCS Pharmac Inc

Florida

4

USA

API

5/27/2015

VUAB Pharma a.s.

Center

2

Czech Republic

Compounding pharmacy

6/4/2015

Green Hills Health and Wellness Pharmacy Inc.

New Orleans

5

USA

Finished pharmaceutical (medical gas)

6/8/2015

Transox Inc

Atlanta

2

USA

Compounding pharmacy

6/17/2015

California Pharmacy and Compounding Center

Los Angeles

5

USA

API

6/22/2015

Attix Pharmaceuticals

Center

1

Canada

Compounding pharmacy

6/25/2015

SCA Pharmaceuticals

Dallas

3

USA

Compounding pharmacy

7/6/2015

KRS Global Biotechnology, Inc

Florida

4

USA

API

7/23/2015

Sipra Labs Limited

Center

2

India

Compounding pharmacy

8/11/2015

Coram Healthcare Corp. of Indiana

Detroit

3

USA

Drug product

8/16/2015

Mylan Laboratories Limited

Center

9

India

Compounding pharmacy

8/31/2015

Specialty Medicine Compounding Pharmacy, P.C.

Detroit

8

USA

API

9/2/2015

Pan Drugs Ltd.

Center

3

India

Dosage form

9/4/2015

Jaychem Industries, Ltd.

Center

4

New Zealand

API

9/28/2015

Unimark Remedies Ltd.

Center

4

India

Compounding pharmacy

9/29/2015

Hieber's Pharmacy

Philadelphia

4

USA

About The Author

Barbara Unger formed Unger Consulting, Inc. in December 2014 to provide GMP auditing and regulatory intelligence services to the pharmaceutical industry. She has extensive expertise in this area having developed, implemented, and maintained the GMP regulatory intelligence program for eight years at Amgen Inc. This included surveillance, analysis, and communication of GMP related legislation, regulations, guidance, and industry compliance enforcement trends. Barbara was the first chairperson of the Rx-360 Monitoring and Reporting work group (2009 to 2014) that summarized and published relevant GMP and supply chain related laws, regulations, and guidance. She also served as the chairperson of the Midwest Discussion Group GMP-Intelligence sub-group from 2010 to 2014.

Before Amgen, Barbara worked for the consulting firm Don Hill and Associates, providing regulatory and quality services to the pharmaceutical industry, and for Eli Lilly and Company in quality and CMC regulatory affairs positions. She began her career in the pharmaceutical / device industry with Hybritech Inc. and received a bachelor's degree in chemistry from the University of Illinois in Urbana Illinois.