[Code of Federal Regulations]
[Title 21, Volume 7]
[Revised as of April 1, 2003]
From the U.S. Government Printing Office via GPO Access
[CITE: 21CFR610.12]

[Page 66-70]
 
                        TITLE 21--FOOD AND DRUGS
 
CHAPTER I--FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN 
                          SERVICES (CONTINUED)
 
PART 610--GENERAL BIOLOGICAL PRODUCTS STANDARDS--Table of Contents
 
                      Subpart B--General Provisions
 
Sec. 610.12  Sterility.

    Except as provided in paragraphs (f) and (g) of this section, the 
sterility of each lot of each product shall be demonstrated by the 
performance of the tests prescribed in paragraphs (a) and (b) of this 
section for both bulk and final container material.
    (a) The test. Bulk material shall be tested separately from final 
container material and material from each final container shall be 
tested in individual test vessels as follows:
    (1) Using Fluid Thioglycollate Medium--(i) Bulk and final container 
material. The volume of product, as required by paragraph (d) of this 
section (hereinafter referred to also as the ``inoculum''), from samples 
of both bulk and final container material, shall be inoculated into test 
vessels of Fluid Thioglycollate Medium. The inoculum and medium shall be 
mixed thoroughly and incubated at a temperature of 30 to 35  deg.C for a 
test period of no less than 14 days and examined visually for evidence 
of growth on the third, fourth, or fifth day, and on the seventh or 
eighth day, and on the last day of the test period. Results of each 
examination shall be recorded. If the inoculum renders the medium turbid 
so that the absence of growth cannot be determined reliably by visual 
examination, portions of this turbid medium in amounts of no less than 
1.0 milliliter shall be transferred on the third, fourth, or fifth day 
of incubation, from each of the test vessels and inoculated into 
additional vessels of the medium. The material in the additional vessels 
shall be incubated at a temperature of 30 to 35  deg.C for no less than 
14 days. Notwithstanding such transfer of material, examination of the 
original vessels shall be continued as prescribed above. The additional 
test vessels shall be examined visually for evidence of growth on the 
third, fourth, or fifth day of incubation, and on the seventh or eighth 
day, and on the last day of the incubation period. If growth appears, 
repeat tests may be performed as prescribed in paragraph (b) of this 
section and interpreted as specified in paragraph (c) of this section.
    (ii) Final container material containing a mercurial preservative. 
In addition to the test prescribed in paragraph (a)(1)(i) of this 
section, final container material containing a mercurial preservative 
shall be tested using Fluid Thioglycollate Medium following the 
procedures prescribed in such subparagraph, except that the incubation 
shall be at a temperature of 20 to 25  deg.C.
    (2) Using Soybean-Casein Digest Medium. Except for products 
containing a mercurial preservative, a test shall be made on final 
container material, following the procedures prescribed in paragraph 
(a)(1)(i) of this section, except that the medium shall be Soybean-
Casein Digest Medium and the incubation shall be at a temperature of 20 
to 25  deg.C.
    (b) Repeat tests. If growth appears in any of the test media during 
testing of either bulk or final container material, the test may be 
repeated to rule out faulty test procedures as follows:
    (1) Repeat bulk test. Only one repeat bulk test may be conducted. 
The volume of inoculum to be used for the repeat bulk test shall be as 
prescribed in paragraph (d)(1) of this section. The repeat test shall be 
performed using the procedure prescribed in paragraph (a)(1)(i) of this 
section.
    (2) First repeat final container test. The number of test samples 
and the volumes of product used for the first repeat test shall be as 
prescribed in paragraph (d)(2) of this section. For products that do not 
contain a mercurial preservative, the repeat test shall be performed, 
using both Fluid Thioglycollate Medium and Soybean-Casein Digest Medium, 
following the procedures prescribed in paragraphs (a)(1)(i) and (a)(2), 
respectively, of this section. If the product contains a mercurial 
preservative, the repeat test shall be performed using Fluid 
Thioglycollate Medium and the procedures prescribed in paragraphs (a)(1) 
(i) and (ii) of this section.
    (3) Second repeat final container test. If growth appears in any of 
the first repeat final container tests, all tests of the first repeat 
final container test shall be repeated, provided there was no evidence 
of growth in any test of

[[Page 67]]

the bulk material. The test samples used for the second repeat final 
container test shall be twice the number used for the first repeat final 
container test.
    (c) Interpretation of test results. The results of all tests 
performed on a lot shall be considered in determining whether or not the 
lot meets the requirements for sterility, except that tests may be 
excluded when demonstrated by adequate controls to be invalid. The lot 
meets the test requirements if no growth appears in the tests prescribed 
in paragraph (a) of this section. If repeat tests are performed, the lot 
meets the test requirements if no growth appears in the tests prescribed 
in paragraph (b)(2) or (3) of this section, whichever is applicable.
    (d) Test samples and volumes--(1) Bulk. Each sample for the bulk 
sterility test shall be representative of the bulk material and the 
volume tested shall be no less than 10 ml. (Note exceptions in paragraph 
(g) of this section.)
    (2) Final containers. The sample used for each test medium or each 
incubation temperature of a test medium for the final container and 
first repeat final container test shall be no less than 20 final 
containers from each filling of each lot, selected to represent all 
stages of filling from the bulk vessel. If the amount of material in the 
final container is 1.0 milliliter or less, the entire contents shall be 
tested. If the amount of material in the final container is more than 
1.0 milliliter, the volume tested shall be the largest single dose 
recommended by the manufacturer or 1.0 milliliter, whichever is larger, 
but no more than 10 milliliters of material or the entire contents from 
a single final container need be tested. If more than 2 filling 
machines, each with either single or multiple filling stations, are used 
for filling one lot, no less than 10 filled containers shall be tested 
from each filling machine for each test medium or each incubation 
temperature condition, but no more than 100 containers of each lot need 
be tested. The items tested shall be representative of each filling 
assembly and shall be selected to represent all stages of the filling 
operation. (Note exceptions in paragraph (g) of this section.)
    (e) Culture medium--(1) Formulae. (i) The formula for Fluid 
Thioglycollate Medium is as follows:

                       Fluid Thioglycollate Medium
1-cystine................................  0.5 gm.
Sodium chloride..........................  2.5 gm.
Dextrose (C6H12O6[middot]H2)O)...........  5.5 gm.
Granular agar (less than 15% moisture by   0.75 gm.
 weight).
Yeast extract (water-soluble)............  5.0 gm.
Pancreatic digest of casein..............  15.0 gm.
Purified water...........................  1,000.0 ml.
Sodium thioglycollate (or thioglycolic     0.5 gm.
 acid--0.3 ml).
Resazurin (0.10% solution, 1.0 ml.
 freshly prepared).
pH after sterilization 7.10.2.


    (ii) The formula for Soybean-Casein Digest Medium is as follows:

                      Soybean-Casein Digest Medium
Pancreatic Digest of Casein..............  17.0 gm.
Papaic Digest of Soybean Meal............  3.0 gm.
Sodium Chloride..........................  5.0 gm.
Dibasic Potassium Phosphate..............  2.5 gm.
Dextrose (C6H12O6[middot]H2O)............  2.5 gm.
Purified water...........................  1,000.0 ml.
pH after sterilization 7.30.2.


    (2) Culture media requirements--(i) Definition of a lot of culture 
medium and test requirements. A lot of culture medium is that quantity 
of uniform material identified as having been thoroughly mixed in a 
single vessel, dispensed into a group of vessels of the same composition 
and design, sterilized in a single autoclave run, and identified in a 
manner to distinguish one lot from another. Each lot of culture medium 
shall be tested for its growth-promoting qualities unless it meets the 
exception for dehydrated culture medium described in this subpart. The 
growth-promoting quality test shall be performed on the smallest sized 
vessel used in an autoclave run. When using a single batch of dehydrated 
culture medium, a manufacturer need not perform growth-promoting tests 
on each lot of prepared liquid medium, provided that a validation 
program exists for autoclaves used to sterilize the culture medium, and 
the manufacturer has received approval for this practice from the 
Director, Center for Biologics Evaluation and Research.
    (ii) Test organisms, strains, characteristics, identity, and 
verification. Two or more strains of microorganisms that are exacting in 
their nutritive and aerobic/anaerobic requirements shall be used to test 
the growth-promoting

[[Page 68]]

qualities of each lot of test medium. When using Fluid Thioglycollate 
medium, both an aerobic and an anaerobic test microorganism shall be 
chosen. When using Soybean Casein Digest Medium, the yeast, Candida 
albicans, shall be one of the two test microorganisms chosen. 
Manufacturers shall choose the strains of microorganisms from the chart 
in this paragraph.

------------------------------------------------------------------------
                                                            Incubation
             Medium                Test microorganisms     temperature
------------------------------------------------------------------------
                                 Spore-formers

Fluid Thioglycollate...........  1. Bacillus subtilis    30 to 35
                                  (ATCC No. 6633).        deg.C.
                                 2. Clostridium              Do.
                                  sporogenes (ATCC No.
                                  11437).

                                 Non-spore-formers

                                 3. Candida albicans         Do.
                                  (ATCC No. 10231).
                                 4. Micrococcus luteus       Do.
                                  (ATCC No. 9341).
                                 5. Bacteroides              Do.
                                  vulgatus (ATCC No.
                                  8482).

                                 Spore-formers

Soybean-Casein Digest..........  1. Bacillus subtilis    20 to 25
                                  (ATCC No. 6633).        deg.C.

                                 Non-spore-formers

                                 2. Candida albicans         Do.
                                  (ATCC No. 10231).
                                 3. Micrococcus luteus       Do.
                                  (ATCC No. 9341).
------------------------------------------------------------------------

    ATCC strains of microorganisms described in this section are 
available from the American Type Culture Collection, 12301 Parklawn Dr., 
Rockville, MD 20852. Periodic tests shall be performed to verify the 
integrity of the test organisms in accordance with Sec. 610.18 (a) and 
(b). The results of these periodic tests shall be recorded and retained 
in accordance with Sec. 600.12(b) of this chapter.
    (iii) Storage and maintenance of cultures of test organisms. 
Cultures of the test organisms used to determine the growth-promoting 
qualities of the medium shall be stored in a manner that will prevent 
cross contamination or loss of identity, at a temperatre and by a method 
that will retain the initial characteristics of the organisms and ensure 
freedom from contamination and deterioration. If the test organisms are 
stored in the freeze-dried state, or frozen, they shall be reconstituted 
or thawed, whichever is applicable, and plated periodically to verify 
the colony count of the suspension. If the test suspensions are stored 
in a state other than freeze-dried or frozen, they shall be plated, and 
a colony count shall be performed at the time of each growth-promoting 
quality test to assure that not more than 100 organisms are used per 
test vessel. The results of tests for verification of the colony count 
shall be recorded and retained in accordance with Sec. 600.12(b) of this 
chapter.
    (iv) Storage and condition of media. A medium shall not be used if 
the extent of evaporation affects its fluidity, nor shall it be reused 
in a sterility test of the product. Fluid Thioglycollate Medium shall be 
stored in the dark at room temperature if the vessels are unsealed. 
Sealed vessels shall be stored at the manufacturer's specified storage 
temperature.
    Fluid Thioglycollate Medium shall not be used if more than the upper 
one-third of the medium has acquired a pink color. The medium may be 
restored once by heating on a steam bath or in free-flowing steam until 
the pink color disappears. The design of the test vessel for Fluid 
Thioglycollate Medium shall provide favorable aerobic and anaerobic 
conditions for growth of the microorganisms throughout the test period. 
Soybean-Casein Digest Medium shall be stored in the dark at 20 to 25 
deg.C. Unsealed vessels of either medium may be stored for more than 10 
days at the proper temperature, provided they are tested monthly for 
growth-promotion and found to be satisfactory. Sealed vessels of either 
medium may be stored at the proper temperature for a period of time not 
to exceed 1 year, provided they are tested for growth-promotion every 3 
months and found to be satisfactory. The results of such testing shall 
be recorded and retained in accordance with Sec. 600.12(b) of this 
chapter.

[[Page 69]]

    (v) Criteria for a satisfactory growth-promoting quality test. (a) 
One hundred or fewer organisms of each strain tested shall be used. The 
test is satisfactory if evidence of growth appears within 7 days in all 
vessels inoculated. If a lot of medium fails to support the growth of 
any test organism, or if the test results show that more than 100 
organisms of a strain were used or are necessary to promote growth in 
the lot of medium being tested, or if the growth is not a pure culture 
of the test organism, a second test may be performed. If it fails the 
second test, the lot of medium shall be rejected.
    (b) Inoculated Fluid Thioglycollate Medium shall be incubated at 30 
to 35  deg.C for 7 days. If the test medium is to be used in determining 
the sterility of a product containing a mercurial preservative, a second 
test shall be performed in accordance with paragraph (e)(2)(v)(a) of 
this section, except that the test shall be incubated at 20 to 25  deg.C 
for 7 days. Inoculated Soybean-Casein Digest Medium shall be incubated 
at 20 to 25  deg.C for 7 days. The sterility of each lot of medium shall 
be confirmed by the incubation of uninoculated control test vessels for 
7 days at the temperature(s) for that particular medium. The lot of 
medium is satisfactory if no growth is observed in the control test 
vessels within the incubation period. The tests for growth-promoting 
qualities of culture media may be performed simultaneously with 
sterility testing of biological products, provided the sterility test is 
considered invalid if the test medium shows no growth response.
    (vi) Volume of culture medium. The volume of each culture medium 
shall be determined for each bulk and final container sterility test 
required for each product. The ratio of the volume of inoculum to the 
volume of culture medium shall result in a dilution of the product that 
is not bacteriostatic or fungistatic, except for products to be tested 
by membrane filtration. The volume of inhibitors or neutralizers of 
preservatives added should be considered in determining the proper ratio 
of inoculum/medium. Vessels of the product-medium mixture(s) and control 
vessels of the medium shall be inoculated with dilutions of cultures of 
bacteria or fungi which are viable in the product being tested, and 
incubated at the appropriate temperature for no less than 7 days.
    (f) Membrane filtration. Bulk and final container material or 
products containing oil products in water-insoluble ointments may be 
tested for sterility using the membrane filtration procedure set forth 
in the United States Pharmacopeia (23d Revision, 1995), section entitled 
``Test Procedures Using Membrane Filtration,'' pp. 1689 to 1690, which 
is incorporated by reference in accordance with 5 U.S.C. 552(a) and 1 
CFR part 51. Copies are available from the United States Pharmacopeial 
Convention, Inc., 12601 Twinbrook Pkwy., Rockville, MD 20852, or 
available for inspection at the Center for Drug Evaluation and 
Research's Division of Medical Library, 5600 Fishers Lane, rm. 11B-40, 
Rockville, MD, or at the Office of the Federal Register, 800 North 
Capitol St. NW., suite 700, Washington, DC, except that:
    (1) The test samples shall conform with paragraph (d) of this 
section; and
    (2) In addition, for products containing a mercurial preservative, 
the product shall be tested in a second test using Fluid Thioglycollate 
Medium incubated at 20 to 25\1/2\C in lieu of the test in Soybean-Casein 
Digest Medium.
    (g) Exceptions. Bulk and final container material shall be tested 
for sterility as described above in this section, except as follows:
    (1) Different sterility tests prescribed. When different sterility 
tests are prescribed for a product in this subchapter.
    (2) Alternate incubation temperatures. Two tests may be performed as 
prescribed in paragraph (a)(1)(i) of this section, one test using an 
incubation temperature of 18 to 22  deg.C, the other test using an 
incubation temperature of 30 to 37  deg.C, in lieu of performing one 
test using an incubation temperature of 30 to 35  deg.C, provided that 
growth-promoting quality tests have been performed at these 
temperatures.
    (3) [Reserved]
    (4) Test precluded or not required. (i) The tests prescribed in this 
section need not be performed for Whole Blood, Cryoprecipitated AHF, 
Platelets, Red Blood Cells, Plasma, Source Plasma,

[[Page 70]]

Smallpox Vaccine, Reagent Red Blood Cells, Anti-Human Globulin, or Blood 
Grouping Reagent.
    (ii) Where a manufacturer submits data which the Director, Center 
for Biologics Evaluation and Research, finds adequate to establish that 
the mode of administration, the method of preparation, or the special 
nature of the product precludes or does not require a sterility test or 
that the sterility of the lot is not necessary to assure the safety, 
purity, and potency of the product, the Director may exempt a product 
from the sterility requirements of this section subject to any 
conditions necessary to assure the safety, purity, and potency of the 
product.
    (5) Number of final containers more than 20, less than 200. If the 
number of final containers in the filling is more than 20 or less than 
200, the sample shall be no less than 10 percent of the containers.
    (6) Number of final containers--20 or less. If the number of final 
containers in a filling is 20 or less, the sample shall be two final 
containers, or the sample need be no more than one final container, 
provided (i) the bulk material met the sterility test requirements and 
(ii) after filling, it is demonstrated by testing a simulated sample 
that all surfaces to which the product was exposed were free of 
contaminating microorganisms. The simulated sample shall be prepared by 
rinsing the filling equipment with sterile 1.0 percent peptone solution, 
pH 7.1 0.1, which shall be discharged into a final container 
by the same method used for filling the final containers with the 
product.
    (7) Samples--large volume of product in final containers. For 
Albumin (Human) and Plasma Protein Fraction (Human), when the volume of 
product in the final container is 50 milliliters or more, the final 
containers selected as the test sample may contain less than the full 
volume of product in the final containers of the filling from which the 
sample is taken: Provided, That the containers and closures of the 
sample are identical with those used for the filling to which the test 
applies, and the sample represents all stages of that filling.
    (8) Diagnostic biological products not intended for injection. For 
diagnostic biological products not intended for injection, (i) only the 
Fluid Thioglycollate Medium test incubated at 30 to 35  deg.C is 
required, (ii) the volume of material for the bulk test shall be no less 
than 2.0 milliliters, and (iii) the sample for the final container test 
shall be no less than three final containers if the total number filled 
is 100 or less, and, if greater, one additional container for each 
additional 50 containers or fraction thereof, but the sample need be no 
more than 10 containers.
    (9) Immune globulin preparations. For immune globulin preparations, 
the test samples from the bulk material and from each final container 
need be no more than 2.0 ml.
    (h) Records. The records related to the testing requirements of this 
section shall be prepared and maintained as required by Secs. 211.167 
and 211.194 of this chapter.

[38 FR 32056, Nov. 20, 1973, as amended at 41 FR 4015, Jan. 28, 1976; 41 
FR 10428, Mar. 11, 1976; 44 FR 11754, Mar. 2, 1979; 49 FR 15187, Apr. 
18, 1984; 49 FR 23834, June 8, 1984; 50 FR 4133, Jan. 29, 1985; 51 FR 
44906, Dec. 15, 1986; 53 FR 12764, Apr. 19, 1988; 55 FR 11013, Mar. 26, 
1990; 62 FR 48175, Sept. 15, 1997; 67 FR 9587, Mar. 4, 2002]