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Analysing the EU PVG regulations Manoj SHARMA,Ph.D (Clin.Pharmacology, FRANCE) Pharmacovigilance Unit Clinical Research Department Panacea Biotec.
Overview of Presentation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Pharmacovigilance ,[object Object],[object Object],[object Object],[object Object]
Current trend in pharmacovigilance PHARMACOVIGILANCE PVG should start before initiating phase I studies and continue through the Life cycle of the product
Background ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],Pharmacovigilance Why??
PVG Legislation in Europe:Milestones ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Parameters for regulation: Quality Safety  Efficacy
EU PVG regulations Served as a model for development of ICH E2A and E2C CIOMS working group I and II CIOMS/WHO Working Group on Vaccine Pharmacovigilance Management of Safety Information from Clinical Trials. CIOMS working group VI Current challenges in Pharmacovigilance: Pragmatic approaches CIOMS working group V Benefit-Risk balance for marketed drugs. Evaluating safety signals. CIOMS working group IV Guidelines for preparing core clincial safety information (CCSI) CIOMS working group III  The Rules Governing Medicinal Products in the European Union  –  Guidelines on Pharmacovigilance for Medicinal Products for Human Use  Vol 9A Good Clinical Practices  E6 Development safety update report E2F Pharmacovigilance planning for the early postmarketing period of a new drug (chemical entities, biotechnology-derived products, and vaccines)  E2E Post-approval safety data managament: Definitions ans standards for Expedited reporting  E2D Clinical Safety data management: Periodic Safety update report (PSUR) E2C Data elements for transmission of ICSRs E2BM Clinical safety data management: Definitions and standards for expedited reporting E2A
The national pharmacovigilance systems of the Member states together form the pharmacovigilance system in the EU Cooperates in a network structure under the co-ordination of the EMEA and in Liasion with the European Commission. EEA: Norway, Iceland and Liechtenstein Pharmacovigilance model
Member states and RA Source: European Commission ,Enterprise and Industry Directorate General,2006 Regulatory Authority Member state MHRA United Kingdom Pharmacovigilance Unit Medicinal Product Agency Sweden -Agencia Espanola de Medicamentos y Productos Sanitarios Spain INFARMED, Departmento de Farmacovigilancia Portugal -College ter Beoordeling van Geneesmiddelen/ Medicines Evaluation Board Netherlands Direction de la Santé Division de la Pharmacie at des Médicament Luxembourg Drug Safety ssociate, Pharmacovigilance Unit, Irish Medicines Board Ireland Italian Medicines Agency-AIFA Italy National Organisation for Medicines (EOF) Division of Pharmaceutical Studies and Research Greece Bundesinstitut fur Arzeneimittel und Medizinprodukte (BfArM) Germany Agence Française de Sécurité Sanitaire des Produits de Sante France Clinical Trials Enforcement & Inspection National Agency for Medicines Finland The Danish Medicines Agency Clinical Trials, Inspection and Enforcement Division  Denmark Federal Public Service Health, Food Chain Safety and Enviornment Directorate-General Medicinal Products Belgium
[object Object],[object Object],[object Object],Marketing authorisation types : EU PVG requirements apply to all  authorised medicinal products in  EU and EEA states (Iceland, Liechtenstein and Norway)
[object Object],[object Object],[object Object],[object Object],EU Regulatory Pharmacovigilance :  Objective
Legal Basis, Principles and Organisation of EU PVG System
Legal requirements Medicinal Product Registration National / Mutual recognition procedure Directive 2001/83/EC of 6 Nov 2 Directive 2002/98/EC of 27Jan2003 Directive2003/63/EC of 25 June2003 Directive2004/24/EC of 31 March 2004 & Directive 2004/27/EC of 31 March 2004  ,[object Object],[object Object],[object Object]
European PVG : National or Mutual recognition licensing procedures
European PVG for Medicinal Products : National or Mutual Recognition Licensing Procedure Title IX of Directive 2001/83/EC (PVG Obligations) Agency (EMEA) MAH EC European  Comission Member States (MS ) Article 106  in relation to publication of PVG guidance Article 105 : collaboration with MS and EC, to set up a data processing network for exchange of PVG information to enable all the competent authorities to share PVG information at the same time Article 101 : reporting of ADRS by HCP to competent authorities  Article 105:  ensure reporting to agency,  otherMS and MAH with in 15 days using agency’s data processing network Article 103:  QPPV Article104: Obligations of MAH
 
 
Marketing Authorization Holder
Article 104 for MAH :Key Features ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
The Agency (EMEA)
GUIDANCE Article 106 of Directive 2001/83/EC and Article 26 of Regulation (EC) No. 726/2004 require the Commission, in consultation with the agency, the Member States and interested parties, to produce guidance on the collection, verification and presentation of adverse reaction reports so as to facilitate the exchange of pharmacovigilance information with in the EU
 
 
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European PVG : Centrally Authorised Medicinal Products
European PVG :  Centrally Authorised Medicinal Products Title II (Chapter 3)  of Regulation (EC) No.726/2004 Agency (EMEA) MAH EC European  Comission Member States (MS ) Article 26  in relation to publication of PVG guidance Article 22:  Obligations of MAH Article23:  QPPV Article 24:  reporting requirements and PSUR PVG (Human Use)   Article 22   : Cooperation with national pharmacovigilance systems. Article 27:  Collaboration with WHO Article 57 (1) (d) :  Dissemination of information on adverse reactions. Use of database  (Eudravigilance) Article 22   : competent authorities of member states to ensure that all relevant information about suspected adverse reactions to centrally authorised products   Article 25:  member states to record and report them to agency and MAH with in 15 days of reciept of information/
 
The Agency (EMEA):   Centrally Authorised Product
 
Marketing Authorization Holder : Centrally Authorised Product QPPV Role MAH MAH
Clinical Trial Directive
Clinical Trials Directive
Clinical Trial Directive: Key Features ,[object Object],[object Object],[object Object],[object Object],[object Object],Once a year throughout the clincial trial the sponsor should provide the member states  In whose territories the CT are being conducted, and the ethics committee , with a listing of all suspected serious  ADR which have occurred over the period,  and a report of the subjects safety
European Pharmacovigilance-Member State Implementation
United Kingdom: Post licensing division and Comission on Human Medicines (CHM) Suspected ADR reporting Yellow Card ADROIT Database For urgent medicinal product hazard warning Dear Health Care Professional Letters Evaluation of reports to identify possible risk factors contributing to the occurrence of the reactions Source:http://www.opsi.gov.uk
 
Italy ,[object Object],Pharmacovigilance Violations A fine from Euro30,000 to Euro 18000 to the MAH Euro 20,000 to Euro 120,000: QPPV Submission of person responsible for PVG at the public institutions to disciplinary  proceedings ,as per law Source: Legal Basis in EU in Pharmacovigilance: second edition,2007
France Agence française de sécurité sanitaire des produits de sainté Source:http://www.afssaps.fr/
Germany ,[object Object],[object Object],Source: Legal Basis in EU in Pharmacovigilance: second edition,2007
 
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Analysing the EU PVG regulations

  • 1. Analysing the EU PVG regulations Manoj SHARMA,Ph.D (Clin.Pharmacology, FRANCE) Pharmacovigilance Unit Clinical Research Department Panacea Biotec.
  • 2.
  • 3.
  • 4. Current trend in pharmacovigilance PHARMACOVIGILANCE PVG should start before initiating phase I studies and continue through the Life cycle of the product
  • 5.
  • 6.
  • 7.
  • 8. EU PVG regulations Served as a model for development of ICH E2A and E2C CIOMS working group I and II CIOMS/WHO Working Group on Vaccine Pharmacovigilance Management of Safety Information from Clinical Trials. CIOMS working group VI Current challenges in Pharmacovigilance: Pragmatic approaches CIOMS working group V Benefit-Risk balance for marketed drugs. Evaluating safety signals. CIOMS working group IV Guidelines for preparing core clincial safety information (CCSI) CIOMS working group III The Rules Governing Medicinal Products in the European Union – Guidelines on Pharmacovigilance for Medicinal Products for Human Use Vol 9A Good Clinical Practices E6 Development safety update report E2F Pharmacovigilance planning for the early postmarketing period of a new drug (chemical entities, biotechnology-derived products, and vaccines) E2E Post-approval safety data managament: Definitions ans standards for Expedited reporting E2D Clinical Safety data management: Periodic Safety update report (PSUR) E2C Data elements for transmission of ICSRs E2BM Clinical safety data management: Definitions and standards for expedited reporting E2A
  • 9. The national pharmacovigilance systems of the Member states together form the pharmacovigilance system in the EU Cooperates in a network structure under the co-ordination of the EMEA and in Liasion with the European Commission. EEA: Norway, Iceland and Liechtenstein Pharmacovigilance model
  • 10. Member states and RA Source: European Commission ,Enterprise and Industry Directorate General,2006 Regulatory Authority Member state MHRA United Kingdom Pharmacovigilance Unit Medicinal Product Agency Sweden -Agencia Espanola de Medicamentos y Productos Sanitarios Spain INFARMED, Departmento de Farmacovigilancia Portugal -College ter Beoordeling van Geneesmiddelen/ Medicines Evaluation Board Netherlands Direction de la Santé Division de la Pharmacie at des Médicament Luxembourg Drug Safety ssociate, Pharmacovigilance Unit, Irish Medicines Board Ireland Italian Medicines Agency-AIFA Italy National Organisation for Medicines (EOF) Division of Pharmaceutical Studies and Research Greece Bundesinstitut fur Arzeneimittel und Medizinprodukte (BfArM) Germany Agence Française de Sécurité Sanitaire des Produits de Sante France Clinical Trials Enforcement & Inspection National Agency for Medicines Finland The Danish Medicines Agency Clinical Trials, Inspection and Enforcement Division Denmark Federal Public Service Health, Food Chain Safety and Enviornment Directorate-General Medicinal Products Belgium
  • 11.
  • 12.
  • 13. Legal Basis, Principles and Organisation of EU PVG System
  • 14.
  • 15. European PVG : National or Mutual recognition licensing procedures
  • 16. European PVG for Medicinal Products : National or Mutual Recognition Licensing Procedure Title IX of Directive 2001/83/EC (PVG Obligations) Agency (EMEA) MAH EC European Comission Member States (MS ) Article 106 in relation to publication of PVG guidance Article 105 : collaboration with MS and EC, to set up a data processing network for exchange of PVG information to enable all the competent authorities to share PVG information at the same time Article 101 : reporting of ADRS by HCP to competent authorities Article 105: ensure reporting to agency, otherMS and MAH with in 15 days using agency’s data processing network Article 103: QPPV Article104: Obligations of MAH
  • 17.  
  • 18.  
  • 20.
  • 21.
  • 23. GUIDANCE Article 106 of Directive 2001/83/EC and Article 26 of Regulation (EC) No. 726/2004 require the Commission, in consultation with the agency, the Member States and interested parties, to produce guidance on the collection, verification and presentation of adverse reaction reports so as to facilitate the exchange of pharmacovigilance information with in the EU
  • 24.  
  • 25.  
  • 26.
  • 27.  
  • 28. European PVG : Centrally Authorised Medicinal Products
  • 29. European PVG : Centrally Authorised Medicinal Products Title II (Chapter 3) of Regulation (EC) No.726/2004 Agency (EMEA) MAH EC European Comission Member States (MS ) Article 26 in relation to publication of PVG guidance Article 22: Obligations of MAH Article23: QPPV Article 24: reporting requirements and PSUR PVG (Human Use) Article 22 : Cooperation with national pharmacovigilance systems. Article 27: Collaboration with WHO Article 57 (1) (d) : Dissemination of information on adverse reactions. Use of database (Eudravigilance) Article 22 : competent authorities of member states to ensure that all relevant information about suspected adverse reactions to centrally authorised products Article 25: member states to record and report them to agency and MAH with in 15 days of reciept of information/
  • 30.  
  • 31. The Agency (EMEA): Centrally Authorised Product
  • 32.  
  • 33. Marketing Authorization Holder : Centrally Authorised Product QPPV Role MAH MAH
  • 36.
  • 38. United Kingdom: Post licensing division and Comission on Human Medicines (CHM) Suspected ADR reporting Yellow Card ADROIT Database For urgent medicinal product hazard warning Dear Health Care Professional Letters Evaluation of reports to identify possible risk factors contributing to the occurrence of the reactions Source:http://www.opsi.gov.uk
  • 39.  
  • 40.
  • 41. France Agence française de sécurité sanitaire des produits de sainté Source:http://www.afssaps.fr/
  • 42.
  • 43.  
  • 44.