ICH, Globalization & Drive of
Pharmaceutical Regulatory Sciences
Dr. Obaid Ali
Civil Service Officer, Member, ISPE, PDA
26 March 2017
Not the
view of
DRAP
Current
judgment
No
obligation
on DRAP
Regulatory
experience
D
I
S
C
L
A
I
M
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References US-FDA WHO ICH NRAs
Lets think
What will happen if Pharmaceutical Industry does
not exist or stop working in world?
Who Cares?
It is Pharmaceutical Industry … Science … Research ..
Safe, efficacious & have correct
identity
Deliver the same performance as
claimed
Perform consistently over shelf
life
Made in a manner that ensure
quality
Will be available when needed
Patient and
Doctor
assume that
Drugs are
Lets think
What will happen if Pharmaceutical Industry is not
regulated in the world?
Typically Consumer Can not
see Quality
Safety Efficacy Quality
Pre Market
Manufacturing &
Supply
Post Market
Translational
Science
Constitution Act Regulations
Policies Initiatives
Innovation
Science
Need justifies Outcome
Risk
Benefit
Science of Regulation
Judge
Efficacy
Performance
Quality
Safety
Tools
ApproachesStandards
Emerging Science & Innovation
Increasing Disease Burden
Expanding Regulatory Complexity
Globalization
Harmonization
I
C
H
Harmoniz/sation Works
USA
JapanEU
Members Observers
WHO
Health
Canada
Unique Approach
International Conference on Harmonization
(ICH) was created in 1990
Agreement between the EU, Japan and the USA
to harmonize different regional requirements for
registration of pharmaceutical drug products
Unique because joint effort by regulators and
associated pharmaceutical industry trade
associations
ICH Philosophy
Identification and elimination of the need
to duplicate studies to meet different
regulatory requirements
More efficient use of resources in the
R&D process, as a consequence
Quicker access for patients to safe and
effective new medicines
Lets align and keep it clear …. that ICH
is neither a forum of global politics nor a
trade negotiation, but a scientific forum
mainly covers “new drugs”
guidelines provide “how to collect data
scientifically for marketing
authorization”
Step by Step Moving Approach
Regulatory Implementation
Adoption of GL by Regulators/Publishing ICH GL
Regulatory Consultation/Consolidation of Comments
SC Agrees to Releasing Draft GL
Consensus Building/Drafting of GL
Working Groups
Safety Efficacy Quality Multidisciplinary
Steering Committee
Endorses topics, guidelines, and monitors progress
The way leading Agencies work
1
• Amending
Existing GLs
2
• Issuing New
GLs
3
• Law
Amendment
Formal Vehicles
Q&A Seminars Publications Etc.
Implementation Process Flow
Topic Selection
Dissemination
Publication
Training
Implementation
Management
Good guideline topic
selection
Formal communication
process
Active distribution
Educating users
Putting guideline „theory‟
into „practice‟
Active monitoring
of utilization
Guideline must be value-
added and ‘implementable’
Use multiple avenues
Targeted; via meetings;
also to non-ICH groups
‘Early, often, all’; within and
across organizations
Integrated process; address
questions/issues
Feedback to ICH SC
Implementation StepProcess Actions
A „mature‟ harmonization initiative
A series of technical guidelines emerging, a
dictionary of medical terms, electronic
standards and a common format
Multiple ICH conferences
Witnessing increased interest in and use of
ICH guidelines globally
Formation and evolution of Global
Cooperation Group (GCG)
ICH
Today
Q1
…
Q12
Q
S1
…
S11
S
E1
…
E18
E
M1
…
M8
M
ICH
Today
Following over a
decade of significant
achievements in the
harmonization of Q,
S, E requirements for
the registration of
new drugs in the
three ICH regions,
Is the work of
ICH mostly done?
Will ICH become a
maintenance-only
organization?
Proper balance b/w maintenance and new activities
New topics of high value & objectives are achievable
Most efficient use and management of resources
Flexible enough to deal evolving science/technologies
….. More transparent
Appropriate time to evaluate the future of ICH to ensure:
NO
Tangible Outcomes
Standardized
Data Elements
Controlled
Vocabularies
Common
Format
Tangible Outcomes
Speaksame
language
Quality,accuracy
&consistency
Improve
timeliness
CTD/eCTD
reducesdelays
andcosts
Opening new Horizons continued
• Review
Current
Practice at
regional
and ICH
level
• Options
Strengthen
transparency
and
communication
• GCG
Communicat
ion &
engagement
with non-
ICH regions
& parties
Global Cooperation Group
Established March 1999 as sub-
committee of ICH Steering Committee
Formed to respond to this growing
interest in ICH guidelines
Name reflective of desire to establish
links with non-ICH regions
InformationSharing
JointMeetings
Regional Harmonization Initiatives
APEC ASEAN GCC PANDRH SADC
A Bridge from ICH to the world beyond
Openness and Transparency
Yesterday Dream is a Reality Today
Moving beyond
bounds of ICH
Serve as unique forum
for harmonization
initiatives to discuss
Best
practices
Lessons
learned
Innovative approaches
to harmonization and
regulation
Road where traffic is moving ahead
ICH technical
guidelines
Harmonization/
regulation
Training and
capacity
building
There is no harm to have a Dream
One
world
One
patient
One drug
One
quality
One time
Harmonization & Joint Working Initiatives
I
G
D
R
P
Collaboration Convergence
Regulatory
Mandate
Increased
work load
Globalization
Scientific
complexity
Mutual
Reliance
Work
sharing
Efficient
use of
Resource
Faster
review
Greater
availability
Generics
Harmonization & Joint Working Initiatives
P
I
C
S
PIC 1970
PIC/S
1995
Re-
organized
in Jan
2014
Membership of
Pharmaceutical Inspection Co-operation Scheme
(PIC/S)
A gate way towards best protection and promotion of
public health and Pharmaceutical industries
Purpose
Cooperation
…mutual
confidence
Exchange of
information &
experience
Mutual training &
Technical Expertise
Improvement &
Harmonization
Continuity of
common efforts for
GMP
Equivalent
standard for global
harmonization
Closing Message
We can be blind to the obvious, and we are
also blind to our blindness
Daniel Kahneman

1 OA ICH Background