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1
The EDQM’s Holistic Anti-
Counterfeiting Strategy
François-Xavier LERY
Head of Section for Pharmaceutical Care,
Consumer Health Protection and Anti-
Counterfeiting
EDQM
2
Disclaimer
The views and opinions expressed in the following
PowerPoint slides are those of the individual presenter and
should not be attributed to Drug Information Association,
Inc. (“DIA”), its directors, officers, employees, volunteers,
members, chapters, councils, Special Interest Area
Communities or affiliates, or any organisation with which the
presenter is employed or affiliated.
These PowerPoint slides are the intellectual property of the
individual presenter and are protected under the copyright
laws of the United States of America and other countries.
Used by permission. All rights reserved. Drug Information
Association, DIA and DIA logo are registered trademarks or
trademarks of Drug Information Association Inc. All other
trademarks are the property of their respective owners.
3
Disclosure Statement
 I have no real or apparent relevant financial relationships to disclose
I am employed by a regulatory agency, and have nothing to disclose
Please note that DIA is not requesting a numerical amount to be entered for any
disclosure, please indicate by marking the check box, and then providing the
company name only for those disclosures you may have.
Will any of the relationships reported in the chart above impact your ability to present an
unbiased presentation? Yes No  N/A
In accordance with the ACPE requirements, if the disclosure statement is not completed or returned,
participation in this activity will be refused.
Type of Financial Interest within last 12
months
Name of Commercial Interest
 Grants/Research Funding
 Stock Shareholder
 Consulting Fees
 Employee
 Other (Receipt of Intellectual
Property Rights/Patent Holder,
Speaker’s Bureau)
EDQM’s Holistic Anti-Counterfeiting
Strategy
François-Xavier Lery ©2015 EDQM, Council of Europe. All rights reserved.
Control
MedicrimeSituation
Multi-
sectorial
training
5
EU customs seizures
2013
Small consignments
(postal & courier traffic,
72% of detentions):
top category = medicines
(19%)
Overall 10% of detained articles = medicines
(out of a stable figure of 36 million articles)
Source: PSI
The issue
François-Xavier Lery ©2015 EDQM, Council of Europe. All rights reserved.
6
Council of Europe Convention on the counterfeiting of
medical products and similar crimes involving threats to
public health (CETS 211)
The Medicrime convention
François-Xavier Lery ©2015 EDQM, Council of Europe. All rights reserved.
First international treaty bridging health & criminal law by
criminalising:
• intentional manufacturing of counterfeit medical
products
• supplying, offering to supply & trafficking in
counterfeit medical products
• falsification of documents
• unauthorised manufacture or supply of medicinal
products or the marketing of medical devices that do
not comply with conformity requirements (“similar
crimes”)
7
The Medicrime convention
François-Xavier Lery ©2015 EDQM, Council of Europe. All rights reserved.
• generic medical products authorised for marketing by
a competent authority (around the world)
• IPR-holders can seek legal recourse via specific IPR
legislation
• non-intentional breaches of quality norms, good
practices/ standards in manufacture /distribution
8
The Medicrime convention: what it does not
cover
François-Xavier Lery ©2015 EDQM, Council of Europe. All rights reserved.
Global vocation – open for signature
all over the world
Map of Countries that have signed/ratified the MEDICRIME
Convention
EDQM activities in the field of Medicrime
• EDQM training platform
• basic/advanced level
• EDQM Multidisciplinary trainers pool: police, customs,
health
• 2007-ongoing: 300+ health-police-customs officials
from #50 states (Europe, Africa, South-America,
South-East Asia) trained
• Single Points of Contact: SPOCs
• Database of “Counterfeit Reports”: KnowX
10François-Xavier Lery ©2015 EDQM, Council of Europe. All rights reserved.
OMCL = Official Medicines Control Laboratory
• OMCLs are public institutions which support
regulatory authorities in controlling the quality of
medicinal products for human and veterinary use
• OMCLs test medicinal products independently
from manufacturers (no conflicts of interest,
guarantee of impartiality, respecting
confidentiality)
OMCL is a recognised term in the EU legislation
11François-Xavier Lery ©2015 EDQM, Council of Europe. All rights reserved.
Falsified medicines testing
• Need for collaboration between customs, police, law
court, health authorities for identification and
quantification of falsified/illegal medicines
• e.g. support of forensic labs in complementary testing, acting
as technical experts at court
• Range of activities developed:
• “Counterfeit Report” Data Pool – KnowX database (# 1500 reports)
• Suspicious Unknown Products (SUP) Project
• Counterfeit/Illegal Medicines Testing Training and Symposia
• Market Surveillance Studies on Suspected Illegal Products (MSSIP)
• Counterfeit/Illegal Medicines Working Group
• API Testing Projects
12François-Xavier Lery ©2015 EDQM, Council of Europe. All rights reserved.
API Fingerprint Project
API Methods Status Date completed
Amoxicillin trihydrate GC + HPLC Completed April 2012
Pseudoephedrine HCl GC + HPLC Completed June 2012
Tilidine hemihydrate HCl GC + HPLC Completed July 2012
Methylphenidate HCl GC + HPLC Completed February 2012
Roxithromycine GC + XRPDa Completed September 2011
Ursodeoxycholic acid 2 HPLC Completed February 2013
13
a X-ray powder diffraction
Phase 1 of the API Fingerprint Project in collaboration
with API manufacturers
Phase 2 of the API Fingerprint Project
Wider group of APIs (macrolide ATB and statins); pre-
definition of test parameters by OMCLs and chemometrics
François-Xavier Lery ©2015 EDQM, Council of Europe. All rights reserved.
Wrap-up
François-Xavier Lery ©2015 EDQM, Council of Europe. All rights reserved.
Control
MedicrimeSituation
Multi-
sectorial
training
Thanks for your attention
François-Xavier Lery ©2015 EDQM, Council of Europe. All rights reserved.
Back-up slides for questions
EDQM training platform
• Coordinated/animated by Committee of Experts CMED(1)
• EDQM multidisciplinary trainers pool: police, customs,
health (experts and CMED-delegates; non commercial;
plurilingual)
• Systematically evaluated (short/mid-term) and
constantly further developed: basic/advanced level
• “Train the trainers” concept
• 2007-ongoing: 300+ health-police-customs officials from
#50 states (Europe, Africa, South-America, South-East
Asia) trained
17
(1) Committee of Experts on Minimising the Public Health Risks
Posed by Counterfeiting of Medical Products and Related Crimes
(CD-P-PH/CMED)
EDQM training platform (2)
• 2007 Strasbourg (basic)
• 2012 hosted by Armenia (advanced)
• 2013 hosted by Latvia (SPOCs)
• 2014: Morocco (SPOC in partnership with EU EC
DEVCO-funded REPT project)
• 2015: Philippines (SPOC in partnership with Asian-
Pacific Economic Cooperation APEC)
18
Single Points of Contact: SPOCs
• National contact point responsible for
transmitting and receiving requests for
information and/or co-operation
• National level (Art. 18 Medicrime Convention):
health (medicines/devices), customs, police and
judicial authorities
• International cooperation (Art. 22 Medicrime)
• Goal:
• information collection, reports
• prevention/management of risks and unlawful acts
19
Database of “Counterfeit Reports”: KnowX
Database of “Counterfeit Reports” with restricted
access rights for involved parties (authorities/SPOCs)
• Testing (information exchange tool for OMCL network)
• Health/Police/Customs authorities’ reports
• « Cold cases” - investigation is closed
• Support by pictures, photos
• Administrative and technical information
• > 1600 testing reports
• No Rapid Alert system!!!
20

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150415 DIA Paris

  • 1. 1 The EDQM’s Holistic Anti- Counterfeiting Strategy François-Xavier LERY Head of Section for Pharmaceutical Care, Consumer Health Protection and Anti- Counterfeiting EDQM
  • 2. 2 Disclaimer The views and opinions expressed in the following PowerPoint slides are those of the individual presenter and should not be attributed to Drug Information Association, Inc. (“DIA”), its directors, officers, employees, volunteers, members, chapters, councils, Special Interest Area Communities or affiliates, or any organisation with which the presenter is employed or affiliated. These PowerPoint slides are the intellectual property of the individual presenter and are protected under the copyright laws of the United States of America and other countries. Used by permission. All rights reserved. Drug Information Association, DIA and DIA logo are registered trademarks or trademarks of Drug Information Association Inc. All other trademarks are the property of their respective owners.
  • 3. 3 Disclosure Statement  I have no real or apparent relevant financial relationships to disclose I am employed by a regulatory agency, and have nothing to disclose Please note that DIA is not requesting a numerical amount to be entered for any disclosure, please indicate by marking the check box, and then providing the company name only for those disclosures you may have. Will any of the relationships reported in the chart above impact your ability to present an unbiased presentation? Yes No  N/A In accordance with the ACPE requirements, if the disclosure statement is not completed or returned, participation in this activity will be refused. Type of Financial Interest within last 12 months Name of Commercial Interest  Grants/Research Funding  Stock Shareholder  Consulting Fees  Employee  Other (Receipt of Intellectual Property Rights/Patent Holder, Speaker’s Bureau)
  • 4. EDQM’s Holistic Anti-Counterfeiting Strategy François-Xavier Lery ©2015 EDQM, Council of Europe. All rights reserved. Control MedicrimeSituation Multi- sectorial training
  • 5. 5 EU customs seizures 2013 Small consignments (postal & courier traffic, 72% of detentions): top category = medicines (19%) Overall 10% of detained articles = medicines (out of a stable figure of 36 million articles) Source: PSI The issue François-Xavier Lery ©2015 EDQM, Council of Europe. All rights reserved.
  • 6. 6 Council of Europe Convention on the counterfeiting of medical products and similar crimes involving threats to public health (CETS 211) The Medicrime convention François-Xavier Lery ©2015 EDQM, Council of Europe. All rights reserved.
  • 7. First international treaty bridging health & criminal law by criminalising: • intentional manufacturing of counterfeit medical products • supplying, offering to supply & trafficking in counterfeit medical products • falsification of documents • unauthorised manufacture or supply of medicinal products or the marketing of medical devices that do not comply with conformity requirements (“similar crimes”) 7 The Medicrime convention François-Xavier Lery ©2015 EDQM, Council of Europe. All rights reserved.
  • 8. • generic medical products authorised for marketing by a competent authority (around the world) • IPR-holders can seek legal recourse via specific IPR legislation • non-intentional breaches of quality norms, good practices/ standards in manufacture /distribution 8 The Medicrime convention: what it does not cover François-Xavier Lery ©2015 EDQM, Council of Europe. All rights reserved.
  • 9. Global vocation – open for signature all over the world Map of Countries that have signed/ratified the MEDICRIME Convention
  • 10. EDQM activities in the field of Medicrime • EDQM training platform • basic/advanced level • EDQM Multidisciplinary trainers pool: police, customs, health • 2007-ongoing: 300+ health-police-customs officials from #50 states (Europe, Africa, South-America, South-East Asia) trained • Single Points of Contact: SPOCs • Database of “Counterfeit Reports”: KnowX 10François-Xavier Lery ©2015 EDQM, Council of Europe. All rights reserved.
  • 11. OMCL = Official Medicines Control Laboratory • OMCLs are public institutions which support regulatory authorities in controlling the quality of medicinal products for human and veterinary use • OMCLs test medicinal products independently from manufacturers (no conflicts of interest, guarantee of impartiality, respecting confidentiality) OMCL is a recognised term in the EU legislation 11François-Xavier Lery ©2015 EDQM, Council of Europe. All rights reserved.
  • 12. Falsified medicines testing • Need for collaboration between customs, police, law court, health authorities for identification and quantification of falsified/illegal medicines • e.g. support of forensic labs in complementary testing, acting as technical experts at court • Range of activities developed: • “Counterfeit Report” Data Pool – KnowX database (# 1500 reports) • Suspicious Unknown Products (SUP) Project • Counterfeit/Illegal Medicines Testing Training and Symposia • Market Surveillance Studies on Suspected Illegal Products (MSSIP) • Counterfeit/Illegal Medicines Working Group • API Testing Projects 12François-Xavier Lery ©2015 EDQM, Council of Europe. All rights reserved.
  • 13. API Fingerprint Project API Methods Status Date completed Amoxicillin trihydrate GC + HPLC Completed April 2012 Pseudoephedrine HCl GC + HPLC Completed June 2012 Tilidine hemihydrate HCl GC + HPLC Completed July 2012 Methylphenidate HCl GC + HPLC Completed February 2012 Roxithromycine GC + XRPDa Completed September 2011 Ursodeoxycholic acid 2 HPLC Completed February 2013 13 a X-ray powder diffraction Phase 1 of the API Fingerprint Project in collaboration with API manufacturers Phase 2 of the API Fingerprint Project Wider group of APIs (macrolide ATB and statins); pre- definition of test parameters by OMCLs and chemometrics François-Xavier Lery ©2015 EDQM, Council of Europe. All rights reserved.
  • 14. Wrap-up François-Xavier Lery ©2015 EDQM, Council of Europe. All rights reserved. Control MedicrimeSituation Multi- sectorial training
  • 15. Thanks for your attention François-Xavier Lery ©2015 EDQM, Council of Europe. All rights reserved.
  • 16. Back-up slides for questions
  • 17. EDQM training platform • Coordinated/animated by Committee of Experts CMED(1) • EDQM multidisciplinary trainers pool: police, customs, health (experts and CMED-delegates; non commercial; plurilingual) • Systematically evaluated (short/mid-term) and constantly further developed: basic/advanced level • “Train the trainers” concept • 2007-ongoing: 300+ health-police-customs officials from #50 states (Europe, Africa, South-America, South-East Asia) trained 17 (1) Committee of Experts on Minimising the Public Health Risks Posed by Counterfeiting of Medical Products and Related Crimes (CD-P-PH/CMED)
  • 18. EDQM training platform (2) • 2007 Strasbourg (basic) • 2012 hosted by Armenia (advanced) • 2013 hosted by Latvia (SPOCs) • 2014: Morocco (SPOC in partnership with EU EC DEVCO-funded REPT project) • 2015: Philippines (SPOC in partnership with Asian- Pacific Economic Cooperation APEC) 18
  • 19. Single Points of Contact: SPOCs • National contact point responsible for transmitting and receiving requests for information and/or co-operation • National level (Art. 18 Medicrime Convention): health (medicines/devices), customs, police and judicial authorities • International cooperation (Art. 22 Medicrime) • Goal: • information collection, reports • prevention/management of risks and unlawful acts 19
  • 20. Database of “Counterfeit Reports”: KnowX Database of “Counterfeit Reports” with restricted access rights for involved parties (authorities/SPOCs) • Testing (information exchange tool for OMCL network) • Health/Police/Customs authorities’ reports • « Cold cases” - investigation is closed • Support by pictures, photos • Administrative and technical information • > 1600 testing reports • No Rapid Alert system!!! 20

Editor's Notes

  1. A multi-billion € business Easy and highly profitable: not as risky as trafficking illicit drugs Killing silently but not smoothly: Health damage when no/wrong active ingredient, harmful ingredients, inconsistent batch quality Undermining trust in public healthcare systems http://www.psi-inc.org/incidentTrends.cfm
  2. Suspicious Unknown Products (SUP) programme = Proficiency Testing Study (PTS)-like study on unknown samples 6 hands-on Counterfeit/Illegal Medicines Testing Trainings for OMCL 2012-2015 2 Counterfeit/Illegal Medicines Testing Symposia 2011 and 2014 3 MSSIP: Slimming Dietary Supplements, Dietary Supplements advertised as Sexual Potency Enhancers, “Anabolics” Support of “API fingerprint” project for the detection of falsified APIs including illegal API sources