The National Association of Pharmaceutical Manufacturers (NAPM) was established in 1977 as A Section 21 Trade Association which. It is a voluntary, non-profit organisation consisting of South African and Generics based Pharmaceutical manufacturers and distributors. The NAPM has a diverse membership comprising of 18 companies. Part of the NAPM’s function is to ensure that the sector plays a constructive role in our country’s economic growth, development and transformation and thereby create an environment in which the sector can thrive, expand, be competitive and enhance access of medicines to all of our country’s citizens.
NAPM is a Section 21 Trade Association which was established in 1977. It is a voluntary, non-profit organisation consisting of South African and Generics based Pharmaceutical manufacturers and distributors. NAPM has a diverse membership comprising of 24 companies. Some of the NAPM’s function is to ensure that the sector plays a constructive role in our country’s economic growth, development and transformation and thereby create an environment in which the sector can thrive, expand, be competitive and enhance access of medicines to all of our country’s citizens.
This document analyzes and dispels five common myths about the drug delivery industry. It argues that drug delivery has delivered many new products, the market is growing not declining, the business model can be sustainable, product line extensions using drug delivery approaches are effective strategies, and drug delivery companies offer diverse technologies, not just similar controlled release solutions. The drug delivery industry plays a key role in addressing challenges in pharma by developing improved treatment options.
This issue of Pharma Uptoday provides news and updates from the pharmaceutical regulatory world. Key highlights include:
- The MHRA says it provided free expert advice to AstraZeneca on building a new UK manufacturing plant, and this help is available to all drugmakers.
- Common deficiencies cited in MHRA inspections relate to manufacturers' quality systems.
- An API plant of Dr. Reddy's in India received a US FDA Form 483 with nine observations primarily related to procedural compliance issues.
- Various regulatory agencies like Health Canada, TGA, and the Indian government announce new guidances, regulations, and plans to improve clinical trial quality standards.
1.Patients have poor or no knowledge of the price variations among branded and generic medicines, and leave the choice of the medicine to the doctor.
2.The government must take up generic promotional schemes, general awareness programs on quality of generics to build confidence among prescribers, pharmacists, and consumers.
QPS is a contract research organization that specializes in developing close relationships with clients based on trust and mutual respect. They offer flexible and nimble clinical work to improve outsourced work quality and reduce oversight needs. Their biosimilar drug development expertise can help clients advance their biosimilar portfolios in a timely manner for the benefit of patients worldwide.
The life sciences industry is a key contributor to the Canadian and global economies. In the pursuit of competitive advantage, participants in the pharmaceutical, biotech, medical device and diagnostic, and health-careservices sectors have seen significant growth attributed to major leaps in technology and an unprecedented demand for health-related goods and services. This growth has paralleled the expansion and imposition of more stringent regulatory requirements, improvement of market access, aggressive patent acquisition and enforcement, strategic M&A activity, and increased product liability claims and other litigation.
This report highlights insights and developments relating to a wide range of legal, business and consumer issues currently impacting the life sciences industry in Canada and abroad. These highlights were prepared by Blakes based on non-confidential information gathered in our practices, as well as through a review of publicly available information. Through
a series of articles, we examine the implications of some of the recent legal developments impacting the sector, including the Supreme Court of Canada’s decision to uphold Ontario’s ban on private-label generic drugs, the enforcement of prohibitions on pharmacy-related loyalty points in B.C., the Competition Bureau’s ongoing consideration of competition among pharmaceutical companies, and recent trends in Canadian litigation. We also discuss issues relating to the navigation of transfer-pricing rules, protecting intellectual property in the development of combination products, and obtaining financing for new product development and business expansion efforts. Supplementing our discussion of these matters are snapshots of consumer-facing and market trends, including integrated patient care and direct-to-consumer sales.
Hi
I am Rahul Ranjan Rai, perusing MBA from Jaypee Business School and I have completed this Project under the supervision of Pro. Evan Costle (france). I hope this presentation will help you to understand the emerging concepts in Generic Industry
Thank you
Regards
Rahul
This document provides an overview of key trends in the generic pharmaceutical industry in South Africa, as reported by the National Association of Pharmaceutical Manufacturers. It discusses challenges facing generic medicine suppliers, including prescriber and consumer perceptions, intellectual property issues, regulatory delays, and pricing factors. It also summarizes the chairman's comments on recent generic market growth trends and provides details on guidelines proposed for biosimilar medicines.
NAPM is a Section 21 Trade Association which was established in 1977. It is a voluntary, non-profit organisation consisting of South African and Generics based Pharmaceutical manufacturers and distributors. NAPM has a diverse membership comprising of 24 companies. Some of the NAPM’s function is to ensure that the sector plays a constructive role in our country’s economic growth, development and transformation and thereby create an environment in which the sector can thrive, expand, be competitive and enhance access of medicines to all of our country’s citizens.
This document analyzes and dispels five common myths about the drug delivery industry. It argues that drug delivery has delivered many new products, the market is growing not declining, the business model can be sustainable, product line extensions using drug delivery approaches are effective strategies, and drug delivery companies offer diverse technologies, not just similar controlled release solutions. The drug delivery industry plays a key role in addressing challenges in pharma by developing improved treatment options.
This issue of Pharma Uptoday provides news and updates from the pharmaceutical regulatory world. Key highlights include:
- The MHRA says it provided free expert advice to AstraZeneca on building a new UK manufacturing plant, and this help is available to all drugmakers.
- Common deficiencies cited in MHRA inspections relate to manufacturers' quality systems.
- An API plant of Dr. Reddy's in India received a US FDA Form 483 with nine observations primarily related to procedural compliance issues.
- Various regulatory agencies like Health Canada, TGA, and the Indian government announce new guidances, regulations, and plans to improve clinical trial quality standards.
1.Patients have poor or no knowledge of the price variations among branded and generic medicines, and leave the choice of the medicine to the doctor.
2.The government must take up generic promotional schemes, general awareness programs on quality of generics to build confidence among prescribers, pharmacists, and consumers.
QPS is a contract research organization that specializes in developing close relationships with clients based on trust and mutual respect. They offer flexible and nimble clinical work to improve outsourced work quality and reduce oversight needs. Their biosimilar drug development expertise can help clients advance their biosimilar portfolios in a timely manner for the benefit of patients worldwide.
The life sciences industry is a key contributor to the Canadian and global economies. In the pursuit of competitive advantage, participants in the pharmaceutical, biotech, medical device and diagnostic, and health-careservices sectors have seen significant growth attributed to major leaps in technology and an unprecedented demand for health-related goods and services. This growth has paralleled the expansion and imposition of more stringent regulatory requirements, improvement of market access, aggressive patent acquisition and enforcement, strategic M&A activity, and increased product liability claims and other litigation.
This report highlights insights and developments relating to a wide range of legal, business and consumer issues currently impacting the life sciences industry in Canada and abroad. These highlights were prepared by Blakes based on non-confidential information gathered in our practices, as well as through a review of publicly available information. Through
a series of articles, we examine the implications of some of the recent legal developments impacting the sector, including the Supreme Court of Canada’s decision to uphold Ontario’s ban on private-label generic drugs, the enforcement of prohibitions on pharmacy-related loyalty points in B.C., the Competition Bureau’s ongoing consideration of competition among pharmaceutical companies, and recent trends in Canadian litigation. We also discuss issues relating to the navigation of transfer-pricing rules, protecting intellectual property in the development of combination products, and obtaining financing for new product development and business expansion efforts. Supplementing our discussion of these matters are snapshots of consumer-facing and market trends, including integrated patient care and direct-to-consumer sales.
Hi
I am Rahul Ranjan Rai, perusing MBA from Jaypee Business School and I have completed this Project under the supervision of Pro. Evan Costle (france). I hope this presentation will help you to understand the emerging concepts in Generic Industry
Thank you
Regards
Rahul
This document provides an overview of key trends in the generic pharmaceutical industry in South Africa, as reported by the National Association of Pharmaceutical Manufacturers. It discusses challenges facing generic medicine suppliers, including prescriber and consumer perceptions, intellectual property issues, regulatory delays, and pricing factors. It also summarizes the chairman's comments on recent generic market growth trends and provides details on guidelines proposed for biosimilar medicines.
This document is a project report submitted by Mr. Santosh Panchakshari Salgare to the Department of Management Sciences at Savitribai Phule Pune University. The project involved conducting a study to understand the prescription pattern of generic drugs at Hindustan Antibiotics Limited in Pimpri, Pune. The report includes an introduction to the pharmaceutical industry, company profile of Hindustan Antibiotics Limited, objectives, methodology, findings and analysis of the study, and conclusions and recommendations.
U.S. dependency on foreign pharmaceutical production imposes vulnerability to failure
Authors: Veronika Valdova, D.V.M. and Ronald L Sheckler
Affiliation: Arete-Zoe, LLC
ABSTRACT
Pharmaceutical supply chains have become increasingly complex due to the shift of manufacturing and critical operations to Asia. U.S. pharmaceutical dependency on foreign sole-source production of essential materials imposes vulnerability affecting the entire industry and national health systems from interruption by exposure to natural events and man-made threats, both accidental and criminal as well as political. Sector vulnerabilities stem from complex regulatory landscape, difficulties for enforcement of quality standards at foreign facilities, single-source supply chain resulting from limited sourcing options, increasing shipping distance exposure to both natural events and complicated by maritime chokepoints. Periodic and chronic shortages of many essential products across therapeutic categories have been significant for more than a decade. The Covid-19 crisis aggravated some of these long-standing issues and made the systemic vulnerabilities publicly evident. The combination of limited capacity to exercise control over essential commodities, the long-term trend of outsourcing, with the politicization of business relationships causes the entire pharmaceutical industrial sector to be internationally dependent, creating numerous potentials for systemic failure.
Generic Medicine and its Future Prospects in IndiaAnkita Bharti
Its is one of the project assigned to us in Rural Marketing!!! Mine topic was Generic Medicine and its future prospects in India keeping in mind the High Expenditure an average Indian has capacity to bear.
Hope its liked and appreciated by people. I will be also sharing a slide with a small online survey I did in this context which will provide a bit more insight in this aspect to everyone.
Hope people will find this useful and informative..
WHAT IS THE DIFFERENCE BETWEEN PCD, GENERIC, AND ETHICAL PHARMA SECTORS?ambitbiomedix12
DIFFERENCE BETWEEN PCD, GENERIC, AND ETHICAL PHARMA SECTORS. Read More: https://bit.ly/2GFIONg
Are you a little bit confused about the difference between PCD, Generic, and Ethical Pharma Sectors? This blog gives the required information concisely and precisely.
Website: http://ambitbiomedix.com/
Social Media:
Facebook - https://www.facebook.com/ambitbiomedix/?ref=settings
Instagram - https://www.instagram.com/ambit_bio_medix/
Twitter - https://twitter.com/ambitbiomedix?lang=en
Linkedin - https://www.linkedin.com/company/ambit%E2%84%A2-bio-medix/about/
Youtube - https://www.youtube.com/watch?v=GPzB82AjvQA&t=3s
This document provides an overview of regulatory affairs and the new drug development process. It defines regulatory affairs as a profession focused on collecting, analyzing, and communicating risk-benefit information of healthcare products to regulatory agencies. The new drug development process involves discovery, pre-clinical studies, investigational new drug application, clinical trials, new drug application, and post-marketing activities. Key goals of regulatory affairs include protecting human health, ensuring safety and efficacy, and providing accurate product information.
Generic medicines promulgating growth and access rev1Balaji Ramadurai
Large population of poor people in India, find it difficult to afford the more expensive branded category of medicines. They were fired up by our PM's “Jan Aushadhi” scheme which ensures availability of quality medicines at affordable prices to all.
My students are doing their bit for the country . Appreciate if you could look through their work and encourage them for their future. In case you need to contact them, we have provided the contacts on their project material.
Orphan drugs are pharmaceutical agents that treat rare diseases or conditions affecting less than 200,000 people in the United States. The Orphan Drug Act provides incentives for developing these drugs, including 7 years of market exclusivity and tax credits. Since its passage, over 3,600 orphan drugs have been designated. By 2020, orphan drugs are projected to make up 20.2% of worldwide prescription drug sales due to their high prices and lack of alternatives for patients.
The UK Medicines and Healthcare products Regulatory Agency (MHRA) has developed a strategy to combat falsified medical products with the objective of reducing risks to patients and consumers. The strategy aims to enhance legal frameworks at the European Union and Council of Europe levels related to falsified medicines and strengthen safety features and controls for actors in the medical supply chain. It also addresses issues like internet sales of medicines and controls on active pharmaceutical ingredients.
Drug shortages are serious global problem in delivering healthcare. This presentation was delivered at the 5th Pharmaceutical care Conference in Oman (February 11, 2015)
The document summarizes key changes in proposed new EU regulations for clinical trials:
- The new regulations aim to streamline and harmonize rules across EU states to make multinational clinical trials less costly and bureaucratic.
- Currently, regulations are criticized for disproportionately high costs and lack of harmonization that have reduced EU clinical trials by 25%.
- Key changes in the new regulations are aimed at restoring EU competitiveness in clinical research and development of new treatments.
The document summarizes two recent developments in Canadian pharmaceutical regulation: 1) Health Canada's revised guidance on assessing drug brand names to prevent confusion, which is a more stringent process, and 2) Vanessa's Law, which expands the Minister of Health's powers to assess safety risks of drugs and devices post-marketing and compel information from sponsors. The guidance provides sponsors direction for Health Canada's initial and sponsor conducted brand name reviews, which assess confusion likelihood. Vanessa's Law aims to further protect Canadians from unsafe drugs and devices currently on the market.
This document discusses generics versus brand name anti-epileptic drugs (AEDs). It notes that generics have the same active ingredients and biological effects as brand names, but some concerns exist regarding their approval process and effects on certain populations like children and the elderly. While regulatory agencies say existing bioequivalence rules are adequate, both they and patient advocacy groups may be biased. The document concludes there is reason for concern about current generic regulations and advises doctors to track what medications patients receive and educate others to minimize risks of substituting generics.
A presentation I did for my Leadership and Special Topics in Pharmaceutical Marketing and Management class on social media. I completed this project with Tae Lee.
Merck is facing losing patents on some major drugs like Vasotac and Mevacor. Possible solutions are mergers or focusing on innovation. Merck's new product process was previously slow to respond to competitors, but it now develops cross-functional teams early in the process. Developing specialized patented drugs helps Merck capture new markets. However, drug development faces risks if products fail trials or competitors launch first. The pharmaceutical industry faces challenges like patent expirations and increasing drug resistance. Porter's five forces analysis shows barriers to entry are high in pharmaceuticals due to R&D costs and required scale, while buyers have significant bargaining power.
BIOSIMILARS - Regulation and Market Trends Joseph Pategou
Nowadays patients and physicians can have access to three types of drugs: a originators, a generic or a biosimilar.
Those drugs have different regulatory systems that apply in Europe; moreover the biosimilars regulation is evolving and may change. Regulation is an important factor that can give more confidence to patients and healthcare professionals. As a consequence, biosimilaires will grow.
The document discusses pharmaceutical marketing practices in India and the development of a Uniform Code of Pharmaceutical Marketing Practices (UCPMP). It notes that while the UCPMP aims to standardize ethical practices, some remain skeptical of its effectiveness without strict enforcement. Concerns have been raised about the influence of pharmaceutical company promotions on doctor prescribing habits. The UCPMP framework outlines principles for ethical product promotion, prohibiting gifts to influence prescribing, and requiring transparency around expenditures.
This document discusses the challenges and strategies for successful orphan drug development. It notes that despite small patient populations, orphan drug development has grown significantly due to regulatory incentives. However, orphan drug development faces challenges including difficulties designing studies due to lack of disease information, problems recruiting small patient populations, and regulatory complexities. The document recommends three strategies for overcoming these challenges: 1) partnering with experienced CROs knowledgeable in rare diseases, 2) engaging key opinion leaders to help with sites and education, and 3) allowing flexibility in protocols and budgets to address unexpected changes common in rare disease studies. Overall the document outlines the benefits and hurdles of orphan drug development and provides guidance on navigating clinical and regulatory obstacles.
UCPMP guidelines pharma marketing code by http://www.dailyrounds.org/blog/ucp...Siddhartha Dash
Uniform code for pharmaceutical marketing Practices UCPMP Guidelines, Codes and Impact on Industry by DailyRounds.org (Largest network of doctors 200000+ & counting).
http://www.dailyrounds.org/blog/ucpmp-uniform-code-of-pharmaceuticals-marketing/
The document discusses generic drugs and biosimilars. It provides biographical information about the speaker and outlines key questions about generics that will be addressed. Generic drugs are defined as comparable but not identical to brand name drugs in dosage, strength, quality and performance. Biosimilars are similar to biologic drugs but require more extensive testing than generics due to their complex nature. The market for generic drugs is large and growing, particularly in emerging markets, as major drugs lose patent protection.
FDA Promotes Transparency, Collaboration for 2018Georgia_Bull
The Food and Drug Administration (FDA) prepares to shake up its traditional processes in the hopes of improving quality patient care and driving down the costs of drugs.
To recap the previous month's pharma highlights to Pharma Uptoday followers, Monthly magazine Volume 17 has been released with the following content.
News Uptoday
New Guidance
Audit Findings
483 Observations
EU Non Compliance Report
- INTEGRA LIFE SCIENCES CORP, United States
- JINAN JINDA PHARMACEUTICAL CHEMISTRY CO., LTD., China
- WUXI JIDA PHARMACEUTICAL CO., LTD, China
- PARABOLIC DRUGS LIMITED, India
Warning Letters
- Mahendra Chemicals, India
Regulations of the Month
- Sec. 211.25 Personnel qualifications
- Sec. 211.28 Personnel responsibilities
Survey report pharmaceutical marketing ethical and responsible conductbrandsynapse
The survey found that over 50% of respondents believe that guidelines from the Medical Council of India and Department of Pharmaceuticals on interactions between pharmaceutical companies and healthcare professionals will not be effective in ensuring ethical marketing of drugs in India due to a lack of legislative support and potential for manipulation. Additionally, around 72% felt that the Medical Council was not strongly enforcing its own ethics guidelines. Only 36% believed the Medical Council's guidelines would impact drug sales.
This document is a project report submitted by Mr. Santosh Panchakshari Salgare to the Department of Management Sciences at Savitribai Phule Pune University. The project involved conducting a study to understand the prescription pattern of generic drugs at Hindustan Antibiotics Limited in Pimpri, Pune. The report includes an introduction to the pharmaceutical industry, company profile of Hindustan Antibiotics Limited, objectives, methodology, findings and analysis of the study, and conclusions and recommendations.
U.S. dependency on foreign pharmaceutical production imposes vulnerability to failure
Authors: Veronika Valdova, D.V.M. and Ronald L Sheckler
Affiliation: Arete-Zoe, LLC
ABSTRACT
Pharmaceutical supply chains have become increasingly complex due to the shift of manufacturing and critical operations to Asia. U.S. pharmaceutical dependency on foreign sole-source production of essential materials imposes vulnerability affecting the entire industry and national health systems from interruption by exposure to natural events and man-made threats, both accidental and criminal as well as political. Sector vulnerabilities stem from complex regulatory landscape, difficulties for enforcement of quality standards at foreign facilities, single-source supply chain resulting from limited sourcing options, increasing shipping distance exposure to both natural events and complicated by maritime chokepoints. Periodic and chronic shortages of many essential products across therapeutic categories have been significant for more than a decade. The Covid-19 crisis aggravated some of these long-standing issues and made the systemic vulnerabilities publicly evident. The combination of limited capacity to exercise control over essential commodities, the long-term trend of outsourcing, with the politicization of business relationships causes the entire pharmaceutical industrial sector to be internationally dependent, creating numerous potentials for systemic failure.
Generic Medicine and its Future Prospects in IndiaAnkita Bharti
Its is one of the project assigned to us in Rural Marketing!!! Mine topic was Generic Medicine and its future prospects in India keeping in mind the High Expenditure an average Indian has capacity to bear.
Hope its liked and appreciated by people. I will be also sharing a slide with a small online survey I did in this context which will provide a bit more insight in this aspect to everyone.
Hope people will find this useful and informative..
WHAT IS THE DIFFERENCE BETWEEN PCD, GENERIC, AND ETHICAL PHARMA SECTORS?ambitbiomedix12
DIFFERENCE BETWEEN PCD, GENERIC, AND ETHICAL PHARMA SECTORS. Read More: https://bit.ly/2GFIONg
Are you a little bit confused about the difference between PCD, Generic, and Ethical Pharma Sectors? This blog gives the required information concisely and precisely.
Website: http://ambitbiomedix.com/
Social Media:
Facebook - https://www.facebook.com/ambitbiomedix/?ref=settings
Instagram - https://www.instagram.com/ambit_bio_medix/
Twitter - https://twitter.com/ambitbiomedix?lang=en
Linkedin - https://www.linkedin.com/company/ambit%E2%84%A2-bio-medix/about/
Youtube - https://www.youtube.com/watch?v=GPzB82AjvQA&t=3s
This document provides an overview of regulatory affairs and the new drug development process. It defines regulatory affairs as a profession focused on collecting, analyzing, and communicating risk-benefit information of healthcare products to regulatory agencies. The new drug development process involves discovery, pre-clinical studies, investigational new drug application, clinical trials, new drug application, and post-marketing activities. Key goals of regulatory affairs include protecting human health, ensuring safety and efficacy, and providing accurate product information.
Generic medicines promulgating growth and access rev1Balaji Ramadurai
Large population of poor people in India, find it difficult to afford the more expensive branded category of medicines. They were fired up by our PM's “Jan Aushadhi” scheme which ensures availability of quality medicines at affordable prices to all.
My students are doing their bit for the country . Appreciate if you could look through their work and encourage them for their future. In case you need to contact them, we have provided the contacts on their project material.
Orphan drugs are pharmaceutical agents that treat rare diseases or conditions affecting less than 200,000 people in the United States. The Orphan Drug Act provides incentives for developing these drugs, including 7 years of market exclusivity and tax credits. Since its passage, over 3,600 orphan drugs have been designated. By 2020, orphan drugs are projected to make up 20.2% of worldwide prescription drug sales due to their high prices and lack of alternatives for patients.
The UK Medicines and Healthcare products Regulatory Agency (MHRA) has developed a strategy to combat falsified medical products with the objective of reducing risks to patients and consumers. The strategy aims to enhance legal frameworks at the European Union and Council of Europe levels related to falsified medicines and strengthen safety features and controls for actors in the medical supply chain. It also addresses issues like internet sales of medicines and controls on active pharmaceutical ingredients.
Drug shortages are serious global problem in delivering healthcare. This presentation was delivered at the 5th Pharmaceutical care Conference in Oman (February 11, 2015)
The document summarizes key changes in proposed new EU regulations for clinical trials:
- The new regulations aim to streamline and harmonize rules across EU states to make multinational clinical trials less costly and bureaucratic.
- Currently, regulations are criticized for disproportionately high costs and lack of harmonization that have reduced EU clinical trials by 25%.
- Key changes in the new regulations are aimed at restoring EU competitiveness in clinical research and development of new treatments.
The document summarizes two recent developments in Canadian pharmaceutical regulation: 1) Health Canada's revised guidance on assessing drug brand names to prevent confusion, which is a more stringent process, and 2) Vanessa's Law, which expands the Minister of Health's powers to assess safety risks of drugs and devices post-marketing and compel information from sponsors. The guidance provides sponsors direction for Health Canada's initial and sponsor conducted brand name reviews, which assess confusion likelihood. Vanessa's Law aims to further protect Canadians from unsafe drugs and devices currently on the market.
This document discusses generics versus brand name anti-epileptic drugs (AEDs). It notes that generics have the same active ingredients and biological effects as brand names, but some concerns exist regarding their approval process and effects on certain populations like children and the elderly. While regulatory agencies say existing bioequivalence rules are adequate, both they and patient advocacy groups may be biased. The document concludes there is reason for concern about current generic regulations and advises doctors to track what medications patients receive and educate others to minimize risks of substituting generics.
A presentation I did for my Leadership and Special Topics in Pharmaceutical Marketing and Management class on social media. I completed this project with Tae Lee.
Merck is facing losing patents on some major drugs like Vasotac and Mevacor. Possible solutions are mergers or focusing on innovation. Merck's new product process was previously slow to respond to competitors, but it now develops cross-functional teams early in the process. Developing specialized patented drugs helps Merck capture new markets. However, drug development faces risks if products fail trials or competitors launch first. The pharmaceutical industry faces challenges like patent expirations and increasing drug resistance. Porter's five forces analysis shows barriers to entry are high in pharmaceuticals due to R&D costs and required scale, while buyers have significant bargaining power.
BIOSIMILARS - Regulation and Market Trends Joseph Pategou
Nowadays patients and physicians can have access to three types of drugs: a originators, a generic or a biosimilar.
Those drugs have different regulatory systems that apply in Europe; moreover the biosimilars regulation is evolving and may change. Regulation is an important factor that can give more confidence to patients and healthcare professionals. As a consequence, biosimilaires will grow.
The document discusses pharmaceutical marketing practices in India and the development of a Uniform Code of Pharmaceutical Marketing Practices (UCPMP). It notes that while the UCPMP aims to standardize ethical practices, some remain skeptical of its effectiveness without strict enforcement. Concerns have been raised about the influence of pharmaceutical company promotions on doctor prescribing habits. The UCPMP framework outlines principles for ethical product promotion, prohibiting gifts to influence prescribing, and requiring transparency around expenditures.
This document discusses the challenges and strategies for successful orphan drug development. It notes that despite small patient populations, orphan drug development has grown significantly due to regulatory incentives. However, orphan drug development faces challenges including difficulties designing studies due to lack of disease information, problems recruiting small patient populations, and regulatory complexities. The document recommends three strategies for overcoming these challenges: 1) partnering with experienced CROs knowledgeable in rare diseases, 2) engaging key opinion leaders to help with sites and education, and 3) allowing flexibility in protocols and budgets to address unexpected changes common in rare disease studies. Overall the document outlines the benefits and hurdles of orphan drug development and provides guidance on navigating clinical and regulatory obstacles.
UCPMP guidelines pharma marketing code by http://www.dailyrounds.org/blog/ucp...Siddhartha Dash
Uniform code for pharmaceutical marketing Practices UCPMP Guidelines, Codes and Impact on Industry by DailyRounds.org (Largest network of doctors 200000+ & counting).
http://www.dailyrounds.org/blog/ucpmp-uniform-code-of-pharmaceuticals-marketing/
The document discusses generic drugs and biosimilars. It provides biographical information about the speaker and outlines key questions about generics that will be addressed. Generic drugs are defined as comparable but not identical to brand name drugs in dosage, strength, quality and performance. Biosimilars are similar to biologic drugs but require more extensive testing than generics due to their complex nature. The market for generic drugs is large and growing, particularly in emerging markets, as major drugs lose patent protection.
FDA Promotes Transparency, Collaboration for 2018Georgia_Bull
The Food and Drug Administration (FDA) prepares to shake up its traditional processes in the hopes of improving quality patient care and driving down the costs of drugs.
To recap the previous month's pharma highlights to Pharma Uptoday followers, Monthly magazine Volume 17 has been released with the following content.
News Uptoday
New Guidance
Audit Findings
483 Observations
EU Non Compliance Report
- INTEGRA LIFE SCIENCES CORP, United States
- JINAN JINDA PHARMACEUTICAL CHEMISTRY CO., LTD., China
- WUXI JIDA PHARMACEUTICAL CO., LTD, China
- PARABOLIC DRUGS LIMITED, India
Warning Letters
- Mahendra Chemicals, India
Regulations of the Month
- Sec. 211.25 Personnel qualifications
- Sec. 211.28 Personnel responsibilities
Survey report pharmaceutical marketing ethical and responsible conductbrandsynapse
The survey found that over 50% of respondents believe that guidelines from the Medical Council of India and Department of Pharmaceuticals on interactions between pharmaceutical companies and healthcare professionals will not be effective in ensuring ethical marketing of drugs in India due to a lack of legislative support and potential for manipulation. Additionally, around 72% felt that the Medical Council was not strongly enforcing its own ethics guidelines. Only 36% believed the Medical Council's guidelines would impact drug sales.
Pharma Uptoday Monthly Magazine Volume 5, Issue Aug 2014Sathish Vemula
This document provides a summary of news and regulatory information related to the pharmaceutical industry. Key points include:
- The FDA released its strategic priorities document and is seeking public comments on how to ensure drug safety throughout a product's lifecycle.
- Novartis' Japan unit and a former employee were charged for allegedly manipulating data related to their blood pressure drug Diovan.
- The TGA published an updated summary of fees and is working to implement eCTD submissions for drug applications.
- The FDA filed a complaint seeking to permanently enjoin a California company from distributing vaginal drug products without approval.
- Industry groups in India are concerned about dependence on China for drug APIs and are calling for policies to promote
This document provides a business plan for a new pharmaceutical company called NEWTech Advant. The plan includes a situation analysis of the pharmaceutical market, noting trends like an aging population and increased regulation. It outlines NEWTech Advant's goals of improving existing drugs and discovering new ones. The marketing strategy discusses targeting physicians and patients aged 45+, and increasing market share through advertising. Financial objectives include achieving profitability in three years. The plan also analyzes strengths, weaknesses, opportunities and threats for the new company.
The document discusses quality management systems (QMS) and good manufacturing practices (GMP) and their benefits for businesses. It provides an overview of the key elements of a QMS and explains that a QMS establishes procedures and processes to ensure quality control across all aspects of a business. It then describes GMP guidelines which outline manufacturing and testing standards for pharmaceuticals and medical devices to ensure product quality and compliance. The document notes that many countries have legislation requiring companies to follow GMP procedures.
The FDA and industry: A recipe for collaborating in the New Health EconomyPwC
Pharmaceutical and life science companies and their chief regulator – the FDA – must find new ways to collaborate to meet 21st century demands.
Web Page: http://www.pwc.com/us/en/health-industries/health-research-institute/hri-pharma-life-sciences-fda.jhtml
The document discusses various topics related to international drug regulatory authorities and processes:
- It describes how an increasing number of Indian pharmaceutical companies are obtaining international regulatory approvals from agencies in countries like the US, UK, Australia, and others. India has the largest number of USFDA-approved plants for generic drug manufacturing.
- It provides an overview of the International Conference of Drug Regulatory Authorities (ICDRA), which provides a forum for drug authorities to meet, discuss collaboration, and determine priorities for strengthening regulation.
- It also briefly mentions the International Conference on Harmonisation (ICH), which discusses scientific and technical aspects of product registration to reduce redundant testing between regions.
The document discusses the need for the FDA to better regulate the dietary supplements industry in order to protect public safety. It notes that the billion dollar industry is currently under less stringent regulation than the pharmaceutical industry since supplements are classified as foods rather than drugs. This could allow unsafe products to reach consumers without proper testing or oversight. The authors propose several steps for the FDA to take including implementing pre-market regulations to review products for safety, educating consumers, and increasing independent case studies to hold manufacturers accountable. The goal is to ensure supplements are reliable and consumers can make informed choices to avoid potential health issues like mortality from overuse or contaminated products.
The document discusses the need for the FDA to better regulate the dietary supplements industry in order to protect public safety. It notes that the billion dollar industry is currently under less stringent regulation than the pharmaceutical industry, despite supplements sometimes having detrimental health effects. The authors propose that the FDA implement pre-market regulations and testing of supplements, educate consumers, and conduct more case studies to hold manufacturers accountable and remove unsafe products from the market. This would help ensure that supplements are reliable and that consumers are informed of benefits and risks.
Pharma Uptoday Monthly Magazine Volume 8 issue Nov 2014Sathish Vemula
To recap the previous month's pharma highlights to Pharma Uptoday members, Monthly magazine Volume 8 has been released with the following content.
3 News Uptoday
14 New Guidance
30 Audit Findings
483 Observations
- Exemplar Lab, MA
- Genentech Inc
- Celltex Therapeutics Corporation
- APP Pharmaceuticals, LLC
- Reganeron Pharmaceuticals, Inc.
Warning Letters
- Hospira, Austarlia
- Sanjiu Medical and Pharmaceutical Co.,
- Beacon Hill Medical Pharmacy
EMA Non-Compliance Reports
- Wockhardt Limited, Nani Daman
- Fujian South Pharmaceutical, China
40 Regulations of the Month
§211.184 Component, drug product container, closure, and labeling records
§ 211.186 Master production and control records
Opportunities of BDS in Pharmaceutical Industries.pptxDr. Manoj Kumbhare
India is the second-largest pharmaceutical market in Asia. ... A BDS graduate can have various job roles available in this sector: Principal Investigator, Co-investigator, Medical Advisor, Drug Developer, Regulatory Affairs Manager or even a Clinical Research Physician.
Career opportunities in the clinical research field are many and varied, with employment settings ranging from pharmaceutical and biotechnology, to medical device companies, contract research organizations, hospitals, educational institutions, independent contractors and more.
Many professionals with a strong science or healthcare related background — such as nurses, pharmacists, medical technologists, physicians and more — are well-positioned to join the clinical research field. Here are 10 career paths in the field.
Generic drug companies are relying heavily on qualified contract research organizations (CROs) to accelerate their development processes and be first to market after patents expire on branded drugs. CROs provide expertise across development areas like preclinical research, clinical trials management, bioequivalence studies, analytical testing, and ANDA submissions that help generics meet tight deadlines. Successfully demonstrating bioequivalence through bioavailability and dissolution studies is key for regulatory approval and requires CROs with strong laboratory capabilities and experience navigating regulatory requirements.
This project report discusses drug regulatory affairs and its importance. It provides an overview of regulatory departments and professionals, their roles, and necessary qualities. Regulatory authorities from India, the US, European Union, and Japan are examined. The report outlines the drug approval process in each region and highlights literature on regulatory issues faced by pharmaceutical companies. In conclusion, the report emphasizes that regulatory affairs has become essential for pharmaceutical companies due to globalization and the need to navigate varying international regulations and authorities.
Fda gmp compliance for the Life Science Industrydmanalan
The document discusses good manufacturing practices (GMP) required by the FDA for life science companies. It provides an overview of GMP regulations for drugs, medical devices, and combination products. It explains that the FDA focuses on a "state of control" during inspections to assess compliance. While drug GMPs and device quality system regulations differ in some details, the overall systems are similar. The document reviews how the regulations address statistical techniques and quality systems. It also outlines the FDA's systems-based approach to inspections.
3 News Uptoday
22 New Guidance
28 Audit Findings
483 Observations
- Caraco Pharmaceutical Laboratories
- Hospira Inc
- Novartis Consumer Health
- McNeil Consumer Healthcare
Warning Letters
- Hikma Farmaceutica, (Portugal) S.A.
- Cadila Pharmaceuticals Limited
- Sharp Global Limited
- Wells Pharmacy Network LLC
EMA Non-Compliance Reports
- Taishan City Chemical Pharmaceutical Co. Ltd., China
- Zhejiang Apeloa Kangyu Bio-Pharmaceutical Co. Ltd., China
- MANUEL RIESGO S.A., Spain
- Ranbaxy Laboratories Limited, Dewas, India
36 Regulations of the Month
§ 211.186 Master production and control records
§ 211.188 Batch production and control records
Unique Device Identification and GS1: Defining Elements in the Future of Glob...Loftware
This white paper, as the title suggests, is about new national and international mandates for a global standard to be used
in the Unique Device Identification (UDI) of medical devices and other healthcare products. It examines the global trading
opportunities, on an enormous scale, that can be captured by early adopters or forfeited by default by those who wait,
dismiss the idea, or discount the powerful market and competitive forces that UDI developments are driving. Also offered
is a starting blueprint for regulatory compliance professionals, packaging engineers, C-suite executives and manufacturing experts who agree the time to start meeting the UDI opportunity has clearly arrived.
IN THIS SUMMARY
The United States Food and Drug Administration (FDA) has significant reach in the American economy, ranging from medicines and medical devices to items on the grocery store shelves. Since its inception in 1906, the agency has faced a variety of technical and political challenges. Looking ahead, the FDA faces many new demands that could enlarge the agency’s already expansive mandate. New responsibilities may include the cost of medicine, consumers’ pursuit of perfection through drugs, consumer lifestyles, tobacco, and counterterrorism. As the nature of public health changes over time, it is inevitable that the FDA’s scope and responsibilities will change as well. In Inside the FDA, Fran Hawthorne explains the history of the FDA, how its processes work, and what the future may hold for this government agency.
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The document discusses opportunities and challenges for GSK's marketing strategy due to various political, economic, social and technological factors. It analyzes GSK's strengths like focus on R&D and parent synergy, as well as weaknesses like limited liquidity position. Opportunities discussed are launch of new products and growth in healthcare markets like India. Threats include uncertain R&D outcomes and government regulations. The document also discusses trends reshaping the healthcare industry like empowered patients and use of real-world data. Major changes in digital health are driving new opportunities for pharma companies.
An overview into benefits and functionality of #WordPress MultiSites. Build, manage and host multiple WordPress sites or blogs from a single installation. Visit http://corporate.studentbrands.co.za for more information. #StudentPower
Student Brands Pty Ltd conducted a small online survey relating to the Ice Cream industry. Specifically the @Cornetto brand. To find out more information regarding Student Brands Research department visit http://corporate.studentbrands.co.za #StudentPower
Facebook & Google+ Social Media report for the University of Johannesburg. Presented by Student Brands Digital, a division of Student Brands Pty Ltd.
More information about @StudentBrands & Social Media visit our website http://corporate.studentbrands.co.za
Student Brands digital, a division of Student Brands pty ltd, provides a reporting service to the University of Johannesburg. This is a mini mid month social media report on #Facebook & #Twitter accounts.
The document discusses the benefits of meditation for reducing stress and anxiety. Regular meditation practice can help calm the mind and body by lowering heart rate and blood pressure. Studies have shown that meditating for just 10-20 minutes per day can have significant positive impacts on both mental and physical health over time.
Student Brands Digital conducted a online survey on behalf of its clients. The research was conducted on 200 students in South Africa. The objective of the research was to gain an understanding into the students lifestyle, holiday costing travel and other vital information that would assist Student Brands client in identifying possible marketing and advertising opportunities in the South Africa youth marketspace. For more information visit http://corporate.studentbrands.co.za
#StudentPower
This report summarizes website, Twitter, and Facebook analytics for Student Brands Pty from July 1-7, 2014. Key metrics include over 15,000 page views on the website with over 1,800 unique ad impressions. On Twitter, 2 tweets were featured receiving 15 retweets and 17 URL clicks. Facebook saw 1 timeline post with an average 1,554 engagements, including 3 likes, 9 photo views, 1 share, and 12 unique URL clicks.
Student Brands Youth Publication - Tech Edition May 2014Student Brands
Student Brands 13th Edition code named Tech Edition was released in May 2014. The publication is filled with giveaways, competitions of high tech gadgets and features future technology trends. Distributed to university and college campuses across the country making this publication South Africa's leading youth publication with ABC certified visit http://www.studentbrands.co.za to view the interactive version #StudentPower
Student Brands is product to present the Mr. Price digital campaign for the month of June 2014. Elements include Sponsored article, sponsored sidebar Advert, SMS distribution and social media postings. Visit http://corporate.studentbrands.co.za for more information #StudentPower
Student Brands Facebook fan page report using simplymeasured.com for the month of April 2014
Visit http://www.studentbrands.co.za for more information
Youth Marketing Specialists #StudentPower
Youth Publication Sports Edition March 2014Student Brands
This document provides information on various topics, including:
- Amanda Dlamini, former Banyana Banyana captain who started a foundation to mentor young women and serves as an ambassador for Jockey underwear brand.
- Student athlete Gladwin Mzazi who has won medals in road running at World Student Games and aims to qualify for the 2016 Olympics.
- Advice from Marc Mundell on dreaming big and pursuing goals despite challenges.
- Technology that coaches can use to provide video feedback to athletes via apps and help improve their technique.
- The Huawei E5730 mobile Wi-Fi device that allows sharing an internet connection with multiple devices and serves as a portable phone charger
The document describes an interactive calendar for event management. It includes details about user login/authentication, adding new events which requires a title and description, and viewing a list of upcoming events. Upon submitting a new event, the user will get a completion notification and the event will be displayed in the list of upcoming events.
LinkedIn recruitment allows agencies to target passive job candidates and hiring managers through various touchpoints on LinkedIn. Media solutions can insert branding at the LinkedIn home page, employee profiles, personal inboxes, and career pages. Targeted ads, career pages, and employee branding ads help agencies differentiate themselves and engage candidates. Agencies can also send targeted messages ("Calls to Action") to leads who click on ads to request more information in real time.
This CRM was designed for the University of Johannesburg. The system uses custom built registration and OTP (One Time Pin) to verify and validate each users
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8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptxHolistified Wellness
We’re talking about Vedic Meditation, a form of meditation that has been around for at least 5,000 years. Back then, the people who lived in the Indus Valley, now known as India and Pakistan, practised meditation as a fundamental part of daily life. This knowledge that has given us yoga and Ayurveda, was known as Veda, hence the name Vedic. And though there are some written records, the practice has been passed down verbally from generation to generation.
TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by...Donc Test
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- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
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share - Lions, tigers, AI and health misinformation, oh my!.pptxTina Purnat
• Pitfalls and pivots needed to use AI effectively in public health
• Evidence-based strategies to address health misinformation effectively
• Building trust with communities online and offline
• Equipping health professionals to address questions, concerns and health misinformation
• Assessing risk and mitigating harm from adverse health narratives in communities, health workforce and health system
TEST BANK For Basic and Clinical Pharmacology, 14th Edition by Bertram G. Kat...rightmanforbloodline
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These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Here is the updated list of Top Best Ayurvedic medicine for Gas and Indigestion and those are Gas-O-Go Syp for Dyspepsia | Lavizyme Syrup for Acidity | Yumzyme Hepatoprotective Capsules etc
Basavarajeeyam is a Sreshta Sangraha grantha (Compiled book ), written by Neelkanta kotturu Basavaraja Virachita. It contains 25 Prakaranas, First 24 Chapters related to Rogas& 25th to Rasadravyas.
Cell Therapy Expansion and Challenges in Autoimmune DiseaseHealth Advances
There is increasing confidence that cell therapies will soon play a role in the treatment of autoimmune disorders, but the extent of this impact remains to be seen. Early readouts on autologous CAR-Ts in lupus are encouraging, but manufacturing and cost limitations are likely to restrict access to highly refractory patients. Allogeneic CAR-Ts have the potential to broaden access to earlier lines of treatment due to their inherent cost benefits, however they will need to demonstrate comparable or improved efficacy to established modalities.
In addition to infrastructure and capacity constraints, CAR-Ts face a very different risk-benefit dynamic in autoimmune compared to oncology, highlighting the need for tolerable therapies with low adverse event risk. CAR-NK and Treg-based therapies are also being developed in certain autoimmune disorders and may demonstrate favorable safety profiles. Several novel non-cell therapies such as bispecific antibodies, nanobodies, and RNAi drugs, may also offer future alternative competitive solutions with variable value propositions.
Widespread adoption of cell therapies will not only require strong efficacy and safety data, but also adapted pricing and access strategies. At oncology-based price points, CAR-Ts are unlikely to achieve broad market access in autoimmune disorders, with eligible patient populations that are potentially orders of magnitude greater than the number of currently addressable cancer patients. Developers have made strides towards reducing cell therapy COGS while improving manufacturing efficiency, but payors will inevitably restrict access until more sustainable pricing is achieved.
Despite these headwinds, industry leaders and investors remain confident that cell therapies are poised to address significant unmet need in patients suffering from autoimmune disorders. However, the extent of this impact on the treatment landscape remains to be seen, as the industry rapidly approaches an inflection point.
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2 IGBA 2015- special report
10 New findings on generics usage in SA indicate
significant savings on drugs expenditure
12 Bridging the Skills Gap
14 Generic Industry takes a stance on Trade Principles
18 Have the IP reforms stalled?
20 Study shows working moms’ mental health deteriorating
22 Manufacturing Indaba to encourages local production
23 SAPHRA becomes a reality
24 MC Pharma Group
25 Sunpharma
26 Regional Pharmaceutical Production
28 Notes
CONTENTS
KEY TRENDS
SPECIAL REPORT
INSIDE
4. LINKING OUR MEMBERS TO INDUSTRY NEWS AND VIEWS
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On September 16-18, 2015 the International
Generic Pharmaceutical Alliance (IGPA)
held its 18th Annual Meeting in Toronto,
Canada. IGPA is composed of members:
the Canadian Generic Pharmaceutical
Association (CGPA-Canada), the European
Generic and Biosimilars Medicines Association
(EGA-Europe), the Generic Pharmaceutical
Association (GPhA-USA), the Japan Generic
Medicines Association (JGA-Japan), the
Jordanian Association of Pharmaceutical
Manufacturers (JAPM-Jordan), the National
Association of Pharmaceutical Manufacturers
(NAPM-South Africa), and the Taiwan Generic
Pharmaceutical Association (TGPA-Taiwan)
with the generic medicines associations of
Australia, Brazil, and Mexico as Associate
Members.
Through its constituent member associations,
the IGPA maintains constant dialogue with the
International Conference on Harmonisation
(ICH), the World Health Organization (WHO),
the World Trade Organization (WTO), the
World Intellectual Property Organization
(WIPO), and other international organizations.
This year IGPA’s Chair and President was Jim
Keon, CGPA’s Chair and President, who kicked
off the main conference on September 17.
Keon announced that in recognition of the
increasing importance of biosimilars, IGPAå
will soon change its name to the International
Generic and Biosimilars Association (IGBA).
The Alliance recognizes that the success of
generic and biosimilar markets depend on
their reference innovator products and that
specialty pharmaceuticals have increasingly
become part of that picture.
Following a global dive into the generics
market by Alan Sheppard, Principal, Global
Generics, IMS Health, a Keynote Address
followed by Eric Hoskins, Minister of Health
and Long-Term Care, Province of Ontario.
Hoskins thanked the generic pharmaceutical
industry for helping to provide quality
medicines to those in need and to help with
the quality of life by bringing healthcare costs
BY KATHLEEN DOOLEY, BRIAN MALKIN
MCGUIREWOODS LLP
SPECIAL REPORT
IGPA 2015
FOCUSES ON BIOSIMILARS,
QUALITY, AND HARMONIZATION
IN TORONTO-9/25/2015
5. 3
IGPA 2015
down. Hoskins said that he is working with
the other Canadian provinces to increase use
of generic medicines, recognizing that they
work the same but cost less due to increased
market competition. Hoskins explained that
in Canada there is a tiered pricing for generic
products based on competitor products and
that there is an increasing need to work on
drug substitution lists.
Key industry leaders from North America,
Europe, and regional snapshots of ASEAN
and the Middle East/North Africa, provided
views of generic medicinal products
expanding worldwide. In the U.S., approval
times are starting to improve under the
Generic Drug User Fee Act (GDUFA) but
not as fast as predicted and with some
slow downs based on an ever-increasing
application load. In the European Union,
sustainable pricing policies are needed,
and there is good data to confirm that
biosimilar products are as safe and effective
as their referenced counterparts, suggesting
additional opportunities for substitution.
Hybrid products similar to 505(b)(2) NDAs
in Europe are becoming more popular
and further helping to fuel future growth.
For ASEAN and Middle/East North Africa
markets, there is increasing generic product
development amidst some localized concerns
of counterfeit products and recalls that affect
all segments of the pharmaceutical industry
periodically.
Howard Sklamberg, Deputy Commissioner
for Global Regulatory Operations and
Policy, FDA, discussed FDA’s new Request
for Quality Metrics Guidance issued some
Hoskins explained that in
Canada there is a tiered pricing
for generic products based on
competitor products and that
there is an increasing need to
work on drug substitution lists.
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50 days ago, and FDA’s vision that quality
metrics can predict disruptive mechanism and
prevent the recalls or shortage situations. FDA
is hoping that by monitoring drugs through
their product life cycle from innovator to
generic, FDA can identify areas of concern
and document where quality exceeds
regulatory requirements to provide not only
sticks for poor performance but carrots for
good work. The carrots may result in less
frequent inspections and shorter review
cycles for manufacturing changes, Sklamberg
suggested.
Sklamberg also said that FDA is looking for
more objective ways to measure quality that
is more obvious and fair rather than a laundry
list of findings in an inspection report. In
response to questions following the panel,
he added that FDA is looking for input to its
draft guidance and appreciates that the cost
of inspections cannot be underestimated.
Sklamberg added that FDA recognizes that
companies may paradoxically find that by
trying to avoid inspection reports they may
actually cause more errors, which is why
in part they are asking for industry input
regarding the proposed quality metrics plan.
In terms of mutual recognition of inspections
by foreign authorities, Sklamberg said that at
this point, FDA is not planning to add more
countries to the current list, in part because
FDA has found challenges with the process.
FDA has found that while countries can
share factual information about audits, the
conclusions from those audits, e.g., whether
regulatory action needs to be taken, rests
within their respective legal systems rather
than an objective result across the board.
Brendan Cuddy, Head of Manufacturing
and Quality Compliance Service, European
Medicines Association (EMA) said that
the EMA is also concerned with supply
disruptions, hoping to improve the supply
side of products, e.g., sources of active
pharmaceutical ingredients. Cuddy said that
the EMA is looking at adverse events beyond
Europe, because European medicines are
consumed outside of Europe as well, and
EMA continues to be concerned about data
integrity. The EMA is looking for convergence
to help support a more global approach to
authorization and supervision of medicines.
Yet there are issues of a lack of continuous
improvement, reduced manufacturing by
more company mergers, recalls and quality
defects rising, less investment in products,
and poor interactions between industry and
the regulator making such convergence
challenging. The EMA has witnessed known
problems in product development that still
make their way to production, leading to
shortages later and failures in technology
transfer. Cuddy asked, “Can you invest
in quality when it seems unaffordable to
compete?”, referring in part to the lack of
issue sharing between manufacturer and
supplier, e.g., manufacturers rank suppliers
internally but do not share the information
with the supplier.
Ajaz Hussain, Founder & President, Insight,
Advice and Solutions, LLC provided a
provocative view of quality culture, suggesting
that part of the issue is how predictably
irrational humans are when it comes to
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IGPA 2015
pleasure and pain. Hussain described the
“nocebo” effect, where the mere suggestion
that a patient may experience negative
symptoms in response to a medication
(or a sugar pill) may be a self-fulfilling
prophecy. This effect also makes patients
think generic drugs as less good than their
referenced counterpart, because they are
perceived as copies of an original. Hussain
sees quality by inspection as an ineffective
way for companies to comply with regulatory
requirements. In his experience, many
companies attempt to create quality with an
endless list of standard operating procedures
(SOPs) that no one understands. While
Hussain welcomes the concept of quality
metrics, he does not believe industry is
ready for FDA guidance yet. He does believe,
however, that when mistakes are made, it is
important to be transparent about them with
regulatory authorities as a first step to rebuild
trust along the road to fixing the underlying
problem.
In the next panel, three lawyers provided
perspectives on biosimilars patent litigation,
patent linkage in Korea, and developments
in antitrust competition law. Brian Malkin,
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Hussain described the “nocebo”
effect, where the mere suggestion
that a patient may experience
negative symptoms in response
to a medication (or a sugar pill)
may be a self-fulfilling prophecy.
This effect also makes patients
think generic drugs as less good
than their referenced counterpart,
because they are perceived as
copies of an original.
8. LINKING OUR MEMBERS TO INDUSTRY NEWS AND VIEWS
6
Senior Counsel, McGuireWoods provided an
overview of approval mechanisms, patent
linkages, and patent challenge strategies for
biosimilar products in Canada, the EU, Japan,
and the United States. Malkin’s presentation
suggested that while each region may have
different mechanisms to challenge patents,
global product development models required
understanding how to locate precedent from
jurisdictions where key patents had been
challenged. Seong-Ki Kim, Partner, Lee & Ko
IP, provided an overview of Korea’s patent
linkage system, which indicated that while
there has been some progress to develop
patent linkage in Korea, more progress
would be welcome to the generic industry.
And William H. Rooney, Partner, Willkie, Farr
and Gallagher LLP, explained the concept of
“pay-for-delay” and “scope of the patent” in
the context of antitrust litigations involving
pharmaceutical products.
The following day featured a panel of
chief executive officers from a variety of
pharmaceutical companies of different
sizes and focus areas. Common themes
included ongoing industry consolidation and
increasing concern about the supply chain
and its impact on product quality. In the U.S.,
CEOs expressed disappointment with initial
returns from GDUFA, which in part occurred
because of an underestimation of how large
an overhaul FDA’s operational systems
required. While ICH and other internationally-
oriented bodies have made progress with
innovator products, the CEOs observed that
there has been little harmonization around
bioequivalence standards. As a result,
generic companies are forced to develop
multiple bioequivalence approaches for
products, requiring duplicative but somewhat
different biostudies, and largely unnecessary
biostudies, at a cost to development.
Regarding biosimilars, there appeared to
be consensus that FDA’s proposed non-
proprietary naming model to include the same
core name with a four-letter nonsense code to
differentiate reference and biosimilar products
would create more barriers for acceptance
of biosimilars. For the biosimilars industry
to succeed, there needs to be more market
uptake, e.g., infliximab in Canada only has
sales around $7,000 – clearly not a workable
model.
Next, an IGPA panel provided an overview
how IGPA has been working to address
trade barriers and promote foreign market
access for generic and biosimilar medicines.
Jim Keon explained that until recently,
The CEOs observed that there
has been little harmonization
around bioequivalence
standards. As a result,
generic companies are
forced to develop multiple
bioequivalence approaches for
products, requiring duplicative
but somewhat different
biostudies, and largely
unnecessary biostudies, at a
cost to development.
9. 7
IGPA 2015
the generic industry has gotten to the
trade negotiations table late, resulting in
imbalances in patent linkage systems and
intellectual property rights that favored
innovator products. IGPA has assembled a
team dedicated to addressing trade relations
in a more coordinated manner, Keon said,
which it hopes can not only benefit small
molecule generics but a developing biosimilar
industry make inroads for increased market
acceptance and product development.
IGPA is also involved in the Trans Pacific
Partnership (TPP), which represents 40%
worldwide trade, and is a living agreement
where more countries can join in such
discussions as patent linkage and market
protection, e.g., exclusivities. Adrian van den
Hoven, Director General, EGA, then described
how IGPA and its members have been getting
involved in the Transatlantic Trade and
Investment Partnership (TTIP) and how it may
translate into better access to generic, value-
added, and biosimilar products, which are
EGA’s focus areas.
The final main panel included a regulatory
discussion of biosimilars from Dr. Sue Lim,
Senior Staff Fellow, Therapeutic Biologics and
Biosimilars Team, FDA, Dr. Elena Wolff-Holz,
Paul Ehrlich Institute, Member of the EMA
Biosimilar Medicinal Products Working Group,
and Dr. Ivana Knezevic, Scientist, Group
Leader, Norms and Standards for Biologicals,
Department of Essential Medicines and Health
Products, WHO.
Lim explained FDA’s general plan for
reviewing biosimilars. Interestingly, Lim
noted that the only approved biosimilar,
Zarxio® no longer had identical indications
to its reference product, because a new
indication had been added to the referenced
product since approval, which would require
a supplement to add the new indication. Lim
said that FDA plans to issue guidance for
interchangeability, labeling, and statistical
approaches. Lim also described the goal
behind the recent nonproprietary naming
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10. LINKING OUR MEMBERS TO INDUSTRY NEWS AND VIEWS
8
proposal, which FDA believed would prevent
inadvertent substitution and facilitate
pharmacovigilance by encouraging routine
use of designated suffixes while avoid
potential inaccurate perceptions of safety
and effectiveness differences of biological
products based on the licensure pathway.
When asked about FDA’s proposed naming
policy and whether NDC codes were
suggested as a possible suffix, Lim said that it
was considered, but FDA did not think it was
adequate and could not comment further on
it. Lim said that in the U.S., FDA heard that
non–proprietary naming was used more than
brand names, which is why FDA believes it is
more critical for pharmacovigilance.
Lim suggested that biosimilar sponsors
come to FDA with a plan to address product
differences in advance–“don’t just hope for
the best.” Lim also suggested that the sponsor
be transparent and share feedback from each
regulatory authority, as questions to seek
clarity and note program differences. Lim
said that while sponsors may request parallel
scientific advice for biosimilar development,
while regulators from different countries may
strive for alignment on scientific concepts,
she cautioned that they may not be able to
harmonize advice and will note similarities and
differences.
Wolff-Holz picked up on Lim’s comment that
while there has been U.S. and EU convergence
on the step-wise process and totality of
circumstances, there are still regulatory
differences. In the EMA, for example, there
is alignment with FDA that there is no
regulatory requirement for biosimilarity after
granting authorization, e.g., like with Zarxio®,
indications added to the reference product
after approval of the biosimilar are not
automatically added to the biosimilar product,
even though there may be that option with
extrapolation in a supplemental application.
The EMA appears to have a different plan for
pharmacovigilance tied to the brand name
and batch number, whereas FDA appears to
be looking to nonproprietary naming, which
goes against EMA policy to avoid proliferation
of local drug substance nomenclature. And
the various regions also differ on what
is considered a biosimilar product, e.g.,
enoxaparin is regulated as a drug by FDA
but as a biologic in the EMA and by Health
Canada.
BIOSIMILARS
Q
UA
LITY
Harm
onization
IGPA
2015
11. 9
IGPA 2015
Picture of the participants
in the presentation of Trade
Principles at the IGBA
meeting in Toronto.
L to R Vivian Frittelli
(moderator) Jim Keon
President of Canadian
Generic Association, Terry
Creighton Vice President
International Affairs (teva),
Adrian Van den Hoven
Director General European
Generics association
SPECIAL REPORT
When asked about the difference in
extrapolating indications for infliximab in
the EMA and Health Canada, Wolff-Holz
noted that while both agencies agree in the
concept of extrapolation, there were different
scientific viewpoints on a single test for a
possible mechanism of action for irritable
bowel disease result that showed perhaps a
20% difference. The EMA and other countries
where this product is approved thought that
in the totality of the data, this difference
was not clinically meaningful, but Health
Canada differed. Wolff-Holz added that
Health Canada may ultimately reach the same
conclusion once Celltrion provides additional
data, which has been requested.
Knezevic explained how the WHO gets
involved in biosimilars and biological
reference materials and standardization
of assays and quality control tests to help
standardize biological products worldwide.
From her viewpoint, one of the dangers
has been that in some countries, biological
products are called “biosimilar” when there
is no reference biological product in that
country, calling this a “fake biosimilar,”
where the term “biosimilar” should not be
used. Regarding the extrapolation issue
for infliximab, Knezevic agreed that each
regulatory authority has right to make its own
determinations but thought it is still useful to
share information.
In the concluding remarks, IGPA appointed
its new Chair and President, Vivian Frittelli,
CEO, National Association of Pharmaceutical
Manufacturers (South Africa) and venue for
next year, Orasac-Dubrovnik, Croatia, held
jointly with the EGA’s Annual Meeting, from
June 8-10, 2016. See you there!
12. LINKING OUR MEMBERS TO INDUSTRY NEWS AND VIEWS
10
A study conducted recently on behalf of
the National Association of Pharmaceutical
Manufacturers (NAPM) comparing the cost
of generics versus originator drugs has
found that the difference in price of the 200
most prescribed medicines within the private
sector has risen to a whopping 56.1% in
favour of generics.
Vivian Frittelli, CEO of NAPM, said: “Since
2010, we have seen a steady increase in the
cost advantage of generics over originator
drugs. Considering that production
standards and manufacturing costs for both
original and generic medicines are similar,
these findings are significant.”
According to IMS Health, a global organisation
which tracks data at sales level, generics
account for about 65% of all items dispensed
in SA’s private sector yet cost only 40% of the
R22 billion expenditure on drugs.
Using claims data from more than 1 million
medical aid members, Mediscor, a pharmacy
benefit management organisation, puts
generic usage at 56%, and growing. However,
as the NAPM study emphasises, South Africans
could be enjoying substantially greater
savings if more generics were used. Of the
expenditure on medicines purchased, 18%
went to originator drugs for which generic
alternatives are available. Based on data
gleaned from IMS Health, every 1% increase
in the use of generics would save consumers
around R270 million.
New findings on generics
usage in SA indicate
significant savings on drugs
expenditure
Increase in generics usage
slowing down expenditure on
drugs
Widening gap between prices of
generics and originator drugs
Utilization of generics is
increasing
Choosing generics over
originator drugs could save South
Africans a further R4 billion p.a.
13. 11
GENERIC USAGE IN SA
“These savings would enable medical
schemes to offer improved benefits or
to curb increases in premiums to their
members. They also provide a direct benefit
for consumers paying for medicines out of
pocket or through their medical scheme
savings accounts,” said Frittelli.
Discovery Health’s publication, ‘Medicine
Summit Journal 2015’, using data from
medical aids administered by Discovery,
supports the NAPM findings and reports
a 58.8% utilization of generics by volume
and 46.6% by value. This publication also
indicates that 65% of generic medicines
are priced at 40% below their originator
equivalents while at least 48% of generics
are priced at 50% or more below their
originator equivalents.
In practical terms, for a patient with Asthma
and Allergic Rhinitis (hay fever), complicated
once by a fungal infection in the throat due
to inhaler use, the savings over a year could
be nearly R4 000 if generics were used.
The trend in SA follows that of the UK
where more than two thirds of all medicines
dispensed by the NHS are generics yet
cost only around 29% of the NHS drugs bill,
and the USA, where nearly eight out of 10
prescriptions filled are for generics, causing
expenditure on drugs to slow despite an
increase in the price of prescription drugs.
“As life expectancy increases and the cost
of medicines escalates, the importance of
the generics industry is being highlighted
as it allows more people greater access
to healthcare. The value proposition
presented by generics cannot be disputed,”
commented Frittelli.
GENERIC FACT SHEET
Generics are drug products that are
comparable to originator or branded
drug product in dosage form, strength,
quality and intended use.
Generic medicines contain the same
active ingredient and are as effective as
the originator or branded equivalent but
in most cases cost much less.
When a generic medicine has been
approved by the MCC, it has met the
standards required on aspects such as,
strength; quality; identity; and, potency.
KEY TRENDS
60
50
40
30
20
10
0
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
% Discount vs 2015 Generic Price
54.5
45,2 45,1 44,3
52,6
56,154,5
51,952,5
50,1
45,744,9
14. LINKING OUR MEMBERS TO INDUSTRY NEWS AND VIEWS
12
The United Nations Industrial Development
Organization was the main sponsor of a two
day workshop on “Bridging the Skills Gap
for the Pharmaceutical Industry in South
Africa” which was held at the end of May
2015 in Midrand.
The report of the workshop has been
produced recently and describes outcome
of the consultative forum. The forum was in
answer to a publication of the Department
of Trade and Industry which reported on the
status of the Industrial Policy Action Plan
(IPAP). The purpose for the formulation of
IPAP is to improve economic growth, skills
development and the transformation of
Industry in South Africa
In particular the publication highlights a few
short comings of the SA Pharmaceutical
Industry. The capacity reduction of
pharmaceutical manufacturing during the first
decade of this century is partly responsible
for the trend that more than 65% of medicines
needs are imported leading to the situation
that the Pharmaceutical Industry accounts for
the fifth largest SA current account deficit.
These elements place the long-term security
of medicine supply under threat.
The main purpose to be addressed by the
forum was to assess the human capital
available and relevant for the development of
the pharmaceutical Industry.
The government was represented by three
departments- Trade and Industry, Higher
Education and Training and Health. The four
statutory authorities included the Medicines
Control Council, the Pharmacy Council, and
Medical Research Council. Four trade and
professional associations and ten universities
that offered pharmacy and natural science
courses also attended.
The methodology of the workshop was
to assess the skills required along the
pharmaceutical value chain. This resulted in
seven working streams
1. Clinical research
2. Production of raw materials
3. Production of finished Pharmaceutical
Products
4. Quality systems
5. Regulatory systems
6. Natural sciences
7. Distribution
The chairpersons of each group presented the
feedback of their workshops to the plenary
audience.
Seven strategic objectives were devised as a
result of the deliberations
1. Establishment of a formal forum for key
stakeholders to hold on going consultations
and exchange ideas.
2. Government to devise a policy for growth in
Bridging the
Skills Gap
15. 13
IGPA 2015
the pharmaceutical industry. It is important
that the government departments show
coherence in their strategic intent for the
industry.
3. Grow capacity for local production of
active pharmaceutical ingredients (API).
A possibility is to convert some chemical
facilities into API manufacturing facilities.
4. Strengthen the capacity of academic
institutions to gain exposure to the
pharmaceutical industry.
5. Assist academic institutions with financial
resources and provide work integrated
learning. Provide work experience for
students.
6. Introduction of modules on quality systems
at under-graduate levels as the regulation
of the pharmaceutical industry warrants an
understanding of such systems.
7. Strengthen the regulatory systems through
post-graduate specialization programmes.
This is one of the aspects the Institute of
Regulatory Sciences hopes to achieve.
Despite the emphasis on human resources
throughout the deliberations, many of the
other challenges facing the pharmaceutical
industries were discussed.
The opening presentation given by Dr
Skhumbuzo Ngozwana highlighted that if
the pharmaceutical industry was to grow
there should be a deliberate governmental
determination to offer assistance through
means other than tax incentives. Examples
of this are the successes achieved by
Singapore. And the policies adopted by
the government of Ethiopia in developing
pharmaceutical manufacturing capacity in
East Africa. Dr Ngozwana suggested that in
South Africa’s development we should look
at the manufacture of niche products such
as Biosimilars. Originator biotechnology
products are recognized as being among the
cost drivers of medicines expenditure.
At the conclusion of the session a joint
pharma industry working group was
nominated at the end of the conference.
This group would provide input to the Human
Resources Development Council.
MEMBERS OF THE WORKING GROUP ARE
Professor Douglas Olivier
of North West University
Professor Chris Stubbs,
Executive at Aspen Pharmacare.
Dr Vassie Naidoo,
lecturer at the University of Kwa-Zulu natal.
Mr Phasha Mogologolo,
Executive at PBM Pharmaceuticals
Dr Desmond Johns,
Project Manager at IRS
Dr rolf Becker,
executive Director at SA Council for Natural
scientific Professionals
Mr Wouter van Rensburg,
Director at Adcock Ingram
Ms Swasthi Soomaroo,
Director at the Department for Trade and Industry
Mr Mothobi Godfrey Keele,
Project Co-ordinator at UNIDO.
KEY TRENDSBRIDGING THE SKILLS GAP KEY TRENDS
16. LINKING OUR MEMBERS TO INDUSTRY NEWS AND VIEWS
14
Addressing a session called “Principles
to Foster Trade in Generic and Biosimilar
Medicines,” at the World Trade Organization’s
public forum in Geneva from 30th September
201 to 2nd October 2015, representatives
from the International Generic and Biosimilar
Medicines Association IGBA said that Free
trade agreements should include incentives
for generic and biosimilar medicines to
provide early access of medicines to patients.
Speakers commented on the importance of
generic and biosimilar medicines for access to
health, in particular in developing countries.
On the panel, Murray Aitken, executive
director of IMS Institute for Healthcare
Informatics, a global information and
technology services company, said most
of the global burden of diseases can be
addressed by existing medicines.
Today, he said, generic medicines account for
over 80 percent of the total medicines volume
globally. Generic medicines play a vital role in
controlling the costs and increasing access to
affordable medicines, he added.
IMS reports the global generic market reached
US$194 billion in 2014, and, 43 percent of
which are from branded generics and 57
percent unbranded generics. Global trade is
vital for the generic sector, he said.
Jim Keon, former chair of the IGPA
and president of the Canadian Generic
Pharmaceutical Association, said many rules
around trade and access to markets are
imposed on industry. The generic industry has
been active in many negotiations, but mainly
reactive, he said.
Four main areas of concern for the generic
industry are:
• Fostering regulatory convergence of the
requirements for the approval of generic
and biosimilar medicines, and recognition
of compliance inspections through the
establishment of frameworks providing for
regulatory cooperation;
• Ensuring that the regulation of IPRs in trade
agreements does not lead to excessive IP
standards that delay access to generic and
biosimilar products;
• Establishing an appropriate framework of
Generic Industry takes a
stance on Trade Principles
17. 15
IGPA 2015
pro-competitive provisions to prevent IPR
abuse/misuse, and;
• Establishing an appropriate framework
for incentivizing generic and biosimilar
medicines’ market access.
Stringent IP provisions can prevent
competition and delay the entry of generic
and biosimilar medicines into the market,
according to Keon.
According to an IGPA document, “the
increasing push for the inclusion of more
extensive IP protection in FTAs” stands to
alter the balance established by the WTO
Agreement on Trade-Related Aspects of
Intellectual Property Rights (TRIPS).
IGPA members wish that the TRIPS standards,
with its flexibilities, would be taken as
the basis for negotiations on free trade
agreements’ IP chapter, according to Keon.
“The IGPA believes that the standards on
patentable subject matter, novelty, inventive
step, and industrial applicability, as well
as disclosure, as reflected in the TRIPS
Agreement, are instrumental to ensure the
proper functioning of the patent system…,”
the IGPA document said.
Early disclosure and work on a patent
is critical to ensure timely generic and
biosimilar market entry, Keon said. Additional
stipulations in FTA’s could hamper local work
in launching a generic or biosimilar in an
export country as well.
Moreover, FTAs should not provide longer
data exclusivity periods for biological
medicines than for small molecule drugs,
he said. FTAs should not seek to extend the
terms of patent rights, he added.
Patent and test data should not be made
subject to border measures and criminal
enforcement, he said. In particular, border
measures should not apply to goods in
transit.
Regulatory convergence refers to the same
information and data being required by
medicine regulatory authorities. It is unrealistic
for every application process to be the same.
GENERIC INDUSTRY TAKES A STANCE KEY TRENDS
18. LINKING OUR MEMBERS TO INDUSTRY NEWS AND VIEWS
16
According to Keon, regulatory
convergence is desirable for
generic companies. In particular,
the single development for
generic and for biosimilar
medicines, and mutual recognition
of good manufacturing practices
inspections would be needed.
Single development of generic and biosimilar
medicines would lead in particular to the
reduction of clinical development costs, the
opportunity to re-invest potential savings,
and the reduction of unethical repetitions of
clinical trials, Keon said.
Countries should provide incentives
for generic and biosimilar medicines
manufacturers to enter their markets, he
argued, such as incentives stimulating
competition and innovation, fostering
savings for national health care systems and
facilitating access to affordable medicines.
Such incentives could be done through pricing
and reimbursement policies.
Incentives to generic and biosimilar medicines
should balance the protection enjoyed by
originators through patents and other IP
rights, Keon said.
David Gaugh, senior vice president, sciences
and regulatory affairs, Generic Pharmaceutical
Association (US), commented on the Trans-
Pacific Partnership (TPP). It gathers 12 Pacific
Rim countries, representing some 40 percent
of the global gross domestic product and 800
million people, he said. Other countries might
be interested in joining, he said, in particular
South Korea, the Philippines, Thailand, Costa
Rica, and Taiwan.
On 1st October, chief negotiators and
ministers met in Atlanta (US) for what was
hoped to be the “final round” of the TPP, he
said. According to news sources, one of the
key sticking point at the end was terms for
biosimilars.
The TPP provides for extensions of patent
terms, delaying both the issuing of patents
and the regulatory approval process, Gaugh
said.
The TPP fails to provide a system that affords
incentives for challenging inappropriate, weak
patents, or the ever-greening of patents, he said.
19. 17
IGPA 2015
He also said the TPP could put at
risk the future and sustainability
of global generic and biosimilar
industries, if it there is a lack of
balanced provisions, he added.
Adrian Van Den Hoven, director general,
European Generic and Biosimilar Medicines
Association, remarked on the very high cost
of developing biosimilars. Biosimilar products,
also called follow-on biological products, or
similar biotherapeutic products, are defined
by the WHO as: “a biotherapeutic product
which is similar in terms of quality, safety
and efficacy to an already licensed reference
biotherapeutic product,” (IPW, Public Health,
23 January 2015).
In particular, the process to prove similarity
with the originator biopharmaceuticals is
extremely costly, he said.
He said the members of his association had
to buy biopharmaceutical products, which
are extremely expensive at the scale of a
clinical trial covering about 300 patients
to compare results with the biosimilar. This
comes at “huge expense,” he said. A lot of
developed country patients have no access to
biosimilars, he said, and the situation is much
worse in developing countries.
Conclusion of Trans Pacific Partnership
Agreement.
On the Sunday 4th October, two days
after the conclusion of the WTO Public
forum the TPP was agreed by 12 Trade
ministers meeting in Atlanta, Georgia, USA.
Negotiations had commenced in November
2009. The TPP was the main stimulus for
the IGBA to develop the Paper on Trade
Principles. Among other conditions the US
representatives were negotiating to obtain 12
years exclusivity for biosimilar medicines.
In the end, ministers reportedly found balance
on Intellectual property for biologic drugs,
a key area of interest for the United States,
by establishing rules which ensure incentives
for developers of new cures while providing
access to these cures by patients throughout
the region. The agreement provides for a
minimum five year period of data exclusivity
in all member economies, plus an additional
three years of protection by other means. This
indicates the influence FTA’s have on delaying
generic and biosimilar launches.
The full text of the TPP has not yet been
made available to the public but is reported
to span 30 chapters.
GENERIC USAGE IN SA KEY TRENDS
20. LINKING OUR MEMBERS TO INDUSTRY NEWS AND VIEWS
18
The draft policy on Intellectual Policy (IP) in
South Africa issued in July 2013 for comment
seems to have stalled. Although comments
on the policy closed in October 2013 the
situation remains in flux and although there
were indications from various quarters that
the policy was submitted to cabinet no final
document has emerged.
Currently patents are granted on completion
of the correct form and payment of the
applicable fee. However, the draft IP policy
makes provision for an examination office
which will assess applications before granting
patent protection. This is of particular
importance to the generic medicines industry
as many product launches are delayed due to
originator strategy of ever-greening patents.
Ever-greening involves extending patent
protection by making changes to the product
in question. These amendments usually
involve the change of manufacturing process,
which results in the production of the same
product with no extra benefit to the patient.
The only way for challenging the “automatic”
patents to see if they conform to the novelty
and patentability conditions is to seek a court
review. Legal action is expensive and can cost
millions of Rands in presenting expert legal
and technical witnesses. Combine this with
the cost of Senior Counsel and the delay in
court schedules and there is little incentive to
challenge patents in South Africa.
The Free Market Foundation have weighed
in on the discussion with a series of opinion
pieces in business publications with a fairly
standard comment that the draft policy will
cause innovators not to be rewarded for their
efforts and thus discourage good ideas. In
addition to this the Foundation maintains
that there is not the expertise to staff an
examination office and it will take time to
build up the skills. The retort to this is that if
you do not start you will never build the skills.
Health activists such as Mediciens Sans
Frontiers (MSF), Treatment Action Campaign
and Section 27 have expressed their outrage
that two years have passed without a final
policy being endorsed. The delay has negative
implications for the provision of affordable
medicines for the South African population.
In January 2014 the Mail and guardian
newspaper uncovered an alleged plot by some
members of the Innovators Pharmaceutical
Association of South Africa (IPASA) intending
to establish a fund to work against the
proposals contained in the draft policy. In
response to the newspaper story, the Minister
Have the
IP reforms
stalled?
21. 19
IGPA 2015
of Health Dr Aaron Motsoaledi described
the alleged campaign as a” satanic plot” and
“genocide “. Consequently some members of
IPASA terminated their membership.
A report in the Business day in August
2115 stated that the American Chamber of
Commerce in South Africa (AMCHAM) has
urged the US Trade Representative (USTR)
to use its review of the African Growth and
Opportunity Act (AGOA) to pressure the SA
Government to change the draft IP policy in
favour of US based companies. The majority
of US pharmaceutical companies represented
in South Africa are innovator companies,
known colloquially as “big Pharma’. AGOA
allows African countries to enjoy favourable
of no tariffs when exporting to the USA.
The Director General of the Department
of Trade and Industries, Lionel October,
maintains that in formatting the policy the
department will not pander to any “side”.
The AM Cham submission to the USTR
alleges that the draft policy as presented
will” weaken current standards”. This beg the
questions “what standards?’ where there is an
unfettered access to obtain a patent.
The grouping of Civic activists has submitted
a joint memorandum to USTR countering
the AMCHAM’s assertions. It was reported
in Business Day that TAC spokesperson
Marcus Low said “in the context of what we
have seen before it is not surprising that
they are asking the Trade Representative
to do something inappropriate”. The NAPM
position is supportive of the Draft Policy. We
are in support of an examination office that
can make a decision before the granting of
a patent application as well as a mechanism
to challenge existing patent without
approaching the Courts.
In order to overcome the inexperience of
an examination’s office South Africa could
utilize assistance and rulings from foreign
jurisdictions such as the European Union.
The NAPM position is
supportive of the Draft
Policy. We are in support
of an examination office
that can make a decision
before the granting of a
patent application as well as
a mechanism to challenge
existing patent without
approaching the Courts.approaching the Courts.
HAVE IP REFIORMS STALLED? KEY TRENDS
22. LINKING OUR MEMBERS TO INDUSTRY NEWS AND VIEWS
20
Study shows
working moms’
mental health
deteriorating
The demands of keeping a job, raising
children and running a home are driving more
working moms in SA to the brink of a nervous
breakdown according to a just-released poll
by a leading pharmaceutical firm specialising
in the treatment of depression and anxiety.
Wilmi Hudsonberg, spokesperson of Pharma
Dynamics said the company conducted the
survey to determine the extent to which
additional burdens, such as career demands
have on the mental well-being of working
mothers in the country.
“Being a mother is the hardest job you can
have, but being a working mother, particularly
in today’s society, is that much harder.
Between the stresses of work, traffic, job
advancement and motherhood – keeping
a house, preparing meals, taking care of
children and sometimes elderly parents too –
there is often no reserve left for mothers on
the job,” she says.
Pharma Dynamics’ survey, which polled
900 working moms in the country between
the ages of 25 and 55 found that 38 % are
frequently stretched to breaking point with
many spending up to 80 hours a week on
work and home responsibilities. Sixty percent
have to regularly catch up on work at night or
on weekends.
While more than half of working moms (55
%) indicated that their employers offered
at least one family-friendly perk, such as
flexible scheduling, they said the following
would make their lives significantly easier as a
working parent.
• An employer that focuses on being more
output-based than having you sit behind a
desk for eight hours (51 %)
• Working from home on some days, which
means you gain hours by not having to
commute to and from work (40 %)
• Better part-time or half day work
opportunities (40 %)
• More help with household chores (37 %)
• More help with children (24 %)
Hudsonberg points out that most jobs are
made for people who have no caregiving
responsibilities, which inevitably means
that working moms do most of the
23. 21
IGPA 2015
accommodating. With the impossible
schedules modern mothers manage,
something inevitably has to give and the
price they pay is often their health.
Since becoming a working mom,
most respondents said they suffer
from at least one health problem.
Among these include headaches
(56 %), chronic fatigue (47 %),
unhealthy weight-loss or gain (47
%), anxiety
(45 %), insomnia (34 %), being
more prone to colds and flu (33
%) and depression (31 %).
High ongoing stress levels have been linked
to mental illness such as depression and
anxiety and can also lead to substance abuse
or becoming suicidal, which is what the
prevention-minded pharmaceutical wants to
curb.
While the overwhelming majority of working
moms (69 %) said they work solely because
they need the income, almost a third said
they also do so for mental stimulation and
enjoyment. The reality is that our economy
has adjusted to two-income families which
means being a stay-at-home mom is
increasingly becoming a luxury.
Hudsonberg says working moms are often
riddled with guilt and spend nights awake
worrying about how they can succeed at
the office and at home, and whether their
children will resent them for their decisions.
They want solutions to the anxiety they feel.
“While employers still have some way to
go in providing benefits and options to
make a working mother’s life easier, it’s
important for moms that find themselves
in this situation to redefine the concept of
‘doing it all’ by asking for help and to stop
comparing themselves to other mothers
who seemingly have it all. Also be honest
with your employer about your needs and
be prepared to meet them half way. Bear in
mind that not every company will be able to
accommodate your needs – the industry and
type of job you do largely determines the
kind of family-friendly benefits companies
are able to offer,” she says.
According to the survey, working moms
also find it tough to set aside time to take
care of themselves and their own health
with most spending less than an hour a day
on themselves. To ease mothers’ sense of
stress and emotional burden, Hudsonberg
encourages partners to get more involved
in the domestic sphere and take more
responsibility for family care where possible.
Of the moms who participated in the survey
most were in their twenties, thirties, and
forties, 93 % work full time, 29 % are single
parents and most have either one or two
children.
Working moms who are overwhelmed by
feelings of worthlessness, constant fatigue,
insomnia or suicidal thoughts should consult
their doctor or contact Pharma Dynamics’
toll-free helpline on 0800 205 026, which is
manned by trained counsellors who are on
call from 8am to 8pm, seven days a week.
WORKING MOMS’ MENTAL HEALTH KEY TRENDS
24. LINKING OUR MEMBERS TO INDUSTRY NEWS AND VIEWS
22
The NAPM was an endorsing
partner to the second
Manufacturing Indaba on
29th June, sponsored by the
Ekurhuleni Metropolitan Council,
to promote manufacturing
capabilities within the
Ekurhuleni jurisdiction.
Opening to the two-day
Annual Manufacturing Indaba
in Kempton Park, Davies said:
“Manufacturing is critical to
the South African economy
and it can be used to create
new sustainable growth
through the diversification of
our economy. This can lead to productive,
active and inclusive higher levels of advanced
manufacturing and industrialisation.”
The aim of the conference is
to boost the growth potential
of key manufacturing industry
sectors, and to provide a platform
for informative and interactive
sessions with the prime movers
of the nation’s manufacturing
sectors.
Davies added that one could not separate job
creation and industrialisation as they went
hand in hand and that South Africans and the
rest of the continent needed to move up the
value chain and diversify their economies.
“Real opportunities for the market lie in the
African market and we need to industrialise
as a continent. We have to
find ourselves a different niche
in a changing African market
through strategic cross-border
infrastructure upgrading,
complementary natural resource
development, integrated
industrialisation, reductions in
inter-state red tape and rapidly
expanding intra- and inter-
regional trade,” said Davies.
Davies further explained that
extraction and exporting played
a small part in the industry turn-
over and that if government
and the private sector worked closely with
and support local manufacturers export and
competitiveness could be raised.
Chairperson of the Manufacturing Circle,
Bruce Strong, said the manufacturing industry
enabled South Africa to create more jobs.
“The industry is important in that it employs
1.6 million people and contributes 12% to the
Gross Domestic Products. This has led to
many skilled people employed and sustained
in the long-term,” he said.
While he agreed that there was a
market access in Africa, Strong said the
manufacturing industry still needed to gear up
in order to be competitive.
Although there was no discussion on the
pharmaceutical industry per se, Stavros Nicolaou,
a senior executive of Aspen was chosen as a
moderator for one of the session.
Manufacturing Indaba to
encourages local production
25. 23
After being introduced to Parliament in
February 2014 by the Minister of Health Dr
Aaron Motsoaledi, Bill 6 was approved by
Parliament on 10th November 2015.
Bill 6 embraces an amendment to the
Medicines and Related Substances Act 101 of
1965, which allows for the Medicines Control
Council (MCC) to be replaced by the South
African Health Products Regulatory Authority
(SAHPRA).
Unlike the MCC which relies on operating
costs to be funded from the budget of the
National Department of Health SAHPRA
will be able to retain its own funds from
registration and licensing fees. This will
provide the opportunity for the authority to
recruit full-time evaluation staff outside the
parameters imposed by the Public Service
Commission. The Pharmaceutical Industry has
awaited this development since 2008 when a
Ministerial Task Team put forward a proposal
on the restructuring of Medicines Regulatory
Affairs and the Medicines Control Council .
This task team found that the backlog in the
registration of medicines from 2003 until
November 2007 was at 63% where 3731
applications had been received over that
period and only 1395 had been registered. It is
hoped that with improved resources, not only
the registration of drugs will be speeded up,
but important issues such as safety updates
and post registration amendments would
be approved within a shorter time frame,
improving access and safety for patients.
Once the President, Mr Jacob Zuma, signs the
Bill it will become law. It is therefore feasible
that SAHPRA could be in operation by early
2016.
SAPHRA becomes a reality
Registrar of the Medicines
Coontrol Council Dr Joey Gouws
being thanked by NAPM Chair,
Desmond Brothers, after her
presentation of the proposed
SAHPRA at the NAPM Annual
General Meeting.
KEY TRENDS
26. LINKING OUR MEMBERS TO INDUSTRY NEWS AND VIEWS
24
The MC Pharma Group offers specialist
medicine and health products regulatory
intelligence. We have been established
since 1996. Our aim is to support clients and
partners in every aspect of their market entry
into the South African and / or Sub-Saharan
pharmaceutical market. As a group, we
endeavour to find innovative solutions in an
ever changing international market to assist
our clients in reaching their goals.
We supply regulatory affairs support in the
following environments:-
• Pharmaceutical medicines including
biologicals
• OTC pharmaceuticals
• Surgical Implants
• Dermo/Cosmeceuticals
• Cosmetics
• Complementary medicines
• Medical devices / Diagnostic devices
We have a commercialisation division,
specifically established to assist Principals
who do not wish to open their own local
commercialisation office, but who still
wanted to be able to direct marketing
activities. Through this division we offer
sales representatives that service both
the pharmacy and specialised hospital
environment. Our newly established meeting
and training venue, is available. For further
information call us on 012 668 3019/21.
MC Pharma GroupMEMBER
PROFILE
27. 25
IGPA 2015
Sun Pharma began the integration of
Ranbaxy’s business following the successful
closure of its merger on March 25, 2015. The
integration, planned by Sun Pharma over
many months, focuses on supporting strong
growth. The historic merger fortified Sun
Pharma’s position as the world’s fifth largest
specialty generic pharmaceutical company
and the top ranking Indian Pharma company
with significant lead in market share. The
combined entity’s manufacturing footprint
covers 5 continents with products sold in
over 150 nations with a stronger presence in
US, India, Asia, Europe, South Africa, CIS
Russia and Latin America. Sun Pharma now
offers a large basket of specialty and generic
products encompassing a broad range of
chronic and acute prescription drugs as well
as a ready foray into the global consumer
healthcare market. The integrated culture
theme, “Growing Together”, represents
the core objective of this merger focusing
on improving productivity, compliance
commitment; focus on quality and sustainable
growth. Through this merger Sun Pharma
emerges as India’s first truly global
pharmaceutical company.
It is an important milestone in the history of
Sun Pharma as it enters into a new phase
of growth. The company will continue to
focus on gaining trust of the Regulators
globally while continuing to develop products
based on patient needs and leverage them
to become brand leaders globally. The
combined entity capitalizes on the
expanded global footprint and enhances its
dominance as a world leader in the specialty
generics landscape. Sun Pharma remains
committed to uncompromised product
quality, 100% compliance and promotes
innovation to create the most dynamic
global specialty generics pharmaceutical
company. The company believes that its
shareholders, customers and employees
share its excitement in the potential of this
combination.
This merger strengthens Sun Pharma’s
foundation with a strong multi-cultural
team of over 30,000 employees representing
over 50 global cultures making the combined
entity a truly global corporation in spirit
scale.
The combined entity comprises best
intellectual capital, capability of nearly 2000
scientists and the ability to invest significantly
in RD. The focus of RD investments
will be to harness multiple capabilities
and technologies for developing complex
products in addition to the combined entity’s
core business of offering affordable generic
medicines. The combined entity will continue
developing innovative and complex generics
that boast of technical differentiators.
SunpharmaMEMBER
PROFILE
INSIDE
28. LINKING OUR MEMBERS TO INDUSTRY NEWS AND VIEWS
26
Regional Pharmaceutical
Production
Mothobi Godfrey Keele, an NAPM member
was delegated by the Southern African
Generic Medicines Association (SAGMA) to
represent the association on the Technical
Review Committee which evaluated the report
of a consultant group investigating:
PHARMACEUTICAL PROJECTS FOR SADC
The Secretariat of Southern Africa
Development Community (SADC) is executing
three projects in line with its Protocol on
Health. The focus of the initiative is to achieve
three interrelated objectives, namely to
establish modalities for group contracting
(pooled procurement) of medicines
and health commodities; to undertake a
feasibility study to establish mechanisms for
regional production of medicines and health
commodities and lastly to establish regional
centres of excellence and specialization for
pharmaceuticals. Work in these three areas
has started and is at varying degrees of
completion.
Regional Production of
Pharmaceuticals and Health
Commodities
A project to consider the feasibility of
Regional Production of Pharmaceuticals
and Health Commodities was awarded to Hera
(a pharmaceutical systems consulting firm)
based in the Netherlands. At the meeting
, held in Gabarones in October 2015, the
Consulting firm presented its first draft report
seeking input from the Technical Review
Committee (TRC). The preliminary findings
are that the success of regional production
of pharmaceuticals is contingent upon the
following:
1. Policy reforms by the member states -
adoption of ‘pro-manufacturing’ policies,
implementation of the pharmaceutical
business plan of both the SADC the AU,
coherence between the policies of both the
trade and health ministries at both regional
and national level.
2. Incentives – an integrated incentives
package that is linked to the pharmaceutical
industrialization policy which includes,
interalia, low interests loans, low or no
taxes, national preferencial acquisition,
incubation programmes for startups
3. Regulatory compliance – embarking on a
roadmap to assist near GMP facilities, and
adoption of strict regulatory authorities
with clear legislation for pharmaceutical
inspections, and access to accredited (at
ISO level, ISO 17025) testing laboratories
4. Harmonization – development of the
same regulatory standards and processes
across the region, joint assessment of vital
essential medicines and fast tracking of
products already registered with the WHO
PQP
5. Leveraging of the TRIPS Flexibilities – the
current products that are under patent post
2005 when India became the signatory of
the WIPO provides a window of opportunity
in that India cannot get to the market ahead
of other countries. Furthermore, exploit the
flexibilities in terms of compulsory licensing
and technology transfers.
A
29. 27
IGPA 2015
Group contracting (pooled
procurement) of medicines
and health commodities
The SADC’s pharmaceutical
business plan identifies improving
the sustainable availability and access to
affordable, quality, safe, efficacious essential
medicines as one of its priority objectives.
To achieve this, SADC commissioned a study
to develop a strategy for implementing
a pooled procurement program in which
the purchasing processes usually handled
by each Member State could be jointly
executed. The assessment concludes that
pooled procurement offers potentially
significant benefits for SADC Member
States. Procurement systems across SADC
Member States are generally similar, but the
harmonization of standards, regulations, and
procedures are necessary to move the SADC
pooled procurement agenda. The report
was ratified by the TRC and is ready to be
tabled at the meeting of the ministers of the
member states.
Centers of Excellence and
Specialization for Plugging
the Training and Research
Needs in the Region
Weak regulatory systems, poor
regulatory capacity, limited research
and development capacity, inadequate
supervision of clinical trials, and shortage
of adequately and appropriately trained
pharmaceutical personnel were identified as
factors that could derail most of the SADC’s
initiatives for improving health. A study was
commissioned to assess the training and
research needs of pharmaceutical regulators
and managers in the SADC region to facilitate
the establishment of Centres of Specialization
(CoS) and Centres of Excellence (CoE) in the
region.
A total of eight thematic areas for the
Centres of Specialization (Pharmaceutical
manufacturing; Medicines Regulation and
Quality Assurance; Pharmacy Practice; Clinical
Trials Monitoring; Pharmaceutical training;
Patient Safety and Pharmacovigilance;
Pharmaceutical Management and;
Pharmaceutical Policy and Operations
Research) and two for the Centres of
Excellence (Clinical Trials Design; General
Research Skills with Special Preference
to Pharmaceutical and Health Systems
Research) have been identified and will
be prioritized due to the magnitude of the
identified gaps. The report was ratified by the
TRC and is ready to be tabled to the ministers
of the member states.
B
C
INSIDEREGIONAL PRODUCTION
30. LINKING OUR MEMBERS TO INDUSTRY NEWS AND VIEWS
28
EXCO DATES
The Exco meeting dates are as follows:
Meeting 1 3 February 2016
Meeting 2 10 March 2016
Meeting 3 29 June 2016 and AGM
Meeting 4 11 August 2016
Meeting 5 28 September 2016
Meeting 5 16 November 2016
Left to right- Herman Grobler, Desmond Brothers Muhammad Bodhania, Paul Anley, Vivian Frittelli, Anita Smal, Lenisha Maharaj
Left to Right- Graham Holt, Gaurav Jain, Erik Roos, Lorraine Keyser, Reshlan Nagoor, Melinda Badenhorst
Left to Right- Kingsley Tloubatla, Suhail Gani
NOTES
ON NAPM
The National Association
of Pharmaceutical
Manufacturers (NAPM)
represents the interests
of generic medicine
manufacturers and
marketers in South Africa.
The association’s mission
is to champion greater
access to medicine by the
South African population.
Vivian Frittelli, CEO of the NAPM was appointed Chairperson of the
International Generic and Biosimilar Association for the period ending 31st
December 2016. The IGBA was registered in Geneva Switzerland in October
2015 as an international not for profit association which members include
the generic medicines associations in the USA, Canada, European Union,
Japan, Taiwan, Jordan, Australia, Mexico, and Brazil. Applications are being
considered from some Asean, South American and Pacific Ocean Countries.
32. To stay in touch with the NAPM office and keep yourself informed
of the latest developments and points of interest we invite you to
go to the NAPM’s website www.napm.co.za and get connected.
NAPM Member Companies
Abex Pharmaceutica
Accord Health
Actavis
Activo
Austell Laboratories
Bliss Pharmaceuticals
Cipla Medpro
DI Medicine Consultants
Dr Reddy’s
Execu Regulatory Services
MC Pharma Consultants
Medreich
Metanoia Pharma Consulting
Moteli Consultants
Mylan
MRA Regulatory Consultants
Pharma Dynamics
Prima Pharma Consultants
Sunpharma
Teva
Zydus
Contact Us:
Email: info@napm.co.za
Website: www.napm.co.za
Tel: 011 312 6966
Fax: 086 529 4245
LINKING OUR MEMBERS
TO INDUSTRY NEWS AND VIEWS