This presentation discusses adverse event reporting including identification and reporting of adverse events, recognising avoidable errors and the difference in reporting requirements for SAS and clinical trial devices.
Abbreviated new drug application submissionGaurav Sharma
An abbreviated new drug application (ANDA) is used to seek approval from the FDA for a generic drug equivalent to an existing branded drug. ANDAs are abbreviated because they do not require new clinical trials to establish safety and effectiveness since they reference an existing FDA-approved drug. The generic drug must demonstrate bioequivalence to the branded version in order to be approved for marketing in the US. The Hatch-Waxman Act established bioequivalence as the standard for approving generic drugs and created the ANDA pathway to facilitate approval of lower-cost generic alternatives.
Medical writing is the art of creating a document that includes medical information in a readable language which is easily comprehended by the target audience. The target audience for medical writing varies and so is the style of medical writing.
https://www.cognibrain.com/medical-writing-answering-your-questions/
This document provides guidance on writing clinical trial protocols and investigators brochures. It discusses that a protocol is a complete description of a clinical trial that includes objectives, design, methodology, and other key elements. It emphasizes writing clear and unambiguous eligibility criteria. It also reviews important sections of a protocol including study design, safety reporting, statistics, and informed consent. An investigators brochure is a comprehensive document summarizing safety information about an investigational product from preclinical and clinical trials to guide its use in humans.
Introduction to Clinical Research RegulationsClinosolIndia
Clinical research plays a vital role in advancing medical knowledge, developing new treatments, and improving patient care. However, conducting clinical trials involves numerous ethical and regulatory considerations to ensure participant safety, data integrity, and compliance with applicable laws and guidelines.
The clinical trial process is one of the most critical and necessary steps for the development of all new drugs,
biologics or medical devices. Conducting clinical trials in Japan requires a delicate balancing act between having a
thorough understanding of the Japanese regulatory framework, as well as having an even much better
understanding of how clinical trials must be managed within the nuances and boundaries of the Japanese culture.
The document discusses clinical trials registries and the Clinical Trials Registry-India (CTRI). It describes how CTRI was established to increase transparency and accessibility of clinical trial data in India. It provides details on CTRI's mission and dataset, requirements for trial registration, and its role as a primary registry that collects and shares data according to WHO guidelines.
The Investigator's Brochure (IB) provides clinical and nonclinical data on investigational products relevant to human studies. It describes the dose, administration method, and safety monitoring procedures to inform investigators. The IB also provides clinical guidance. It summarizes results from nonclinical toxicology, pharmacology, pharmacokinetic and metabolic studies in animals. In humans, it summarizes the product's pharmacokinetics, safety, efficacy, dose response and completed clinical trials. The IB aims to provide investigators a clear understanding of risks, adverse reactions, and precautions needed for the clinical trial.
Abbreviated new drug application submissionGaurav Sharma
An abbreviated new drug application (ANDA) is used to seek approval from the FDA for a generic drug equivalent to an existing branded drug. ANDAs are abbreviated because they do not require new clinical trials to establish safety and effectiveness since they reference an existing FDA-approved drug. The generic drug must demonstrate bioequivalence to the branded version in order to be approved for marketing in the US. The Hatch-Waxman Act established bioequivalence as the standard for approving generic drugs and created the ANDA pathway to facilitate approval of lower-cost generic alternatives.
Medical writing is the art of creating a document that includes medical information in a readable language which is easily comprehended by the target audience. The target audience for medical writing varies and so is the style of medical writing.
https://www.cognibrain.com/medical-writing-answering-your-questions/
This document provides guidance on writing clinical trial protocols and investigators brochures. It discusses that a protocol is a complete description of a clinical trial that includes objectives, design, methodology, and other key elements. It emphasizes writing clear and unambiguous eligibility criteria. It also reviews important sections of a protocol including study design, safety reporting, statistics, and informed consent. An investigators brochure is a comprehensive document summarizing safety information about an investigational product from preclinical and clinical trials to guide its use in humans.
Introduction to Clinical Research RegulationsClinosolIndia
Clinical research plays a vital role in advancing medical knowledge, developing new treatments, and improving patient care. However, conducting clinical trials involves numerous ethical and regulatory considerations to ensure participant safety, data integrity, and compliance with applicable laws and guidelines.
The clinical trial process is one of the most critical and necessary steps for the development of all new drugs,
biologics or medical devices. Conducting clinical trials in Japan requires a delicate balancing act between having a
thorough understanding of the Japanese regulatory framework, as well as having an even much better
understanding of how clinical trials must be managed within the nuances and boundaries of the Japanese culture.
The document discusses clinical trials registries and the Clinical Trials Registry-India (CTRI). It describes how CTRI was established to increase transparency and accessibility of clinical trial data in India. It provides details on CTRI's mission and dataset, requirements for trial registration, and its role as a primary registry that collects and shares data according to WHO guidelines.
The Investigator's Brochure (IB) provides clinical and nonclinical data on investigational products relevant to human studies. It describes the dose, administration method, and safety monitoring procedures to inform investigators. The IB also provides clinical guidance. It summarizes results from nonclinical toxicology, pharmacology, pharmacokinetic and metabolic studies in animals. In humans, it summarizes the product's pharmacokinetics, safety, efficacy, dose response and completed clinical trials. The IB aims to provide investigators a clear understanding of risks, adverse reactions, and precautions needed for the clinical trial.
The IRB/IEC is an independent body that reviews clinical trial protocols and protects participant rights and well-being. It consists of at least five qualified members from diverse backgrounds. The IRB/IEC reviews trials annually, ensures informed consent, and maintains documentation for regulatory review.
Safety monitoring and reporting of adverse events of medical devices national...Vivek Nayak
This document outlines safety monitoring and adverse event reporting for medical devices from national and international perspectives. It defines medical devices and their classification system. Approval processes in India are discussed, along with the Materiovigilance Program of India for post-marketing surveillance. Adverse events must be reported within defined timeframes. International regulatory bodies like the FDA and MHRA also have mandatory reporting requirements. The limitations of current monitoring and reporting are noted.
This clinical trial protocol summarizes a phase 2 double-blind randomized placebo-controlled trial to evaluate the safety and efficacy of TJ301 for the treatment of active ulcerative colitis. The trial will enroll 90 patients to receive either 600mg of TJ301 biweekly, 300mg of TJ301 biweekly, or placebo biweekly for 12 weeks. The primary endpoint is clinical and endoscopic remission at week 12. Secondary endpoints include safety assessments, pharmacokinetic measures, and changes in disease activity scores from baseline to week 12. The protocol outlines the study design, patient selection criteria, treatments, assessments, data management, and statistical analysis plan.
Post-marketing surveillance (PMS) involves monitoring pharmaceutical drugs and medical devices after they have been released to the public to identify adverse drug reactions (ADRs) that were not detected in pre-market clinical trials due to limitations such as narrow study populations and durations. PMS benefits include identifying low frequency ADRs, effects in high risk groups, long term effects, and drug interactions. Information is collected through expert user groups, customer surveys, complaints, literature reviews, and media reports. PMS studies use controlled clinical trials, spontaneous reporting, cohort studies, and case control studies to identify drug effects.
procurement and storage of investigation productfarmanadeeb
The document discusses the responsibilities of clinical investigators and research teams regarding investigational products in clinical trials. It outlines that investigators are responsible for ensuring trials follow regulations and protecting subjects. They must also account for investigational products, maintaining records of delivery, inventory, use, and returns. The document then describes the steps research teams and pharmacies take to order, receive, verify, store, and label investigational drugs according to the protocol. Proper storage, labeling, and limited access are important to control investigational products.
The mission of the Clinical Trials Registry-India (CTRI) is to ensure that all clinical trials conducted in India are prospectively registered, i.e. before the enrolment of the first participant. Additionally, post-marketing surveillance studies, BA/BE studies as well as clinical studies as part of PG thesis are also expected to be registered in the CTRI. The vision of the CTRI is to ensure that every clinical trial conducted in the region is prospectively registered with full disclosure of the trial data set items. While this register is meant primarily for trials conducted in India, the CTRI will also accept registration of trials conducted in other countries in the region, which do not have a Primary Registry of its own, provided ethics approval (in English) is available and the study has not begun enrolling. The Clinical Trials Registry- India (CTRI), hosted at the ICMR's National Institute of Medical Statistics (http://icmr-nims.nic.in), is a free and online public record system for registration of clinical trials being conducted in India that was launched on 20th July 2007 (www.ctri.nic.in). Initiated as a voluntary measure, since 15th June 2009, trial registration in the CTRI has been made mandatory by the Drugs Controller General (India) (DCGI) (www.cdsco.nic.in). Moreover, Editors of Biomedical Journals of 11 major journals of India declared that only registered trials would be considered for publication1, 2.
Today, any researcher who plans to conduct a trial involving human participants, of any intervention such as drugs, surgical procedures, preventive measures, lifestyle modifications, devices, educational or behavioral treatment, rehabilitation strategies as well as trials being conducted in the purview of the Department of AYUSH (http://indianmedicine.nic.in/) is expected to register the trial in the CTRI before enrollment of the first participant. Trial registration involves public declaration and identification of trial investigators, sponsors, interventions, patient population etc before the enrollment of the first patient. Submission of Ethics approval and DCGI approval (if applicable) is essential for trial registration in the CTRI. Multi-country trials, where India is a participating country, which have been registered in an international registry, are also expected to be registered in the CTRI. In the CTRI, details of Indian investigators, trial sites, Indian target sample size and date of enrollment are captured. After a trial is registered, trialists are expected to regularly update the trial status or other aspects as the case may be. After a trial is registered, all updates and changes will be recorded and available for public display.
Siro Clinical Research Institute
Post Graduate Diploma in Clinical Research
www.siroinstitute.com
www.siroclinpharm.com
This document discusses the role of clinical pharmacists in drug information centers (DICs). It defines DICs as areas specialized in providing drug-related information to health professionals and the public. The first DIC was established in 1962 at the University of Kentucky. Clinical pharmacists play an important role in DICs by responding to drug information queries, maintaining documentation of queries and responses, ensuring quality of information provided, and evaluating the drug information service. Their role helps optimize safe and effective medication use. The document also lists several DICs in India and abroad.
The document discusses post-marketing surveillance (PMS) of drugs. It notes that PMS is important for discovering undesirable effects that may occur after approval and provides additional information on drug risks and benefits. PMS systems collect reports of adverse drug reactions and ensure drug quality, efficacy, and safety after marketing. The document outlines various PMS methods like spontaneous reporting, cohort studies, and case-control studies that are used to identify potential drug effects in real-world use. Maintaining PMS is crucial to assuring patient safety.
This document discusses post marketing surveillance of drugs. It defines post marketing surveillance as monitoring drugs once they reach the market to evaluate their safety and efficacy in wider patient populations than clinical trials. Several methods of post marketing surveillance are described, including spontaneous reporting, cohort studies, and case control studies. The goals of post marketing surveillance include identifying unexpected side effects, assessing drug interactions, and ensuring safe use of medications. It is an important part of pharmacovigilance, the science of monitoring pharmaceutical safety and outcomes.
An Introductory Presentation to Clinical Research. A go through from this presentation will give you a brief and clear introduction about Clinical Research.
Overview regulatory environment in usa,europe,indiashabana parveen
The document summarizes the process for clinical research and drug approval by the FDA. It describes the multi-step process including pre-clinical research in animals, Phase 1-3 clinical trials in humans to test safety and efficacy, and the submission of a New Drug Application. The FDA rigorously reviews data at each stage before approving progression to the next stage to ensure safety. The overall process aims to establish that new drugs are safe and effective for use by the American public.
The document discusses the Common Technical Document (CTD) format and electronic CTD (eCTD) format for registration dossier submissions. It provides background on the International Conference on Harmonization (ICH) and its role in harmonizing technical requirements for drug registration. The key points covered are:
1) The CTD format was created by ICH to provide a standardized common format for drug registration submissions across regions/countries.
2) The eCTD specification was later developed as the electronic equivalent of CTD to streamline the submission and review process.
3) Benefits of eCTD include improved handling of submissions, better information management, and increased efficiency of the evaluation and review process.
The history of medical ethics in research and its relation to clinical practiceSCGH ED CME
This document discusses the history of medical ethics in research and its relation to clinical practice. It covers several topics including the importance of research and ethics, premodern versus modern research, examples of unethical research, the development of ethics codes, and the application of research ethics to clinical medicine. Key points addressed are the benefits of research for improving health and helping patients and communities, as well as the need to prevent exploitation and protect subjects.
Dr. Jannatul Ferdoush discusses the importance of pharmacovigilance in her presentation. Pharmacovigilance is the detection, assessment, understanding and prevention of adverse drug reactions. It is needed because clinical trials provide insufficient safety evidence, medicines can have unexpected harmful effects like thalidomide in the 1960s, and adverse drug reactions can be life-threatening and expensive. Healthcare professionals should monitor and report any suspected adverse drug reactions to help improve patient safety, public health, and the assessment of drug benefits, harms, and risks.
The document discusses the role and functions of an Institutional Review Board (IRB) or Independent Ethics Committee (IEC). The IRB protects the rights and welfare of human subjects in research. It reviews research proposals to ensure they are ethical and in compliance with regulations. The IRB upholds principles like respect for persons, beneficence, and justice. It is composed of members from varying backgrounds who review research proposals and can approve, require modifications to, or disapprove research.
Regulation in clinical trial, Schedule Y and recent amendmentsDr. Siddhartha Dutta
Regulatory framework of India, Acts and Regulations for conduct of clinical trial in India, Schedule Y, approval of new chemical entity and recent amendments
Hospital Committees are regular standing committees prescribed by regulatory agencies and deemed necessary by hospital administration in formulating policies, coordinating and monitoring hospital-wide activities that are considered critical in the delivery of quality health care services.
These are in contrast to ad hoc committees, department and unit committees.
Study setup_Clinical Data Management_Katalyst HLSKatalyst HLS
Introduction to Study Setup in Clinical Data Management in Clinical Trials of Pharmaceuticals, Bio-Pharmaceuticals, Medical Devices, Cosmeceuticals and Foods.
The document discusses the role of patients, healthcare professionals, and academics in the European Medicines Agency's (EMA) process of approving medicines in the European Union. It describes how patients and patient organizations can provide input and expertise at various stages of the medicine development and review process. This includes involvement in scientific committees, evaluation of product information for patients, and review of safety communications. While patient participation has increased in recent years, challenges remain around representation, measuring impact, and ensuring comprehensive training. The EMA also facilitates collaboration with healthcare professionals and academics to enhance regulation and research.
Presentation: Medical Devices: how to stay included workshop - Annual ReportsTGA Australia
Session 4: Annual Reports: This presentation discusses the requirements and importance of annual reports including information that is required by the TGA and recognising avoidable errors when writing an annual report.
The IRB/IEC is an independent body that reviews clinical trial protocols and protects participant rights and well-being. It consists of at least five qualified members from diverse backgrounds. The IRB/IEC reviews trials annually, ensures informed consent, and maintains documentation for regulatory review.
Safety monitoring and reporting of adverse events of medical devices national...Vivek Nayak
This document outlines safety monitoring and adverse event reporting for medical devices from national and international perspectives. It defines medical devices and their classification system. Approval processes in India are discussed, along with the Materiovigilance Program of India for post-marketing surveillance. Adverse events must be reported within defined timeframes. International regulatory bodies like the FDA and MHRA also have mandatory reporting requirements. The limitations of current monitoring and reporting are noted.
This clinical trial protocol summarizes a phase 2 double-blind randomized placebo-controlled trial to evaluate the safety and efficacy of TJ301 for the treatment of active ulcerative colitis. The trial will enroll 90 patients to receive either 600mg of TJ301 biweekly, 300mg of TJ301 biweekly, or placebo biweekly for 12 weeks. The primary endpoint is clinical and endoscopic remission at week 12. Secondary endpoints include safety assessments, pharmacokinetic measures, and changes in disease activity scores from baseline to week 12. The protocol outlines the study design, patient selection criteria, treatments, assessments, data management, and statistical analysis plan.
Post-marketing surveillance (PMS) involves monitoring pharmaceutical drugs and medical devices after they have been released to the public to identify adverse drug reactions (ADRs) that were not detected in pre-market clinical trials due to limitations such as narrow study populations and durations. PMS benefits include identifying low frequency ADRs, effects in high risk groups, long term effects, and drug interactions. Information is collected through expert user groups, customer surveys, complaints, literature reviews, and media reports. PMS studies use controlled clinical trials, spontaneous reporting, cohort studies, and case control studies to identify drug effects.
procurement and storage of investigation productfarmanadeeb
The document discusses the responsibilities of clinical investigators and research teams regarding investigational products in clinical trials. It outlines that investigators are responsible for ensuring trials follow regulations and protecting subjects. They must also account for investigational products, maintaining records of delivery, inventory, use, and returns. The document then describes the steps research teams and pharmacies take to order, receive, verify, store, and label investigational drugs according to the protocol. Proper storage, labeling, and limited access are important to control investigational products.
The mission of the Clinical Trials Registry-India (CTRI) is to ensure that all clinical trials conducted in India are prospectively registered, i.e. before the enrolment of the first participant. Additionally, post-marketing surveillance studies, BA/BE studies as well as clinical studies as part of PG thesis are also expected to be registered in the CTRI. The vision of the CTRI is to ensure that every clinical trial conducted in the region is prospectively registered with full disclosure of the trial data set items. While this register is meant primarily for trials conducted in India, the CTRI will also accept registration of trials conducted in other countries in the region, which do not have a Primary Registry of its own, provided ethics approval (in English) is available and the study has not begun enrolling. The Clinical Trials Registry- India (CTRI), hosted at the ICMR's National Institute of Medical Statistics (http://icmr-nims.nic.in), is a free and online public record system for registration of clinical trials being conducted in India that was launched on 20th July 2007 (www.ctri.nic.in). Initiated as a voluntary measure, since 15th June 2009, trial registration in the CTRI has been made mandatory by the Drugs Controller General (India) (DCGI) (www.cdsco.nic.in). Moreover, Editors of Biomedical Journals of 11 major journals of India declared that only registered trials would be considered for publication1, 2.
Today, any researcher who plans to conduct a trial involving human participants, of any intervention such as drugs, surgical procedures, preventive measures, lifestyle modifications, devices, educational or behavioral treatment, rehabilitation strategies as well as trials being conducted in the purview of the Department of AYUSH (http://indianmedicine.nic.in/) is expected to register the trial in the CTRI before enrollment of the first participant. Trial registration involves public declaration and identification of trial investigators, sponsors, interventions, patient population etc before the enrollment of the first patient. Submission of Ethics approval and DCGI approval (if applicable) is essential for trial registration in the CTRI. Multi-country trials, where India is a participating country, which have been registered in an international registry, are also expected to be registered in the CTRI. In the CTRI, details of Indian investigators, trial sites, Indian target sample size and date of enrollment are captured. After a trial is registered, trialists are expected to regularly update the trial status or other aspects as the case may be. After a trial is registered, all updates and changes will be recorded and available for public display.
Siro Clinical Research Institute
Post Graduate Diploma in Clinical Research
www.siroinstitute.com
www.siroclinpharm.com
This document discusses the role of clinical pharmacists in drug information centers (DICs). It defines DICs as areas specialized in providing drug-related information to health professionals and the public. The first DIC was established in 1962 at the University of Kentucky. Clinical pharmacists play an important role in DICs by responding to drug information queries, maintaining documentation of queries and responses, ensuring quality of information provided, and evaluating the drug information service. Their role helps optimize safe and effective medication use. The document also lists several DICs in India and abroad.
The document discusses post-marketing surveillance (PMS) of drugs. It notes that PMS is important for discovering undesirable effects that may occur after approval and provides additional information on drug risks and benefits. PMS systems collect reports of adverse drug reactions and ensure drug quality, efficacy, and safety after marketing. The document outlines various PMS methods like spontaneous reporting, cohort studies, and case-control studies that are used to identify potential drug effects in real-world use. Maintaining PMS is crucial to assuring patient safety.
This document discusses post marketing surveillance of drugs. It defines post marketing surveillance as monitoring drugs once they reach the market to evaluate their safety and efficacy in wider patient populations than clinical trials. Several methods of post marketing surveillance are described, including spontaneous reporting, cohort studies, and case control studies. The goals of post marketing surveillance include identifying unexpected side effects, assessing drug interactions, and ensuring safe use of medications. It is an important part of pharmacovigilance, the science of monitoring pharmaceutical safety and outcomes.
An Introductory Presentation to Clinical Research. A go through from this presentation will give you a brief and clear introduction about Clinical Research.
Overview regulatory environment in usa,europe,indiashabana parveen
The document summarizes the process for clinical research and drug approval by the FDA. It describes the multi-step process including pre-clinical research in animals, Phase 1-3 clinical trials in humans to test safety and efficacy, and the submission of a New Drug Application. The FDA rigorously reviews data at each stage before approving progression to the next stage to ensure safety. The overall process aims to establish that new drugs are safe and effective for use by the American public.
The document discusses the Common Technical Document (CTD) format and electronic CTD (eCTD) format for registration dossier submissions. It provides background on the International Conference on Harmonization (ICH) and its role in harmonizing technical requirements for drug registration. The key points covered are:
1) The CTD format was created by ICH to provide a standardized common format for drug registration submissions across regions/countries.
2) The eCTD specification was later developed as the electronic equivalent of CTD to streamline the submission and review process.
3) Benefits of eCTD include improved handling of submissions, better information management, and increased efficiency of the evaluation and review process.
The history of medical ethics in research and its relation to clinical practiceSCGH ED CME
This document discusses the history of medical ethics in research and its relation to clinical practice. It covers several topics including the importance of research and ethics, premodern versus modern research, examples of unethical research, the development of ethics codes, and the application of research ethics to clinical medicine. Key points addressed are the benefits of research for improving health and helping patients and communities, as well as the need to prevent exploitation and protect subjects.
Dr. Jannatul Ferdoush discusses the importance of pharmacovigilance in her presentation. Pharmacovigilance is the detection, assessment, understanding and prevention of adverse drug reactions. It is needed because clinical trials provide insufficient safety evidence, medicines can have unexpected harmful effects like thalidomide in the 1960s, and adverse drug reactions can be life-threatening and expensive. Healthcare professionals should monitor and report any suspected adverse drug reactions to help improve patient safety, public health, and the assessment of drug benefits, harms, and risks.
The document discusses the role and functions of an Institutional Review Board (IRB) or Independent Ethics Committee (IEC). The IRB protects the rights and welfare of human subjects in research. It reviews research proposals to ensure they are ethical and in compliance with regulations. The IRB upholds principles like respect for persons, beneficence, and justice. It is composed of members from varying backgrounds who review research proposals and can approve, require modifications to, or disapprove research.
Regulation in clinical trial, Schedule Y and recent amendmentsDr. Siddhartha Dutta
Regulatory framework of India, Acts and Regulations for conduct of clinical trial in India, Schedule Y, approval of new chemical entity and recent amendments
Hospital Committees are regular standing committees prescribed by regulatory agencies and deemed necessary by hospital administration in formulating policies, coordinating and monitoring hospital-wide activities that are considered critical in the delivery of quality health care services.
These are in contrast to ad hoc committees, department and unit committees.
Study setup_Clinical Data Management_Katalyst HLSKatalyst HLS
Introduction to Study Setup in Clinical Data Management in Clinical Trials of Pharmaceuticals, Bio-Pharmaceuticals, Medical Devices, Cosmeceuticals and Foods.
The document discusses the role of patients, healthcare professionals, and academics in the European Medicines Agency's (EMA) process of approving medicines in the European Union. It describes how patients and patient organizations can provide input and expertise at various stages of the medicine development and review process. This includes involvement in scientific committees, evaluation of product information for patients, and review of safety communications. While patient participation has increased in recent years, challenges remain around representation, measuring impact, and ensuring comprehensive training. The EMA also facilitates collaboration with healthcare professionals and academics to enhance regulation and research.
Presentation: Medical Devices: how to stay included workshop - Annual ReportsTGA Australia
Session 4: Annual Reports: This presentation discusses the requirements and importance of annual reports including information that is required by the TGA and recognising avoidable errors when writing an annual report.
MS Exchange workshop GWAVA archiving & compliance for exchangeGSX Solutions
Microsoft Exchange Workshop November 2013: “Deploy a Multivendor Strategy to Better Leverage Exchange Migration and Upgrade”. The combination of GSX, GWAVA and VEEAM offers Administrators and IT Managers a solid range of tools to leverage their Exchange Migration & Upgrade.
Check out speakers’ presentations to learn why deploying a multivendor strategy can better leverage your Microsoft investment.
- What is new in Exchange 2013? Microsoft
- Exchange Server Performance & Reports- GSX Solutions
- Archiving & Compliance for Exchange- GWAVA
- Data Protection for Exchange- Veeam
Future of Broadband workshop presentation - ITU Telecom World 2013Martin Geddes
1. The document argues that pursuing ever higher broadband speeds is leading the industry into a "death spiral" as quality of experience declines faster than networks can be upgraded.
2. It advocates reframing the resource model around quality metrics like loss and delay rather than speed. Prioritizing scheduling of traffic to manage variability in loss and delay is key to improving quality of experience.
3. A multi-class service model is proposed to separate traffic by resilience requirements and allow differentiated pricing to better drive capacity planning and revenue. This fits demand to the underlying constraints of packet networks.
Devices Sponsor Information Day: 5 - Post-market - Adverse events and monitor...TGA Australia
Presentations by TGA and Industry (combined) to help sponsors and manufacturers better understand the regulation of medical devices and in-vitro diagnostic medical devices
The key themes from the Broadband World Forum 2012 included discussions around software defined networks (SDN) and using it to virtualize telecom networks, allowing changes to be made more quickly. Big data analytics and using customer data to improve customer relationships was also a topic. Presentations also focused on maximizing bandwidth over existing copper networks and the state of fiber deployments worldwide. The home gateway concept was criticized for being out of touch with how people actually use devices and services in their homes today.
The document discusses medical device adverse event reporting requirements, including definitions of reportable events and timelines for submitting reports to regulatory agencies. It provides an overview of the classification system for medical devices and regulations around reporting malfunctions, deaths and serious injuries caused by devices. Reporting requirements and challenges involving software as a medical device are also reviewed.
Adverse Events Following Immunization (AEFIs)INAAMUL HAQ
This document discusses adverse events following immunization (AEFI). It defines AEFI as any untoward medical occurrence that follows immunization but does not necessarily have a causal relationship to the vaccine. AEFIs are classified based on whether they are related to the vaccine product, a vaccine quality defect, an immunization error, immunization anxiety, or are coincidental. Serious AEFIs that require reporting include death, hospitalization, disability, and life-threatening events. AEFI reporting and surveillance procedures in India involve using a case reporting form within 24-48 hours and a preliminary and final case investigation form within 10 and 70 days respectively.
If you are marketing your product in India you should comply these area of regulation.We give Services in getting manufacturing licences
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This document summarizes a workshop on reporting medical device adverse events. It outlines who is required to report events, how to submit reports, and what happens after a report is filed. The TGA evaluates reports based on severity and likelihood, and may investigate further through testing or requesting more information from manufacturers. Potential outcomes include safety alerts, recalls, or changes to device labeling. Stricter post-market monitoring of devices was also recommended to improve adverse event analysis and information sharing between regulators.
TGA presentation: Postmarket MonitoringTGA Australia
View this presentation for information on:
what postmarket monitoring is and why it is important
tools used in postmarket monitoring, including risk management plans
managing risk and adverse events
the TGA's early warning system and recall actions.
Sponsor Information and Training day Session C4 - IVDs: Post-market responsib...TGA Australia
The document provides information on post-market responsibilities and recalls of in vitro diagnostic (IVD) medical devices. It discusses the Therapeutic Goods Administration's (TGA) role in monitoring devices after market approval through adverse event reporting and recalls. It outlines what constitutes an adverse event and recall, as well as sponsor and manufacturer reporting obligations. Key points covered include what types of issues may warrant a recall or correction, global recall terminology, and that every recall situation is unique and should be assessed individually.
The regulation of medical devices in AustraliaTGA Australia
The regulation of medical devices in Australia involves classifying devices based on their intended use and risk level. Higher risk devices undergo more rigorous assessment procedures to ensure they meet essential safety and performance principles before being approved for market. Ongoing monitoring is also conducted after devices enter the market to protect public health. The TGA regulates medical devices to confirm they are suitable for their intended purpose and that their benefits outweigh any risks when used correctly.
Presentation: Global pharmacovigilance networks - A regulator'sTGA Australia
Global pharmaceutical companies manufacture and distribute a broad portfolio of drug products in multiples regions and countries. The pharmacovigilance system must ensure safety data collection in compliance with local regulations, and consolidate all sources to ensure an ongoing monitoring of potential changes in benefit-risk profiles. It must also guarantee a timely communication to patients, prescribers and regulatory authorities. The complexity resides in the need for a dense network of local safety departments, a strong global organisation processing and analysing cases, and a reporting system ensuring compliance to heterogeneous regulatory requirements. Pfizer has one of the largest pharmacovigilance department among all global companies, and has established patient safety as a core priority. We will describe how pharmacovigilance is organised at Pfizer, global compliance and individual patient safety.
Postmarket monitoring of therapeutic goods in AustraliaTGA Australia
View this presentation for information on:
* what postmarket monitoring is and why it is important
* tools used in postmarket monitoring, including risk management plans
* managing risk and adverse events
* the TGA's early warning system and recall actions.
The MedWatch program allows health professionals and the public to voluntarily report serious reactions to medical products like drugs and devices. These reports are entered into the FDA Adverse Event Reporting System (FAERS) database. The goals of MedWatch are to increase awareness of medical product risks, clarify what should be reported, and provide safety information on FDA-regulated products to healthcare providers and patients. While FAERS supports post-marketing safety surveillance, it has limitations as not all adverse events are reported.
The document discusses several initiatives by the Therapeutic Goods Administration (TGA) to improve patient care, including levels of evidence for complementary medicines, adverse event reporting, and information resources. It describes the TGA's role in regulating medicines, medical devices, and other products. It also explains the two-tiered regulatory system for medicines, requirements for listed complementary medicines, and efforts to make adverse event reporting easier for consumers and pharmacists.
Sponsor Information and Training day Session A4 - Medical Devices: Recall and...TGA Australia
Session A4 - Medical Devices: Recall and non-recall actions of medical devices
Presented by:
Hugh Cameron, Head, Quality and Regulatory Affairs, BD
Mick O’Connor, Director, Recalls and Advertising, Office of Product Review, TGA
Joshan Joy, Recalls and Advertising, Office of Product Review, TGA
ADR reporting (Clinical Research & Pharmacovigilance).pptxDureshahwar khan
The content here, include passive surveillance system, ADR reporting, ADR reporting process, different countries ADR reporting systems, what to report?, how to report?, where to report?, Health professionals are encouraged to report adverse reactions which they believe to be drug related directly to The regulatory authority or The company marketing the suspected product on voluntary basis.
A presentation on Pharmacovigilance System in United States.
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The document discusses pharmacovigilance, which involves monitoring the safety of medical products. It outlines various methods for collecting and analyzing adverse event reports, including spontaneous reports from healthcare professionals and patients, literature reviews, and solicited reports from clinical trials. It also discusses prioritizing cases, signal detection methods, and actions that may be taken in response to potential safety issues. The main objectives are to minimize risks for patients and the company while meeting regulatory requirements.
Pharmacovigilance and complementary medicines - Regulatory requirementsTGA Australia
Presentation on Pharmacovigilance basics – sponsor obligations, Complementary medicine safety – Regulatory perspective and Special considerations for complementary medicine pharmacovigilance
The challenges of regulating direct to consumer digital medical devicesTGA Australia
Presentation on digital medical devices, the role of the regulator, challenges in applying the framework to digital devices, international approaches and what is the TGA doing
Updates from the Pharmacovigilance and Special Access Branch TGA Australia
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Presentation: Medical Devices: how to stay included workshop - Adverse event reporting and all it entails
1. Medical Devices: how to stay included
Adverse event reporting and all it entails
Sharon Bennett
IRIS Coordinator
Medical Devices Branch
Therapeutic Goods Administration
2. Learning outcomes
It is envisaged at the end of this session you will be able to:
• Understand why adverse events are required to be reported to the TGA.
• Know what incidences to report to the TGA and the time frame in which to
report.
• Identify the information that is required in the device incident reports to the
TGA.
• Recognise avoidable errors in reporting adverse events to the TGA.
• Appreciate the importance of correct similar event information and its role in
the post-market vigilance and monitoring aspect in lifecycle of the device.
• Appreciate the difference in reporting requirements for SAS/clinical trial
devices.
Adverse event reporting and all it entails
1
3. Overview
• Why
• When
• What
• How
• Common misconceptions or errors made
• Reporting of adverse events relating to SAS/Clinical trials/Authorised
Prescriber
Adverse event reporting and all it entails 2
4. IRIS – (Medical Device) Incident Report
Investigation Scheme
“A scheme intended to help maintain the
standard of devices used in health care
through voluntary cooperation between users,
government and industry through the
investigation of adverse events and incidents”
Adverse event reporting and all it entails 3
5. Sponsor – mandatory obligations
Why Report
• Sponsors must report the details of events associated with their device(s) that have
resulted, or could have resulted, in serious injury or death
- These are conditions of inclusion set out in the Therapeutic Goods (Medical Devices)
Regulations (2002)
When to report
• Within two days of becoming aware of an issue of serious public health threat or concern
that will require prompt action to reduce the hazard
• Within ten days of becoming aware of a death or serious injury
• Within thirty days of becoming aware of an event that might have led to serious injury or
death
Adverse event reporting and all it entails 4
6. Exemption rules
The Australian Regulatory Guidelines for Medical Devices (ARGMD) documents outlines 8 exemption rules –
none of which apply if;
A device, event or issue specifically identified by the TGA as an issue that requires close monitoring
An adverse event normally subject to a reporting exemption, where a change in trend (usually an increase in
frequency) or pattern is identified
Adverse events associated with user error, as the TGA may use this data to identify trends with this and similar
products that may lead to recommendations for:
• corrective action for the device
• revising the labelling or Instructions for Use
• identifying a need for increased user education.
Adverse event reporting and all it entails 5
7. What is an adverse event/incident?
An event that resulted in, or could have resulted in (had effective
intervention not taken place) serious injury, illness or death to patient,
healthcare worker or other person.
A medical device adverse event is an event associated (caused or partially
attributable) with the use (or misuse) of a medical device.
Faults that may affect the quality, timeliness and cost-effectiveness such
as, problems with getting the device to operate, repeated repairs, device
design and difficulty of use.
The TGA encourages users to report issues of concern with the devices
that they use.
Adverse event reporting and all it entails
6
8. What is a serious injury?
Serious injury (also known as serious deterioration in state of health) is:
• A life threatening illness or injury
• A permanent impairment of a body function (The term “permanent” means irreversible
impairment or damage to a body structure of function. The term excludes minor impairment
or damage).
• Permanent damage to a body structure
• A condition necessitating medical or surgical intervention to prevent permanent impairment of
a body function or permanent damage to a body structure
(In this context, medical intervention is not in itself a serious injury. It is the reason that
motivated the medical intervention that should be used to assess whether an event should be
reported)
Adverse event reporting and all it entails 7
9. It is often difficult to determine whether an
adverse event was caused by a medical
device.
When in doubt it is better to report than
not to report.
Adverse event reporting and all it entails 8
10. Medical Device Adverse Events
The preferred method of reporting is online
Log into eBS
Select “Medical device adverse event reporting”
A list of all reports submitted by the sponsor can be
found here
Start a new report and save it as a draft or submit an
initial report
Enter information - you can update the report to follow-up
or final
Device Incident Report (DIR) number will be available
immediately
Save or print your report 9
11. What happens to the report?
Initial risk assessment…
• Reports are entered into the IRIS database
• Urgent reports are addressed immediately by the IRIS coordinator
• Focus is on unusual problems, potentially serious problems, or problems
that have high levels of incidences
• After risk assessment the level of investigation is determined
• Many reports are not investigated, however they are utilised for trending
and monitoring purposes
Adverse event reporting and all it entails
10
12. What happens to the report?
• The TGA investigator contacts the sponsor (company) and the reporter,
and works with them to resolve any issues
• Reports are treated as confidential and the reporter and sponsor are
informed of the outcome of the investigation
• Most reports are placed onto the Database of Adverse Event
Notifications (DAEN)
Adverse event reporting and all it entails 11
13. Common Issues noted with reports submitted
• Proof Reading – check accuracy, be careful of cut and paste
• Lack of Information or Relevancy – provide all requested information and
ensure information is accurate and relevant to the event
• Duplicates – ensure all parties in your company are aware of what has
already been sent to the TGA
• If you are unsure about anything to do with a report, please email
iris@tga.gov.au before resubmitting or creating a new report
Adverse event reporting and all it entails 12
14. Common Issues noted with reports submitted
• DIR number not provided on follow-up and final reports when submitted by email
• More than one ARTG number being put into the applicable field
• ARTG numbers not being provided for other devices involved
• Similar event rates
- Similar events are based on the clinical event description and not the cause of
an event
- The rate should preferably be provided in the form of an incidence rate, for
example: 0.4%, the number should include the number sold for example 12 of
3,000 units sold over two years in Australia or 25 of 5 million units sold over 5
years worldwide. If none, write “0” or “nil”
Adverse event reporting and all it entails
13
15. Common Issues noted with reports submitted
• Brand name of the device absent
• Attachments need to be referenced, however all the relevant information
must be put into the report
• Device analysis results not being provided or only selected sections of the
results
• Information not in the correct data entry field
• Medicines being reported to the devices section
• Overseas reports being entered into the database
Further information on how to fill in the report can be found in the FAQs on
the TGA website
Adverse event reporting and all it entails
14
16. Why do I have to answer a questionnaire if the final
report has most of the information in it?
A questionnaire is usually required due to:
• conflicting or inadequate information supplied in the final report
• clarification required regarding the information supplied
• concern the response does not address the issue
The majority of questionnaires sent to the sponsor are as a result of the receipt of a report
from a health care professional or consumer which the TGA has decided to investigate.
Reports from these sources do not usually contain enough information to satisfy the TGA
that the device is safe
Adverse event reporting and all it entails 15
17. SAS/Clinical trials/Authorised prescriber
It is important to distinguish between clinical trials and use of a product
in an individual patient as part of clinical practice. Use of unapproved
products in individual patients as part of clinical patient care should be
done using the provisions of the Special Access or Authorised
Prescriber Scheme and not as a clinical trial.
Useful Links:
• https://www.tga.gov.au/clinical-trials
• https://www.tga.gov.au/form/special-access-scheme
• https://www.tga.gov.au/access-unapproved-therapeutic-goods-authorised-prescribers
• https://www.tga.gov.au/sites/default/files/devices-argmd-01.pdf
Adverse event reporting and all it entails 16
18. Clinical Trials
A notification under the CTN Scheme (or application under the CTX
Scheme) is required for all clinical investigational use of a product in
Australia, where that use involves:
• a product not entered on the Australian Register of Therapeutic
Goods, including any new formulation of an existing product or
any new route of administration; or
• use of a registered or listed product outside the conditions of its
marketing approval
Adverse event reporting and all it entails 17
19. Clinical Trials
A clinical trial should always have a specific aim that addresses a
scientific question
Adverse event information can be found in the clinical trial
handbook:
https://www.tga.gov.au/publication/australian-clinical-trial-handbook
Essentially it states:
Sponsors of clinical trials are required to report to TGA single
cases of serious unanticipated device related adverse events
Adverse event reporting and all it entails 18
20. SAS (Special Access Scheme)
The SAS refers to arrangements which provide for the import and/or supply of an
unapproved therapeutic good for a single patient, on a case by case basis. Patients
are grouped into two categories under the scheme:
• Category A patients are defined as 'persons who are seriously ill with a condition
from which death is reasonably likely to occur within a matter of months, or from
which premature death is reasonably likely to occur in the absence of early
treatment'
• Category B patients are all other patients that do not fit the Category A definition
Adverse event reporting and all it entails 19
21. SAS (Special Access Scheme)
Adverse event information can be found in the SAS handbook:
• https://www.tga.gov.au/access-unapproved-therapeutic-goods-special-access-
scheme
this states:
The onus for reporting adverse drug reactions and adverse device events from
SAS usage lies primarily with the treating doctor. …however…Sponsors should
report to the TGA all those serious and unexpected adverse drug reactions or
serious unanticipated device related adverse events of which they have been
informed
Adverse event reporting and all it entails 20
22. Authorised prescriber
• There are circumstances where patients may require access to medicines or medical devices that have not
been approved for supply by the TGA.
• In these circumstances a medical practitioner may be granted authority to become an authorised prescriber
of a specified unapproved therapeutic good (or class of unapproved therapeutic goods) to specific patients
(or classes of recipients) with a particular medical condition.
Adverse events information can be found at the link below:
• https://www.tga.gov.au/access-unapproved-therapeutic-goods-authorised-prescribers
The onus for reporting to TGA of adverse drug reactions and adverse device events occurring in the context of
the Authorised Prescriber mechanism lies primarily with the treating doctor…..however...Sponsors should
report to the TGA all those serious and unexpected adverse drug reactions or serious unanticipated device
related adverse events of which they have been informed.
Adverse event reporting and all it entails 21
23. At the end of the adverse event reporting session it is envisaged
that the sponsor will be able to:
• Understand why adverse events are required to be reported to the TGA.
• Know what incidences to report to the TGA and the time frame in which to
report.
• Identify the information that is required in the device incident reports to the
TGA.
• Recognise avoidable errors in reporting adverse events to the TGA.
• Appreciate the importance of correct similar event information and its role in
the post-market vigilance and monitoring aspect in lifecycle of the device.
• Appreciate the difference in reporting requirements for SAS/clinical trial
devices.
Adverse event reporting and all it entails 22
24. References
• Database of Adverse Event Notifications (DAEN) https://apps.tga.gov.au/prod/DEVICES/daen-entry.aspx
• Australian Regulatory Guidelines for Medical Devices (ARGMD)
https://www.tga.gov.au/publication/australian-regulatory-guidelines-medical-devices-argmd
• FAQs https://www.tga.gov.au/frequently-asked-questions-about-filling-device-incident-report
• Report a medical device adverse event (sponsor/manufacturer) information
https://www.tga.gov.au/form/report-medical-device-adverse-event-sponsormanufacturer
• Medical device incident reporting (MDIR) user guide 2013 https://www.tga.gov.au/publication/medical-
device-incident-reporting-mdir-user-guide-2013
• Therapeutic Goods (Medical Devices) Regulations (2002)
• https://www.tga.gov.au/clinical-trials
• https://www.tga.gov.au/form/special-access-scheme
• https://www.tga.gov.au/access-unapproved-therapeutic-goods-authorised-prescribers
• https://www.tga.gov.au/access-unapproved-therapeutic-goods-special-access-scheme
• https://www.tga.gov.au/access-unapproved-therapeutic-goods-authorised-prescribers
Adverse event reporting and all it entails 23