This document summarizes the major changes brought about by the new European Union pharmacovigilance legislation. It overviews the goals of improving safety monitoring and decision making. Key changes include new guidelines on pharmacovigilance systems and risk management, the establishment of the Pharmacovigilance Risk Assessment Committee, more stringent reporting rules, and increased transparency including public access to safety information. The legislation aims to modernize the EU pharmacovigilance system and better protect public health.
The aim of Safety reports is describe the safety during the lifecycle of the medicinal product. These reports are necessary during development as well as during the authorization process or renewal. In addition, several of these reports may be required by Health Authorities in case of safety concerns.
This presentation contains a full overview about periodic safety update reports and all the information related with it.
PHARMACOVIGILANCE
The World Health Organization (WHO) defines Pharmacovigilance as “the science and activities relating to the detection, assessment, understanding and prevention of adverse effects or any other drug-related problem.”
ADVERSE DRUG REACTION
According to WHO “ADR is a response to a drug which is noxious and unintended, and which occurs at doses normally used in man for the prophylaxis, diagnosis, or therapy of disease, or for the modifications of physiological function.”
TIMELINE
PHARMACOVIGILANCE STAKEHOLDERS
ERMS – RECOMMENDATIONS 2005 – KEY CHANGES
2006 CONSULTATIONS – 2008 PROPOSALS
NEW DIRECTIVE 2010/84/EU
PHARMACOVIGILANCE
New regulation (EC) No 726/2004
PHARMACOVIGILANCE OF HUMAN MPs
PHARMACOVIGILANCE OF VETERINARY MPS
MILESTONES 2011-2012
REGULATION (EU) 520/2012
ICH GUIDELINES
GPvP GUIDELINES
MILESTONES – FURTHER DEVELOPMENT
“Regulatory writing department at Turacoz have the expertise to develop various regulatory documents such as Investigator Brochures (IBs), Protocols, Clinical Study Reports (CSRs), Common Technical Documents (CTDs) and pharmacovigilance documents such as Periodic Safety Update Reports (PSURs) and Risk Management Plans (RMPs). In these slides, we have presented an overview on Periodic safety update reports (PSURs) and also the guidelines such GVP modules and ICH E2c. We have also discussed the changes from old PSUR format to new Periodic Benefit-Risk Evaluation Report (PBRER) format.”
General principles of Periodic Safety Update Reports(PSUR)Psur by Julia Appel...László Árvai
The views and opinions expressed in the following PowerPoint slides are those of the individual presenter and should not be attributed to Bluefish Pharmaceuticals.
The aim of Safety reports is describe the safety during the lifecycle of the medicinal product. These reports are necessary during development as well as during the authorization process or renewal. In addition, several of these reports may be required by Health Authorities in case of safety concerns.
This presentation contains a full overview about periodic safety update reports and all the information related with it.
PHARMACOVIGILANCE
The World Health Organization (WHO) defines Pharmacovigilance as “the science and activities relating to the detection, assessment, understanding and prevention of adverse effects or any other drug-related problem.”
ADVERSE DRUG REACTION
According to WHO “ADR is a response to a drug which is noxious and unintended, and which occurs at doses normally used in man for the prophylaxis, diagnosis, or therapy of disease, or for the modifications of physiological function.”
TIMELINE
PHARMACOVIGILANCE STAKEHOLDERS
ERMS – RECOMMENDATIONS 2005 – KEY CHANGES
2006 CONSULTATIONS – 2008 PROPOSALS
NEW DIRECTIVE 2010/84/EU
PHARMACOVIGILANCE
New regulation (EC) No 726/2004
PHARMACOVIGILANCE OF HUMAN MPs
PHARMACOVIGILANCE OF VETERINARY MPS
MILESTONES 2011-2012
REGULATION (EU) 520/2012
ICH GUIDELINES
GPvP GUIDELINES
MILESTONES – FURTHER DEVELOPMENT
“Regulatory writing department at Turacoz have the expertise to develop various regulatory documents such as Investigator Brochures (IBs), Protocols, Clinical Study Reports (CSRs), Common Technical Documents (CTDs) and pharmacovigilance documents such as Periodic Safety Update Reports (PSURs) and Risk Management Plans (RMPs). In these slides, we have presented an overview on Periodic safety update reports (PSURs) and also the guidelines such GVP modules and ICH E2c. We have also discussed the changes from old PSUR format to new Periodic Benefit-Risk Evaluation Report (PBRER) format.”
General principles of Periodic Safety Update Reports(PSUR)Psur by Julia Appel...László Árvai
The views and opinions expressed in the following PowerPoint slides are those of the individual presenter and should not be attributed to Bluefish Pharmaceuticals.
GVP stands for Good Pharmacovigilance Practices, which are a set of guidelines and regulatory requirements that provide a framework for the conduct of pharmacovigilance activities. The GVP modules outline specific areas of pharmacovigilance and provide detailed guidance on various aspects. Here are the main GVP modules
Turacoz Healthcare Solutions - Risk management plan is one of the many documents that come under regulatory writing. It is meant to be submitted to the health authorities during the process of gaining market authorization or at the time of any safety updates to the medicinal product.
Introduction to ICSR Workflow and Management in Drug Safety & Pharmacovigilance of Pharmaceuticals, Bio-Pharmaceuticals, Medical Devices, Cosmeceuticals and Foods.
Contact:
"Katalyst Healthcares & Life Sciences"
South Plainfield, NJ, USA
info@KatalystHLS.com
Safety reports rmp risk management plan pharmacovigilanceAzierta
A Risk management plan is a document based on safety profile of medicines that collects all pharmacovigilance activities and it is used to plan and implement measures in order to minimize risks.
This summary explains how to develop a Risk Management Plan according to European regulatory requirements.
Implementation dates and objectives of RMP module V of Good Pharmacovigilance Practices.
La gestión de riesgos en farmacovigilancia es una actividad global para salvaguardar la salud de los pacientes. Se autoriza un medicamento sobre la base de los resultados de estudios preclínicos y clínicos. Estos estudios generalmente se llevan a cabo en un pequeño número de pacientes en entornos controlados, por ejemplo, edad restringida, comorbilidad, comedicación y excluyendo poblaciones especiales como la población de edad avanzada, niños, mujeres embarazadas y lactantes. En el momento de la autorización, el riesgo-beneficio se considera positivo.
Sin embargo, no todos los riesgos reales o potenciales han sido identificados en el momento de la autorización. La gestión de riesgos es un conjunto de actividades realizadas para la identificación de riesgos, la evaluación de riesgos, la minimización o prevención de riesgos y la comunicación de riesgos. El Plan de gestión de riesgos (RMP) se desarrolla de acuerdo con las regulaciones y pautas aplicables. Sin embargo, en ausencia de pautas para un país, el plan se prepara de acuerdo con la guía ICH E2E sobre planificación de farmacovigilancia.
This Module provides guidance on planning and conducting the legally required audits, the role, context and management of pharmacovigilance audit activity.
The principles in this module are aligned with internationally accepted auditing standards, issued by relevant international auditing standardization organizations and support a risk-based approach to pharmacovigilance audits.
Raj Bhogal, Head of Regulatory Inspections, R&D Quality Takeda on the topic of 'Pharmacovigilance Inspections' at IFAH held at Le Meridien, Dubai on 16th - 18th December, 2019.
GVP stands for Good Pharmacovigilance Practices, which are a set of guidelines and regulatory requirements that provide a framework for the conduct of pharmacovigilance activities. The GVP modules outline specific areas of pharmacovigilance and provide detailed guidance on various aspects. Here are the main GVP modules
Turacoz Healthcare Solutions - Risk management plan is one of the many documents that come under regulatory writing. It is meant to be submitted to the health authorities during the process of gaining market authorization or at the time of any safety updates to the medicinal product.
Introduction to ICSR Workflow and Management in Drug Safety & Pharmacovigilance of Pharmaceuticals, Bio-Pharmaceuticals, Medical Devices, Cosmeceuticals and Foods.
Contact:
"Katalyst Healthcares & Life Sciences"
South Plainfield, NJ, USA
info@KatalystHLS.com
Safety reports rmp risk management plan pharmacovigilanceAzierta
A Risk management plan is a document based on safety profile of medicines that collects all pharmacovigilance activities and it is used to plan and implement measures in order to minimize risks.
This summary explains how to develop a Risk Management Plan according to European regulatory requirements.
Implementation dates and objectives of RMP module V of Good Pharmacovigilance Practices.
La gestión de riesgos en farmacovigilancia es una actividad global para salvaguardar la salud de los pacientes. Se autoriza un medicamento sobre la base de los resultados de estudios preclínicos y clínicos. Estos estudios generalmente se llevan a cabo en un pequeño número de pacientes en entornos controlados, por ejemplo, edad restringida, comorbilidad, comedicación y excluyendo poblaciones especiales como la población de edad avanzada, niños, mujeres embarazadas y lactantes. En el momento de la autorización, el riesgo-beneficio se considera positivo.
Sin embargo, no todos los riesgos reales o potenciales han sido identificados en el momento de la autorización. La gestión de riesgos es un conjunto de actividades realizadas para la identificación de riesgos, la evaluación de riesgos, la minimización o prevención de riesgos y la comunicación de riesgos. El Plan de gestión de riesgos (RMP) se desarrolla de acuerdo con las regulaciones y pautas aplicables. Sin embargo, en ausencia de pautas para un país, el plan se prepara de acuerdo con la guía ICH E2E sobre planificación de farmacovigilancia.
This Module provides guidance on planning and conducting the legally required audits, the role, context and management of pharmacovigilance audit activity.
The principles in this module are aligned with internationally accepted auditing standards, issued by relevant international auditing standardization organizations and support a risk-based approach to pharmacovigilance audits.
Raj Bhogal, Head of Regulatory Inspections, R&D Quality Takeda on the topic of 'Pharmacovigilance Inspections' at IFAH held at Le Meridien, Dubai on 16th - 18th December, 2019.
Eu Regulatory & Quality Environment- Abhishek RavalAbhishekRaval16
Contains-
History, Geography, Political Equations, Type of Procedures, DE& ME, All Regulatory Procedures incl. PLCM, Pharmacovigilance, GMP Insights, Control of API, Supply Chain, Various Fees, Discussion on Pro's & Con's Of MAH vs CMO model business.
Carlos Langezaal - Eisai Inc, Speaker at the marcus evans Discovery Summit Fall 2011, delivers his presentation on The Importance of Developing a Global Regulatory Strategy towards the Goal of Registration
Presentation: Spotlight on prescription medicine post-market reformsTGA Australia
An overview of reform initiatives relevant to prescription medicines pharmacovigilance arising from the Review of Medicines and Medical Devices Regulation.
Changing medical device regulations in Europe and the U.S.Maetrics
Topics covered at our recent ABHI (UK) event. Slides cover the reprocessing of single-use devices, the benefits of unique device identification, and supporting clinical evidence.
Building a link between ectd and xevmpdQdossier B.V.
Describing the role of XEVMPD/ IDMP in context of the regulatory environment and explaining the link with information managed within the eCTD and under GMP.
PECB Webinar: Proposed changes for medical device quality management systems ...PECB
We will cover:
• Overview of proposed changes to ISO 13485:201X, MDSAP
• New EU regulations and unannounced audits
• New directions for QMS and regulatory audits
Presenter:
This webinar will be presented by Danny Kroo, the founder and principal consultant at Docusys Corporation.
Welcome to Secret Tantric, London’s finest VIP Massage agency. Since we first opened our doors, we have provided the ultimate erotic massage experience to innumerable clients, each one searching for the very best sensual massage in London. We come by this reputation honestly with a dynamic team of the city’s most beautiful masseuses.
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
CRISPR-Cas9, a revolutionary gene-editing tool, holds immense potential to reshape medicine, agriculture, and our understanding of life. But like any powerful tool, it comes with ethical considerations.
Unveiling CRISPR: This naturally occurring bacterial defense system (crRNA & Cas9 protein) fights viruses. Scientists repurposed it for precise gene editing (correction, deletion, insertion) by targeting specific DNA sequences.
The Promise: CRISPR offers exciting possibilities:
Gene Therapy: Correcting genetic diseases like cystic fibrosis.
Agriculture: Engineering crops resistant to pests and harsh environments.
Research: Studying gene function to unlock new knowledge.
The Peril: Ethical concerns demand attention:
Off-target Effects: Unintended DNA edits can have unforeseen consequences.
Eugenics: Misusing CRISPR for designer babies raises social and ethical questions.
Equity: High costs could limit access to this potentially life-saving technology.
The Path Forward: Responsible development is crucial:
International Collaboration: Clear guidelines are needed for research and human trials.
Public Education: Open discussions ensure informed decisions about CRISPR.
Prioritize Safety and Ethics: Safety and ethical principles must be paramount.
CRISPR offers a powerful tool for a better future, but responsible development and addressing ethical concerns are essential. By prioritizing safety, fostering open dialogue, and ensuring equitable access, we can harness CRISPR's power for the benefit of all. (2998 characters)
How many patients does case series should have In comparison to case reports.pdfpubrica101
Pubrica’s team of researchers and writers create scientific and medical research articles, which may be important resources for authors and practitioners. Pubrica medical writers assist you in creating and revising the introduction by alerting the reader to gaps in the chosen study subject. Our professionals understand the order in which the hypothesis topic is followed by the broad subject, the issue, and the backdrop.
https://pubrica.com/academy/case-study-or-series/how-many-patients-does-case-series-should-have-in-comparison-to-case-reports/
India Clinical Trials Market: Industry Size and Growth Trends [2030] Analyzed...Kumar Satyam
According to TechSci Research report, "India Clinical Trials Market- By Region, Competition, Forecast & Opportunities, 2030F," the India Clinical Trials Market was valued at USD 2.05 billion in 2024 and is projected to grow at a compound annual growth rate (CAGR) of 8.64% through 2030. The market is driven by a variety of factors, making India an attractive destination for pharmaceutical companies and researchers. India's vast and diverse patient population, cost-effective operational environment, and a large pool of skilled medical professionals contribute significantly to the market's growth. Additionally, increasing government support in streamlining regulations and the growing prevalence of lifestyle diseases further propel the clinical trials market.
Growing Prevalence of Lifestyle Diseases
The rising incidence of lifestyle diseases such as diabetes, cardiovascular diseases, and cancer is a major trend driving the clinical trials market in India. These conditions necessitate the development and testing of new treatment methods, creating a robust demand for clinical trials. The increasing burden of these diseases highlights the need for innovative therapies and underscores the importance of India as a key player in global clinical research.
Navigating the Health Insurance Market_ Understanding Trends and Options.pdfEnterprise Wired
From navigating policy options to staying informed about industry trends, this comprehensive guide explores everything you need to know about the health insurance market.
Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...ILC- UK
The Healthy Ageing and Prevention Index is an online tool created by ILC that ranks countries on six metrics including, life span, health span, work span, income, environmental performance, and happiness. The Index helps us understand how well countries have adapted to longevity and inform decision makers on what must be done to maximise the economic benefits that comes with living well for longer.
Alongside the 77th World Health Assembly in Geneva on 28 May 2024, we launched the second version of our Index, allowing us to track progress and give new insights into what needs to be done to keep populations healthier for longer.
The speakers included:
Professor Orazio Schillaci, Minister of Health, Italy
Dr Hans Groth, Chairman of the Board, World Demographic & Ageing Forum
Professor Ilona Kickbusch, Founder and Chair, Global Health Centre, Geneva Graduate Institute and co-chair, World Health Summit Council
Dr Natasha Azzopardi Muscat, Director, Country Health Policies and Systems Division, World Health Organisation EURO
Dr Marta Lomazzi, Executive Manager, World Federation of Public Health Associations
Dr Shyam Bishen, Head, Centre for Health and Healthcare and Member of the Executive Committee, World Economic Forum
Dr Karin Tegmark Wisell, Director General, Public Health Agency of Sweden
CHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdfSachin Sharma
Pediatric nurses play a vital role in the health and well-being of children. Their responsibilities are wide-ranging, and their objectives can be categorized into several key areas:
1. Direct Patient Care:
Objective: Provide comprehensive and compassionate care to infants, children, and adolescents in various healthcare settings (hospitals, clinics, etc.).
This includes tasks like:
Monitoring vital signs and physical condition.
Administering medications and treatments.
Performing procedures as directed by doctors.
Assisting with daily living activities (bathing, feeding).
Providing emotional support and pain management.
2. Health Promotion and Education:
Objective: Promote healthy behaviors and educate children, families, and communities about preventive healthcare.
This includes tasks like:
Administering vaccinations.
Providing education on nutrition, hygiene, and development.
Offering breastfeeding and childbirth support.
Counseling families on safety and injury prevention.
3. Collaboration and Advocacy:
Objective: Collaborate effectively with doctors, social workers, therapists, and other healthcare professionals to ensure coordinated care for children.
Objective: Advocate for the rights and best interests of their patients, especially when children cannot speak for themselves.
This includes tasks like:
Communicating effectively with healthcare teams.
Identifying and addressing potential risks to child welfare.
Educating families about their child's condition and treatment options.
4. Professional Development and Research:
Objective: Stay up-to-date on the latest advancements in pediatric healthcare through continuing education and research.
Objective: Contribute to improving the quality of care for children by participating in research initiatives.
This includes tasks like:
Attending workshops and conferences on pediatric nursing.
Participating in clinical trials related to child health.
Implementing evidence-based practices into their daily routines.
By fulfilling these objectives, pediatric nurses play a crucial role in ensuring the optimal health and well-being of children throughout all stages of their development.
2. New legislation - Goals
Reduce the burden of ADRs and optimise the use of medicines
Clarify roles and responsibilities
Science based, Risk based/proportionate approach
Increase proactiveness, Reduce redundancy
Integrate benefit and risk
Ensure robust and rapid EU decision-making
Strengthen the EU Network
Engage patients and healthcare professionals
Increase transparency, awareness and accountability
Provide better information on medicines
3. New legislation - Aims
Improve the EU-PV system
Simplify regulatory decision making
Provide a legal basis for proactive Pharmacovigilance
Involve patients more closely in the reporting of ADRs
Overall Objective: “To
protect public health”
4. New legislation - Timeline
2003: EC decision to undertake an assessment of PV system
2005: Independent study completed
2006- 2008: Research, consultation, policy development
2010: New legislation adopted by the European Parliament
and European Council (Dec 2010)
2012: First wave of requirements entered into force (2nd July)
2012: GVP Guidelines (16 modules) finalized after public
consultation (February and December 2012)
5. Major/Key changes
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
The new Good Vigilance Practice Guidelines (GVP)
The Pharmacovigilance Risk Assessment Committee (PRAC)
The Pharmacovigilance System Master File (PSMF)
Using a Periodic Benefit Risk Evaluation Report (PBRER)
More stringent ICSR submission rules
Publishing summaries of Risk Management Plans (RMP)
Requirement to perform Post-Approval Safety Studies (PASS)
Assignment of an Additional Monitoring Status
Commitment to openness and transparency
Eudravigilance policy to disclose postmarketing safety
information to the Public
6. Major/Key changes – GVP
Good Pharmacovigilance Guidelines(GVP):
Replaces Eudralex Volume 9A.
Applies to all medicinal products, irrespective of the MA
granting procedure.
Divided into 16 modules.
Uses MedDRA terminology.
7. Major/Key changes – GVP
GVP - Table of Contents
Status
Introduction
Completed
Final GVP chapters
• Modules
Most of them Adopted
•Product or populationb specific considerations
Open for public consultation
Final GVP Annex I - Definitions
Adopted
Final GVP annex II - Templates
Adopted
Final GVP annex III - Other pharmacovigilance guidance
Most of them Adopted
Final GVP annex IV - ICH guidelines for pharmacovigilance
Adopted
Final GVP annex V - Abbreviations
Published
Draft GVP chapters and annexes for public consultation
Open for public consultation
Templates for submission of comments
Published
Privacy statement for public consultation
Published
8. Major/Key changes – GVP
Mod.
no.
Title
Status
Effective from
I
Pharmacovigilance systems and their quality systems
Adopted
2nd July 2012
II
Pharmacovigilance system master file
Adopted
12th April 2013
III
Pharmacovigilance inspections
Adopted
12th Dec 2012
IV
Pharmacovigilance audits
Adopted
12th Dec 2012
V
Risk management systems
Adopted
2nd July 2012
VI
Management and reporting of adverse reactions
Adopted
2nd July 2012
VII
Periodic safety update report
Adopted
2nd July 2012
VIII
Post-authorisation safety studies
Adopted
25th April 2013
Adopted
25th April 2013
Member States' requirements for transmission of
VIII
add-I information on non-interventional PASS
9. Major/Key changes – GVP
Title
Mod.
no.
Status
Effective from
IX
Signal management
Adopted
2nd July 2012
X
Additional monitoring
Adopted
25th April 2013
XI
Public participation in pharmacovigilance
Under Dev. Q3, 2013
XII
Continuous PV, ongoing benefit-risk evaluation,
regulatory action, planning of public communication
Under Dev. Q3, 2013
XIII
Incident management (to be included in module XII)
Under Dev. Q3, 2013
XIV
International cooperation
Under Dev. Q3, 2013
XV
Safety communication
Adopted
XVI
Risk-minimisation measures: selection of tools and
effectiveness indicators
Under Dev. Q2, 2013
23rd Jan 2013
10. Major/Key changes - PRAC
Pharmacovigilance Risk Assessment Advisory Committee
(PRAC):
A new EMA committee
Meets monthly from September 2012
Replaces the Pharmacovigilance Working Party
Advises to
CHMP and CMDh
Members include (appointed by MS and EC)
Experts from the EU Member States
Representatives from Patient organisations
Representatives from Healthcare professionals
11. Major/Key changes - PRAC
Due regard to
Risk Management Systems
Therapeutic effect of the products
Periodic Safety Update Reports
Signal detection
Additional Monitoring Status
Urgent procedures
Design and evaluation of PASS
Pharmacovigilance inspections
13. Major/Key changes - PSMF
Pharmacovigilance System Master File (PSMF) replaces DDPS.
MA applicants and MAHs are required to maintain PSMF.
To be provided within 7 days upon request by the EMA.
The Pharmacovigilance System Summary comprises of:
a signed statement
the location of PSMF
the name and contact details of the QPPV
the Member States in which the QPPV resides and operates
proof that the applicant has a QPPV
14. Major/Key changes - PBRER
Periodic Benefit Risk Evaluation Report (PBRER)
Replaces Periodic Safety Update Report (PSUR)
Scope changed from interval safety analysis to benefit-risk
evaluation
Includes a Benefit versus Risk statement
New evaluation sections, including a section to give an
overview on signals (tabulated as new, ongoing or closed)
Interval listings no longer required
Deletion of the chapter “Analysis of individual case
histories”
15. Major/Key changes - PBRER
Not required for generic products, well-established use products,
homoeopathic products and traditional herbal products
Six-monthly reports, summary bridging reports, or addendum
reports will not be accepted.
Time interval between data-lock point and submission –
expanded.
New assessment procedure involving PRAC.
Assessment will lead to automatic regulatory action (i.e,
variation, suspension or revocation).
Assessment reports of PSURs will be published on a European
medicines web portal.
16. Major/Key changes - ICSR
Individual Case Safety Report (ICSR) Submission Rules
Requirement to submit non-serious ICSRs is extended to cases
reported from Post-authorization solicited settings such as:
Post-Authorisation Safety Studies (PASS)
Post-Authorisation Efficacy Studies (PAES)
Non-Interventional Studies (NIS)
Patient Support Program (PSP)
Market Research Studies (MRS)
Non-serious ICSRs shall be submitted within 90 days to
EudraVigilance
17. Major/Key changes - RMP
Risk Management Plan (RMP) is divided into several parts.
The RMP will include
a summary of the efficacy of the product.
an evaluation of the effectiveness of risk minimisation measures.
PRAC will have regulatory oversight of RMPs.
PRAC will appoint a rapporteur for an individual RMP, who will
work with the (co-) rapporteur appointed by CHMP.
Summaries of RMPs shall be made publicly available via web
portals.
18. Major/Key changes - RMP
Educational materials for health professionals and patients are
required in RMP for a new product.
UK version must be submitted to the MHRA prior to issue.
MA application (after 21 July 2012) are required to submit a
RMP.
Includes generic MA applications also.
Should be submitted in template for the EU-RMP.
For MAs granted before 21 July 2012 without an existing RMP -
no obligation to submit a RMP (unless concerns arise).
19. Major/Key changes – PASS/PAES
Performing a PASS/PAES may be required at first
authorisation as well as post-authorisation.
The Competent Authority may impose an obligation on
the MAH to conduct such a study.
If the same safety concern applies to more than one
product a joined PASS may be advised.
New information detected during such studies shall be
communicated to the competent authority.
Proposed format and content of study protocols/reports.
(outlined in GVP module VIII)
20. Major/Key changes –
Additional monitoring list
The Additional Monitoring Status Can be assigned at any time
of the product life cycle
Subjected to more intense scrutiny (same as UK’s ‘Black
Triangle’ list).
Published on
MHRA site www.mhra.gov.uk/blacktriangle.
Also available on the EMA website.
EU-wide list (published by EMA) will replace the Black Triangle
list previously published by the MHRA.
MAHs can remove Black Triangle status without contacting the
MHRA. (for products that are not listed on additional monitoring list)
21. Major/Key changes –
Openness and transparency
Provides the public with information about
The safety of marketed medicines.
How to report suspected ADRs.
If MAHs want to make a public announcement, they shall
inform the NCA, the EMA and the EC.
Two important changes
EU public hearings.
Creation of medicines web portals.
22. Major/Key changes –
Openness and transparency
The UK web portal is required to host
SPCs and PILs
UKPARs (now a legal requirement)
Summaries of RMPs for medicines authorised
Products subject to additional monitoring
The MA conditions with deadlines for fulfilment
Setup of interconnected web-portals:
European medicines web-portal (www.ema.europa.eu)
maintained by the EMA
Will be linked to national web-portals
Alternative reporting media remains available
23. Major/Key changes –
EudraVigilance Access Policy
ICSRs are expected to be submitted by MAHs directly to
EudraVigilance rather than via National Health Authorities
Formerly, only Member State HA, the EMA and the European
Commission had access to EudraVigilance.
The EudraVigilance access policy is changed to allow HCPs,
patients and consumers, as well as MAH and research
organisations accessing the information
24. Major/Key changes –
ADR reporting/Signal management
New Definition of Adverse Reaction*:
A response to a medicinal product which is noxious and
unintended.
Also covers
Medicinal errors
Uses outside the terms of the MA
off-label use
misuse
abuse
*Article 1, 11-D
25. Major/Key changes –
ADR reporting/Signal management
Centralised reporting
By industry to the Eudravigilance database at EMA.
Will come into effect 6 months after the Eudravigilance
functionality is approved.
Likely to be sometime in 2015.
Until then transitional measures will apply.
Inclusion of reports from patients as valid, reportable ADRs.
Only medication errors that result in a serious ADR should be
submitted.
Non-serious cases should not be reported to EudraVigilance
during the transitional period.
Sending non-UK serious consumer reports by the company is
not mandatory.
27. Major/Key changes –
ADR reporting/Signal management
MAHs should report cases from the literature.
Avoid duplication by monitoring the MHRA website.
MAHs should review sites under their control for valid cases.
No need to review internet sites not under the MAH’s control
(blogs, chatrooms and social media pages).
MAHs will also be required to monitor the Eudravigilance
database according to their level of access.
Signals should follow a process of validation, prioritisation and
assessment.
28. Major/Key changes –
Audit/Inspection
PSMF should be made available to the NCA upon request.
Changes to PSMF will not be automatically notifiable to the
Competent Authorities.
Transitional period for introduction of PSMF ends in July 2015.
Quality Systems:
MAHs, NCAs and the EMA will be required to have a quality
system in place.
Particularly for resource management, staff training, procedural
documentation, quality control, monitoring, and improvement.
29. Major/Key changes –
Audit/Inspection
Inspections:
Harmonisation of inspection activities in the EU.
Legal basis for the conduct of pre-authorisation inspections.
Adequate pharmacovigilance system as a condition of MA.
MA applicants should be aware that the PSMF may be requested.
For centrally authorised products, the Supervisory Authority
will be determined by the PSMF location.
MHRA will continue to operate a risk-based inspection
programme.
30. Conclusion
New legislation:
Provides strong legal basis for use of MedDRA through all
steps of the pharmacovigilance process
Major change project that will take a few years to fully
implement
Provides an opportunity to greatly improve the European
system for the benefit of public health