Thursday, March 31, 2016

RAC US Exam Question No 30

Question No 30:

A company begins to market its new device, a pacemaker (Class III) the same day that its regulatory professional mails the Premaket Approval Application (PMA) to FDA. The pacemaker is considered:

A.
Legally marketed
B.
Misbranded
C.
Investigational
D.
Adulterated

Answer: D

 

Sunday, March 27, 2016

Regulatory Recon: Olympus Raised Scope Prices

Regulatory Recon: Olympus Raised Scope Prices Following Superbug Outbreak, Gilead to Pay Merck $200m in Damages Over Hep C Patents

Headlines: US:

  •  Use social media to assess the health of the Afar (Scientific American)
  • Make betrixaban Portola pass the exam data with the FDA? (Detailed information $ Pink) (BioCentury)
  • FDA: Generic abuse deterrent opioid should be "not less than Trademarks Versions (Focus) (FDA Law Blog) (STAT)
  • New system works best track defective medical devices (Baltimore Sun)
  • Device Maker for Olympus Scopes price come as propagated superbug infections (KHN)
  • Gilead took a lot of success lately. This is what we really have to fear (STAT)
  • Gilead Merck to pay $ 200 million in damages in patent medicines hepatitis C (WSJ- $) (Reuters)

Headlines: International:

  • Health Canada and public review of the joint FDA ICH guidelines (Health Canada)
  • EU Summary: PRAC recommended for Zydelig antibiotics offset the risk of infection, changes in monitoring service medical literature (Focus)
  • The discussion of EU rules Medtech future waits until the regulations ($ scriptures) adopted vaccine scandal China reveals the fault system, more than 130 arrested ($ WSJ-) (BBC) (Economic Times) (Time)
  • Summer 2016 date set for the execution of medical equipment of the Rules of Chinese clinical trials (Emergo)
  • Sanofi goes to the Supreme Court on the Prohibition of India in diabetes fixed dose combination drugs (A-PharmaTechnologist)
  • Canada will not appeal ruling allowing patients to grow their own pot (Reuters)

 USA .: Pharmacy and Biotechnology

  •  Bayer and Regeneron to develop a new combination treatment of the eye (PharmaPhorum)
  • Race to comply with FDA guidelines (ESG Focus-members)
  • Researchers call transparency When warnings Black (Focus) box removed
  • Consent and consistency in the NPRM (Bill of Health from Harvard)
  • 'Moonshot' Cancer Research won the enthusiastic support of the STAT-Harvard survey (STAT)
  • Many patients at high risk for stroke do not receive the necessary anticoagulants (Reuters)
  • DUNS Number NDC against registration of OTC medicines (FDA Atty)
  • Crafts for the restructuring of the Forum as key Neuro Drug clinical trial does not exceed (Xconomy) (Press)
  • New ground to reduce the misuse of antibiotics: Ambulatory Care (Health Affairs blog)
  • USP Reference: 5 Tools You Should Know About (USP)
  • Thinking outside the box in Rx Price: from vaccines Part D Grouping ($ RPM Report)

USA .: Pharmacy and Biotechnology: results of clinical studies, documents and Designations 

  • Phase III pivotal study in metastatic hormone sensitive Begun ENZALUTAMIDE prostate cancer (press)

Medical devices in the US:

  • Taking cybersecurity Bullseye back (Pharmaceutical verification of conformity)
  • An introduction to manufacturing execution systems for the medical device industry (MedDeviceOnline)
  • Quality management has evolved! (GxP Lifeline)
  • Ackman Pershing Square Gets Senate investigation into drug prices (Bloomberg)
  • Sanuwave test lacks efficacy end point, but showed superiority over 24 weeks (MassDevice)
  • Bioabsorbable Xeltis congenital heart valve pulmonary obstruction Green The FDA (Medgadget)
  • Fortimedix surgical Announces 510 (k) Submission of FMX314 innovative surgical platform (release)
  • TransEnterix, Inc. reported SurgiBot FDA 510 (k) Submission Process (release)
  • Carestream seeking FDA approval for training purposes cone-beam CT images to 3D view (MassDevice)

United States: Assortment and government

  • Genzyme hits Sun with the game on generic drugs Leukemia ($ Law360-)
  • Indivior says the FDA's request soon generic Suboxone ($ Law360-)
  • Sequenom launches diagnostic method patents of Mercy of the Supreme Court (National Law Journal)
  • Last of five defendants guilty in multimillion-dollar Medicare fraud scheme associated Detroit area Home Companies Health (Department of Justice) are declared
  • V Zubik. Burwell oral argument (Health Letter Harvard)
  • Paying only pay more if the risks of the drug is not disclosed? GSK seeks Supreme Court Response (Pink detailed $)
  • Fed. Circ. Supports Depomed drug patent validity ($ Law360-)
  • US regulators finalize new limits silica for construction, other industries (Reuters) 

Upcoming Meetings and Events 

  • Advisory Committee RAPS 'Tracker FDA meeting
  • Context Analysis: FDA Advisers of the United States Committees to examine the sustained-release opioid abuse projects Teva with properties disuasiĆ³n-- June 7, 2016 (AADPAC-DSRM) (Tario)
  • Background analysis: FDA Advisory US Committee to examine Novo Nordisk insulin Degludec and liraglutide (Xultophy) type 2 diabetes - May 24, 2016 (EMDAC) (Tario)

Europe

  • The key to the harmonization of GCP inspections future of the EU, said the industry ($ scriptures)
  • With the departure of Andrew Witty, GlaxoSmithKline bid farewell to fraud? (Forbes)
  • Poland to prohibit emergency contraception without a prescription (Reuters)
  • EC approves the application switch market Elocta consent to Biogen SOBI ($ PharmaLetter-) 

Asia

  • China, the FDA promises to guarantee the supply of "holes" of the vaccine in a speech at the Boao Forum (fierce)
  • Japan seeks new releases Lilly as Zyprexa challenge Crafts ($ PharmAsiaNews-)

India

  • India does not stop controversial policy-Drug Licenses (Law360- $)

  • NPPA to resolve disputes with manufacturers of drugs for the drug shipment (Economic Times) 

Canada

  • LumiThera wins Health Canada approval for the trial of photobiomodulation (MassDevice) 

Zika

  • A traveler Zika brought to America in 2013 (New York Times) (Reuters)
  • General health and other interesting items
  • TB cases are increasing in the United States for the first time in 23 years (Washington Post)
    Discovery genome holds key for creative agencies (MIT Technology Review) (Forbes)

Thursday, March 24, 2016

RAC US Exam Question No 29

Question No 29:

A company intends to add an indication for use to a 510(k) device that is currently being marketed but has not yest been distributed. Which type of submission is appropriate?

A. A PMA
B. An Investigation Device Exemption
C. A Special 510(k)
D. A traditional or abbreviated 510(k)

Answer: D

Sunday, March 20, 2016

MHRA Restricts GMP Certificate for Indian Pharma Company Over Data Integrity

Regulatory Agency of medicines and health products in the UK (MHRA) announced Friday that due to concerns about data integrity, Marksans Pharma Goa, India based installation will be a "certificate GMP restricted" allowing the company follow only the manufacture and marketing of products critical to the UK.
In March 2015, British regulators discovered "several major shortcomings in the operation of pharmaceutical quality system" on the site.

November reinspection two days evidence that the company had destroyed "several parts of data records options" and investigations into the disappearance and deleting data in the laboratory site were also found incomplete.

The new survey also showed "a lack of evidence to prove the effectiveness of CAPA result [CAPA] taken and the lack of provisional safeguards to ensure that ongoing operations are GMP."

However, the MHRA said there was "no evidence of defective product on the market. Product recall is not considered necessary." The site produces more than 40 products for the UK and Dutch markets, including Teva Pharmaceuticals generic version of Viagra (sildenafil) in the Netherlands and various forms of ibuprofen and paracetamol.

No longer marketing authorization (MA) must be approved naming the site as a manufacturer, MHRA added, noting that current applications of MA should be detained pending or rejected, while the declaration of default remains in effect.

Marksans said in a statement on its website that the state GMP Limited would continue until the next inspection of the MHRA, which will come once the qualified person certifies the site to be ready for inspection.

"The competent national authorities should evaluate the criticality of the products offered on this website and to take measures to ensure the continuous supply," MHRA said. the marketing authorization holders are requested to contact the national competent authority to check whether their products are considered medically critical.

Thursday, March 17, 2016

RAC US Exam Question No 28

Question No 28:

You are a German-based device manufacturer whose device is packaged in Ireland and sold in the US through a US-based company. The 510(k) was writtten by a contract organization. The label of our product may indicated any of the following EXCEPT"

A.
The principle place of business in the US
B.
The packaging location address
C.
The address of the contractor who submitted the 510(k)
D.
The address of the distributor

Answer: C

Sunday, March 13, 2016

FDA Offers New Guidance on Interpretation of BPCIA

The Food and Drug Administration (FDA) on Friday issued draft guidelines on its interpretation of "as a license" provision of the Act Biological Price Competition and Innovation (BPCIA) in 2010.

In short: The FDA will not approve a pending application or tentatively approved for a biological product under the Federal Food, Drug and Cosmetic (FD & C) of the Act after March 23, 2020.

The design of the BPCIA states: "An approved the request for an organic product in accordance with Article 505 of the Act cosmetic Federal Food, Drug, and [FD & C] (21 USC 355), it resembles a license for the biological product under that section 351 [of the Law on public health Service (PHS)] on the date that is 10 years after the date of enactment of [BPCIA] ".

FDA interprets this provision to mean that the March 23, 2020, will cease to exist applications for biological products that have been approved under section 505 of the FD & C Act, as new drug applications (NDA) (or, as the case abbreviated applications for new drugs (ANDA)) and will be replaced by approved biologics license applications (Blas) under section 351 (a) or 351 (k) of the PHS Act, if applicable.

Rob Cerwinski, a partner in the IP Litigation Group Goodwin Procter, said the point that the administration, the FDA wanted to avoid companies that could invest in the decision to submit under a confidentiality agreement or 505 (b) 2, or ANDA way the FDA generally accepted.

"It is to slow down the process of monitoring organic products that are simple enough that they would not have to go through the route of biosimilars" he said.

Approval of new insulins is an example in which the approval route was reduced. In December, the FDA approved Eli Lilly Basalgar as an injection followed by glargine insulin for diabetes, a (b) 2 application 505 is partly based on the request of Lantus Sanofi. However, as the FDA notes, "without insulin glargine product they are registered under the Act, the Public Health Service, so there is no" reference product "for a biosimilar product proposal."

The FDA said it recognizes that this interpretation of the law could have a significant impact on development programs for all protein products proposed to be made under section 505 of the FD & C Act that are not able to receive the final approval on 23 March 2020 also provides recommendations on what to do to these sponsors in the draft guidelines.

Although most therapeutic biologicals have historically been authorized Act Public Health Service (PHS), the FDA, "Some protein products (eg, insulin analogues and insulin, human growth hormone, the pancreatic enzymes, follitropin products) historically have been approved under the FD & C Act the law of the ICPD has changed the law under which these protein products are regulated by changing the legal definition of a "biological" in the PHS Act to include a "protein (except any chemically synthesized polypeptide). "

Interpretation of exclusivity

Specifically, the FDA said it interprets this section BPCIA and section 351 (k) (7) of the PHS Act "to refer to a request for an approved biological agent in accordance with Article 505 FD & C Act shall be considered as a license for the biological product in accordance with Article 351 (a) of the PHS Act 23 March 2020 will not have been "first license under subsection (a)" for the purposes of Article 351 (k) (7 ) of the PHS Act and therefore will not receive exclusivity period under section 351 (k) (7) (a) and (B) the PHS Act. "

Biological otherwise they benefit from an exclusivity period of 12 years, during which the FDA can not approve the application 351 (k) for a biosimilar and an exclusivity period of 4 years, during which the applicant may not submit (k ) application 351, which starts at "the date on which the reference product has been authorized under paragraph (a) [concerning Article 351 210 (a) of the PHS Act]".

Cerwinski said management will not grant exclusivity only 12 years due to the transition of certain products.
"None of the provisions of the Act BPCI suggests that Congress intended to grant biological approved under section 505 of the FD & C Act - some of which were adopted decades - after a period of exclusivity considered to have a license under the PHS Act that prevents biosimilar or interchangeable competing products in many product categories up to 2032 years, "the FDA said.

"Companies that have chosen to present NDA BLA heard rather than exclusivity, these expectations are not changed," he said.

The promoters of development programs for the protein product proposed should assess whether a submission under Article 505 of the FD & C Act would allow sufficient time for the approval of the NDA (or, where applicable ANDA) before 23 March 2020, the FDA added, and companies must consider whether the presentation may require a second opinion and for some types of applications, whether patents or exclusivity unmatured may delay final approval.

The FDA also believes that developers protein product proposals to the presentation in a 505 (b) (2) The application must wait.

Thursday, March 10, 2016

RAC US Exam Question No 27

Question No 27:

What is the formal early collaboration meeting that was implemented throught the Food and Drug Modernization Act (FDAMA)?

A. PDP Meeting
B. Agreement Meeting
C. Pre-IDE Meeting
D. Pre-PMA Meeting

Answer: B

Sunday, March 6, 2016

Senate Democrats Call for FDA, NIH Funding Boost as Other Bills Emerge

Sens. Elizabeth Warren (D-MASON Patty Murray (DWA) on Thursday introduced a draft bill that would provide $ 5 billion a year New Funds for Food and Drug Administration (FDA) of the National Institutes and Health ( NIH).

The increase in funding for the FDA and the NIH supported m Health, Education, Labor and Pensions (HELP) Democratas Committee, comes nearly a month after the committee, sin Stop looking to pass legislation companion to 21 bill century Curas Approved by the House advanced than the seven invoices they call has the FDA to expedite the review of new treatments for diseases Rare, reduce unnecessary burdens "on Assessments Devices there streamline the review process and Clinical Trials "and CDC to help better the Monitoring Epidemiology of neurological diseases among other accounts.

The Committee also helps the Cinco de chat Other accounts Next Wednesday: Promotion Act of Hope 2015 (S. 1878) Enhancement Technology Electronic Medical Data Consumer Health Act (MEDTECH) (S. 1101) the medical countermeasures Innovation Act 2015, which offers critical Another priority review program applies to the development of new medical countermeasures (S. 2055), the law of Combination Products Innovation 2015 (S.1767) and the anticipated progress medical Devices for patients Act 2015 (S.1077).

New Projects and turn-law The game also added Terminated: S. 1597, Impact Assessment Act Patient Centered In 2015 what the package would require Information Published by the FDA approval of a New Drug paragraph Include Documentation: efforts by Patient Engagement for evaluation; and S. 2512, the Zika virus to summarily areas of potential diseases their incentivized Research With New Voucher Program for review priority tropical diseases.

New Bill of Democrats

Fringe accounts Up by More Top Discussion does not include the National Biomedical Research Act recently introduced, which would create a "Fund for Biomedical Innovation," Designed para provide investments in Biomedical Research for the National Support Vice President Joe Biden "Cancer Moonshot, "precision Medicine Initiative, grants for Scientific Research emerging and others with the goal of accelerating drug development and approval of prevention to improve and increase the understanding of the diseases that threaten empty.

The Senate Democrats say the new funding will help the NIH, which currently rejects Nine 11 Nominations Grant which is called Under the expired Bazo 1/3 To Leaders agency.
"ANY PACKAGE the innovation Invoices HELP dirtying the committee should include a significant increase in the FINANCIACION there NIH FDA. Anything less is just words," said Senator Warren.

Bill opioids

Tickets leaving the help and Fight commission by additional funding come Como Other Senators Battle Over Paying for a bill that looks opioid Fight Prescription Drugs Abuse and heroin ,: addition aumentar Availability one drug naloxone for overdose treatment.

Senate Republicans on Wednesday night blocked $ 600 million in additional funds for the Bill, AIM THEN majority Leader Mitch McConnell (R-KY) said late Thursday that it would not block the Bill, although Democrats-have Number protested These amendments can: Add has Legislation. Senators carry one vote Procedure On Monday at 17:30, with 60 votes for Progress Needed on it.

Thursday, March 3, 2016

RAC US Exam Question No 26

Question No 26:

The following are required per 21 CFR Part 820 Quality System Regulation (QSR) EXCEPT?

A.
Device History Record (DHR)
B.
Device Master Record (DMR)
C.
Design History File (DHF)
D.
Quality Manual (QM)

Answer: D