Thursday, March 2, 2017

European Regulatory Roundup: EU Trade Groups Propose

European Regulatory Roundup: EU Trade Groups Propose Criteria for Deciding EMA’s New Home (2 March 2017)

European business groups propose criteria for deciding the new EMA home

European biopharmaceutical groups have jointly defined the criteria for deciding the new home of the European Medicines Agency (EMA). The three trade groups have detailed their desire that the selection process takes into account six key criteria in a letter to a senior European health official.

The criteria proposed by the European Federation of Pharmaceutical Industries and Associations (EFPIA), EuropaBio and Medicines for Europe aim to minimize the risk of disruption when EMA moved to its present headquarters in London, UK, to join Brexit. EFPIA and its co-signatories are publicly out of the discussions about the country that could host EMA post-Brexit, but according to their criteria they describe the type of place they want to win.

Three of the criteria relate to local regulatory capacity. EMA, with the support of the Medicines and Health Products Regulatory Agency (MHRA), business groups want to ensure that the national regulatory agency of the new host country can strengthen their participation in EU activities. This change should not detract from non-EMA workforce, business groups argue, and as such, the local government must be prepared to increase spending.

The three remaining criteria relate to the more general characteristics of the proposed sites. Commercial groups want the Commission to choose a location with easy access to the airport, communicated with the rest of the EU, adequate local hotel capacity and enough space for EMA meetings and events. Finally, the authors of the letter to the Commission to minimize disruption of personal EMA taking into account the availability of international schools, access to labor markets and social security.

The EFPIA criteria echo the cases submitted by some candidates to host the EMA to date. Denmark, the Netherlands and other countries have talked about their regulatory and scientific capacity and the viability of their cities for people traveling to London. If the EMA fails to convince the vast majority of its staff to move to London with him, the regulator could have trouble providing normal services to its small size. Business groups want to avoid that scenario.

As such, while the letter out of the debate on the city that will host the EMA criteria favor the countries of Western Europe that have the necessary regulatory capacity and facilitate resettlement.

The organizations argued their views in a letter to Xavier Prats Monné, Director General of Health and Food Safety Directorate-General. The responsibility to choose a new site for the responsibility of EMA Monne and the rest of the commission. Officials have yet to come up with a timetable to make the decision, but many people affected by resettlement want clarity this year.

Letter

EMA sharing guidelines on the risks to human health of veterinary medicinal products in groundwater

EMA has issued a directive on the toxicological risk that veterinary medicinal products in groundwater pose to human health. The text proposes a methodology to assess whether the concentration of drug in groundwater poses a risk to the health of humans who drink the contaminated liquid.

Today, regulators consider concentrations above 0.1 mg / l as unacceptable. At lower concentrations, no risk is expected and no regulatory action is required as such. However, EMA now consider whether this is the right approach.

The cut-off point of 0.1 g / l is obtained from the limit of detection of the analytical methods at the moment. The development of more sensitive tests can detect small amounts of contaminants has made possible a new approach. Because some drugs may affect concentrations below 0.1 mg / l, EMA believes that using these new, more sensitive tests is useful in making more informed judgments about the risks of groundwater contamination.

The EMA provides the industry uses two formulas that take into account the acceptable daily intake of an active ingredient, the daily consumption of drinking water, the expected concentration in the groundwater and other variables to determine if the risk to human health is acceptable . If the expected concentration in surface waters exceeds

Sunday, February 26, 2017

FDA Office of Generics Points to Record-Setting 2016 Ahead of Next Week’s Hearing

Kathleen Uhl, director of the United States Food and Drug Administration's Office of Generic Drugs (OGD), also unveiled another record year for generic drug approval.

Next Thursday, the House Energy and Commerce Committee will hold a hearing to discuss the reauthorization of generic and biosimilars user payment programs that help fund the agency to accelerate approvals.

The new chair of this commission, Rep. Greg Walden (R-OR), said his committee will take representatives. Kurt Schrader (D-OR) and Gus Bilirakis (R-FL) to accelerate generic drugs in the market and create a new Priority Review Program (PRV) bonus for generic drugs to promote development.

The meeting will also discuss the upcoming iteration of the Generic Drug Use Fee Act (GDUFA II), which complements Congressional funding in exchange for more generic approvals at a faster schedule and prioritized revisions for certain generic and Next iteration of Biosimilar User Rates Act (BsUFA II), which will be crucial for the FDA as it reviews an increasing number of 351 (k) applications.

EMT Report

In 2016, OCD FDA approved 73 generic first (an alternative to a branded product, where there were none before) and a total of 630 New Drug Abreast (ANDA) applications and provisionally approved 183 or 87 record set in 2015 for the Number approved in the history of the FDA.

A new FDA staff in contact with the industry, with more than 4800 requests for information, more than 1800 matches and controls more than 1800 complete response letters detailing the comments and questions that must be addressed by the applicant.

In addition, EMT 158 issued new product guidelines, many of which had complex dosage forms, such as auto-injectors, inhalation powders, nasal sprays, topical products and ophthalmic products. There are more than 1,500 in the line guidelines.

The FDA also provided funding to 16 new outside researchers to conduct regulatory science activities that complement the business, and OGD has conducted 87 ongoing external research collaborations, by the end of 2016.

Sunday, February 19, 2017

Regulatory Recon: Rep. Cummings

Regulatory Recon: Rep. Cummings Wanted to Talk Drug Prices With Trump; ANVISA Developing New Device Regulations

In Focus US:

  • Cummings contradicts Trump in meeting the price of medicines (Baltimore Sun)
  • Hundreds of Zika tests that test in US laboratories (Reuters) (Forbes)
  • Trump said he will introduce health reforms in early to mid-March (Reuters 1, 2)
  • Republican House Leaders Describe Replacement Plan for Obama Health Care Act (New York Times) (Reuters)
  • Republican disease proposal would shift the rich to poor money (New York Times)
  • Trump's election to lead health agency puts EpiPen 'disturbing' issue (Reuters)
  • CMS nominated ducks price problems (BioCentury) (The Hill)
  • MP links to foreign reviews of Biotechnology opinion (KHN)
  • FDA Issues Frequently Asked Questions About Pharmaceutical Product Development and Manufacturing (FDA)
  • CDER 2016 Update for Rare Diseases (FDA)
  • A Closer DNA Computer "Smart Drugs" (Phys.org)
  • MicroRNA Therapeutics: A New Era for Treatment of Cancer and Other Diseases (Nature)
  • Biopharma in 2016 (Nature)
  • Regulatory clock: The target product profile for the regulatory tool advantageous but underutilized (Nature)
  • CTTI provides recommendations for pediatric clinical trials for antibiotics (Focus)
  • GAO: FDA's ability to monitor drug shortages remains a concern
  • House Bill aims to add mandatory FDA drug recall withdrawal Arsenal (Focus)
  • Industry groups FDA petition on revisions to the intended use rule (Focus)
  • 'Tsunami' of Alzheimer's cases among Latinos raises concerns about the costs of care (KHN)
  • Amgen hide information from biosimilars, Genentech claims says ($ Law360-)
  • Cheapest drugs from Canada? Pharma despise the idea, but the best senators grow HHS chief to deal (fierce)
  • Xeljanz Pfizer alone can not match Humira for Abbvie in the big Miss RA head-to-head (fierce) (Presse)
  • The Alexion million transaction is largely lost (the street)
  • Baxalta buys a big jump in sales in the fourth quarter of Shire (PharmaTimes) ($ PharmaLetter-)

In Focus International:

  • Regulation of ANVISA Brazil for personalized sanitary products (Emergo)
  • Canada tries to apply a biosimilar equilibrium law ($ -pink sheet)
  • EC will not provide a timetable for the phasing out of research on non-human primates (Focus)
  • EMA weighs a new guideline on quality requirements for combination products (Focus)
  • Daiichi, worried lutantinib ArQule fails in liver cancer stage 3 (fierce) (Presse)
  • Martina Schüssler-Lenz elected as new chair of the Committee on Advanced Therapies (EMA)
  • Uniqure three-pin gene therapy trial program details (fierce)
  • Etanercept biosimilar submitted for approval in Japan (Gabi)
  • Takeda buys ARIAD purchase (PharmaTimes)
  • Takeda and TiGenix announced a successful test of Crohn's disease (Feroz) (Presse)
  • The Mali study shows the effectiveness of the new malaria vaccine ($ PharmaLetter-) (NIH)
  • Swiss VC launches new fund with the aspirations of orphan drugs ($ scriptures)
  •  Health Canada approves HIV drug Odefsey ($ PharmaLetter-)
  • Eisai Comtan and Stalevo markets in China ($ PharmaLetter-)

US: Pharmaceuticals & Biotechnology 

  • The common final rule: Many keep or eliminate, but not much new added (FDA Blog Law)
  • Oncology Practitioner, Doctor Practice Manager and pay $ 1.7 million to settle charges he billed Medicare for illegally-imported drugs (DoJ)
  • Flu vaccine protects half of the time, according to the CDC (NBC) (Medscape)
  • Amygdala becomes a drug candidate for Gilead (Ferocious) (Presse)
  • The future of successful generic and commercial strategies (Pharmafile)
  • FDA asks for comments on pediatric and post-marketing pharmacovigilance of drug use Comments (FDA)
  • The return of the one-stop shop model is simply an OCM marketing ploy?
  • (InPharmaTechnologist)
  • Charles River separates and sells activities OPHRDC (OutsourcingPharma)
  • The orientation of phospholipase D in cancer, infections and neurodegenerative diseases (Nature)
  • Basic results on apoptosis selective inhibitors of the Bcl-2 family (Nature)
  • Inhibitors of JNK stimulate antifungal immunity (Nature)
  • How Sanofi blew his chance with Actelion (Drug Delivery)
  • AmpliPhi advances the clinical phage for the treatment of microbial infections ($ scriptures)
  • FDA extends Boehringer asthma approval to include children ($ PharmaLetter-)
  • Sage therapeutic supplies and cushions its own rumors of mergers and acquisitions (fierce)
  • Insulet opens a factory in Acton, Massachusetts. (Drug Delivery)
  • Zoetis reports that the pace gains, so why do stocks that fold? (The street)

US: Pharmaceuticals and Biotechnology: Clinical Study Results, Filings & Designations

  • The drug giving positive results against chemotherapy for breast cancer AstraZeneca (Pharmafile) (PMLive) (Presse)
  • FDA review of Mylan / Biosimilar Biocon Neulasta (BioCentury) (Economic Times)
  • Celgene Announces Positive Phase III Oral RAYO Ozanimod Trial in Patients With Recurrent Multiple Sclerosis (Press)
  • Perrigo announces FDA approval for the end of hydrocodone bitartrate and oral homatropine methyl bromide solution (press)
  • Zydus Cadila receives two FDA approvals (Pharmafile) (Economic Times)
  • Aimmune Therapeutics provides an ongoing program update Phase 3 AR101 for peanut allergy based on feedback from FDA (Presse) 

US: Medical Devices:

  • Vascular solutions shareholders approve acquisition of Teleflex $ 1M (MassDevice)
  • J & J announces the publication of an NEJM study on bariatric surgery for type 5 diabetes mellitus (MassDevice
  • FDA Expands Indication for Cryoablation Catheter Freezor Xtra Medtronic (MassDevice) (Presse)
  • Medtronic has the Signia stapling system, the innovative surgical stapler for minimally invasive surgery (press) 

US: Assorted & Government:

  • UnitedHealth pursued by the United States government on health insurance costs (Reuters)
  • The fight against breast implants should remain in court, according to the Brazilian company ($ Law360-)
  • Celgene files $ 198.5 million patent application ($ FDANews-)
  • Treatment differences persist between low-income workers and high-income workers, even with insurance (KHN)
  • Something we can all support: H.R. 985, where Lift Off Left CAFA (Drug Devices Act e)
  • Align Technology secures ClearCorrect patent dispute victory

Upcoming Meetings & Events

  • FDA Advisory Committee Calendar 

Europe:

  • A new framework to stimulate research, innovation and growth? (Dehns)
  • Update on the procedure for requesting Conventions and Meetings (AIFA)
  • EBITDA and EFPIA supports the ARM initiative on hospital exemptions and require greater transparency in all advanced cell, gene and tissue therapies (EFPIA)

Asia: 

  • Difficult to detect, China's bird flu virus may be more common (Reuters)
  • Japan supports wireless pacemaker Medtronic Micra (MassDevice) (Presse)
  • Medigus wins a nod to the Chinese test of trans-muscular stapler (MassDevice)

 India:

  • The support policy needed for the pharmaceutical industry to maintain momentum for growth: FICCI president (PharmaBiz)
  • New stents disappear from hospitals to 're-label' (Economic Times)
  • Cipla, Serum Institute launches hepatitis B vaccine (Economic Times) 

Australia: 

  • MiniMed 640G insulin pumps (TGA) 
  • Prima Biomed launches new I-S lead drug test, but needs more money, analysts say (fierce)

 Canada:

 12 arrested in Ottawa for counterfeit prescription drug network (Industry Assurance)

Sunday, February 12, 2017

Regulatory Recon: Tom Price Confirmed as HHS Secretary

Regulatory Recon: Tom Price Confirmed as HHS Secretary; FDA Approves Marathon's Emflaza for DMD (10 February 2017)

IN Focus US:


  • Tom Price is confirmed as Secretary of Health (New York Times) (NPR) (Washington Post) (SNL)
  • Public Citizen's Trump Challenges Liquidation Order (Pink Leaves $) (BioCentury)
  • Trump wants the FDA to be moving faster. Your actions have the opposite effect (Vox)
  • Rapid drug approvals are risky, but drug companies have another idea that is simply terrible (Los Angeles Times)
  • Three decades of pandemic threats can teach us about the future (Health Affairs blog)
  • Often, FDA's fastest advocates, patient groups will resist deregulation Trump (Xconomy)
  • Heat in pharmacy benefits managers is construction (Axios)
  • Americans discourage medical treatment because they can not afford (the Atlantic)
  • The HHS internal memory: Some employees will be exempt from ambush FDA hiring (Focus)
  • Details of FDA filing requirements for post-marketing safety product combination (focus)
  • FDA warns of stomach swelling risks to treat obesity (Focus)
  • FDA approves for DMD Emflaza Marathon (MedPage) (FDA) (Reuters) (Presse)
  • Senators question Kaleo's $ 4,500 opioid overdose label (Reuters)
  • The leader of personalized medicine for the FDA comes out of the initial liquid biopsy Grial (GenomeWeb) (BioCentury)
  • The big pharmaceutical industry faces costly failure in the fight against cancer (Financial Times)
  • FDA industry petitions against a new standard for intended use (BioCentury) ($ Law360-)
  • The pair hope drug Regeneron against eczema due to slow sales of Eylea (Reuters) ($ PharmaLetter-)
  • Dozens of new anticancer drugs to improve survival, frustrating patients (KHN)
  • Immunomedics a licensing agreement of up to 2 billion with Seattle Genetics (Reuters)
  • Slow Medicine: Examining Laser Surgery Tests (MedPage)
  • FDA of the United States is probably not "significant" could be largely saved by the order of reducing regulatory Trump ($ -pink leaf)
  • Eve of the test: clinical trial cycles continue to rise despite the efforts of industry (Nature)
  • How long will we end up with $ 100,000 of cancer drugs? (Cell phone)


In Focus: International


  • Operational challenges as European regulator is preparing to leave the UK headquarters (BioWorld)
  • The EMA Group recommends that the use of Uptravi Actelion may continue (Reuters) (EMA)
  • Highlights of the meeting of the Pharmacovigilance Risk Assessment Committee (PAC) 6-9 February 2017 (EMA)
  • Purdue look for a rule that would give him an edge in the Canadian analgesia market (Reuters)
  • European regulatory summary: ENVI budget request EMA for Brexit volatility (Focus)
  • Brexit could delay major drugs for UK patients, former president claims MHRA (Pharmafile)
  • ICH E6 addition integrated display (R1) (ICH)
  • Kitov opens on allegations of fraud, takes Commerce (OutsourcingPharma) (Presse)
  • Daiichi axis Japanese site R & D and a month after the Indian unity of the abolished research (fiera)
  • Seminar Report PMDA medical devices ATC-2016 (PMDA)
  • The best forms of electronic application of the EU become mandatory in March (Fair)
  • Sanofi's "conservative" India vision for the initial launch of Dengvaxia ($ scriptures)
  • A new formulation of a drug for the old can formulate a CCP? The European Court decided (petal of rose $)
  • Workers protest against the Merck plant in Goa, will require a salary review (Indian Express)

US: Pharmaceuticals & Biotechnology


  • The price of everything and the value of nothing (eye for Pharma)
  • Dissuasive Abuse and 3-Year Exclusivity: FDA Decisions Clarify Content and Focus on Exclusively "Abuse" (FDA Law Blog)
  • Doctors see gains against an "immediate threat", C. Difficile (New York Times)
  • States enter into price issues - Look out down! (Lachman consultants)
  • The Indian company Vikshara Trading & Investments Ltd denies FDA inspection, placed on the import alert (FDA)
  • More lost than won in the planned R & D change (EP Vantage)
  • Momentum NSCLC Merck and Roche, augurs well for scripture combinations ($)
  • TRACON slides as brain cancer test loses the mark (fierce)
  • Epilepsy discovered in the fish model is promising in the small pediatric clinical trial (NIH)
  • Anti-cancer drug for dogs (Paccal Vet-CA1) already approved (FDA)
  • What will happen when you have a disease doctors can not diagnose? (National Public Radio)
  • BIAL signed a mega-million agreement for Parkinson's disease $ in North America ($ PharmaLetter-)
  • Ovid, NeuroPointDX team on rare disease tests (fierce)
  • Biosimilars in 2016: Highlights (Gabi)
  • Non-biological complex drugs and pharmacopoeia (Gabi)
  • 1,000 patients Phase III trial for Armetheon required prior to FDA approval (EPR)

US: Pharmaceuticals and Biotechnology: Clinical Study Results, Filings & Designations


Aslan reports results of Phase II varlitinib before the IPO (BioCentury) - See more about:

US: Medical Devices


  • FDA Approves 7D Reassignment Image Guided System for Spinal Surgery (MassDevice)
  • Physio-Control Recalls LIFEPAK15 Monitor / Defibrillator Due to the failure of an electric shock delivery (FDA)
  • Alaris syringe pump (high flow), 8100 and AIL sensor kits by CareFusion: withdrawal Class I - Error Alarm (FDA)
  • Medicare reduces the cost of knee replacement (This is how it could be counterproductive) (Forbes)
  • Cheap method for printing Lab-on-Chip Diagnostic devices and instruments Revolution (Medgadget)
  • Silicone trading game Dow Chemical: what it means for medical technology (MassDevice)
  • The first patients in the pivotal trial of Echopulse Theraclion device (MassDevice)
  • Abbott initiates withdrawal of the vascular closure system StarClose SE (MassDevice)
  • BIOLASE announces the launch of the FDA and the worldwide launch of the new Waterlase® Express ™ (All Press)

US: Assorted & Government


  • The tax authorities are considering drug prohibition and 20 state prosecution ($ Law360-)
  • Nebraska Daubert Order a mile from the expert mouth, but only six inches (law and drug devices) deep
  • The federal judge approves the Consent Decree with the California Food Supplement, Regeneca Worldwide (FDA)

Upcoming meetings and events

Europe


  • Adapted and reduced clinical program for biosimilars (Gabi)

Asia


  • China punishes hospital staff to patients infected with HIV, hepatitis B (Reuters)

India


  • Aurobindo sees America plant amid thrust Donald Trump in employment (Economic Times)
  • Maha FDA to follow a company based in Mumbai for the storage and supply of illegal orthopedic implants (Pharmabiz)
  • A 3-stent implant in India is probably unnecessary (Economic Times)
  • Dr. Reddy launches generic drugs in France; Develops its activities in Europe (Economic Times)
  • India to allow API companies to request EU quality confirmations online (InPharmaTechnologist) World Health Groups in arms against Roche for the "inhuman" price of its anti-breast cancer drug (trastuzumab Pharmabiz)

Australia


  • The implementation of reforms - the public consultation forecasts (TGA)

Zika


  • Zika doctor warned Brazil against reducing the guard of congenital malformations (Reuters)
  • Another international
  • Statement of position on the approval of biosimilars in Latin America (Gabi)
  • General health and other interesting articles
  • The first genetic transmission in mammals could help the great New Zealand eradication plan (MIT Technology Review)

Regulatory compliance is our daily intelligence report for the Regulatory Affairs area, which gives you the best of the new regulations around the world. Each day of the week, our objective is to present the last moments of the approval of new developments, meetings, legal and political, regulations and guides, as well as the latest trends that can affect the professionals of the regulators and the industry in the That work.

Monday, January 9, 2017

International Generic Drug Regulators Outline Plans for Collaboration Through 2020

Little by little, as the cross-border harmonization between pharmaceutical regulators take shape, the International Program for Generic Regulators (IGDRP) outlined its priorities for the group over the next four years.

Strategic priorities of the consortium include the establishment of a framework for the exchange of information on evaluation among regulators, promoting convergence of technical standards and data and alignment of administrative and regulatory assessment procedures and instruments.

Context


The official launch of the regulation of the International Pilot Project of generic medicines for three years in 2012 explored the possibilities of information exchange and work around generics. Following a successful pilot project and with keen interest to collaborate, a group of regulators launched the International Drug Regulatory Program (IGDRP) have been renamed in 2015.

Participating agencies and organizations include the US Food and Drug Administration (FDA), Health Canada, the European Medicines Agency (EMA), the China Food and Drug Administration (CFDA), the Japanese Ministry of Health, Work and Good among others.

The IGDRP currently working on several projects:

Strategic Priorities / Objectives


The IGDRP seeks to carry out a pilot project on the exchange of information among IGDRP members, to research and develop reference documents summarizing the similarities and differences between regulators on issues of "regulatory convergence or harmonization of national guidelines."

The group will also seek to develop tools / mechanisms for the exchange of evaluation reports and other documents may contain confidential business information among regulators.

In addition, the development of databases to identify ASMF / DMF and applications submitted to regulators for registration of generic drugs will be another goal.

The group of more advanced regulatory agencies will also seek to assist people with less technical expertise that allows capacity-building activities (eg joint review of information quality and bioequivalence a generic application) to better understand the interpretation and Implementation of regulatory procedures; In common use.

The performance and impact of the program will be evaluated in the periodic stages according to the December report and an IGDRP logical model and a results matrix and IGDRP has been developed data to help evaluate program effectiveness.

Sunday, December 25, 2016

European Regulatory Roundup: EMA Reviews Drugs Tested at Two Indian Sites

CHMP began reviewing drugs tested at Indian sites in the midst of GCP's concerns


The Committee for Medicinal Products for Human Use (CHMP) undertook a review of the trial on two sites Micro Therapeutics Research Labs India Drugs. The national regulatory authorities asked the CHMP to conduct a review after the Austrian and Dutch authorities found fault with these sites during a Good Clinical Practice (GCP) inspection.

Officials visited sites in February Micro Therapy reported concerns about the survey data used to support applications for marketing authorization in the European Union. This led to 18 national regulatory bodies to ask the European Medicines Agency (EMA) to check whether the findings of the GCP inspectors affected their position on the risks and benefits of the drugs tested on the sites. The CHMP also checks whether the data generated on the sites are used to support active applications and, if so, to determine whether the origin of the results should influence their evaluation.

The review involves a centrally licensed drug, a generic copy of Eli Lilly's erectile dysfunction drug Cialis sold by Mylan. EMA drug approved two years ago on the basis of data showing that it is bioequivalent to the reference product. The review will also assess the risks and benefits of drugs approved by national authorities in light of questions about data generated at sites in the Indian cities of the Chennai and Coimbatore regulatory bodies.

Previous suggests EMA will strongly act against any medication that has been approved based on data generated incorrectly. When EMA found evidence of manipulating electrocardiogram data from GVK Biosciences, he recommended the suspension of 700 products that were based on studies conducted by contract research agency in India for approval. More recently, the agency has suspended dozens of drugs, including many sold by Novartis and Teva Pharmaceuticals, after finding flaws in how the Semler Research Center conducted bioequivalence studies.

Scottish politicians criticize MHRA on transvaginal mesh implants


Politicians have criticized the UK Drug and Health Products Regulatory Agency (MHRA) for its treatment of transvaginal mesh implants. The Scottish government has asked the National Health Service (NHS) to stop using appliances in 2014, but the products remain on the market, it is reported that more than 400 women have received implants since.

Scottish politicians discussed implants after the BBC News reported the continued use of devices. Shona Robison, the ruling Scottish National Party, adopted the debate defining the powers or lack belonging to the government and MHRA and other politicians said a report to be released early next year will contain answers to your questions. However, with a political argument that implants cause "organ damage, loss of a kidney, bladder removal, constant chronic and unbearable pain" and other side effects, the Robison argument has not Managed to soothe all other loudspeakers.

"Due to the problems we are discussing, we have tended to speak on the subject in the most cautious tones. However, last month in the Australian Parliament, Senator Derryn Hinch delivered a speech absolutely Dull in which he criticized doctors And manufacturers neglect women and compared implant mesh scandal with thalidomide, "said conservative politician Carlaw Conservative Party said." I include the MHRA in my criticism. "

MHRA examined evidence of the risks and benefits of implants in 2014 after groups representing patients affected by devices come to him. The regulator concluded that "for most women, the use of vaginal mesh implants is safe and effective." Other regulators have come to similar conclusions.In January, the Food and Drug Administration (FDA) ) Reclassified mesh implants used to repair organ pelvic prolapse (POP) and increased risk devices, but left used to treat stress urinary incontinence products in Class II.

The position of the FDA is broadly aligned with that of the MHRA, which was more unequivocally its support for the use of POP SUI mesh. Despite this, and a requirement that all patients give their prior knowledge before proceeding to an authorization of the mesh implant, the question remains political

Thursday, December 15, 2016

FDA Proposes New Rule on Bulk Substances Used to Compound Drugs

The US Food and Drug Administration (FDA) on Thursday issued a proposed rule to add six bulk pharmaceutical substances to a list of these substances that can be used in the composition and to remove four other bulk substances Included in the list.

If the proposed rule is finalized, the six bulk pharmaceuticals proposed to be included in the so-called bulk carrier list 503A. The FDA Pharmacy Advisory Committee (ABCP) discussed proposed additions and exclusions in 2015 and the committee met three times in 2016 to discuss the inclusion and exclusion of others Substances on the list.

"Due to the time elapsed between the publication of the proposed rule in 1999 and the promulgation of the DQSA [Drug Quality Security Act], the FDA considered it necessary to recommence the development of the 503A bulk carrier list," said The agency In the Federal register of Thursday.

In addition to new additions and exclusions, the FDA is also proposing, through this new rule,

"Due to the time elapsed between the publication of the proposed rule in 1999 and the promulgation of the DQSA [Drug Quality Security Act], the FDA considered it necessary to recommence the development of the 503A bulk carrier list," said The agency In the Federal register of Thursday.

In addition to new additions and exclusions, the FDA is also proposing, through this new rule,

  1. 1 Physical and chemical characterization of the substance
  2. 2 Safety Issues Raised with the Substance in Compounded Pharmaceuticals
  3. 3 Available evidence of the efficacy or lack of efficacy of a drug product combined with the substance, if there is such evidence
  4. 4 Historical use of the substance in compounded pharmaceutical products, including information on the medical condition (s) to which the substance was used to treat and any references in the peer reviewed medical literature.

The FDA proposes to examine each criterion and balance it on a substance-by-substance basis in order to decide whether a substance is appropriate for inclusion in the list.

The Federal Register's notice announcing the proposed rule provides additional details on the type of information proposed for each criterion and how the FDA proposes to weigh the information.

Inclusion in List 503A


Based on the FDA assessment and consultation with the Advisory Committee on Pharmaceutical Composition, the agency proposes to include six bulk pharmaceutical substances on the list:

  1. 1 Brilliant Blue G, also known as Coomassie Brilliant Blue G-250, as a dye used for staining for visualization during ophthalmic procedures
  2. 2 cantharidin (for topical use only), for the treatment of warts and molluscum contagiosum
  3. 3 diphenylcyclopropenone (for topical use only) for the treatment of alopecia and non-genital warts
  4. 4 N-acetyl-D-glucosamine (for topical use only) for the treatment of hyperpigmentation and other skin conditions
  5. 5 dibutyl ester of squaric acid (for topical use only) for the treatment of alopecia areata and recalcitrant non-congenital warts
  6. 6 thymol iodide (for topical use only) for ulcerations and skin infections, as well as intrapleural treatment for pleural effusions

Exclusion from List 503A


The FDA has proposed that the following four substances be included in List 503A:

  1.  1 oxitriptan (evaluated as a treatment for depression and insomnia)
  2.  2 piracetam (evaluated as a treatment to improve cognitive skills)
  3.  3 light silver protein (for use as an anti-infective agent for ophthalmic use)
  4.  It is approved in South Korea and Japan for the treatment of asthma, keloids and hypertrophic scars, and an ophthalmic solution for allergic conjunctivitis (4), transilast (for the treatment of allergic disorders, Arthritis, dry eye syndrome, keloids and hypertrophic scars )

Regulatory Action Against State Pharmacies


The FDA also notes in the proposed rule that it does not intend to take regulatory action against a government-approved pharmacy, a federal facility or a licensed physician to make a drug using a pharmaceutical Bulk that is not the object of a USP or NF