Wednesday, June 28, 2017

FDA Releases Annual Report on Biological Product Deviations

The United States Food and Drug Administration's (FDA) Center for Research and Evaluation of Organic Products (FDA) on Wednesday released its annual summary of manufacturing errors reported by organic products, blood and its components, human cells , Tissues and products based on cellular tissue and (HCT / P).

During the year 2016, CBER reported having received 51,229 diversion reports that reached its notification threshold, an increase of 10% compared with fiscal year 2015, only slightly up to 50 598 differences reported during 2014.

The vast majority of these reports were from blood and plasma manufacturers (50 319), with the remainder coming from authorized manufacturers of biologicals (651) and HCT / P (259).

Almost all of the increase is attributable to the higher proportions of plasma sources and blood transfusion centers (Additional Report 4545), while organic food manufacturers have submitted only 93 reports and additional HCT manufacturers / P only three reports have been submitted Over the previous year.

The agency also says it has seen an increase in the number of reporting institutions increasing from 1 907 to 2015 to 1950 with fiscal year 2016, including three other manufacturers of allergens, five other blood products and manufacturers five in vitro diagnostic manufacturers ( DIV).

The report also details issues most frequently for non-blood products authorized by CBER, which include allergen products, blood derivatives, IVD, vaccines, and HCT / Ps approved.




Among reports on products not allowed in the blood, 50.7% were for products that did not meet the specifications. Quality problems and distribution control accounted for 14.4% of reports, and other related issues for processing controls, labeling, testing and incoming material accounted for less than 10% of reports.

For vaccines, which accounted for the highest number of reports in this category, the FDA says that increased product ratios do not meet specifications, most of which relate to the appearance of the product. The FDA also claims to have seen an increase in reports of vaccine stability flaws, broken or cracked bottles in shipments and equipment cleaning procedures, but noted a decrease in the number of reports related to test problems.

The FDA also said that it recorded an increase in the number of reports related to DIV accredited CBER, mainly related to unexpected reactions in trials, bottle bottles or containers and products received upside down or on its side in its transport container.

For allergen products, the FDA claims to have received a similar number of reports compared to fiscal 2015, 73% involved the discovery of a precipitate in an allergen extract.

Tuesday, June 6, 2017

Global Harmonization Initiatives, FDA's User Fee Programs

Global Harmonization Initiatives, FDA's User Fee Programs, Pediatric Legislation, Conditional Approvals, Quality Certificates and a Preview of June

Background papers in recent weeks have highlighted a variety of global harmonization initiatives, including the benefits of a new regulatory tool to improve operational flexibility when changes are introduced after approval and progress of activities Pediatric regulations of the FDA and the EMA. Other articles have introduced changes and the impact of the industry PDUFA and MDUFA GDUFA, regulatory forms to accelerate the review of new drugs and the process of sending electronic common technical document (eCTD) for medicines traded internationally.

Harmonization


Government agencies, non-governmental organizations and professional organizations play a role in harmonization and regulatory convergence in order to align regulatory requirements and adopt internationally recognized guidance documents, standards, techniques and principles, as well as Best practices and procedures. In its article "Regulatory Harmonization Initiatives," Kumar, Barras and Lau provide an overview of global regulatory harmonization initiatives and address how various regulatory agencies and other organizations are working to improve access to pharmaceuticals and improve Medical quality and through internationally harmonized inspection standards.

Considerable progress has been made over the last two decades in the development of medicines for the pediatric population and clinical trials for the test. The legal requirements and harmonization and convergence efforts between the US Food and Drug Administration (FDA) and the European Medicines Agency (EMA) have set the global stage for the expansion of this effort. SANGUEDOLCE and Mulchan have pediatric regulatory activities performed by the FDA and the EMA and emphasize worldwide harmonization efforts, discussions and regulations for pediatric clinical trials in their article titled "Regulating Pediatric Studies the Point of View of the European Union and the United States. "

The International Council for Harmonization (ICH) has developed a vision for the harmonization of quality systems throughout the product life cycle, focusing on an integrated approach to risk management quality and science. In its article, "Post-ICH change management approval agreement Q12: benefits for consumers, regulators and industry", Pazhayattil Sayeed-Desta Iyer and discuss the latest draft ICH Q12 and importance of harmonization Of regulatory requirements across regional borders. The authors explain how the post-approval change management protocol (PACMP) can be used as a tool to improve strategic change management and ensure supply chain reliability.

Policies and guidelines


Prior to the adoption of the Prescription Drug Use Act (PDUFA), the FDA has suffered delays in its long-term medication approval process to review and approve submissions. These delays have prevented companies from all over the world to launch approved drugs in the US market in a timely manner. The industry and the FDA have been frustrated by the slow approval of the drug. In the article, "FDA user payment programs" Gottfried Maguire Chooi, Eldridge and Gottfried provide an overview of the major changes ahead for the major payment programs of FDA users (VI PDUFA MDUFA GDUFA IV and II) for the period 2018-2022 and discuss new performance goals, additional FDA commitments according to the industry and how these changes can have an impact on various types of industry presentation strategies.

The generic industry and the generic market have changed considerably in the last decades with the increase in the number of applications for Abreviada de Nuevos Fármacos (ANDA) and a number of foreign institutions that currently manufacture generic drugs. As a result, the FDA's generic drug program has limited resources and can not follow the new generic drug review and approval process. In his article, "Generic Drug Users Act (GDUFA): General Information and the proposed changes for the year 2018," Mark Lantz explored GDUFA aspects promulgated by Congress as part of the Safety and Innovation Act The Food and Drug Administration (FDASIA), including costs, changes in the FDA to accelerate the review, objectives and changes and impacts GDUFA proposed in the first five-year phase, ending in 2017.

The FDA reviews new medical device applications and regulates medical devices on the market. In 2002, the FDA has authorized to charge tariffs to industry users to facilitate their examination of medical devices regulators activities, responsibilities and comply with their commitment to Congress with regard to timely application Effort resources for medical devices to The patients who need it. In the article titled "Navigating the Fee Act of Using Medical Devices (MDUFA)" Gottfried et al examined the benefits to FDA and industry derived medical devices of the "user fees" allowed by the MDUFA and subsequent steps Reauthorizations.

Providing medical care to the civilian population during the war and crisis is a complicated task. The Syrian war has had an impact on the health system in Syria and neighboring countries. Sahloul discusses the challenges facing medical personnel working with refugees in Syria and provide pharmaceutical products. It describes the relevant policy and advice on drug supply and quality in its article entitled "Challenges for the supply of pharmaceuticals to Syrian refugees."

Before a drug for human use is allowed to enter the market, it must be studied extensively to ensure its safety, quality and effectiveness. However, health professionals and patients are increasingly dependent, many suffer from deadly and debilitating diseases for faster access to new medicines. In response, regulators have developed a number of ways to accelerate the review of new drugs and acquire conditional approvals (CAs). In its article, "Conditional Approvals for Early Access to New Drugs," emphasizes Arora conditional approvals (CA) and conditional marketing authorizations (CMAs), as developed in several jurisdictions, to provide faster access to new drugs . The author explains the details on the regulatory requirements for obtaining CA in the European Union (EU), Japan and the United States.

Clinical trials in Regulatory Affairs, regulatory dossiers for small molecule drugs are incomplete without presentation of certain regulatory certificates, an important part of module 1 of the electronic common technical document (eCTD) filing process. In its article "Quality Certificates for Small Pharmaceutical Molecule Applications for International Regulatory Filings," Jain provides an overview of the general requirements and problems to regulate practitioners find while organizing a variety of certificates requests for pharmaceutical drugs Small molecules marketed internationally in the EU, USA, Canada, Australia and Japan.

Regulatory research


According to the sources, there is an increasing threat of bacteria that can resist all or almost all antibiotics. Nowadays, microbes seem to exceed the capacity of science to develop new human defenses. New antibiotics are desperately needed. In his article "The Unrecognized Heroes of Medicine," Sherman presents readers Boyd Woodruff, a legend in the field of microbiology, and discusses his revolutionary achievements in the development of antibiotics and Merck Research Laboratories.

Background articles coming in June


Feature articles for the entire month of June will provide an overview of the process for the application of new drugs (DNA) in Egypt, various types of FDA inspections, computer approaches to support analysis of deficiencies and application (IDMP) nomenclature conventions for biological and biosimilar products and the challenges of risk management in the medical device industry. Look for these products in June.

Sunday, May 28, 2017

Regulatory Recon: Kite CAR-T Therapy Nabs FDA Priority Review;

Regulatory Recon: Kite CAR-T Therapy Nabs FDA Priority Review; UnitedHealth, Merck Sign Pact to Explore Value-Based Payments (26 May 2017)

 Focus: United States

  • UnitedHealth and sign agreement to explore Merck's Linking Drug Performance Payments (CNBC)
  • Impulse Industry: Excess Aging Background Lines Imposed (BioPharmaDive)
  • Kite Receives Priority Review of FDA for Treatment of RCA-T for Aggressive Non-Hodgkin's Lymphoma (Press)
  • The mortality rate of Alzheimer's disease in the United States has increased dramatically in 15 years. Why? (Washington Post) (Reuters)
  • Gottlieb: FDA hiring froze, plans to increase competition from generics come (Focus)
  • Generics Copaxone: Who will win the first exclusive affiliates? (Warning)
  • FDA Panel supports Epogen biosimilar Hospira 14.01 Vote (Focus)
  • The reporter lodged a complaint against the FDA's approval for Sarepta (Boston Biz Journal)
  • One quarter of American babies with congenital malformations related to Zika was born in New York (NYTimes)
  • The proposed budget would reduce Trump's $ 2.2 billion in global health spending (NPR)
  • The J & J USA game is not likely to be above the OTC (pink information-$) (Fierce)
  • HHS action on drug prices: here is the price of the secretary who is listening (Rose- $)
  • Biosimilar advisory committees remain smoother, even with regard to Lo Mismo (leaf Rosa- $) remain
  • As the FDA seeks to speed up the review of two other political experts want to limit drug prices accelerated win an OK (Endpoints)
  • Drug addiction experts questioned the suggestion to limit FDA opioid prescriptions (Modern Healthcare)
  • SURVEY: Medical device manufacturers to be pirated wait, but few do anything (MassDevice)
  • Big pharmaceutical and social media: how to avoid problems with the FDA (Forbes)
  • Two years later, what has Apple achieved ResearchKit? (STAT)

Approach: International

  • Update of the seventh session of the World Health Assembly on 25 May (WHO)
  • uperbugs in the supply chain (Pharmafile)
  • The German pharmaceutical market has established stable growth (PMLive)
  • SMEs Leverage the EU's centralized procedure and scientific support EMA (Pink information- $)
  • The plan that generic drugs Modi worries health experts, the Indian pharmaceutical sector (Reuters)
  • The former Americans. Of AbbVie. Humira's sales are on the edge of the precipice. Analysts (Fierce), but no panic, say
  • movement of the multinational pharmaceutical industry to stop generic registration before the patent in Russia (PharmaLetter- $) occurs
  • Tip-Toes FDA in China to push data integrity, harmonization (Rosa sheet $)
  • Three negative opinions of the CHMP - but who received an advantage? (SCRIP- $)
  • India Cipla low investment in biopharmaceuticals, sharpens focus on breathing (Reuters) (Endpoints)
  • Why biosimilars are changing the pharmaceutical industry (EPR)
  • The FDA and EU supply chains have doubled inspection of Asian pharmaceutical products (pink information- $)
  • Clinical studies conduct: China steps to facilitate the entry of new drugs (color Pink Leaf- $)

Pharmaceuticals and biotechnology

  • Harpoon Therapeutics reaches $ 45 million in series B for work I-O (Fierce)
  • the Celgene oncology head on ASCO, Revlimid, and the increase in the value of triplet combinations (PharmaLetter- $)
  • Safety Profile ozanimod help to bring to the market multiple sclerosis, says Celgene (Fierce)
  • FDA Drug Safety Podcast: The FDA does not identify any adverse effects to date with brain retention of gadolinium-based contrast agents for magnetic resonance imaging; Continuation Review (FDA)
  • The market for ovarian cancer drugs (Nature)
  • Shire quietly stops new investments leaving Baxalta Ventures (Boston Biz Journal)
  • Rendezvous: FIIM, Merck, Chromocell, Kymab, GW Pharmaceuticals, Fix Fortuna and Pattern (SCRIP- $)
  • AstraZeneca has launched a nationwide voluntary recall of a batch of BRILINTA 90 mg professional sample bottles due to report another drug in a bottle of this batch (press)
  • Patient Partnership Group Rare Disease Options Cell Business Model / Gene Therapy (SCRIP- $)
  • Constellation Pharmaceuticals Hires Jigar Raythatha as CEO (PharmaLetter- $)
  • Does the FDA change its interpretation? (FDAZilla)

Pharmaceuticals and biotechnology: study results, deposits and denominations

  • Chronology delayed by Raxone Santhera in DMD (BioCentury)
  • Abeona Therapeutics receives orphan designation from the FDA for gene therapy (PRT)
  • Anika announces the first patient enrolled in an additional phase III trial of CINGAL for the treatment of knee pain associated with osteoarthritis (press)

Medicalequipments

  • New roles for medical devices in the fight against antibiotic-resistant superbugs (MDDI)
  • Blood-based breast cancer screening can help prevent biopsy (Forbes)
  • Most counterfeit contact lenses are contaminated, according to the FDA (Industry Securing)
  • Ethicon J & J states the economic analysis of data in Dermabond Prinéo (MassDevice)

United States: Assortment and Government

  • At Trump's initiative, states are trying to include Medicaid in conservative directions (Washington Post)
  • Extended causal fault condemns another failure with claim (drugs and devices Act)
  • n the race to develop telemedicine services, be aware of legal problems (MDDI)
  • Mylan Institutional LLC v. Aurobindo Pharma Ltd. (Fed. Cir. 2017) (Patent Docs)
  • The Consumer Advocates Coalition Challenges Notifications FDA's Final Rule GRAS (FDA Blog Law)
  • The "quick search" of health care: foundations help consumers maintain a balance and a mirror for the health system (Health Affairs blog)
  • Patients trio continues Pfizer, Bristol-Myers, claiming they suffer Eliquis soft pedal strap (fierce)
  • Biogen Asking the Judge to File Negative Antitrust Drug Lawsuit ($ Law360-)
  • Pfizer said the expert testimony in the game that Celebrex unreliable ($ Law360-)

Upcoming dates and events

  • Schedule of the FDA Advisory Committee
  • Subcommittee on Advisory Committee on Pediatric Oncology on drugs; opinion
  • Meeting - 21-22 June 2017
  • Advisory Committee on Vaccines and Related Biological Products; Notice - July 28, 2017

Europe

  • Hepatera: PRIME eligibility scheme for Myrcludex B by the European Medicines Agency (Press)
  • Patient safety in the NHS: culture change agents (Harvard patent of health)

Asia

  • Chinese group buys James Bond brand condominiums (Bloomberg) ($ Law360-)

India

  • Diagnosis agappe dressed Hitachi Chemical Company (Economic Times)
  • Government identifies ADR 9 additional centers in district hospitals to expand PVP in the country (Pharmabiz)

Australia

  • Reference: Examine 75 standard cells derived from TGO cord blood progenitor hematopoietic (TGA)
  • tablets 10 mg BTC rosuvastatin - Reminder (TGA)
  •  BTC Paracetamol Tablets - Reminder (TGA)
  •  Valium (diazepam) tablets 5 mg tablets blister of 50 tablets - Reminder (TGA)
  •  Apotex pantoprazole tablets 40 mg - Reminder (TGA)

Another international

  • Brazilian doctors use fish skin to treat burn victims (Reuters)
  • General health and other interesting items

Symptoms of celiac disease are more likely to be resolved in children (Reuters)
Michael Bliss, a historian who misspelled the myths of insulin discovery, died at 76 (New York Times)

Sunday, May 14, 2017

WHO Officials Offer Opposition to Value-Based Drug Pricing

Officials from the World Health Organization (WHO) told reporters at an information session on Thursday that the agency has serious reservations at prices based on pharmaceutical prices.

"What is the value of life? This structure is good for luxury items, because you have a choice ... if I am sick of cancer, what is the choice? We believe value-based pricing is impossible for products that are indispensable, "said Marie-Paule Kieny, Deputy General Manager of Health Systems and Innovation, which he said.

Value-based fixing systems, such as the UK's National Institute of Health Care, decide what is price-paying and price-adjusted. In general, NICE estimates that interventions costing the National Health Service in the UK less than £ 20,000 ($ 26,000) per year of QALY are cost-effective.

Kieny spoke after a meeting of about 200 stakeholders from countries around the world in the first Just One Day Forum in Amsterdam this week sponsored by WHO and the Ministry of Health, Welfare and Sport of the Countries -Bas.

He called on countries to increase transparency in drug prices because "countries sometimes think they have the best deal and if too many countries believe, there is no movement or exchange of information ".

And although Kieny acknowledged that "innovation is not free," he also said the discussions should focus on "the real cost of R & D [research and development]" and the cost of failure, As well as set up price systems that a payer is willing to pay.


A new study published this week on the cost of anticancer drugs found worldwide that even though prices are the highest in the US, are the least affordable in India "by a large margin. "Despite falling prices, anti-cancer drugs are less affordable in middle-income countries than in high-income countries.

. Dr. Suzanne Hill, Director of Essential Medicines and Health Products WHO Kieny reiterated points about value systems, adding, "Who decides what value? He also said that the forum "is our first attempt to launch a program of action to understand the factors that determine the current structure of prices are."

He insisted on the forum of interest for collaboration between governments in "scrutinizing the horizon" or evaluating products in the industry for what is important and what is worth paying in the future , And the need for WHO to develop a list of vulnerable essential drugs. Like those of scarcity all over the world.

Monday, May 1, 2017

UK Pharmacovigilance Post-Brexit: Lots of Questions, Few Answers

No one knows what is going to look like British pharmacovigilance after the UK left the EU and uncertainty puts many residents qualified person responsible for pharmacovigilance (QPPV) in the UK in a precarious situation.

According to the independent academic research unit on drug safety in the UK, which met last week on the subject of pharmacovigilance post-Brexit "At worst, it will cause a serious blow to British pharmacovigilance" as the Pharmaceutical companies "will not be required to carry pharmacovigilance in the UK and can not be expected to pharmacovigilance providers from the UK to carry out these studies."

Currently, the European Medicines Agency (EMA) runs the Pharmacovigilance Risk Assessment Committee (PRAC), which uses two members from each Member State and has been chaired since its inception in 2012 by the Agency June Raine regulation of medical products And UK Health (MHRA).

But after Brexit, the UK will not show PRAC, although representatives may present as non-voting observers, as Norway and Iceland do now.

"Pharmacovigilance is above policy," said Saad Shakir, director of the Research Unit on drug safety, last week at the "UK Pharmacovigilance Forum post-Brexit" according to the audio files sent By email to focus.

He also noted the large number of QPPV leaders based in the UK, adding: "We want them to remain part of the EU apparatus. These are national assets." But now, he said, they were "afraid of what is going to happen as the regulations indicate that QPPV should reside in the EU."

Shakir said he could have negotiated a mutual recognition system or a means for EMA and MHRA to continue collaboration.

Ian Hudson, general manager of the MHRA since 2013, said recently, according to Shakir, there had been some discussion about outsourcing regulation work in the UK, but "We do not know what this will look like en -traitance."

Virginia Acha of the British Pharmaceutical Industry Association also noted that pharmacovigilance times at the short end of the rod, as it works so well now.

"There is an enthusiasm to maintain most of the status quo, but the extent to which it is possible to publish Brexit is unclear," the Drug Investigation Unit said in a statement. "Once the UK leaves the EU, it is essential that the current UK-Europe cooperation in pharmacovigilance has improved a lot. Mutual recognition of market research and MHRA EMA is required as part of the Brexit negotiations. "

In addition to this meeting focused on UK pharmacovigilance, last weekend, the European Council established guidelines for the Brexit negotiations between the UK and the European Union.

Monday, April 24, 2017

FDA Offers Draft Guidance on Generic Versions of Opioid Overdose Nasal Spray

While the opiate epidemic continues to spread, the US Food and Drug Administration (FDA) seeks to alleviate some of this pain by providing a new draft guidance to generic drug companies looking to develop generic versions of nasal spray that can Reverse opioid overdose.



The draft guide is intended to help companies understand what studies need to be done to get approval for generic nasal spray Narcan Adaptar Pharma, also known as nasal spray of naloxone hydrochloride.

The narcan nasal spray was originally approved in 2015, and the FDA notes that in November 2016, ADAPT has filed a citizen petition (a tool sometimes used to delay the entry of generic drugs) by asking the FDA to refrain from approving any referral (ANDA) narcan nasal spray, unless certain conditions are met, including conditions related to the demonstration of bioequivalence.

The petition comes as the cost of nasal spray and other forms of naloxone continues to rise.

However, the FDA said that the draft directive is, outside this citizen petition, will respond separately. And the project must begin the process of developing and marketing less expensive versions of naloxone nasal spray.

Project Details

The three-page proposal offers two options: o in vivo in in vitro studies, which reveals the specificities and differences in each of them.

For advice on how to develop a generic drug combination product for approval, the FDA stated its policy titled "Comparative Analysis and Comparative Studies Related to Human Factors for Combined Drug Revenue Device presented an ANDA (January 2017) "Which provides the current thinking of the agency in identifying and evaluating differences in user interface design for a generic drug combination product available from its RLD [drug listed in Reference]."

The FDA also clarifies that at the beginning of product development and / or prior to an ANDA offer, applicants must submit to the Office of Generic Drugs, controlled by correspondence and / or request for a pre-ANDA meeting, "the results of Comparative analysis (eg comparative labeling analysis, comparative analysis of tasks, physical comparison of the constituent part of the distribution device) including an overall assessment of all differences identified between the user interface by T A report to the Product as described in the guidelines referred to above.

Monday, April 10, 2017

EMA Board Adopts New Policy on Whistleblowing

In order to encourage complainants and others to feel secure with possible details of the irregularities, the European Medicines Agency's (EMA) Board of Directors adopted a new policy on Monday detailing how the agency handles allegations , Including those that could have an impact on drug evaluation and monitoring.

Since 2013, EMA says it received a total of 43 of these reports detailing various issues and allegations of drug manufacture in conducting clinical trials.

"While there is no formal policy so far, all reports have been treated in accordance with the principles of the new policy," said EMA, noting that this new policy will help EMA to evaluate all reports and coordinate any further investigation In a structured manner, while protecting the journalist's confidentiality.

politics

Any external entity aware of facts that may have an unequal impact on the authorization, supervision and maintenance of human and veterinary medicines may, in the public interest, be reported to EMA at the following address: @ ema.europa.eu reports .

The BMA says that it will ensure the confidentiality of information from outside sources and the identity of the sources and the protection of personal data, these data lead to a later review by the EMA or the Anti-Fraud Office (OLAF) or do not.

"Examples of claims that can be made to understand that the integrity of the data in the studies used to support the marketing authorization can not be invoked.That integrity is essential to confidence in authorized drugs.These problems can occur due to To the formation of poverty, inadequate application of procedures and controls or even falsification of data, "says the policy.

"If there is a fear that irregularities may affect the balance of drug benefits and risks, EMA's scientific committees may consider regulatory action," the agency said in a statement. If the allegations relate to a drug EMA throughout the authorized country, it may, on a case-by-case basis, refer the matter to the national drug agency of that Member State.

The policy, which came into force on 17 March 2017 and prepared in consultation with the European Commission and OLAF, will be reviewed in three years.