Presentation on theme: "…………………Country National Stakeholders Consultation Meeting dd/mm/yy"— Presentation transcript:
1…………………Country National Stakeholders Consultation Meeting dd/mm/yy Development of CTD for registration of medicines for EAC Medicines Regulatory Harmonization Programme…………………Country National Stakeholders Consultation Meeting dd/mm/yy
2Outline Progress Background Composition of the TWG-MER Responsibility ChallengesWay forwardConclusion
3Background Chapter 21 (Article 118) of the EAC Treaty Provides for harmonization of drug registration and regulationHarmonize drug registration proceduresHarmonize national health policies and regulation and promote the exchange of information on health issues in order to achieve quality health within the Community.
4Harmonization of medicines registration procedures Purpose: To harmonize medicines registration in the EAC Partner States in order toincrease the rapid availability of safe, efficacious and good quality essential medicines in the regionenable free movement of pharmaceuticals within the region to complement the implementation of the EAC Customs Union operational since 2010Goal: To have a harmonized and functioning medicines registration system within the East Africa Community in accordance with national and internationally recognized policies and standards i.e. WHO & ICH]
5Composition of TWG on Medicines Evaluation and Registration (MER) Constituted by 12 members drawn from all the 6 EAC Partner States’ NMRAs. i.e.Kenya Pharmacy and Poison Board (future KFDA)National Drug Authority of UgandaTanzania Food and Drugs Authority (TFDA) – Lead countryZanzibar Food and Drug Board (ZFDB)Rwanda Pharmacy Task Force (future RFMA)Department de la Pharmacie, du Médicament et desLaboratoires (DPML) of Burundi (Future ABREMA)
6ResponsibilitiesTo develop harmonized technical requirements and guidelines for registration of human medicines.Develop EAC Common Technical Document (CTD) format for application for registration of human medicines in EAC.Present the developed CTD, technical requirements and guidance for application for registration of medicines in EAC to the Steering Committee for approval.
7Responsibilities (cont) Develop assessment guidelines and Standard Operating Procedures (SOPs) for assessment of medicines dossiers.Identify and develop a list of vital essential and necessary (VEN) medicines that will be jointly assessed by EAC Partner States and present to the project Steering Committee for approval.Facilitate domestication of the agreed technical document for registration of medicines, guidelines and SOPs for application and assessment of dossiers.
8Progress made – TWG on MER Meetings held23 Video conferences - between July 2012 and August3 face to face meetings- in July, October 2012 and May 2013Drafting and Development of EAC – guidelines/documents
9Progress made (2)1. EAC Guidelines on Submission of Application for registration of Medicines Common Technical Document (CTD) with appendixes – mother documentProvide guidance for applicants preparing a Common Technical Document for registration of medicinesDescribes how to organise applications based on the International Conference on Harmonisation of Technical Requirements
10Progress made (3) The CTD consists of 5 modules: Module 1: Prescribes Administrative Information and Prescribing Information requirements,Module 2: Quality overall summary (QOS),Module 3: Quality (API and FPP),Module 4: Non-clinical,Module 5: Clinical
11Progress made (4) Annexes Annex I – Covering letter. Annex II – EAC application formAnnex III – Expert report.Annex IV – Letter of access for DMF/CEP.Annex V – Quality Overall SummaryAnnex VI – Quality review requirements.
12Progress made (5)2. Quality overall summary of module 2 and module 3: qualityAssist applicants on the preparation of the Quality Module for generic medicinal productsProvides clear general guidance on the format of presenting informationProvide guidance on the technical and other general data requirements.
13Progress made (6) Quality overall summary (QOS) Overview of Module 3 Emphasize critical key parameters of the productKey issues that integrates information from sections in the Quality Module and supporting information from other Modules (e.g. qualification of impurities via toxicological studies).
14Progress made (7) Module 3: Main data on quality of API and FPP API data submissionOptions 1: EAC-Active pharmaceutical ingredient master file (EAC-APIMF) orOption 2: Full details in the Marketing Application Dossier (MAD).FPP – full documentation
15Progress made (8) 3 . Requirements for stability studies Active pharmaceutical ingredientFinished pharmaceutical ingredientAddress new and existing APIs/FPPNot applicable for biologicals – vaccinesStress stabilityRegulatory stability – accelerated and long termLong-term30 °C ± 2 °C/75% RH ± 5% RHAccelerated40 °C ± 2 °C/75% RH ± 5% RH 6 months
16Stability studiesStorage conditions requirements for FMPs intended for storage in a refrigeratorLong-term5 °C ± 3 °C 12 monthsAccelerated25 °C ± 2 °C/60% RH ± 5% RH or30 °C ± 2 °C/65% RH ± 5% RH or30 °C ± 2 °C/75% RH ± 5% RHFMPs intended for storage in a freezer5 °C± 3 °C or 25 °C ± 2 °C or 30 °C ± 2 °C)
17Therapeutic equivalence Specify the requirements for the design, conduct, and evaluation of bioequivalence studiesImmediate release and modified release dosage forms with systemic actionStipulates exemptions for carrying out in vivo bioequivalence (BE)In vitro dissolution tests as a surrogate for in vivo BE studiesOther studiesComparative pharmacodynamics studiesComparative clinical studies
18Procedural aspects for applications Outline procedures from submission of a dossier to the final outcome, timeframe and procedure for competent authorities to amend, where necessary the conditions of marketing authorization of a particular product.Provide guidelines on general requirements – language, font size etcOutline procedures for different types of applications; new, renewal & variation
19Completed guidelines ready for approval by National Stakeholders (1) EAC guidelines on submission of application for registration of human medicinal products (main guideline).EAC guidelines on therapeutic equivalence requirements.EAC guidelines on registration of fixed-dose combinations (FDCsEAC guidelines on biowaiverEAC list of standard terms for pharmaceutical dosage forms and routes of administration.
20Completed guidelines ready for approval by National Stakeholders (2) EAC guidelines on procedural aspects of application for registration of human medicinal products.EAC guidelines on stability requirements.EAC guidelines on labeling requirements.EAC common glossary of terms used in medicines registration.
21Completed guidelines ready for approved by National Stakeholders (3) 10. Annexes to the EAC guidelines on submission of application for registration of human medicinal products (main guideline):-Annex I – Covering letter.Annex II – EAC application form for marketing authorization of medicinal product.Annex III – Expert report.Annex IV – Letter of access for DMF/CEP.Annex V – Quality Overall Summary – Product dossier.Annex VI – Quality review requirements.
22Request to the National Stakeholders To consider and approve the developed draft documents as listed above, and which have already been approved by the project’s regional steering committee, for further approval processesAlso-To continue supporting the national and regional initiatives and efforts that are towards the improvement of peoples lives-To continue participating in the approval processes that will follow at the regional levelBuild more consensus and advocacy for strengthening the existing national Medicines Regulatory Agencies
23Work in progress EAC guidelines on selection of comparator products EAC guidelines on application for variation of a registered medicinal product.EAC common assessment procedure.Training modules on evaluationEAC Active Pharmaceutical Ingredient (API) procedureGuidelines on requirements for registration of biological/biotechnological products
24Challengesprocedures for internationalization of the approved guidelines in Partner States regulatory systems is not yet in placeFew face to face meetings versus workload (development of documents)All the 6 NMRAs involved in the project activitie are not at the same level and more funds than budgeted will be required to build capicities in Rwanda, Burundi and United Republic of Tanzania (ZFDB)
25Way forward Capacity building activities planned/underway a) Twining programme (2nd quarter /14)b) Training on dossier assessment (3rd quarter )c) Joint assessments (4th quarter)d) WHO/EAC joint assessment sessions (July and Sept continuing)Appointment of TWG members for replacementMore interactive sessions – face to face meetings at least 3 for this financial year