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1 List of content EMEA STRUCTURE EMEA MISSION STATEMENT EMEA COMMITTEE MANAGEMENT BOARD COMMITTEE FOR MEDICINAL PRODUCTS FOR HUMAN USE (CHMP) COMMITTEE FOR MEDICAL PRODUCTS FOR VETERINARY USE (CVMP) COMMITTEE FOR ORPHAN MEDICINAL PRODUCTS (COMP) COMMITTEE FOR HERBAL MEDICINAL PRODUCT (HMPC) INSPECTIONS – ACTIVITIES OF SECTOR EMEA IMPLEMENTATION OF THE NEW EU PHARMACEUTICAL LEGISLATION EMEA ROAD MAP TO 2010 2 3 INTRODUCTION The EMEA began its activities in 1995, when the European system for authorizing medicinal products was introduced, European Medicines Agency (EMEA) is a decentralized body of the European Union with headquarters in London. Its main responsibility is the protection and promotion of public and animal health, through the evaluation and supervision of medicines for human and veterinary use. The Agency brings together the scientific resources of the 25 EU Member States in a network of 42 national competent authorities. 4 Conti… The EMEA has a role in both, but is primarily involved in the centralized procedure. Where the centralized procedure is used, companies submit one single marketing authorization application to the EMEA. A single evaluation is carried out through the Committee for Medicinal Products for Human Use (CHMP) or Committee for Medicinal Products for Veterinary Use (CVMP). 5 Conti… In 2001, the Committee on Orphan Medicinal Products (COMP) was established, charged with reviewing designation applications from persons or companies who intend to develop medicines for rare diseases (so-called ‘orphan drugs’). The Committee on Herbal Medicinal Products (HMPC) was established in 2004 and provides scientific opinions on traditional herbal medicines. The main responsibility of the Pediatric Committee (PDCO) is to assess the content of pediatric investigation plans and adopt opinions on them in accordance with Regulation A network of some 3,500 European experts underpins the scientific work of the EMEA and its committees. 6 EMEA organigramme 7 EMEA Mission Statement Developing efficient and transparent procedures to allow rapid access by users to safe and effective innovative medicines and to generic and nonprescription medicines through a single European marketing authorization Controlling the safety of medicines for humans and animals, in particular through a pharmacovigilance network the establishment of safe limits for residues in food-producing animals, Facilitating innovation and stimulating research Mobilizing and coordinating scientific resources from throughout the EU to provide high-quality evaluation of medicinal products, to advise on research and development programmes, to perform inspections and to provide useful and clear information to users and healthcare professionals. 8 9 EMEA committee Management Board :: CHMP :: CVMP :: COMP :: HMPC :: PDCO 10 Management Board A Chairman Two members of European parliament European commission Two representatives of Patients' organizations Doctors' organizations Veterinarians' organizations One representative of each member country One representative of observer countries 11 25 Member countries 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. Austria Belgium Cyprus Czech Republic Denmark Estonia Finland France Germany Greece Hungary Ireland Italy Latvia Lithuania Luxembourg Malta Netherlands Poland Portugal Slovakia Slovenia Spain Sweden United Kingdom 12 Observer countries (EEA-EFTA States) Bulgaria Iceland Liechtenstein Norway Romania 13 Committee for Medicinal Products for Human Use (CHMP) Role and responsibilities Responsible for several post-authorization and maintenance activities Arbitrates in cases where there is a disagreement between Member States concerning the marketing authorization of a particular medicinal product Assessments conducted by the CHMP are based on purely scientific criteria and determine whether or not the products concerned meet the necessary quality, safety and efficacy requirements. 14 Conti…… These processes ensure that medicinal products have a positive risk-benefit balance in favour of patients/users of these products once they reach the marketplace. The CHMP plays an important role in this EU-wide ‘pharmacovigilance’ activity by closely monitoring reports of adverse drug reaction reports, making recommendations regarding changes to a product’s marketing authorization or the product’s suspension/withdrawal from the market. Can issue an ‘urgent safety restriction’ (USR) The CHMP publishes a European Public Assessment Report (EPAR) for every centrally authorized product that is granted a marketing authorization The EMEA’s integrated quality-management system ensures effective planning, operation and control of the CHMP’s processes and records. 15 Other important activities of the CHMP and its working parties include: The provision of assistance to companies researching and developing new medicines; The preparation of scientific and regulatory guidelines for the pharmaceuticals industry; Cooperation with international partners on the harmonisation of regulatory requirements for medicines. 16 Committee for Medicinal Products for Veterinary Use (CVMP) Role and responsibilities Establishment of MRLs: the 'maximum residue limits' of veterinary medicinal products permissible in food produced by or from animals for human consumption, including dairy products, meat, honey etc. These limits must be established for all pharmacologically active substances contained in a medicinal product before the product can be granted a marketing authorization. 17 Committee for Orphan Medicinal Products (COMP) Role and responsibilities The Committee for Orphan Medicinal Products (COMP) is responsible for reviewing applications from persons or companies seeking 'orphan medicinal product designation' for products they intend to develop for the diagnosis, prevention or treatment of lifethreatening or very serious conditions that affect not more than 5 in 10,000 persons in the European Union. The COMP is also responsible for advising the European Commission on the establishment and development of a policy on orphan medicinal products in the EU, 18 Committee on Herbal Medicinal Products (HMPC) Role and responsibilities The HMPC's activities aim at assisting the harmonization of procedures and provisions concerning herbal medicinal products laid down in EU Member States, and further integrating herbal medicinal products in the European regulatory framework. The HMPC provides EU Member States and European institutions its scientific opinion on questions relating to herbal medicinal products. Other core tasks include the establishment of a draft 'Community list of herbal substances, preparations and combinations thereof for use in traditional herbal medicinal products', as well as the establishment of Community herbal monographs. 19 Pediatric Committee (PDCO) Role and responsibilities Pediatric Committee (PDCO) is to assess the content of pediatric investigation plans and adopt opinions on them in accordance with Regulation assessing data generated in accordance with agreed pediatric investigation plans and adopting opinions on the quality, safety or efficacy of any medicine for use in the pediatric population (at the request of the Committee for Medicinal Products for Human Use or a competent authority) survey on all existing uses of medicinal products in the pediatric population 20 Product information Human Medicines Veterinary Medicines Safety Announcements Product Withdrawals Summary of Opinions Opinions for Orphan Designation Opinions for medicines used outside the EU 21 SME Office: Addressing the needs of small and medium-sized enterprises (SMEs) Specific provisions aimed at promoting innovation and the development of new medicinal products for human and veterinary use by SMEs were adopted by the European Commission on 15 December 2005. The Agency has launched an 'SME Office', which is dedicated to addressing the particular needs of smaller companies. Contact point: [email protected] 22 Inspections - Activities of the Sector Coordination of the verification of compliance with the principles of Good Manufacturing Practice (GMP), Good Clinical Practice (GCP) and Good Laboratory Practice (GLP) Co-coordinating any inspection requested by the CHMP or CVMP Pharmacovigilance (PhV) Vaccine Antigen Master File (VAMF) and Plasma Master File (PMF) certification. The Sector organizes and chairs regular meetings of European Economic Area (EEA) GCP and GMP inspectors 23 Conti… Implications of PAT Sampling and Testing Programmed. Communication and action by Member States in response to suspected Quality Defects Responsibility for issuing Certificates of Medicinal Products in accordance with WHO requirements While most scientific activities of the Agency are divided between medicinal products for human and for veterinary use, the tasks of the Inspections Sector are typically common to both types of products. 24 Inspections EMEA Certificates of Medicinal Products The EMEA certification scheme is based on World Health Organization (WHO) recommendations EMEA Certificates are issued by EMEA, on behalf of the European Commission, to confirm the Marketing Authorization status of products EMEA issues certificates within 10 working days following receipt of a valid application form. 25 Inspections Counterfeit Medicines Counterfeit medicines are substandard pharmaceuticals - medicines manufactured below established standards of safety, quality and efficacy. Counterfeiting can apply to both branded and generic products Counterfeit medicines may include products with Correct ingredients but fake packaging with the wrong ingredients without active ingredients with insufficient active ingredients. The most frequently counterfeited medicines in wealthy countries developing countries 26 Conti… As the phenomenon spreads, more and more medicines are counterfeited, including expensive ones, such as anti-cancer drugs, and those highly in demand, such as antiviral. EMEA seeks to support anti-counterfeiting activities in close cooperation with the Commission and national medicines agencies by facilitating information sharing and coordinating actions (including recalls and testing) 27 Inspections Good Clinical Practice - Human Medicinal Products Good Clinical Practice (GCP) is an international ethical and scientific quality standard for designing, recording and reporting trials that involve the participation of human subjects. Compliance with this standard provides public assurance that the rights, safety and well being of trial subjects are protected, the clinical trial data are credible. 28 Conti… Clinical trials included in any marketing authorization application in the EU are required to be conducted in accordance with GCP The sector is involved in the preparation of new and revised guidance on GCP topics, co-ordination of advice on the interpretation of EU GCP requirements and related technical issues, and on the development of community-wide procedures relating to GCP inspections. Europe has adopted the ICH-GCP in July 1996 29 Inspections Good Clinical Practice - veterinary medicinal products For clinical trials of veterinary products, Europe has adopted the VICH GCP It provides guidance on the design and conduct of all clinical studies of veterinary products in the target species. It is directed at all individuals and organizations involved in the design, conduct, monitoring, recording, auditing, analysis and reporting of clinical studies in target species and is intended to ensure that such studies are conducted and documented in accordance with the principles of Good Clinical Practice (GCP). 30 Inspections Good Laboratory Practice The principles of Good Laboratory Practice (GLP) define a set of rules and criteria for a quality system concerned with the organizational process and the conditions under which non-clinical health and environmental safety studies are planned, performed, monitored, recorded, reported and archived. The Procedure describes the coordination of GLP inspections of the non-clinical safety, toxicological and pharmacological studies proposed in human and veterinary applications for marketing authorizations under the centralized system. 31 Inspections Process Analytical Technology The term "Process Analytical Technologies (PAT)" has been used to describe "a system for designing and controlling manufacturing through timely measurements (i.e. during processing) of critical quality and performance attributes for raw and in-process materials and also processes with the goal of ensuring final product quality". Focused on a comprehensive analysis of the active substance, the choice of the composition, the manufacturing method, as well as the identification of the critical process parameters and the development of suitable analytical methods 32 Conti… In order to support the PAT activities in EU, an EMEA PAT team was created in November 2003. Aim to review the implications of PAT and to ensure that the European regulatory framework and the authorities are prepared for and adequately equipped to conduct thorough and effective evaluations of PAT-based submissions. 33 Inspections Product Defects and Recalls In order to protect public health and animal health, it may become necessary to implement urgent measures such as the recall of one or more defective batches of a medicinal product during its marketing period. Competent Authorities should ensure that information concerning the recall of medicinal products is notified rapidly to other Member States, if the nature of the defect presents a serious risk to public health. This information is communicated using the Rapid Alert Procedure 34 Inspections Sampling and Testing of Centrally Authorized Products The EMEA implements every year a sampling and testing programme, aimed at supervising the quality of the Centrally Authorized Products (CAPs) available on the European market. Annual reports on the outcome of the sampling and testing programme have been published starting with products submitted for testing in 2003. 35 EMEA Implementation of the New EU Pharmaceutical Legislation These new provisions provide tools to speed up patients’ and healthcare professionals’ access to medicinal products in the Community. They also introduce measures for better safety monitoring of medicinal products for human and veterinary use 36 EMEA Implementation of the New EU Pharmaceutical Legislation New name for the EMEA As a consequence of the revised EU pharmaceutical legislation, the name of the EMEA changed from the 'European Agency for the Evaluation of Medicinal Products' to the 'European Medicines Agency‘. The acronym 'EMEA', however, remains unchanged. 37 EMEA Implementation of the New EU Pharmaceutical Legislation New scientific advice working parties (SAWPs) Providing scientific advice to undertakings on the conduct of the various tests and trials necessary to demonstrate the quality, safety and efficacy of medicinal products. The CHMP and CVMP have each set up a Scientific Advice Working Party to fulfil this responsibility by providing scientific advice and protocol assistance to sponsors, companies, research institutes, etc. 38 EMEA Implementation of the New EU Pharmaceutical Legislation New scientific advisory groups (SAGs) On request from the committee concerned, an independent recommendation on scientific and technical matters relating to products under evaluation. SAGs to provide expertise on oncology, diagnostics, anti-infective and endocrinology/diabetes HIV/viral diseases, CNS/psychiatry, and cardiology. 39 EMEA Road Map to 2010 European Medicines Agency (EMEA) has developed a long-term strategy that will contribute To better protection and promotion of public and animal health, Improve the regulatory environment for medicinal products, and Help to stimulate innovation, research and development in the EU. The Road Map takes a realistic view of the challenges facing the Agency and the EU regulatory system as a whole, while offering viable proposals as to how those challenges can be met. On the solid achievements of the past 10 years, the EMEA and its partners in the EU medicines system adequately prepared the ground for further success in the years to come. 40 Contacting the EMEA by e-mail. General enquiries: [email protected] Press enquiries: [email protected] E-mail addresses for EMEA staff members are constructed as follows: [email protected] 41 REFERENCE http://www.emea.eu.int/ 42 43