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Renan Gois Health Regulatory Expert Office of Evaluation of Post-approval Changes for Small Molecules ICH Q12: Perspectives on Post-approval September 6 th 2016 Ciudad de México Brazilian Health Regulatory Agency - Anvisa

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Page 1: ICH Q12: Perspectives on Post-approval · ICH Q12: Perspectives on Post-approval. September 6th 2016 . Ciudad de México. Brazilian Health Regulatory Agency ... level of detail in

Renan GoisHealth Regulatory Expert

Office of Evaluation of Post-approval Changes for Small Molecules

ICH Q12: Perspectives on Post-approval

September 6th 2016 Ciudad de México

Brazilian Health Regulatory Agency - Anvisa

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Agência Nacional de Vigilância Sanitária - Anvisa

Disclaimer

This presentation does not necessarily reflect the policiesand views of Anvisa.

Brazilian Health Regulatory Agency - Anvisa

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Agência Nacional de Vigilância Sanitária - Anvisa

Outline

• Introduction;• Perceived problem;• Intentions;• Lifecycle:

o Risk Management;o Established Conditions.

• Challenges.

Brazilian Health Regulatory Agency - Anvisa

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Agência Nacional de Vigilância Sanitária - Anvisa

Application of scientific

approaches and quality risk management

Greater understanding

of pharmaceutical

and manufacturing

sciences

Basis for flexible

regulatory approaches

Innovation and continual

improvement

ICH Q8: Pharmaceutical Development

Introduction

ICH Q9: Quality Risk Management

Brazilian Health Regulatory Agency - Anvisa

ICH Q10: Pharmaceutical Quality System (PQS)

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Agência Nacional de Vigilância Sanitária - Anvisa

Introduction

Review timeline

Stability requirements

Post-approval regulation

Dossier format

Brazilian Health Regulatory Agency - Anvisa

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Agência Nacional de Vigilância Sanitária - Anvisa

Drug Substance Drug Product

Labeling/PackagingDistribution

IntroductionBrazilian Health Regulatory Agency - Anvisa

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Agência Nacional de Vigilância Sanitária - Anvisa

Drug Substance

Drug Product

Labeling/Packaging

Distribution

IntroductionBrazilian Health Regulatory Agency - Anvisa

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Agência Nacional de Vigilância Sanitária - Anvisa

Drug Substance A

Drug Substance B

Drug Product

Labeling/Packaging

Distribution

IntroductionBrazilian Health Regulatory Agency - Anvisa

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Agência Nacional de Vigilância Sanitária - Anvisa

Drug Substance A

Drug Substance B

Drug Product A

Drug Product B

Labeling/Packaging

Distribution

IntroductionBrazilian Health Regulatory Agency - Anvisa

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Agência Nacional de Vigilância Sanitária - Anvisa

Perceived problem

lack of a harmonized approach on lifecycle management

confusion on the necessary information and level of detail in the dossier

post-approval flexibility not achieved

hinder innovation and continual improvement

post-approval tools

Brazilian Health Regulatory Agency - Anvisa

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Agência Nacional de Vigilância Sanitária - Anvisa

Intention

• Technical and Regulatory Considerations for Pharmaceutical Product Lifecycle Management

ICH Q12

• Pharmaceutical products, including currently marketed chemical, biotechnological and biological products

SCOPE

• Lifecycle of the product, focusing particularly on the Commercial Manufacturing phase

APPLICABILITY

Brazilian Health Regulatory Agency - Anvisa

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Agência Nacional de Vigilância Sanitária - Anvisa

lack of a harmonised approach on lifecycle management

confusion on the necessary information and level of detail in the dossier

post-approval flexibility not achieved

hinder innovation and continual improvement

post-approval tools

Intention

ICH Q12 Lifecycle Management

Brazilian Health Regulatory Agency - Anvisa

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Agência Nacional de Vigilância Sanitária - Anvisa

Intention

ICH Q12

ICH Q10

ICH Q9

ICH Q12 Lifecycle Management

Brazilian Health Regulatory Agency - Anvisa

ICH Q8

ICH Q11

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Agência Nacional de Vigilância Sanitária - Anvisa

Intention

• Development of a harmonized approach to “regulatory commitments”• Delineate the appropriate level of detail and in the dossier

Regulatory Dossier

• Establish criteria for a harmonized risk-based change management system

• Clarify expectations and reinforce the need to maintain a knowledge management system

PQS

• Proactively identify post-approval changes• Mechanism to submit and assess these changes by regulatory authorities• Establish criteria for post-approval tools that can be adopted by the ICH

regions

Post-Approval Change

Management

ICH Q12 Lifecycle ManagementIssues to be Resolved

Brazilian Health Regulatory Agency - Anvisa

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Agência Nacional de Vigilância Sanitária - Anvisa

Intention

• Complement the existing ICH Q8 to Q11 Guidelines

• Facilitate the management of post-approval CMC changes in a more predictable and efficient manner across the product lifecycle

• Promote innovation and continual improvement

Desired Outcomes

Brazilian Health Regulatory Agency - Anvisa

ICH Q12 Lifecycle Management

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Agência Nacional de Vigilância Sanitária - Anvisa

Definition

All phases in the life of a product from the initial development through marketing until the product’sdiscontinuation.

(ICH Q8)

LifecycleBrazilian Health Regulatory Agency - Anvisa

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Agência Nacional de Vigilância Sanitária - Anvisa

Pharmaceutical Development

Technology Transfer

Commercial Manufacturing

Product Discontinua

tion

Lifecycle

Based on ICH Q10

• Drug substance development; • Formulation development; • Manufacturing process development;• Analytical method development.

• From Development to Manufacturing; • Transfers within or between manufacturing sites

• Acquisition and control of materials; • Provision of facilities, utilities and equipment; • Production; • Quality control and assurance.

Brazilian Health Regulatory Agency - Anvisa

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Agência Nacional de Vigilância Sanitária - Anvisa

Diffe

ring

Appr

oach

es to

Pha

rmac

eutic

al D

evel

opm

ent

ICH

Q8,

App

endi

x I

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Agência Nacional de Vigilância Sanitária - Anvisa

Product Development Design Space

Risk Management Effective PQS Regulatory

Flexibiity

Lifecycle: Established ConditionsBrazilian Health Regulatory Agency - Anvisa

?

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Agência Nacional de Vigilância Sanitária - Anvisa

Lifecycle: Established Conditions

ECCritical elements which assure process performance and product quality across the lifecycle

Legally binding information

Proposed in the Application

Approved by Regulator

Changes are reported using relevant post-approval submission

Brazilian Health Regulatory Agency - Anvisa

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Agência Nacional de Vigilância Sanitária - Anvisa

PQSScientific- Risk-based

PharmaceuticalDevelopment

Manufacturing Experience

Brazilian Health Regulatory Agency - Anvisa

CQA

material attributes

process parameters

Design Space

Specifications

Manufacturing Controls

ProductQuality

ProcessPerformance

PRODUCT PERFORMANCE

EstablishedConditions

• Risk-based regulatory decisions• Adjustment within design space• Reduction of post-approval submissions

Regulatory Flexibility

Lifecycle: Established Conditions

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Agência Nacional de Vigilância Sanitária - Anvisa

EC

Post-approval Regulatory Submission

(different reporting levels)

non-EC

Solely in PQS

CMC

Lifecycle: Established ConditionsBrazilian Health Regulatory Agency - Anvisa

Science Based

ProductUnderstanding

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Agência Nacional de Vigilância Sanitária - Anvisa

Challenges

• Harmonization among different countries and regulatory contexts• Application to small and large molecules• Application to currently marketed products• Measurement of PQS effectiveness • Regulatory flexibility tools through non-ICH members• Product-by-product science- and risk-based approach• Definition of EC within CMC elements and location in the dossier• Assessment of EC• Different ECs approved in different regions

Brazilian Health Regulatory Agency - Anvisa

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Renan GoisHealth Regulatory Expert

Office of Evaluation of Post-approval Changes for Small Molecules

[email protected]

www.anvisa.gov.br

Thank you for your attention!