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Licensing Routes & Accelerated Access to Innovative Medicines in an Evolving Regulatory Landscape 17 September 2019 Head EU/International Regulatory Policy & Intelligence David King, PhD Takeda Pharmaceutical Company Limited

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Page 1: Licensing Routes & Accelerated Access to Innovative ... · 2 Accelerated Access –What are we Talking about? Decreased time to approval •Procedural pathways to reduce review time

Licensing Routes & Accelerated

Access to Innovative Medicines in an

Evolving Regulatory Landscape

17 September 2019

Head EU/International Regulatory Policy & Intelligence

David King, PhD

Takeda Pharmaceutical Company Limited

Page 2: Licensing Routes & Accelerated Access to Innovative ... · 2 Accelerated Access –What are we Talking about? Decreased time to approval •Procedural pathways to reduce review time

1

What is Happening in the Environment?

17/09/19

Increased Innovation

Increased demand for Rare Disease Treatments

Increased Proof of Value for Money

R&D Cost Transparency

Data Transparency

RWEDig Data

Pricing Transparency

Page 3: Licensing Routes & Accelerated Access to Innovative ... · 2 Accelerated Access –What are we Talking about? Decreased time to approval •Procedural pathways to reduce review time

2

Accelerated Access – What are we Talking about?

Decreased time to approval

• Procedural pathways to reduce review time

• Increased scientific advice to decrease the number of issues

17/09/19

Increased Availability to the Patient

• Often dependent on Pricing & Re-imbursement

Page 4: Licensing Routes & Accelerated Access to Innovative ... · 2 Accelerated Access –What are we Talking about? Decreased time to approval •Procedural pathways to reduce review time

US Accelerated Approval

Priority Review

Fast Track

EU Accelerated Assessment

Conditional Approval

Exceptional Circumstances

Japan Priority Review

Conditional Early Approval

SystemOrphan

3

Decreased Time to Approval

17/09/19

Page 5: Licensing Routes & Accelerated Access to Innovative ... · 2 Accelerated Access –What are we Talking about? Decreased time to approval •Procedural pathways to reduce review time

Switzerland Fast Track for Innovative ProductsPrior

Notification

Canada Priority Review

Notice of Compliance with

Conditions (NOC/C)

TGA TGA PriorityTGA Provisional

Approval

4

Decreased Time to Approval

17/09/19

Page 6: Licensing Routes & Accelerated Access to Innovative ... · 2 Accelerated Access –What are we Talking about? Decreased time to approval •Procedural pathways to reduce review time

FDA

• Breakthrough Therapy

EMA

• PRIME

• MHRA Early Access to Medicines Scheme (EAMS)

PMDA

• Sakigake

5

Increased Scientific Advice

17/09/19

Page 7: Licensing Routes & Accelerated Access to Innovative ... · 2 Accelerated Access –What are we Talking about? Decreased time to approval •Procedural pathways to reduce review time

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Key Features and Advantages

17/09/19

Source: CIRS R&D Briefing 70 (2019)

Page 8: Licensing Routes & Accelerated Access to Innovative ... · 2 Accelerated Access –What are we Talking about? Decreased time to approval •Procedural pathways to reduce review time

7 | Title | DD/MM/YY

Source: CIRS R&D Briefing 70 (2019)

Page 9: Licensing Routes & Accelerated Access to Innovative ... · 2 Accelerated Access –What are we Talking about? Decreased time to approval •Procedural pathways to reduce review time

8 17/09/19

Source: CIRS R&D Briefing 70 (2019)

Page 10: Licensing Routes & Accelerated Access to Innovative ... · 2 Accelerated Access –What are we Talking about? Decreased time to approval •Procedural pathways to reduce review time

9 17/09/19

Source: CIRS R&D Briefing 70 (2019)

Page 11: Licensing Routes & Accelerated Access to Innovative ... · 2 Accelerated Access –What are we Talking about? Decreased time to approval •Procedural pathways to reduce review time

10

Use of Accelerated Assessment by Agency

17/09/19

Source: CIRS R&D Briefing 70 (2019)

Page 12: Licensing Routes & Accelerated Access to Innovative ... · 2 Accelerated Access –What are we Talking about? Decreased time to approval •Procedural pathways to reduce review time

11

Patient Access

17/09/19

Lots of pathways to increase the number of treatments quicker

What about Patient Access?!?

Page 13: Licensing Routes & Accelerated Access to Innovative ... · 2 Accelerated Access –What are we Talking about? Decreased time to approval •Procedural pathways to reduce review time

12

EU Initiatives

17/09/19

EUnetHA MoCA

Parallel consultations EMA and HTA bodies

REGULATION OF THE EUROPEAN PARLIAMENT AND OF THE COUNCIL on health technology assessment and amending Directive 2011/24/EU

EAMS

Accelerated Access

Collaborative

Page 14: Licensing Routes & Accelerated Access to Innovative ... · 2 Accelerated Access –What are we Talking about? Decreased time to approval •Procedural pathways to reduce review time

??Questions??