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EMA and WHO Launch Global Pilot Program to Streamline Drug Regulation Changes

  • EMA and WHO have initiated a pioneering pilot program enabling pharmaceutical companies to submit EMA-approved post-authorization changes to multiple non-EU authorities simultaneously.

  • The program currently encompasses 10 ongoing pilots involving up to 100 national authorities, primarily focusing on major quality-related changes that could impact medicine supply.

  • This initiative aims to accelerate regulatory approvals, improve patient access to medicines, and establish a more efficient global model for assessing post-authorization changes.

In a significant move to streamline global pharmaceutical regulation, the European Medicines Agency (EMA) and World Health Organization (WHO) have launched a collaborative pilot program that allows pharmaceutical companies to submit EMA-approved post-authorization changes to multiple non-EU regulatory authorities simultaneously.
The innovative program, set to run through February 2025, currently features 10 ongoing pilots involving up to 100 national authorities. These pilots primarily address major quality-related post-authorization changes that could significantly impact medicinal product supply chains and availability.

Streamlining Regulatory Processes

The initiative introduces a concurrent review system where national authorities can utilize EMA's assessments to inform their regulatory decisions while maintaining full scientific and regulatory independence. This approach aims to significantly reduce review and approval timelines, aligning with WHO's good reliance practices.
"Early dialogue and clear communication between the applicant and national authorities is key for the success of a pilot," emphasizes the EMA in their program documentation.

Program Implementation and Requirements

Participating pharmaceutical companies must submit identical documentation to all involved regulatory authorities, including:
  • Complete variation package as used in the EU
  • EMA's Committee for Medicinal Products for Human Use (CHMP) final assessment report
  • Official approval letter
  • Optional question-and-answer document providing pilot overview and change details
National authorities retain the flexibility to rely either fully or partially on EMA's assessment while adhering to their local regulatory frameworks and legal requirements.

Addressing Global Regulatory Challenges

The program tackles a significant challenge in global pharmaceutical regulation: while regulatory authorities commonly use reliance practices for initial medicine approvals, such approaches are less frequently applied to post-authorization changes. These modifications can be complex and time-consuming, potentially increasing the risk of drug shortages.

Expected Impact and Benefits

The initiative aims to deliver multiple benefits to the global healthcare ecosystem:
  • Accelerated patient access to quality-assured medicines
  • More efficient resource utilization
  • Enhanced regulatory requirement alignment among authorities
  • Improved transparency between industry stakeholders and regulatory bodies
Pharmaceutical companies interested in participating can contact EMA directly through their international office, marking a significant step toward a more harmonized global regulatory environment.
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