Regulatory Bodies in Europe

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Regulatory Body in

Europe

Rahul Khare
Why Regulatory Bodies ???

 Regulatory requirements describe what is


necessary for a new drug to be approved for
marketing in any particular country.
EU Clinical Trials Directive

 The European Clinical Trials Directive 2001/20/EC (EUCTD)


was introduced to establish standardisation of research
activity in clinical trials throughout the European Community.

 In May 2001, the current EU Directive was published on the


conduct of clinical trials in Europe.

 The EU Directive (2001/20/EC) relates "to the implementation


of good clinical practice (GCP) in the conduct of clinical trials
on medicinal products for human use'', and is aimed at the
regulation of clinical trials within the European Union and
was transposed by each EU country into its own law.
 The EUCTD was transposed into UK law as the Medicines for
Human Use (Clinical Trials) Regulations 2004 which came into
force on 1st May 2004.

 The European Union Clinical Trials Directive (2001/20/EC)


provides a framework which sets out how clinical trials
investigating the safety or efficacy of a medicinal product in
humans .
The Clinical Trials Regulations 2004
include additional controls.

 Establishment of ethics committees on a legal basis.

 Each Clinical Trial must have an identified Sponsor who


takes responsibility for its initiation, conduct and
management.

 Phase 1 pharmacology studies in healthy volunteers require


authorisation by the Medicines and Healthcare products
Regulatory Agency (MHRA).
Cont...

 Investigational medicinal products (IMPs) must be


manufactured to Good Manufacturing Practice (GMP)
standards and the manufacturer must have a manufacturing
licence.

 The MHRA is empowered to carry out statutory inspections of


the sponsor, researchers, facilities and manufacturing
organisations for GCP, GMP and pharmacovigilance to help
ensure required standards are maintained.
Aims of CT Directives

 Protection of clinical trial subjects.

 Procedures for Ethics Committees.

 Exchange of information between the regulatory bodies and the European Medicines
Agency (EMA).
 Standards for Good Clinical Practice (GCP) & Good Manufacturing Practice (GMP).

 Reporting of Serious Adverse Events (SAE's).


Protection of clinical trial subjects

• Articles 3, 4 and 5 of the directive pay special attention to the


protection of clinical trial subjects and informed consent.

• The Directive requires all trial subjects, or the persons


“legal representative” if the subject is not able, to give
informed consent.

• Also, there is a requirement to ensure that the minor has


received adequate information according to his/her capability
and understanding.
Ethic Committees

• Articles 6 and 7 of the CT Directive define the procedures for


Ethics Committees, including a time limit for decisions.

• The Ethics Committee will play a key role at the very early
stages of the trial in the document evaluation process.

• The Directive states the responsibilities of the Ethics


Committees that involves the opinion on the relevance of the
clinical trial and the clinical trial design; the protocol; the
suitability of the investigator and supporting staff; the
investigators brochure and the quality of facilities.
Ethics Committee Cont...

• There is a provision in the Directive that allows a Member


State to refer questions directly to the regulatory authority
responsible for regulating clinical trials in each Member State
Timelines

CT Directive timelines for the assessment of Clinical Trial


applications .
 60 days for Medicine Control Agency (MCA) and the Ethics
Committee.

The 60 day time period can be extended in following :


 Gene therapy or somatic cell therapy or medicinal products
containing genetically modified organisms - additional 30
days.
 Products that require external consultation - additional 90
days.
 Xenogenic cell therapy - no time limit.
Ethics Committee Cont...

 Following commencement of the clinical trial the sponsor is


able to make amendments to the protocol but the sponsor
must notify the MCA of the reasons for, and the content of,
these amendments. The sponsor must also inform the Ethics
Committees concerned. The Ethics Committee and the
regulatory body must form an opinion on the proposed
amendments within a maximum of 35 days.
Ethics Committee Cont...

 It also requires the sponsor to provide a report to the MCA


and Ethics Committee at the end of the trial within 90 days of
completion.

 If the trial has to be terminated early this notification period is


reduced to 15 days and a reason for termination must be
provided.
Exchange of Information

 Article 11 of the Directive allows the exchange of clinical trial


information across Europe.

 A European safety database will be set up for all adverse


events reported to the MCA.

 These details will go into a European database, which is


supported by the European Agency for the Evaluation of
Medicinal Products (EMEA).All CT information will be
recorded to this database, allowing exchange of information
between all Member in particular safety alerts and refusal of
authorisation. This database will only be accessible to the
regulatory authorities of the States of the EU.
GCP & GMP

 Article 13 of the CT Directive states all manufacturers of


investigational medicinal products (IMPs), including placebos
and active comparator products, require a manufacturers
license.

 That is all IMPs must be manufactured to Good


Manufacturing Practice (GMP) . If the IMP is manufactured
outside the EU it is the responsibility of the ''Qualified
Person'' QP to ensure the product has been manufactured
according to GMP.
Adverse Events

 Article 17 of the Directive requires notification for all serious


adverse events.

 As per ICH guidelines, Directive requires all unexpected serious


adverse events (SAEs) that are fatal or life threatening to be
reported to the regulatory authority and to the Ethics
Committee within 7 days of the sponsors'' knowledge,
additioninformation should be provided within a further 8 days.

 Other SAEs must be reported within 15 days of the sponsors''


knowledge.
THANK YOU

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