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NOVEMBER 2005 approaching. The mutual recognition procedures as from1 November 2005. Review 2001. Consequences for mutual recognition procedure Introduction Decentralised Procedure Creation Coordination group (CMD-(h)) Patient leaflet and labelling part of the procedure

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november 2005 approaching

NOVEMBER 2005 approaching

The mutual

recognition procedures as from1 November 2005

review 2001
Review 2001
  • Consequences for mutual recognition procedure
  • Introduction Decentralised Procedure
  • Creation Coordination group (CMD-(h))
  • Patient leaflet and labelling part of the procedure
  • More transparancy (public assessment reports)
mutual recognition after 30 october 2005
Mutual recognition after 30 October 2005
  • 2 options
  • First marketing authorisation in 1 country, then start of mutual recognition procedure in other member states (MRP)
  • Decentralised procedure, submission of dossier in RMS and CMS at the same moment
mutual recognition after 30 october 20054
Mutual recognition after 30 October 2005
  • Principles of Mutual recognition not changed; RMS formulates assessment reports and comments on SPC, PIL and labelling
  • Only reason for not adopting assessment from RMS is on the basis of ‘potential serious risk to public health’
realization dp 1
Realization DP (1)
  • 1st version of timetable and SOP determined by MRFG, published for consultation in March 2005
  • Comments
  • - Validation period 28 days too long- too many comment rounds
  • - not competitive enough with CP
  • - no consolidated LoQ
  • - Commission: draft AR not in the clock-stop
realization dp 2
Realization DP (2)
  • Comments are processed in timetable, accorded by HMA, published on 9 June 2005
  • 2nd version of the SOP, discussed during MRFG of 12-13 September
  • Final version October
timetable
Timetable
  • Pre-procedural phase
  • Validation phase
  • Assessment step 1 (day 0-119)
  • Assessment step 2 (day 120-210)
  • National implementation phase (30-day)
pre procedural phase until day 14
Pre-procedural phase(until day -14)
  • Consultation applicant and RMS
  • Possible issues
  • - Planning start
  • - Procedure number: NL/H/nnn/01/DC
  • - Pre-assessment of module 1.2
  • - User consultation
  • - Possible discussion in CMD about e.g. legal status
  • - Import in CTS
dossier requirements with regard to spc pl label 1
Dossier requirementswith regard to SPC, PL, label (1)

UK-versions of SPC, PL, label

Tested version of mock-up of PL

Mock-up of label

NB: in case of MRP

UK-versions of SPC, PL, label

RMS-version of mock-up of PL

RMS-version of mock-up of label

dossier requirements with regard to spc pl label
Dossier requirements with regard to SPC, PL, label
  • User consultation:
  • reporting of test
    • or
    • justification for tests during the clock-stop
    • or
    • justification for non-execution of the test
    • (e.g. reference to tested leaflet)
validation day 14 until start
Validation(day -14 until start)
  • Company submits dossier
  • Company distributes list with submission dates
  • RMS starts validation period in CTS
  • RMS informs company about validation problems
  • CMS informs RMS and company about validation problems (also in CTS)
  • Day -7: RMS starts automatic validation
assessment step 1 day 0 105
Assessment step 1 (Day 0 -105)

Day 0 Start procedure in RMS and CMS

Day 70 RMS sends preliminary assessment report (PrAR) to CMSs and applicant

Until day 100 CMSs send comments to RMS and applicant

Day 100-105 consultation RMS and CMS about questions, RMS sends questions to company

assessment step 1 day 105 120
Assessment step 1 (Day 105 -120)

Option 1: consensus

Day 105RMS updates Overview PrAR

RMS sends final assessment report (FAR), including SPC, PL, label

RMS closes the procedure

30 days for national implementation

assessment step 1 day 105 119
Assessment step 1 (Day 105 -119)

Option 2: Consensus minor comments

Day 105 RMS stops the clock; minor comments to the company

Day 106 company sends answers

RMS restarts the clock

Day 106-119 RMS updates PrAR

Day 120 RMS sends FAR,incl.SPC/PL/Labelling

RMS closes the procedure

30 days for national implementation

assessment step 1 day 105 11915
Assessment step 1 (Day 105 -119)

Option 3 : No consensus

Day 105 RMS stops the clock; Request for Supplementary Information to the company

Day 106 company sends answers

RMS restarts the clock

Day 106-119 RMS formulatesdraft assessment report (DAR), including SPC, PL, label

assessment step 1 day 105 11916
Assessment step 1 (Day 105 -119)
  • During the clock-stop:
  • Advice to company: draft answers to RMS
  • RMS responds to the draft answers
  • Company needs to accord date of submission of answers with the RMS (within 3 months after clock-stop)
assessment step 2 day 120 145
Assessment step 2 (Day 120 -145)

Day 120 RMS sends draft assessment report to CMSs and applicant

Day 145 CMS sends comments to RMS and applicant

assessment step 2 day 145 150
Assessment step 2 (Day 145 -150)

Option 1: Consensus at day 145

Day 150 RMS sends final assessment report

(FAR), including SPC, PL, label

RMS closes the procedure

30 days for national implementation

assessment step 2 day 145 180
Assessment step 2 (Day 145 -180)

Option 2: No consensus at day 145

Day 145-150 Consultation RMS and CMSs

Day 150 RMS sends questions (List of Outstanding

issues) to company

By day 160 Applicants sends additional clarification

incl. Proposol SPC/PL/Labelling

By day 180 RMS formulates short report CMSs

assessment step 2 until day 205
Assessment step 2 (Until day 205)

As from day 180

until day 205 Break-out session

If needed RMS gives oral report in CMD(if in same month)

RMS always circulates minutes to CMD,CMSs and applicant

assessment step 2 day 210
Assessment step 2 (Day 210)

Option 1: Consensus

Day 210 RMS sends final assessment report (FAR),

including SPC,PL,label

RMS closes the procedure

30 days for national implementation

assessment step 2 day 21022
Assessment step 2 (Day 210)

Option 2: No consensus

Day 210 Referral to CMD for 60-day procedure

cmd referral day 0 60 210 270
CMD-referral(Day 0-60 (210-270))

Objective: accordance between concerned member states about ‘potential serious health risks’

Discussion between all CMD members

Coordination by CMD-secretariat

Start of the procedure: < 30 days after day 210

End:at least 5-10 days after a CMD(h) meeting

RMS refers the matter to the CMD(h)

RMS leads the discussions

Applicant can express preference for hearing or written reaction

cmd referral day 0 60 210 27024
CMD-referral(Day 0-60 (210-270))

1st CMD-meeting: around day 20

- clarification about the referral

- information sufficient?

- advice from ‘working groups’ of CHMP?

- list of questions decided

cmd referral day 0 60 210 27025
CMD-referral(Day 0-60 (210-270))

Day 35 Answers from the company

(no new data)

Day 45 RMS circulates updated AR to all CMD

members

Before 2nd CMD-meeting

Written comments from member states

2nd CMD-meeting:around day 50

possibility for hearing

experts from member states

cmd referral day 0 60 210 27026
CMD-referral(day 0-60 (210-270))

Option 1: Consensus

Day 60 RMS sends final assessment report (FAR),

including SPC,PL,label

RMS closes the procedure

Positive opinion: 30 days for national implementation

Option 2: No consensus

Day 60 referral to CHMP

National implementation possible in MS with positive opinion

forced arbitration
Forced arbitration?
  • Applicant can withdraw registration request during procedure, but in CMD discussion about ‘potential serious health risk’ should always take place in assessment step 2
referral to cmd q 8
Referral to CMD (Q8)
  • Current MRP with day 90 after 31 October 2005
  • New guideline comes into force:
  • Potential serious risk to public health -> CMD procedure and possibly CHMP
  • In case of withdrawal after 31 October 2005: always CMD procedure and possibly CHMP
referral q 9
Referral (Q9)
  • MRP started before 31 October 2005, and referral after 31 October 2005
  • National registration possible in member states with positive opinion
referral q 10
Referral (Q10)
      • MRP/DP after 31 October 2005
  • Withdrawal possible at any point of time during 210 days or 90 days respectively
  • However withdrawal during 90 days period of Assessment step II in DP or at any time during 90 days MR phase of MRP if based on psrph will be referred to CMD
leaflet
Leaflet

Current MRP with day 90 after 31 October 2005:

harmonisation of leaflet?

Yes, unless its deviation is justified.

public assessment report q 20
Public Assessment-report (Q20)
  • MRP or DP, day 90 after 31 October 2005
  • Always public assessment report, published on MRFG website (Product Index)
  • 60 days after closure of the procedure.
the end

THE END

Thank you for your attention

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