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© Safeguarding public health BROMI Variations · Launch Meeting The Cumberland Hotel, London Anne Ambrose 8 th May 2008

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Page 1: © Safeguarding public health BROMI Variations ·Launch Meeting The Cumberland Hotel, London Anne Ambrose 8 th May 2008

©

Safeguarding public health

BROMI Variations · Launch Meeting

The Cumberland Hotel, London

Anne Ambrose 8th May 2008

Page 2: © Safeguarding public health BROMI Variations ·Launch Meeting The Cumberland Hotel, London Anne Ambrose 8 th May 2008

Slide 2 May 2008

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BROMI - Variations

•Variations – High Volume work stream•Approx 22,000 variation applications received annually in UK. 50% Type IA 80% National

•Risk based approach to assessment.•Reduction in administrative burden.•Predictable approval times•Delivery of new ways of working.

Page 3: © Safeguarding public health BROMI Variations ·Launch Meeting The Cumberland Hotel, London Anne Ambrose 8 th May 2008

Slide 3 May 2008

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Current Regulatory Framework

Regulation EC 1084/2003 – Mutual Recognition

Regulation EC 1085/2003 – Centralised Procedure

UK – Follows principles of Regulations EC1084/2003 and EU Best Practice Guidance

Page 4: © Safeguarding public health BROMI Variations ·Launch Meeting The Cumberland Hotel, London Anne Ambrose 8 th May 2008

Slide 4 May 2008

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BROMI Concepts

Page 5: © Safeguarding public health BROMI Variations ·Launch Meeting The Cumberland Hotel, London Anne Ambrose 8 th May 2008

Slide 5 May 2008

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Variations – Proposal for 3-tier modelfor certain categories of change – Based on MR procedures

Self Certification

Self Certification

Scientific Validation (IA)

Scientific Validation (IA)

30 Day Assessment(IB)

30 Day Assessment(IB)

Type IAType IA Type IBType IB Type IIType II

Page 6: © Safeguarding public health BROMI Variations ·Launch Meeting The Cumberland Hotel, London Anne Ambrose 8 th May 2008

Slide 6 May 2008

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BROMI - Variations

Choice of Categories for Self Certification or Expedited Processing:

• Review of National applications determined by MHRA.

• Categories with low number of invalidation/refusals.

• Changes that had become Type II with introduction of 1084/2003EC.

Page 7: © Safeguarding public health BROMI Variations ·Launch Meeting The Cumberland Hotel, London Anne Ambrose 8 th May 2008

Slide 7 May 2008

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Variations – 3 tier model

Self Certification BROMI – ‘Tell and do’

- Approx 80% of current Type IA;- Approx 7000 per annum in UK

Type IA BROMI – 14 day scientific validation

Type IB BROMI – 30 day assessment procedure

Page 8: © Safeguarding public health BROMI Variations ·Launch Meeting The Cumberland Hotel, London Anne Ambrose 8 th May 2008

Slide 8 May 2008

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BROMI -Variations

How would the 3-tier model help my company?

Change in name and address of MA Holder (same legal entity)•Current – Type IA with 14 Day validation procedure•BROMI – Self Certified change that can be implemented immediately

Page 9: © Safeguarding public health BROMI Variations ·Launch Meeting The Cumberland Hotel, London Anne Ambrose 8 th May 2008

Slide 9 May 2008

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Minor Change in the Manufacture of the Active Ingredient

Current – Type IB 30-Day assessment procedureBROMI – Under certain conditions Type IA 14-Day validation

Replacement or addition of a manufacturer for a sterile product

Current – Type II 90-Day assessment procedureBROMI – Type IB 30-Day assessment procedure

Page 10: © Safeguarding public health BROMI Variations ·Launch Meeting The Cumberland Hotel, London Anne Ambrose 8 th May 2008

Slide 10 May 2008

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BROMI Variations Pilot

Initial Phase 1st February – 31st July 2007

Limited Number of Companies (11 company groups)

Use of Sentinel Portal

Audit

Evaluation

Pilot extended to 31st January 2008

Page 11: © Safeguarding public health BROMI Variations ·Launch Meeting The Cumberland Hotel, London Anne Ambrose 8 th May 2008

Slide 11 May 2008

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BROMI Variations Pilot – Participating Companies

GalpharmGSKLundbeckOrganonPlivaPfizerReckitt BenckiserRosemontSanofi- AventisTevaWockhardt

Page 12: © Safeguarding public health BROMI Variations ·Launch Meeting The Cumberland Hotel, London Anne Ambrose 8 th May 2008

Slide 12 May 2008

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Procedures for Submitting BROMI Notifications

Self Certification:

Acknowledgment issued as MAH submits application through Sentinel Portal

Sentinel/Rama records updated in 14-Days and formal acknowledgment letter issued

Page 13: © Safeguarding public health BROMI Variations ·Launch Meeting The Cumberland Hotel, London Anne Ambrose 8 th May 2008

Slide 13 May 2008

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BROMI Variations Applications Submitted

In total 609 BROMI Variations received during the 6 month pilot

BROMI Self Certification = 518BROMI Type IA = 74BROMI Type IB = 17

Page 14: © Safeguarding public health BROMI Variations ·Launch Meeting The Cumberland Hotel, London Anne Ambrose 8 th May 2008

Slide 14 May 2008

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Applications Submitted

BROMI - Variations Pilot

38

69

44

86

107

119

0

20

40

60

80

100

120

140

Feb Mar Apr May Jun Jul

Month

Nu

mb

er Self Certification

Type IA BROMI

TypeIB BROMI

Totals

Page 15: © Safeguarding public health BROMI Variations ·Launch Meeting The Cumberland Hotel, London Anne Ambrose 8 th May 2008

Slide 15 May 2008

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BROMI Self Certification

BROMI Self Certification by CategoryName and Address of PL Holder

Name of Active

Manufacturer of Active

Name & Address of Manufacturer

ATC Code

Secondary Packager

Batch Release and QC arrangements

Deletion of manufacturing sites

Batch size of Active

Spec of Active

New or updated CEP for active

New or updated TSE CEP

Excipient Specification

Test procedure for excipient

New CEP for excipient

New or updated TSE CEP for excipient

To comply with Ph Eur

Page 16: © Safeguarding public health BROMI Variations ·Launch Meeting The Cumberland Hotel, London Anne Ambrose 8 th May 2008

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Audit Outcome• Common Mistakes on applications

- Omission of Declaration Form - - Omission of updated PL and/or label- Inadequate QP Declarations- Multiple Ph Eur CEPs in a single notification

• Most common categories for error- Changes to Tablet or Capsule Markings- Change to Batch Release and QC Arrangements – QP Declarations- Manufacturer of active, – documentation- Change in company name/address

Page 17: © Safeguarding public health BROMI Variations ·Launch Meeting The Cumberland Hotel, London Anne Ambrose 8 th May 2008

Slide 17 May 2008

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BROMI Variations Pilot

Company Questionnaire

Approval time – great advantage.

Admin burden – further reduction required.

Guidance and Procedure – further simplification required.

Pilot extended to 31st January 2008

Page 18: © Safeguarding public health BROMI Variations ·Launch Meeting The Cumberland Hotel, London Anne Ambrose 8 th May 2008

Slide 18 May 2008

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Extension of Pilot

•Categories reviewed – Change #8. Batch release removed.

•Simplify guidance.

•Reduce Documentation Requirements.

•Improved audit

Page 19: © Safeguarding public health BROMI Variations ·Launch Meeting The Cumberland Hotel, London Anne Ambrose 8 th May 2008

Slide 19 May 2008

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Applications Received Feb 07 – Jan 08

BROMI VARIATIONS PILOT Feb 07- Jan08

0

20

40

60

80

100

120

140

160

180

Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan

Month

Nu

mb

er

Pro

ce

ss

ed

Self Certification

Type IA BROMI

TypeIB BROMI

Totals

Approx 1,500 applications received in total

900 Self-Certified

Page 20: © Safeguarding public health BROMI Variations ·Launch Meeting The Cumberland Hotel, London Anne Ambrose 8 th May 2008

Slide 20 May 2008

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BROMI – Variations

Final evaluation of pilot

Full Roll-out to MAHs.

National ApplicationsPortal Applications

Next StepsFurther amendments to Sentinel process and letters

issued

Page 21: © Safeguarding public health BROMI Variations ·Launch Meeting The Cumberland Hotel, London Anne Ambrose 8 th May 2008

Slide 21 May 2008

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Next Steps

Revision of EU Variation Regulations

•Two categories of Type IA notification- Those requiring immediate notification- Those that can be included in an annual update

•Downgrading of variations that have received a scientific opinion

Page 22: © Safeguarding public health BROMI Variations ·Launch Meeting The Cumberland Hotel, London Anne Ambrose 8 th May 2008

Slide 22 May 2008

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Do you have any further suggestions?

[email protected]