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The EDQM anti-counterfeiting Traceability service for medicines GS1 Healthcare conference 1-3 April 2014, Seoul François-Xavier Lery©2014 EDQM, Council of Europe. All rights reserved.

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Page 1: The EDQM anti-counterfeiting Traceability service …...The EDQM anti-counterfeiting Traceability service for medicines GS1 Healthcare conference 1-3 April 2014, Seoul François-Xavier

The EDQM anti-counterfeiting Traceability service for medicines

GS1 Healthcare conference

1-3 April 2014, Seoul

François-Xavier Lery©2014 EDQM, Council of Europe. All rights reserved.

Page 2: The EDQM anti-counterfeiting Traceability service …...The EDQM anti-counterfeiting Traceability service for medicines GS1 Healthcare conference 1-3 April 2014, Seoul François-Xavier

The eTACT project

� What is the background to the project?

� The eTACT project

� Patient access

� Summary

François-Xavier Lery©2014 EDQM, Council of Europe. All rights reserved. 2

Page 3: The EDQM anti-counterfeiting Traceability service …...The EDQM anti-counterfeiting Traceability service for medicines GS1 Healthcare conference 1-3 April 2014, Seoul François-Xavier

European Directorate for the Quality of Medicines & HealthCare (EDQM)

• Directorate of the Council of Europe (CoE -47 European countries)

• Convention on the Elaboration of a European Pharmacopoeia (1964)

François-Xavier Lery©2014 EDQM, Council of Europe. All rights reserved. 3

Page 4: The EDQM anti-counterfeiting Traceability service …...The EDQM anti-counterfeiting Traceability service for medicines GS1 Healthcare conference 1-3 April 2014, Seoul François-Xavier

CoE/EDQM anti-counterfeitingstrategy

François-Xavier Lery©2014 EDQM, Council of Europe. All rights reserved. 4

Inspection

Testing

MedicrimeMultisectorial

training

Page 5: The EDQM anti-counterfeiting Traceability service …...The EDQM anti-counterfeiting Traceability service for medicines GS1 Healthcare conference 1-3 April 2014, Seoul François-Xavier

Medicrime: signatures and ratifications

2014@EDQM, Council of Europe. All rights reserved.

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Page 6: The EDQM anti-counterfeiting Traceability service …...The EDQM anti-counterfeiting Traceability service for medicines GS1 Healthcare conference 1-3 April 2014, Seoul François-Xavier

The eTACT project

� What is the background to the project?

� The eTACT project

� Patient access

� Summary

François-Xavier Lery©2013 EDQM, Council of Europe. All rights reserved. 6

Page 7: The EDQM anti-counterfeiting Traceability service …...The EDQM anti-counterfeiting Traceability service for medicines GS1 Healthcare conference 1-3 April 2014, Seoul François-Xavier

Expected benefits…

• A harmonised approach for Europe

� Inter-operable and flexible by using standards (ISO, GS1 (Datamatrix, EPCIS), EU GMP Annex 11, GAMP…)

• Protects confidentiality of data

� Public governance

• Allows patients to verify their medicines

…to protect Public Health

François-Xavier Lery©2014 EDQM, Council of Europe. All rights reserved.7

Page 8: The EDQM anti-counterfeiting Traceability service …...The EDQM anti-counterfeiting Traceability service for medicines GS1 Healthcare conference 1-3 April 2014, Seoul François-Xavier

Regulatory background

• EU Falsified Medicines Directive (FMD) 2011/62

• Safety features

� Identifier that is readable by wholesale distributors and pharmacists

� Tamper-proof device (outside scope of eTACT)

• National European countries: Italy Bollino, Belgium/Greece Aegate, French NTIN CIP, Turkey ITS, Serbia GS1 traceability project

François-Xavier Lery©2014 EDQM, Council of Europe. All rights reserved. 8

Page 9: The EDQM anti-counterfeiting Traceability service …...The EDQM anti-counterfeiting Traceability service for medicines GS1 Healthcare conference 1-3 April 2014, Seoul François-Xavier

Business environment

• ESM project

• securpharm

• Common wish to avoid multiple/not interoperable systems

• Need to control costs and/or get RoI

François-Xavier Lery©2014 EDQM, Council of Europe. All rights reserved. 9

Page 10: The EDQM anti-counterfeiting Traceability service …...The EDQM anti-counterfeiting Traceability service for medicines GS1 Healthcare conference 1-3 April 2014, Seoul François-Xavier

Regulatory & business: EU Impact study ���� Delegated Act 2014/15

• Unique identifier harmonised

• Manufacturer product code

• Serial number

• National reimbursement number, if present

• Batch number

• Expiry date

• 2D barcode (data matrix)

©2014 EDQM, Council of Europe, All rights reserved10

Page 11: The EDQM anti-counterfeiting Traceability service …...The EDQM anti-counterfeiting Traceability service for medicines GS1 Healthcare conference 1-3 April 2014, Seoul François-Xavier

EU Impact study (cont’d)

• Systematic verification of the safety features at the dispensing point

• Risk-based verification by wholesale distributors when:

• product not obtained from manufacturing authorisation holder or marketing authorisationholder

• return from another wholesale distributor or from a pharmacy

©2014 EDQM, Council of Europe, All rights reserved11

Page 12: The EDQM anti-counterfeiting Traceability service …...The EDQM anti-counterfeiting Traceability service for medicines GS1 Healthcare conference 1-3 April 2014, Seoul François-Xavier

EU Impact study (cont’d)

• Establishment and management by stakeholders

• Stakeholders have to guarantee protection of commercial, confidential and personal data

• Supervision by relevant authorities

– full access to the repository system

– competent authorities can supervise its functioning

©2014 EDQM, Council of Europe, All rights reserved12

Page 13: The EDQM anti-counterfeiting Traceability service …...The EDQM anti-counterfeiting Traceability service for medicines GS1 Healthcare conference 1-3 April 2014, Seoul François-Xavier

Challenges for interoperability

• Within EU:

• Italian Bollino system 100% publicly governed / reimbursement

• Authorities supervision at national level / pan-European level

©2014 EDQM, Council of Europe, All rights reserved13

Page 14: The EDQM anti-counterfeiting Traceability service …...The EDQM anti-counterfeiting Traceability service for medicines GS1 Healthcare conference 1-3 April 2014, Seoul François-Xavier

Challenges for interoperability (2)

• Beyond EU

• Public gouvernance + full T&T in Turkey and Ukraine

• Competent authoities to decide on governance

• Beyond Europe: which interoperability standard?

©2014 EDQM, Council of Europe, All rights reserved14

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Unique Medicine Identifier (UMI)

François-Xavier Lery©2013 EDQM, Council of Europe. All rights reserved. 15

GTIN (01) :07680303330054

SERIAL (21) : 0402748246

Batch (10) : 144GC1214

EXPIRY (17) : 111120

NHRN (710) : 049-75241456

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EDQM Traceability service - eTACT

François-Xavier Lery©2014 EDQM, Council of Europe. All rights reserved. 16

Generation of UMI = Unique Medicine Identifier Verification of UMI

PharmacyInternet

Mail-order

Traceability &Traceability &Traceability &

DistributionManufacture

Verificationof UMI

Patients

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Flexible system architecture

François-Xavier Lery©2014 EDQM, Council of Europe. All rights reserved. 17

• Likeliness of decentralised system in Europe with national databases and pan-European hub/proxy/gateway

• Data capture

• Queries from authenticated stakeholders

• Queries from patients

• Links with reimbursement/pharmacovigilance?

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The eTACT project

� What is the background to the project?

� The eTACT project

� Patient access

� Summary

François-Xavier Lery©2014 EDQM, Council of Europe. All rights reserved. 18

Page 19: The EDQM anti-counterfeiting Traceability service …...The EDQM anti-counterfeiting Traceability service for medicines GS1 Healthcare conference 1-3 April 2014, Seoul François-Xavier

François-Xavier Lery©2014 EDQM, Council of Europe. All rights reserved.

Page 20: The EDQM anti-counterfeiting Traceability service …...The EDQM anti-counterfeiting Traceability service for medicines GS1 Healthcare conference 1-3 April 2014, Seoul François-Xavier

François-Xavier Lery©2014 EDQM, Council of Europe. All rights reserved.

Page 21: The EDQM anti-counterfeiting Traceability service …...The EDQM anti-counterfeiting Traceability service for medicines GS1 Healthcare conference 1-3 April 2014, Seoul François-Xavier

François-Xavier Lery©2014 EDQM, Council of Europe. All rights reserved.

Page 22: The EDQM anti-counterfeiting Traceability service …...The EDQM anti-counterfeiting Traceability service for medicines GS1 Healthcare conference 1-3 April 2014, Seoul François-Xavier

The eTACT project

� What is the background to the project?

� The eTACT project

� Patient access

� Summary

François-Xavier Lery©2014 EDQM, Council of Europe. All rights reserved. 22

Page 23: The EDQM anti-counterfeiting Traceability service …...The EDQM anti-counterfeiting Traceability service for medicines GS1 Healthcare conference 1-3 April 2014, Seoul François-Xavier

Expected benefits…

• A harmonised approach for Europe

� Inter-operable and flexible by using standards (ISO, GS1 (Datamatrix, EPCIS), EU GMP Annex 11, GAMP…)

• Protects confidentiality of data

� Public governance

• Allows patients to verify their medicines

…to protect Public Health

François-Xavier Lery©2014 EDQM, Council of Europe. All rights reserved.23

Page 24: The EDQM anti-counterfeiting Traceability service …...The EDQM anti-counterfeiting Traceability service for medicines GS1 Healthcare conference 1-3 April 2014, Seoul François-Xavier

Thanks for your attention

François-Xavier Lery©2014 EDQM, Council of Europe. All rights reserved. 24