Guidance on preparing for Brexit in the centralised procedure

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Guidance on preparing for Brexit in the centralised procedure SME info day: Regulatory toolbox for medicines and combined devices developers Presented by Leonor Enes on 26 October 2018 SME Office, Stakeholders and Communication Division An agency of the European Union

Agenda 1. Available guidance 2. UK based SMEs: Qualification/Incentives 3. Aspects related to the centralised procedure: a. development of medicines b. ongoing MAA (Marketing Authorisation Application): UK applicant c. marketing authorisation: UK MAH (Marketing Authorisation Holder) 4. Implementation of the redistribution of the UK centrally authorised products portfolio 5. Key messages 1

Available guidance EC and EMA Notice to MAHs of centrally authorised medicines products for human and veterinary use - Unless a ratified withdrawal agreement establishes another date, UK will become a 'third country from 30 March 2019, 00:00h (CET). Questions and Answers Document (Q&A) published jointly by EMA & EC. Provides a legal interpretation of principles to be applied in a consistent manner across the pharmaceutical network (human and veterinary) and across sectors EMA Practical Guidance. Provides more practical guidance and complements the EC-EMA Q&A. Covers submission of applications for changes and related fees in centralised procedure 2

I am a UK based SME: how can I continue to benefit from SME incentives? Guidance for non-eea based companies will apply after 29 March 2019 Two possible ways: a) Establish a new legal entity in the Union (EEA) and apply for SME status directly b) Indirectly through an Union (EEA) established SME regulatory consultancy. Both Non-EEA company and EEA consultant need to meet the SME criteria (i.e. fall below headcount and financial thresholds). The regulatory consultancy receives an SME notification and the non-eea based company is listed in an annex to that notification as an SME client company Q&A Q9 3

EMA SME figures as of October 2018 1861 total SMEs registered with EMA 286 (15,3%) UK based SMEs registered with EMA 15 UK based SMEs have already created a EU27/EEA subsidiary due to Brexit (10 qualified and 5 qualifications ongoing). 4

Aspects related to the development of medicines - Transfer of orphan designation Need to transfer the designation to a sponsor established in the Union (EEA) or change the place of establishment to the Union (EEA) Free of charge. An application must be submitted for each designation. Guidance Guideline on the format and content of applications for designation as orphan medicinal products and on the transfer of designations from one sponsor to another, Checklist for sponsors applying for the transfer of Orphan Medicinal Product (OMP) designation, and the corresponding templates. Contact point: orphandrugs@ema.europa.eu Practical guidance Q5 5

Aspects related to the development of medicines: Paediatric Investigation Plans (PIPs) and waivers No requirement for Paediatric Investigation Plan/ Waiver addressee to be established in the EU/EEA Practical guidance Q13 6

Aspects related to the development of medicines: generic, hybrid and biosimilar products Generic/ hybrid/ biosimilar products rely on data of the reference medicinal product that is or has been authorised in the Union (EEA) Q&A Q10 & Q11 MAs granted before 30 March 2019 Remain valid even if reference product is authorised in UK MAs granted after 29 March 2019 Reference product is or has been authorised in EU27/ EEA 7

Aspects related to ongoing MAA For MAAs to be granted after 29 March 2019, the applicant needs to be changed to non-uk applicant established in the Union (EEA) Detailed guidance on requesting change of the applicant Other updates: UK Qualified Person for Pharmacovigilance (QPPV), Pharmacovigilance Master File (PSMF), batch release and batch control sites, intended Official Medicines Control Laboratory (OMCL) and nominated local representatives may also need to be changed. SMEs statistics as of October 2018 Practical guidance Q10 Practical guidance Q11 UK MAA/ total MAA OD in UK PSMF UK QPPV UK Batch control UK only Batch Release UK only 10/16 5 13 12 9 4 1 Importation UK only 8

Aspects related to Marketing Authorisations Changes required include UK MAH UK QPPV and PSMF located in UK UK batch control site UK Batch release site Importation for manufacturing site in UK UK MAA/ total MAA SMEs statistics as of October 2018 OD in UK PSMF UK QPPV UK Batch control UK only Batch Release UK only 20/31 3 18 16 4 9 1 Importation UK only 9

Aspects related to Marketing Authorisations: MAH transfer MA transfer to a Holder in the Union (EEA) required Orphan drugs: need to transfer the designation to a sponsor established in the Union (EEA) or change the place of establishment to the Union (EEA) Transfer to be fully completed and implemented before 30 March 2019 Contact point: matransferquery@ema.europa.eu Practical guidance Q4 10

Aspects related to Marketing Authorisations: UK Qualified Person for Pharmacovigilance (QPPV) and Pharmacovigilance Master File (PSMF) located in UK QPPV must reside and carry out his/her tasks in an EEA Member State PSMF must be located within EEA Guidance: See question: How to inform the authorities of a change in the summary of the pharmacovigilance system? Notification through Article 57 database Q&A Q4 & Q5 Practical guidance Q6 11

Aspects related to Marketing Authorisations: manufacturing and supply Manufacturing UK batch control site UK Batch release site OMCL Active substances and medicinal products manufactured in the UK will be considered as imported after 29 March 2019 Upon importation batch control needs to be conducted (repeated) in a site in the Union (EEA) Upon importation batch release needs to be done in the Union (EEA) Official Control Authority Batch Release (OCABR) needs to be conducted by an OMCL in the Union (EEA) 12

Changes to manufacturing and supply (1) 1. Importation of finished product Q&A Q7 Medicinal products manufactured in third countries need to be imported by an authorised importer established in the Union (EEA) Finished product currently manufactured in the UK -> an importation site in the Union (EEA) needs to be approved before 30 th March 2019 Finished product manufactured in a third country and currently imported into UK -> an importation site in the Union (EEA) needs to be approved before 30 th March 2019 2. Importation of APIs (Active Pharmaceutical Ingredient) Q&A Q6 APIs manufactured in the UK will need to be accompanied by a written confirmation from MHRA confirming GMP compliance 13

Changes to manufacturing and supply (2) 2. Batch control Each batch of medicinal products manufactured in third countries needs to undergo a full qualitative and quantitative analysis in accordance with the registered specifications at an appropriately authorised quality control laboratory in the Union (EEA) Finished product currently manufactured in the UK -> a quality control site in the Union (EEA) needs to be approved before 30 th March 2019 Finished product manufactured in a third country and currently batch controlled in UK -> a batch control site in the Union (EEA) needs to be approved before 30 th March 2019 Q&A Q7 14

Changes to manufacturing and supply (3) 3. Batch release Each batch of medicinal product manufactured in third countries needs to be certified by a QP that each batch of medicinal product was manufactured in accordance with GMP and the marketing authorisation Finished product currently manufactured in the UK -> a batch release site in the Union (EEA) needs to be approved before 30 th March 2019 Finished product manufactured in a third country and currently batch released in UK -> a batch release site in the Union (EEA) needs to be approved before 30 th March 2019 Q&A Q8 15

Changes to manufacturing sites Practical guidance Q2 All variations are Type IAs except the addition of QC testing sites for biological methods, where a Type II is needed for the site transfer. Two strategies can be done by MAHs: Replacement (add and delete of sites in the same variation) 16 Addition of sites and then deletion of UK sites through an A.7 scope. Any UK importation/batch control/batch release site should be deleted Multiple sites can be deleted in one A.7 scope.

Changes to manufacturing and supply (4) 4. Official Medicines Control Laboratory (OMCLs) For products for which Official Control Authority Batch Release (OCABR) is required, this needs to be carried out by an OMCL located within the Union (EEA) or by a country officially recognised by the EU for mutual recognition of batch release Finished product currently controlled by a UK OMCL -> a new OMCL needs to be identified and notified by the MAH to conduct OCABR before 30 th March 2019 Q&A Q19 17

Aspects related to Marketing Authorisations: medical devices CE marking of medical devices EC Notice on industrial products CE marking supported by UK Notified body - need to apply for a new certificate issued by an EU-27 Notified Body or arrange for a transfer Information in the dossier For medicinal products that are co-packaged with a medical device CE marked based conformity assessment by UK Notified Body need to update the documentation or remove/replace device 18

Variations for changes related to medical devices Practical guidance Q2a 19

Implementation of the redistribution of the UK centrally authorised products portfolio New (Co)-Rapporteurships were communicated to MAHs. The new (Co)-Rapporteurs will only take full responsibility for the re-allocated medicinal products as of 30 March 2019 when the UK withdraws from the Union and becomes a third country. The MHRA will be accountable for the medicinal products for which they are (Co)-Rapporteurs until 29 March 2019 However, the new (Co)-Rapporteurs may be required to handle, from Q4 2018 onwards, postauthorisation procedures when it is envisaged that the procedures may be still under evaluation after the 30 of March 2019 The decision is taken at procedure level and depending on the average length of the procedure Cut-off dates for each procedure are published at EMA website (here) taking into consideration the deadline of 30 March 2019 20

Key messages: prepare for BREXIT Work on a scenario that UK will be a third country on 30/03/19 Use available published guidance Use pre-submission meetings (offered as a teleconference) to discuss details related to BREXIT preparedness For product related queries liaise with the procedure manager as early as possible Submit changes promptly Submit general questions via AskEMA Contact the SME Office for support to continue to benefit from SME incentives 21

Any questions? Further information See: supporting SMEs Contact us at: sme@ema.europa.eu European Medicines Agency 30 Churchill Place Canary Wharf London E14 5EU United Kingdom Telephone +44 (0)20 3660 6000 Facsimile +44 (0)20 3660 5555 Send a question via our website www.ema.europa.eu/contact Follow us on @EMA_News

Post-meeting slide Link to the NOTICE TO STAKEHOLDERS on the WITHDRAWAL OF THE UNITED KINGDOM AND EU RULES IN THE FIELD OF CLINICAL TRIALS mentioned during the Q&A. 23