International Conference on Harmonization ich. Report on the research work “Development of the Concept for ensuring the quality of medicines in the Russian Federation. Some progress in harmonization


The rapid development of the international pharmaceutical industry in the 70-80s. The 20th century and the globalization of the pharmaceutical market began to be hampered by fragmented national drug registration systems, primarily by differences in technical requirements. Along with this, the rising cost of healthcare costs, research work on the creation of new medicines, and the need for rapid access of the population to modern, more effective drugs required the harmonization of regulatory requirements. In 1989, at the Paris Conference of Medicines Regulatory Authorities, held annually by the WHO, the issue began to be addressed by regulatory authorities in the US, EU and Japan. In April 1990, representatives of these countries' agencies and manufacturers' associations created the International Conference on Harmonization, the secretariat of which is located in Geneva at the headquarters of the International Federation of Pharmaceutical Manufacturers' Associations. (IFMA). The initial task of the ICH was to harmonize the technical requirements for registration dossiers submitted in the EU, USA and Japan. As the conference was successful, its objectives were expanded. The main objectives of the ICH for the current decade were defined at its 5th conference in San Diego in 2000:
    creating a forum for constructive dialogue between regulatory authorities and the pharmaceutical industry regarding the existing and objective differences in registration requirements in the US, EU and Japan in order to ensure faster implementation of new medical products and patient access to them; participation in the protection of public health from international prospects; monitoring and updating harmonized technical requirements leading to greater mutual recognition of drug research and development data; eliminating future different requirements by harmonizing selected areas necessary for the further development of therapeutics and new technologies for the production of medical products; ensuring the dissemination and understanding of harmonized guidelines and approaches that update or replace current provisions and allow for more economical use of human and material resources without compromising safety; ensuring the dissemination and understanding of harmonized guidelines, their use for the implementation and unification of common standards.
Today the ICH includes 6 members, 3 observers (without voting rights) and IFPMA. ICH members are represented by regulatory authorities of the EU, USA and Japan and associations of pharmaceutical manufacturers of these countries (regions), where the largest number of medicines are developed, produced and sold:
    From the European Union, the European Medicines Agency (EMEA) and the European Federation of Pharmaceutical Manufacturers and Associations (EFPIA) participate in the work of the ICH. From the USA, the ICH includes the US Food and Drug Administration (FDA) and the US Pharmaceutical Development and Manufacturers Association (PhRMA). From Japan, the Medicines and Medical Devices Agency of the Ministry of Health, Labor and Social Affairs of Japan and the National Institute of Health Sciences, as well as the Japanese Pharmaceutical Manufacturers Association (JPMA) are participating in the harmonization work.
Observers in the ICH are seen as intermediaries with countries and regions outside the ICH. First of all, these are the World Health Organization, the European Free Trade Association, represented by Swissmedic Switzerland, and Canada, represented by Health Canada. The work of ICH is also supported by the International Federation of Pharmaceutical Manufacturers and Associations, on the basis of which the ICH secretariat operates. The activities of the ICH are organized by the Executive Committee, in which each of the 6 members has 2 voting seats, and observers and IFPMA appoint non-voting committee members. The technical functions for organizing the work are performed by the ICH secretariat. The primary method for developing guidelines is through the use of Expert Working Groups (EWGs), Implementation Working Groups (IWGs), and informal working groups, with future use of videoconferencing and electronic communications also expected. To date, ICH guidelines are divided into 4 main sections:
    safety

Document code

Manual title

Mutagenicity tests

S1AThe need to study the mutagenicity of drugs
S1BTesting for mutagenicity of drugs
S1C(R1)

Selection of doses for mutagenicity studies of drugs and dose limits

S2A

Guidance on specific aspects of regulatory genotoxicity testing for drugs

S2B

Genotoxicity: A Standard Battery for Genotoxicity Testing of Pharmaceuticals

S3A

Toxicokinetics Guidance Note: Estimation of Total Exposure in Toxicity Studies

S3B

Pharmacokinetics: A Guide to Repeated Dose Tissue Distribution Studies

Toxicity Test

S4Single dose toxicity tests
S4ADuration of continuous animal toxicity testing (Rodent and non-rodent toxicity testing)

Generative toxicology

S5(R2)Detection of reproductive toxicity of medical products and reproductive toxicity in men
S5AICH Support Male Fertility Toxicity Guidelines

Biotechnological products

S6Assessment of preclinical safety of biotechnologically derived drugs

Pharmacology research

S7ASafety pharmacology studies for human drugs
S7BNon-clinical assessment of the potential for delayed ventricular repolarization (QT prolongation) of drugs in humans

Immunotoxicological studies

S8Immunotoxicological studies on human drugs
    efficiency

Clinical Trial Safety

E1Number of patients undergoing clinical safety studies of drugs intended for long-term treatment of non-life-threatening conditions
E2AClinical Safety Data Management: Definitions and Standards for Urgent Reporting
E2B(R3)Clinical Safety Data Management: Data Element for Transporting Special Case Safety Messages
E2C(R1)Clinical Safety Data Management: Periodic Update of Safety Reporting for Marketed Medicines E2C Supplement: Periodic Update of Safety Reporting for Marketed Medicines in E2C(R1)
E2DPost-market safety data management: Definitions and standards for reporting
E2EPharmacovigilance planning

Clinical trial reports

E3Structure and content of Clinical Trial Reports

Dose-Response Studies

E4Dose-response information for entering data into the registration dossier

Ethnic factors

E5(R1)Ethnic factors in the acceptability of foreign clinical data

GCP(Good Clinical Practice)

E6(R1)GCP (Good Clinical Practice)

Clinical trials

E7Supporting studies in specific populations: geriatrics
E8Basic review of clinical trials
E9Statistical principles for clinical trials
E10Selection of control group and associated data in clinical trials
E11Clinical study of medical products on children

Clinical evaluation standards by therapeutic category

E12Principles for the clinical evaluation of new antihypertensive drugs

Clinical assessment

E14Clinical assessment of QT/QTc interval prolongation and proarrhythmic potential for non-antiarrhythmic drugs

Pharmacogenomics

E15Terminology in pharmacogenomics
    quality
List of ICH documents in the “Quality” section
Document code

Manual title

Stability

Q1A(R2)Stability Testing of New Drug Substances and Products
Q1BStability Testing: Photostability Testing of New Drug Substances and Products
Q1CStability Testing for New Dosage Forms
Q1DBracketing and Matrixing Designs for Stability Testing of New Drug Substances and Products
Q1EEvaluation of Stability Data
Q1FStability Data Package for Registration Applications in Climatic Zones III and IV “The volume of stability data for registration dossiers for drugs used in climatic zones III and IV”

Validation

Q2(R1)New title: Validation of Analytical Procedures: Text and Methodology Previously: Text on Validation of Analytical Procedures New title: “Validation of Analytical Procedures: Content and Methodology” to replace the manuals “Content of Validation of Analytical Procedures” and “Validation of Analytical Procedures: Methodology”
Impurities
Q3A(R2)Impurities in New Drug Substances
Q3B(R2)Impurities in New Drug Products
Q3C(R2)Impurities: Guideline for Residual Solvents
Pharmacopoeia
Q4Pharmacopoeias"Pharmacopeias"
Q4APharmacopoeial Harmonisation
Q4BRegulatory Acceptance of Analytical Procedures and/or Acceptance Criteria (RAAPAC)
Quality of biotechnological drugs
Q5A(R1)Viral Safety Evaluation of Biotechnology Products Derived from Cell Lines of Human or Animal Origin
Q5BQuality of Biotechnological Products: Analysis of the Expression Construct in Cells Used for Production of r-DNA Derived Protein Products
Q5CQuality of Biotechnological Products: Stability Testing of Biotechnological/Biological Products “Quality of biotechnological products; assessment of the stability of biotechnological/biological drugs"
Q5DDerivation and Characterization of Cell Substrates Used for Production of Biotechnological/Biological Products
Q5EComparability of Biotechnological/Biological Products Subject to Changes in their Manufacturing Process
Specifications
Q6ASpecifications: Test Procedures and Acceptance Criteria for New Drug Substances and New Drug Products: Chemical Substances (including Decision Trees)
Q6BSpecifications: Test Procedures and Acceptance Criteria for Biotechnological/Biological Products
Good Manufacturing Practice
Q7Good Manufacturing Practice Guide for Active Pharmaceutical Ingredients
Pharmaceutical Product Development
Q8Pharmaceutical Development"Development of pharmaceutical products"
Quality Risk Management
Q9Quality Risk Management"Quality Risk Management"
Q10Pharmaceutical Quality system “Quality system at a pharmaceutical enterprise” Stage 3.

The introduction of uniform standards at the international level is a fairly long process, especially if these standards relate to complex processes. However, harmonization of regulatory requirements in the pharmaceutical sector at the global level is gaining momentum. At the root of this trend is the increasing degree of globalization of pharmaceutical production itself. In addition to increasing efficiency, harmonization of regulatory requirements should ultimately ensure broad access to quality medicines to all those who need them, regardless of where they are located geographically

Today, the harmonization process is still far from an acceptable level. This leads to significant waste of time and money in the pharmaceutical industry. For example, according to a review by the European Federation of Pharmaceutical Industries and Associations (EFPIA), in some cases the cost of preparing a dossier for a new drug can be 15–20% of the cost of the clinical trials involved. investing hundreds of millions of dollars. The study showed that there are a large number of inspection organizations, some of them unnecessary, that require hundreds of thousands of dollars a day to exist. After all, from 1000 to 2500 man-hours are spent on inspection of one production facility. Harmonization of approaches to dossier preparation and the introduction of uniform production inspection standards would help avoid unnecessary costs in the pharmaceutical sector as a whole and direct the saved resources to solve the necessary problems. (Europe Today)

Significant progress has been made over the past five years in standardizing R&D and clinical trial requirements, as well as harmonizing regulatory requirements for finished dosage forms, active pharmaceutical ingredients (APIs) and excipients.

The main driving force behind the regulatory harmonization process in the pharmaceutical sector is the International Conference on Harmonization of Technical Requirements for the Registration of Pharmaceuticals for Human Use (ICH). For 21 years, ICH has been focused on eliminating unnecessary documentation and simplifying the development, production and registration of pharmaceuticals. The ICH is composed of representatives from regulatory authorities, Pharmacopoeias and drug manufacturers from the USA, Japan and Europe. Through this organization, a general approach to the problem of harmonization was developed and priorities were set for the implementation of this complex and multilateral project.

In addition to the ICH, a number of other organizations are involved in the harmonization of regulatory requirements in the pharmaceutical sector, for example, the US's Pharmacopeias Discussion Group. The World Health Organization is also involved in the harmonization process, as is the American Society for Harmonization of Drug Regulation. Other groups working to harmonize regulatory requirements across countries have focused their efforts on specific issues in the area of ​​active pharmaceutical ingredients and excipients.

Some progress in harmonization

An example is the progress made by the United States and European countries in harmonizing regulatory requirements in the pharmaceutical sectors of these countries. By applying ICH guidelines for quality standards and using a common technical documentation format, the US and Europe have adopted a common dossier format for a number of medicinal products.

Japan, which five years ago was moving towards national standards, is now showing significant interest in cooperation towards harmonizing regulatory requirements in pharmaceuticals.

Perhaps the most significant symbol of the progress in harmonization achieved in the 21st century is the single electronic form of technical documentation that companies use to prepare their registration dossiers. As a joke, they now remember the time when it was necessary to take a truck to deliver the entire volume of documents in the registration dossier to the regulatory authorities.

In the area of ​​harmonization of pharmaceutical manufacturing standards, the process currently underway is a direct reflection of the reality of the supply of most APIs to the United States and European countries from India and China. Two years ago, the Food and Drug Administration and the United States (USP) opened offices in China, India and Latin America. The presence of representative offices and USPs directly in manufacturing countries has improved their interaction with local regulatory authorities, manufacturers and pharmacopoeias.

Progress in harmonization of Pharmacopoeias, APIs and excipients

The harmonization of Pharmacopoeias began about 10 years ago. Over time, good cooperation has been established between the Pharmacopoeias of the United States, Japan and Europe. However, harmonization in this area is a long and extremely labor-intensive process. For example, the USP's PDG has so far only completed 27 of 34 general provisions and 40 of 63 excipient monographs.

Attempts are being made to harmonize monographs down to finished medicinal products.

At the global level, one of the key points is the harmonization of quality parameters for APIs and excipients. It is planned that the USA will contain monographs on all pharmaceutical excipients according to the list. At the same time, an international working group will be created to disseminate best practices. The European Directorate for the Quality of Medicines & HealthCare (EDQM) has established bilateral ties with the US FDA and the similar agency in Australia
(Australia's Therapeutic Goods Administration - TGA) for the exchange of confidential information on APIs and excipients. As part of these agreements, mutual inspections began last year as a pilot project.

Several possibilities are being considered to harmonize the quality parameters of excipients at a global level. One of them is the application of requirements for the production of excipients; another is the participation of manufacturers in a voluntary program of inspection of production facilities by independent auditors. The International Pharmaceutical Excipients Auditing is seeking registration with the American National Standards Institute, which will allow it to serve as an independent quality auditor.

Remaining differences

Harmonization does not mean literally repeating all procedures for registering pharmaceuticals. There will always remain differences in the approaches taken by different regulatory agencies. Even within the framework of one European Union, new things can be registered “centrally”, i.e. through EU authorities, or by registering with national agencies. The US FDA's strategy is to harmonize pharmaceutical safety requirements between the US and the EU, although some differences in approaches and procedures will remain.

National specifics are visible in the example of inspection of pharmaceutical production. The US FDA, for example, focuses on anomaly investigations, validation rules, and the maintenance and cleanliness of equipment and production facilities. In EU countries, the main efforts are aimed at compliance with cleanliness of premises and their classification, equipment maintenance and laboratory control. In Japan, inspectors place increased demands on the quality of raw materials, the cleanliness of production equipment and the appearance of finished pharmaceuticals.

"Pharmaceutical industry", April No. 2 (19) 2010

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The Eurasian Economic Commission has developed draft Rules for conducting research on biological medicinal products on the territory of the Eurasian Economic Union (EAEU). The purpose of the document is to simplify the collection and presentation of data accompanying applications for registration of biological drugs.

The rules are necessary for the formation of a common drug market in the EAEU, which will begin operating on January 1, 2016. From this date, safe, effective and high-quality drugs will be able to move freely throughout the Union.

The draft Rules were developed on the basis of the provisions set out in the relevant documents of the International Conference on Harmonization of Technical Requirements for the Registration of Medicines (ICH) and the European Medicines Agency (EMA).

The document regulates the development, research of safety, effectiveness and quality of both new biological drug molecules and biosimilar drugs. At the same time, the Rules contain chapters dealing with general research issues: from banks producing cells to finished drugs. There is a separate chapter that contains drug-specific requirements for the development, production and research of biosimilar drugs.

Strict adherence to the Rules will help pharmaceutical manufacturers complete the full cycle of studying biological products, confirm their safety, quality and effectiveness, ensuring that the reproduced biomolecules correspond to their prototypes. This will make it possible to replace drugs taking into account their comparable safety and effectiveness.

It should be noted that the Rules are mandatory for authorized bodies and expert organizations when performing the procedure for examining the safety, quality and effectiveness of this group of drugs in the process of assessing their registration dossiers.

A high degree of harmonization of the Rules with the requirements of relevant international documents will facilitate the process of entry of these drugs into foreign markets, will facilitate the recognition of data on pharmaceutical development and the results of confirming safety, quality and effectiveness when registering them outside the Union.

The draft decision of the EEC Council on approval of the Rules for conducting research on biological medicinal products on the territory of the Eurasian Economic Union was published on the websites of the Eurasian Economic Union in the section “Public discussions and RIA” and of the Eurasian Economic Commission on the page of the Department of Technical Regulation and Accreditation of the EEC in the section “Public discussion of draft regulatory documents” legal acts".

All interested parties can submit comments to the EEC Department of Technical Regulation and Accreditation within 30 days from the date of publication of the draft document.

Reference

TO biological medicines include immunobiological and biotechnological drugs, drugs obtained from human blood plasma, probiotic (eubiotic) drugs, bacteriophage drugs, high-tech drugs.

International Conference on Harmonization of Technical Requirements for Drug Registration (ICH) is an organization that brings together regulatory authorities and the pharmaceutical industry in Europe, Japan and the USA to discuss the scientific and technical aspects of drug registration.

European Medicines Agency (EMA) is an EU agency responsible for the scientific evaluation of medicines developed by pharmaceutical companies for use in the EU.