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Österreichische Agentur für Gesundheit und Ernährungssicherheit GmbH www.basg.gv.at Austria as RMS – Success Factors Mag. Veronika Pisazka AGES MEA (Austrian Medicines and Medical Devices Agency) AGES-Gespräch: Austria as RMS Vienna, 03.10.2013

Austria asRMS – SuccessFactors · Österreichische Agentur für Gesundheit und Ernährungssicherheit GmbH Austria asRMS – SuccessFactors Mag. Veronika Pisazka AGES MEA (Austrian

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Page 1: Austria asRMS – SuccessFactors · Österreichische Agentur für Gesundheit und Ernährungssicherheit GmbH Austria asRMS – SuccessFactors Mag. Veronika Pisazka AGES MEA (Austrian

Österreichische Agentur für Gesundheit und Ernährungssicherheit GmbHwww.basg.gv.at

Austria as RMS –Success Factors

Mag. Veronika PisazkaAGES MEA (Austrian Medicines and Medical Devices Agency)

AGES-Gespräch: Austria as RMS

Vienna, 03.10.2013

Page 2: Austria asRMS – SuccessFactors · Österreichische Agentur für Gesundheit und Ernährungssicherheit GmbH Austria asRMS – SuccessFactors Mag. Veronika Pisazka AGES MEA (Austrian

www.basg.gv.at 2

Overview

• Slot Booking System

• Presubmission Phase

• Case Management

• Validation Phase− Assistant Documents

− Target Timelines

− Validation Phase Management in AT

• Clock-Stop Phase− Assistant Documents

− Target Timelines

− Clock-Stop Phase Management in AT

− Outlook

• RMS-Transfer

Page 3: Austria asRMS – SuccessFactors · Österreichische Agentur für Gesundheit und Ernährungssicherheit GmbH Austria asRMS – SuccessFactors Mag. Veronika Pisazka AGES MEA (Austrian

www.basg.gv.at

Slot Booking System –Assistant Document/Link

•CMD(h):“Information on national timeslot booking systems and recommendations for requests to act as RMS” (March 2012), http://www.hma.eu/92.html

•AGES MEA websitehttp://www.basg.gv.at/en/medicines/authorisation/mrpdcp/ages-slots/

Page 4: Austria asRMS – SuccessFactors · Österreichische Agentur für Gesundheit und Ernährungssicherheit GmbH Austria asRMS – SuccessFactors Mag. Veronika Pisazka AGES MEA (Austrian

www.basg.gv.at

Slot Booking System

For DCPs:�Availability-matrix published on the Agency‘s website

�Long-term planning („request windows“ twice a year)

�Short-term planning (requests can be placed any time)

For MRPs/RUPs/Line Extension Procedures:�Requests can be placed anytime

AT‘s mailing address for the presubmission-phase: [email protected]

Page 5: Austria asRMS – SuccessFactors · Österreichische Agentur für Gesundheit und Ernährungssicherheit GmbH Austria asRMS – SuccessFactors Mag. Veronika Pisazka AGES MEA (Austrian

www.basg.gv.at

Pre-Submission Phase/Request for Additional Information

Applicants will be contacted via e-mail 1 quarter before the intended submission slot.

� Allocation of procedure number(s)

� Submission date

� Quality issues for clarification (active substance documentation, impurities, availability of stability data, deviations from guidelines, …)

� Clinical issues for clarification (clinical study / bioequivalence study, …)

If any major questions arise, these matters can be discussed at a meeting.

Page 6: Austria asRMS – SuccessFactors · Österreichische Agentur für Gesundheit und Ernährungssicherheit GmbH Austria asRMS – SuccessFactors Mag. Veronika Pisazka AGES MEA (Austrian

www.basg.gv.at

AT=RMSCase Management

One Case Manager per procedure:

� One single contact person for applicants

� Smooth communication between applicant, assessor(s) and CMS(s)

� Overview of the procedure

� Proactive supervision of sensitive procedurephases (e.g. validation phase, clock-stop phase,…)

Page 7: Austria asRMS – SuccessFactors · Österreichische Agentur für Gesundheit und Ernährungssicherheit GmbH Austria asRMS – SuccessFactors Mag. Veronika Pisazka AGES MEA (Austrian

www.basg.gv.at

Validation Phase -Assistant Documents (1)

CMD(h):“Member state agreement upon conditions under which the RMS can start MRP/DCP (July 2013)”, http://www.hma.eu/91.html

Page 8: Austria asRMS – SuccessFactors · Österreichische Agentur für Gesundheit und Ernährungssicherheit GmbH Austria asRMS – SuccessFactors Mag. Veronika Pisazka AGES MEA (Austrian

www.basg.gv.at

Validation Phase -Target Timelines

Day -14:

Receipt of the application (DCP) and the RMS assessment (MRP/RUP).

Day -7:

RMS notifies the CMSs who have not completed the Communication and Tracking System (CTS).

Day 0:

Start of the procedure.

Page 9: Austria asRMS – SuccessFactors · Österreichische Agentur für Gesundheit und Ernährungssicherheit GmbH Austria asRMS – SuccessFactors Mag. Veronika Pisazka AGES MEA (Austrian

www.basg.gv.at

Validation Phase -Experience

0%

5%

10%

15%

20%

25%

30%

35%

Experienced Lengths of Validation Phases (AT=RMS)(procedures submitted 2010-2013)

Experienced Lengths of Validation Phases(AT=RMS)

Page 10: Austria asRMS – SuccessFactors · Österreichische Agentur für Gesundheit und Ernährungssicherheit GmbH Austria asRMS – SuccessFactors Mag. Veronika Pisazka AGES MEA (Austrian

www.basg.gv.at

Validation Phase -Streamlining the Validation Period

RMS empowerment to start a procedure by dividing the raised issues into

�validation issues (incomplete dossier, missing or incorrect paid fees, data exclusivity period for the reference medicinal product has not expired,…)

− no procedure start

�non-validation issues (missing mock-ups, missing samples, the CMS has not notified the RMS within the foreseen automatic validation period,…)

� procedure start

Page 11: Austria asRMS – SuccessFactors · Österreichische Agentur für Gesundheit und Ernährungssicherheit GmbH Austria asRMS – SuccessFactors Mag. Veronika Pisazka AGES MEA (Austrian

www.basg.gv.at

Submission of Responses to Non-Validation Issues During the Procedure

MRP/RUP:

All pending non-validation issues have to be solved/fulfilled by Day 30 at the latest.

DCP:

All pending non-validation issues have to be solved/fulfilled by Day 50 at the latest.

� The applicant is asked to confirm in their day 60 response (MRP) or day 106 response (DCP) that all non-validation issues have been solved/fulfilled.

Page 12: Austria asRMS – SuccessFactors · Österreichische Agentur für Gesundheit und Ernährungssicherheit GmbH Austria asRMS – SuccessFactors Mag. Veronika Pisazka AGES MEA (Austrian

www.basg.gv.at

Validation Phase -Assistant Documents (2)

CMD(h):

“Additional Data requested for New Applications in the Mutual Recognition and Decentralised Procedures” (July 2013), http://www.hma.eu/91.html

�AT: NO additional data requested

�Please note: Croatia as new member state in the EU(-> CMDh ad Hoc Group on Validation Issues/National Requirements)

AT‘s mailing address during the procedure: [email protected]

Page 13: Austria asRMS – SuccessFactors · Österreichische Agentur für Gesundheit und Ernährungssicherheit GmbH Austria asRMS – SuccessFactors Mag. Veronika Pisazka AGES MEA (Austrian

www.basg.gv.at

Validation Phase –Assistant Documents (3)

CMD(h):“Requirements on submissions (number and format) for New Applications within MRP, DCP or National procedures” (August 2013), http://www.hma.eu/277.html

In AT application submission via CD/DVD or CESP:� Application form on CD/DVD

� Valid submission via CESP (http://cesp.hma.eu/Home), otherwise documents may be illegible

� NO signed documents

� NO additional paper version

� National portal can NOT be used

� Email/Eudralink is NOT accepted instead of the CD/DVD

Page 14: Austria asRMS – SuccessFactors · Österreichische Agentur für Gesundheit und Ernährungssicherheit GmbH Austria asRMS – SuccessFactors Mag. Veronika Pisazka AGES MEA (Austrian

www.basg.gv.at

AT = RMSValidation Phase Management

The RMS Case Manager ensures:

� Prompt validation check of submittedapplications and feedback to the applicant

� Prompt update of the CTS

� Active supervision of the validation phase byinforming the applicant of any deficiencies notified by the CMS(s)

� Active notification of the CMS who have not completed the CTS record (“day -7 e-mail”)

� Close contact between RMS, applicant and CMS(s)

Page 15: Austria asRMS – SuccessFactors · Österreichische Agentur für Gesundheit und Ernährungssicherheit GmbH Austria asRMS – SuccessFactors Mag. Veronika Pisazka AGES MEA (Austrian

www.basg.gv.at

Advice for Applicants (1)

� Availability during the whole validation period

(Case: 26 days after last dossier submission still unresolved validationissues from the RMS and several CMSs, contact person on vacationwith no access to e-mails from day 27 until day 41.)

� Dispatch list

(The validation period is starting when all CMSs have received the application (for DCP) or both application and RMS assessment (for MRP/RUP).)

Page 16: Austria asRMS – SuccessFactors · Österreichische Agentur für Gesundheit und Ernährungssicherheit GmbH Austria asRMS – SuccessFactors Mag. Veronika Pisazka AGES MEA (Austrian

www.basg.gv.at

Advice for Applicants (2)

� Close contact between applicant and RMS

(e-mails should be sent in cc to Case Manager and/[email protected] )

(Case: MRP, 17 CMS, last dossier submission on day „-14“, CMS validation e-mails were sent directly to MAH, despite several RMS e-mails no feedback from MAH to RMS, procedure started 98 days after last dossier submission.)

Page 17: Austria asRMS – SuccessFactors · Österreichische Agentur für Gesundheit und Ernährungssicherheit GmbH Austria asRMS – SuccessFactors Mag. Veronika Pisazka AGES MEA (Austrian

www.basg.gv.at

Clock-Stop Phase –Assistant Document / Target Timelines

CMD(h):“Decentralised Procedure, Member States’ Standard Operating Procedure (SOP)”, http://www.hma.eu/92.html

Day 105: The RMS stops the clock if no consensus is reached that the product isapprovable.

3 months: Submission of draft responses to RMS, followed by feedback from theRMS and submission of final responses (from applicant and ASMF holder) to RMS and CMS(s).

Extension:The clock-stop period can be extended by 3 more months.

Page 18: Austria asRMS – SuccessFactors · Österreichische Agentur für Gesundheit und Ernährungssicherheit GmbH Austria asRMS – SuccessFactors Mag. Veronika Pisazka AGES MEA (Austrian

www.basg.gv.at

Clock-Stop Phase –Experience

0%

5%

10%

15%

20%

25%

30%

35%

40%

45%

Experienced Lengths of Clock-Stop Phases (AT=RMS)(DCPs submitted 2010-2013 and positively approved)

Experienced Lengths of Clock-StopPhases (AT=RMS)

Page 19: Austria asRMS – SuccessFactors · Österreichische Agentur für Gesundheit und Ernährungssicherheit GmbH Austria asRMS – SuccessFactors Mag. Veronika Pisazka AGES MEA (Austrian

www.basg.gv.at

AT=RMSClock-Stop Management

The RMS Case Manager ensures:

� Timely initiation of the clock-stop period in consultation with the applicant.

� Reminder e-mail to applicant after 2 months.

� Prompt forwarding of draft responses fromapplicant and feedback from assessor(s).

� Restart asap after submission of final responsesfrom applicant and ASMF holder and receipt ofdispatch list(s).

Page 20: Austria asRMS – SuccessFactors · Österreichische Agentur für Gesundheit und Ernährungssicherheit GmbH Austria asRMS – SuccessFactors Mag. Veronika Pisazka AGES MEA (Austrian

www.basg.gv.at

Advice for Applicants (3)

� Immediate information in case of delays

(Case: 3 months clock-stop, 3 times extension for one more month: 3+1+1+1, submission of draft responses after 6 months.)

� Close contact with ASMF holder

(Case: ASMF holder applied for extension of the clock-stop periodwithout informing the applicant.)

� Submission of draft responses as a singlesubmission

Page 21: Austria asRMS – SuccessFactors · Österreichische Agentur für Gesundheit und Ernährungssicherheit GmbH Austria asRMS – SuccessFactors Mag. Veronika Pisazka AGES MEA (Austrian

www.basg.gv.at

Outlook

•CMD(h) initiative to improve the operatingprocedures for the DCP – predictability of the clock-stop phase.

•Concurrent AT is working on the implementation ofthis new/enhanced approach.

•News will be communicated asap (via AGES BASG website/newsletter/…?).

Page 22: Austria asRMS – SuccessFactors · Österreichische Agentur für Gesundheit und Ernährungssicherheit GmbH Austria asRMS – SuccessFactors Mag. Veronika Pisazka AGES MEA (Austrian

www.basg.gv.at

Early Finalised DCPs with AT=RMS

69%

58%

31%

42%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

2012 (Jan.-Jul.) 2013

early closed DCPs

timely closed DCPs

Page 23: Austria asRMS – SuccessFactors · Österreichische Agentur für Gesundheit und Ernährungssicherheit GmbH Austria asRMS – SuccessFactors Mag. Veronika Pisazka AGES MEA (Austrian

www.basg.gv.at

RMS Transfer –Assistant Documents

• CMD(h):„CMDh procedural advice on changing the RMS” (December 2011), http://www.hma.eu/90.html

• AGES MEA website:http://www.basg.gv.at/en/medicines/authorisation/mrpdcp/rms-transfer/

Page 24: Austria asRMS – SuccessFactors · Österreichische Agentur für Gesundheit und Ernährungssicherheit GmbH Austria asRMS – SuccessFactors Mag. Veronika Pisazka AGES MEA (Austrian

www.basg.gv.at

RMS Transfer –From Another Member State to AT

Completed request form „Request Change of RMS“ should be sent to [email protected]

� The reason(s) for changing the RMS.

� Information, if the current RMS has agreed to the RMS change.

� Information, if all pending procedures have been finalised.

� If the product is part of a bulk of procedures, the relevant MRP numbers.

� The Concerned Member States (CMSs).

Allocation of a new procedure number by AGES MEA.

Page 25: Austria asRMS – SuccessFactors · Österreichische Agentur für Gesundheit und Ernährungssicherheit GmbH Austria asRMS – SuccessFactors Mag. Veronika Pisazka AGES MEA (Austrian

www.basg.gv.at

RMS-Transfer –Experience

13

19 19

0

2

4

6

8

10

12

14

16

18

20

2011 2012 (Jan.-Sept.) 2013

RMS transfers to AT

RMS transfers to AT

Page 26: Austria asRMS – SuccessFactors · Österreichische Agentur für Gesundheit und Ernährungssicherheit GmbH Austria asRMS – SuccessFactors Mag. Veronika Pisazka AGES MEA (Austrian

Österreichische Agentur für Gesundheit und Ernährungssicherheit GmbHwww.basg.gv.at

Thank you for your attention!