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现实检验来临—2014年10月1日,你准备好了吗?

首页 > 资讯 > 现实检验来临—2014年10月1日,你准备好了吗?

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现实检验来临—2014年10月1日,你准备好了吗?
ANDA
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笔记

2013-12-18 Lachman CONSULTANTS

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仿制药公司提高申请提交质量以避免拒收函,避免因为重大缺陷或多处轻微增补,或是未经请求的增补所导致的审评时间处罚,之前撰文探讨过这样的需要【GDUFA下获取成功必需的产业文化变革 识林资讯】,2014年10月1日,仿制药生产商付费法案(GDUFA)对提交申请的量度指标将开始生效,有必要花时间探讨由此带来的实际变化。正如我们所了解的,GDUFA实施后的第1年和第2年,没有针对提交的ANDA申请的量度指标;然而,GDUFA实施的第3年到第5年,对量度指标的优劣与否,甚至是(可能)的丑陋方面,必须密切关注。

GDUFA开始走过第二年,迈向第三年,我们究竟看到了什么?首先,收紧拒收和增补要求,将横杆设置在可以被称为是FDA可能一直所希望的与GDUFA日程表最终谈判内容的折衷点上。一些迹象表明,拒收和申请轮次审查,可能不如因存在不足不允许接受ANDA一样严格,甚至会比按照在某种程度上严加限制的新指南所允许的更少。第二点涉及如何处理ANDA接受后的增补。 对于如果在接受后因有重大变更而要求撤回或重新提交待批的ANDA申请(例如,增加新的API来源,增加或变更ANDA产品生产场地,处方变更等),有过一些谈论。然而,采取了一个更为温和(但仅此而已)的做法,对ANDA的新修改给予审评时间上(延迟)的处罚,如果在形式和限度上超过了增补数,甚至将ANDA从GDUFA审评时间限制上移除。

沟通的做法发生了很大变化,就像试图致电仿制药办公室的各位所发现的一样。在选定的实例中,(现在被认为是规范做法的)完全回应函不总是完全回应函,从公司内部看,更像是针对新药的信息请求函。这类政策和措施上方面的不一致,在政策与实质方面,留给产业界很多悬而未决的问题。

但这个过程在继续,我们都希望幕后过程出现改善。今年11月批准40项,比10月批准20项翻番,也显著高于今年9月批准的26项。但现在就讲真正出现改进与否,为时过早。

在必须将注意力集中在满足GDUFA实施第3年和之后的量度和目标的情况下,仿制药办公室如何应对GDUFA实施后第1年和第2年提交的问题,仍然挥之不去。尽管仿制药办公室的代理主任在仿制药生产商协会(GPhA)秋季技术会议上表示,她期望仿制药办公室将努力达到或超过GDUFA目标,但对这,我们仍然没有答案。

产业界还没有真正领教过GDUFA规定的审批时间处罚。但我可以向您保证—审批时间处罚正在降临。在提交申请中超过5个轻微增补、1个重大增补,或者公司在临时批准后请求提交其它化学、生产、控制(CMC)信息的情况下,将使审批时间再增加4到6个月,甚至12个月之久,这样的现实终将出现,对OGD的抱怨也会不绝于耳。

再次建议—专注于质量、质量、质量,保证申请提交的最终质量。在最初提交ANDA申请时,应包括能够代表所需的生产工艺和所学产品的所有信息。申请提交必须简明扼要。应用质量源于设计(QbD)和基于问题的审评(QbR)所体现的原则,对证明公司了解其产品和产品的制造空间是势在必行的。按照时间顺序开发产品的时代已经过去,如果还这样做,只会被挤到后边。实施GDUFA已有15个月时间。如果您希望为任何仿制药打造市场,那么就不应该只是听FDA讲些什么,而是应该应对挑战。

通过第三方的外部审查,不失为针对内部审查的有价值的补充。尽管可能增加成本,但长期来看,可以在获得批准方面节省大量时间,我们都知道,在仿制药市场上,时间就是金钱。不要再自欺欺人地以为仿制药办公室没什么改变,记住我妻子经常对我的忠告“便宜并不便宜,便宜的代价反而昂贵。”

Lachman CONSULTANTS - Bob Pollock先生 2013-12-11
翻译:识林-Kapok 2013-12-18

Getting Ready for October 1, 2014 – the Reality Check is Coming!
Written by Bob Pollock • December 11, 2013

Having previously written about the need for Generic companies to step up the quality of their submissions to avoid refuse-to-receive (RTR) letters as well as avoiding time review penalties for major amendments or multiple minor or unsolicited amendments (here), I must take a moment to perform a reality check on what happens when the Generic Drug User Fee Act's (GDUFA) metric kick in on applications submitted after October 1, 2014. As we know, there are no metrics for ANDAs submitted in years one and two of GDUFA; however, years three through five must be looked at with intense scrutiny in light of the good, the bad and the (potentially) ugly aspects of the metrics themselves.

So as we begin the march through year two of GDUFA leading up to year three, what have we seen so far? First, a tightening of the RTR and amendment requirements with bar set at what one might call a compromise position between what FDA might have wanted and what was ultimately negotiated at the GDUFA table. There were some indications that the starting point for RTR and application cycle reviews might have been as stringent as not permitting the receipt of an ANDA for any shortcomings or even fewer than is permitted under the new somewhat restrictive guidance. The second observationrelates to how to treat amendments to ANDA post-receipt. There was some talk about requiring withdrawal and resubmission of a pending ANDA if any significant changes were made post-receipt (e.g., addition of new API source, addition or change in the manufacturing site of the ANDA product, change in formulation, etc.) However, a more gentle (but not much more) approach was adopted that provided penalties for new amendments to ANDAs in terms of timing (delay) of review and also going as far as taking the ANDA off the GDUFA review clock if the type and limit on the number of amendments is exceeded. (Again please see previous blog post cited above).

Communications practices have changed dramatically, as those of you who have tried to call OGD may have discovered. Complete Response Letters (that are supposed to be the norm now) are not always Complete Response Letters but resemble more of the informational request letters one might see from the New Drugs side of the house, in selected instances. These types of inconsistencies in policy and action leave the industry with many unanswered questions of policy versus substance.

But the process moves on, and we all hope that behind the scenes things are improving. The number of approvals in November (40) doubled that seen in October (20) and was significant higher that the 26 approved in September (26). But it is still too early to tell if the improvement is real.

Questions of how OGD will deal with the year one and two GDUFA submissions when it must concentrate on meeting its year three and beyond metrics and goals linger. We still don't have an answer to that one, albeit OGD's Acting Director stated at the GPhA Fall Technical Meeting that she anticipated that OGD will strive to meet and or exceed all GDUFA goals.

The reality of some of the GDUFA-mandated review time penalties have not been experienced by the industry yet. But let me assure you-they are coming. And when an ANDA is knocked off of the GDUFA goal date because of submission of more than 5 minor amendments, one major amendment or when the firm submits additional CMC information in its request for final approval post -entative Approval and finds that this will set the review clock an additional 4 to 6 or even 12 months away, that is when reality will set in and that is when the screams from the hills will be heard echoing off the OGD buildings.

Again the advice – concentrate on quality, quality, quality, and the final quality of the submissions will be assured. When the ANDA is originally submitted it should contain all information that will represent the desired manufacturing process and desired product. Submissions must be clear and concise. The use of principles imbedded in Quality by Design (QbD) and the question-based review (QbR) format will be imperative to demonstrate that the firm understands its product and the products' manufacturing space. Gone will be the days of developing your product on the clock, and those that continue to do so, will end up at the back of the bus. We are a year and a quarter into GDUFA. It is time not only to hear the Agency, but to respond to their challenge if you want to be there at the making of the market for any product.

Outside review by a third party may be a valuable addition to internal review. While it may add costs to the process, it may save significant time in obtaining approval in the long run and we all know that time in the generic market place is money. Don't trick yourself into thinking that OGD really has not changed and remember the advice my wife always gives me “Cheap isn't cheap, cheap is expensive”.

原文请见 Getting Ready for October 1, 2014 – the Reality Check is Coming!

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