Back to Basics – Variations – Types & Timelines

Here is the second installment of our Back to Basics series: VARIATIONS

So, let’s start with a summary of the different types of variations & their timelines.

 Variations are

  • changes made to the dossier of an authorised medicinal product after its initial registration
  • They may concern administrative changes, Quality changes, Safety/Efficacy changes or Vigilance changes
  • Variations can be categorised as Type IAIN, Type IA, Type IB (seen or foreseen) or Type II whether they are within a Centralised, Decentralised (DCP) or National Procedure (NP)
  • Variations can either be a single or grouped together.
  • There is also a mechanism to submit variations by a work sharing procedure.

Procedures around variations are currently governed and harmonised throughout the EU by Commission Regulation (EC) No 1234/2008 of 24 of November 2008 (“the Variations Regulation”) which has subsequently been amended by Regulation (EU) 712/2012.

Variation Types Definition Timelines
Human Medicines Regulations
Type IAIN

 

A minor variation which has only minimal/or no impact on the quality, safety or efficacy of the medicinal product. The competent authority should be notified immediately after implementation.

 

‘Immediately’ is not defined in EU guidance but is generally considered to be within 2 or so weeks of implementation* of the change.

 

*For quality changes, ‘implementation’ is when the company makes the change in its own quality system. For product information, it is when the company internally approves the revised product information. The revised product information will then be used in the next packaging run.

e.g. to introduce a PSMF or change company address

  • Do & Tell (close to implementation date)
  • 30 day timetable once validated
  • No clock stop
  • No timetable is issued
  • Rejection is possible if documentation requirements are not met
  • Approval received from the RMS (and maybe from the CMS)

 

Type IA A minor variation which has only minimal/or no impact on the quality, safety or efficacy of the medicinal product.

Where all required data

conditions are met such variations do not require any prior approval, but must be notified by the MAH within 12 months following implementation in so called ‘annual reports’ or may be submitted earlier should this facilitate dossier life-cycle maintenance or when necessary. This is known as the ‘Do and tell’ procedure.

e.g. updated CEP from an already approved manufacturer

  • Do & Tell (Annual basis)
  • 30 day timetable once validated
  • No clock stop
  • Rejection is possible if documentation requirements are not met
  • Approval received from the RMS (and maybe from the CMS)
  • Competent authorities should implement the decision nationally within six months.

 

Type IB Variations which are neither a minor variation of Type IA nor a major variation of Type II nor an extension are classified as Type IB variation by default.

They are further classified as being either foreseen or unforeseen (consult variation guidance documents referenced in section 4, below, for further information) e.g. change of product name for nationally authorised products

  • Tell and Do (await approval before implementation)
  • 30-60 day timetable, once validated
  • clock stop period is possible
  • A timetable is issued
  • Responses to MS comments can be submitted
  • A National Phase is possible

 

Type II Type II variations are classified as major variations. They arise from a change that does not meet the requirements of a Type I variation, but is not so complex as to lead to a new Marketing Authorisation application.  There are two classifications of Type II variations:

(1)    Type II Complex

(2)    Type II Urgent Safety

Type II variations require a formal approval e.g. addition of a new therapeutic indication

  • Tell and Do (await approval before implementation)
  • 30/60/90 day timetable, excluding clock stop
  • A timetable is issued
  • Responses to MS comments can be submitted
  • A National Phase is common

 

Grouping:

Where the same variation(s) affect one or more marketing authorisation(s) from the same holder, the marketing authorisation holder may choose to submit these variations as one application.

In most instances it is possible to group type IA variations regardless of content.

Some competent authorities may not allow grouping for national variations.

In specified cases it is possible to group type IA and type IB/type II variations (consult acceptable and non-acceptable grouping guidance document referenced below, for further information. In these cases the changes will tend to be consequential and the procedure type defaults to the highest recorded procedure.

The website of the relevant competent authority should be referred to, to confirm the possibility of grouping.

For grouping that includes type IB and type II procedures and falls outside the scope of acceptable and non-acceptable grouping guidance documents, consent for the grouping should be sought in advance from the competent authority to avoid rejection.

Worksharing:

Article 20 of the Commission Regulation (EC) No 1234/2008 allows for the possibility for the Marketing Authorisation Holder to submit the same type IB or type II variation or the same group of variations affecting more than one marketing authorisation from the same Marketing Authorisation Holder in one application.

A worksharing procedure allows for one authority to be chosen amongst the competent authorities of the member states to examine the variation on behalf of the other concerned authorities. In case a grouped application is applied this may also contain consequential IA changes.

Line extensions are excluded from worksharing.

 

Further to above, Applicants may wish to pay particular attention to the following CMDh documents:

 

Feel free to contact us here at ERA to assist you with all things regulatory in Ireland, UK and across the EU.

We take the pain out of regulatory so that you can take your medicine to the next level.

Written by

Marian Winder

Marian Winder 1

Marian Winder 1

Applying for Marketing Authorisation via national route or DCP procedure in Ireland – HPRA slot booking

The HPRA is now moving towards a system of slot allocation (expected submission dates) for new national product registration applications, in addition to the existing DCP slot requirement.

Upon request, applicants will be given a submission slot in an agreed month.

This will help capacity planning for timely assessment of applications and will help maintain access for products on the Irish and European markets.

Slot-booking for national product authorisation applications

Applicants should contact RMS@hpra.ie no later than two months before their preferred submission date to request their preferred slot. The email subject title should include ‘National MA submission’.

The following documents should be provided when requesting a slot.

  • A CMDh common request form for reference Member States (RMS) which is available on the CMDh website.
  • A justification of the relevance of the application to the Irish market.
    • This should make reference to the unmet medical need your product will address and you may be asked if you intend to market the product in Ireland as part of your justification for applying to HPRA.

It is important that dossiers are complete before making a request, as delayed submissions may result in the loss of a slot.

If your preferred slot is not available, the next available slot will be allocated within a six-month window. Applicants will receive an email confirmation of a successful slot booking. While the HPRA are adapting to this new process we will try to facilitate applications which require an earlier start date.

Slot-booking for DCP authorisations

If you would like the HPRA to function as an RMS, please contact RMS@hpra.ie at least three months before your preferred submission date to request your preferred slot. The email subject title should include ‘DCP submission’.

When requesting a DCP slot applicants should also provide the completed CMDh common request form for an RMS.

Again, It is important that dossiers are complete before making a request, as delayed submissions may result in the loss of a slot.

If your preferred slot is not available, the next available slot will be allocated, within a two-year window. Applicants will receive an email confirmation of a successful slot booking. The HPRA also operates a cancellation list for slots which become available at short notice.

Scientific advice

Due to the complexities of Article 10a applications, applicants should obtain national scientific advice before submitting requests for such new applications. Further information can be found on our national scientific and regulatory advice page.

Ireland as a CMS

Furthermore, IE routinely participates as a Concerned Member State (CMS) in standard DCP procedures. A zero-day procedure as a CMS may be possible for medicines where Ireland is experiencing a critical shortage of a particular medicine.

Need support

Feel free to contact us here at ERA to assist you with all things regulatory in Ireland, UK and across the EU.

We take the pain out of regulatory so that you can take your medicine to the next level.

Written by

Alice D’Alton

Alice Dalton 1

Alice Dalton 1

 

New UK National Procedure – Expedited 150 day procedure

There are now several routes to obtain a marketing authorisation in the United Kingdom (UK), Great Britain (England, Scotland and Wales) or Northern Ireland. The options available will be determined by the intended market and the type of application. In this article we will discuss the purely National procedure.

To help you to decide what type of license you will require, here is a brief explanation of the new types of MA you can obtain:

MA prefix for UK Possible MA types Territory Leg & Guidance
PL UK wide Authorised for use in United Kingdom (Great Britain & Northern Ireland) EU & MHRA rules apply
PLGB GB Authorised for use in Great Britain only (England, Scotland and Wales only) MHRA rules apply
PLNI NI Authorised for use in Northern Ireland only EU rules apply

One option you can pursue is the National procedure (a 150-day procedure) to obtain a marketing authorisation (MA) in the UK, Great Britain or/in Northern Ireland. The MHRA has introduced this accelerated procedure aimed at expediting the availability of medicines for patients in the UK and proposes to reach its opinion on marketing authorisation applications (MAAs) within 150 days of filing an application (excluding the time taken to provide further information or data required).

Applications should be submitted via the MHRA Submission Portal, and the appropriate national fee will apply.

The accelerated assessment is available for all high-quality new MAAs for both new, and existing active substances, as well as orphan designations. Interested applicants should contact the MHRA in advance of submitting the application.

For medicines containing new active substances or biosimilar products, the MHRA encourages applicants to provide a summary of the dossier to share their intentions and to verify the new active substance status.

The pre-submission meeting offers the opportunity to discuss the arrangements for the UK Compliance Check (CC) on Paediatric Investigation Plans (PIPs). Additionally, it also offers the opportunity to enhance joint discussion with National Institute for Health and Care Excellence (NICE) Health Technology Assessment (HTA) evaluation process.

The MHRA will operate a ‘fixed submission date’ system to facilitate consultation with the Commission on Human Medicines (CHM) and will publish a set of dates to facilitate planning the submissions to coordinate with appropriate meeting dates of CHM. The submission slots will be linked to the dates of CHM meetings.

The assessment timetable will begin after the validation of the application. The assessment process will run in two phases totalling 150 days like so:

  • Phase I: completed 80 days after the clock starts. Issues that arose or requiring clarification from the initial assessment will be raised with the applicant and should be addressed within the clock off period of 60 days.
  • Phase II: commence on receipt of the applicant’s responses. The MHRA will provide a decision on the acceptability of the product by day 150.

If the MHRA refuses to grant the MA-based on advice from CHM, there is an opportunity for the applicant to request a review of the decision.

The conclusion of the assessment will lead to the publication of a UK Public Assessment Report for the product.

Here are some useful links to obtain further information:

https://www.gov.uk/guidance/apply-for-a-licence-to-market-a-medicine-in-the-uk#national-procedure

https://www.gov.uk/guidance/guidance-note-on-new-assessment-routes

https://www.gov.uk/guidance/guidance-on-150-day-assessment-for-national-applications-for-medicines

https://services.intralinks.com/branding/3997623225/?clientID=3997623225

https://www.gov.uk/government/publications/mhra-fees

https://www.gov.uk/government/organisations/commission-on-human-medicines/about/membership

https://www.gov.uk/guidance/marketing-authorisation-application-submission-dates-for-150-days-national-and-european-commission-decision-reliance-procedures

If you need any clarification or support to help you to navigate the new post Brexit procedures, please contact us and Ivowen will gladly assist you in a timely manner.

eSubmission Roadmap updated

The European Union updated its eSubmission Roadmap in June 2019 to reflect changes in timelines.

What is it?

The eSubmission roadmap is a high level, strategic plan for business and technology changes within the EU.  Its function is to align the plans and implementation timelines of target groups and stakeholders, including the EMA, National Competent Authorities (NCAs) and the pharmaceutical industry.

Full details on the eSubmission Roadmap are available on the EMA’s eSubmission website here.

What is happening?

Centralised Procedure(s) (CP)

It is mandatory since January 2010 that all submissions in the CP are made in the eCTD format

National Procedure(s) (MRP & DCP and national only procedures)

It is mandatory since July 2015 and January 2017 that all submissions for new MAAs using the DCP and MRP respectively are made in the eCTD format.  For purely national procedures, eCTD has been mandatory for new MAA submissions since July 2018.

For all new submissions in MRP and DCP, the mandatory use of eCTD has been in force since January 2018, and for all new national submissions, since January 2019.

What does this mean?

This means that ALL submissions in the EU for human medicinal products now have to be made in eCTD format.  Are you ready?  If not, contact us to find out how we can help switch all your current MAs to eCTD and manage all your lifecycle needs.  Ivowen has been eCTD compliant since 2009, and therefore has a wealth of experience to become your key partner in this vital step of your registration process.

If you need any clarification or support to manage the changeover to eCTD, Ivowen will gladly work with you to ensure a seamless and  efficient transition to eCTD.  Contact us for more information or to make an enquiry.

 

MMR photo

Written by Majella Ryan

 

Brexit… it’s getting closer…

Ivowen have provided some practical guidance and documents below, which may help you prepare for Brexit for products authorised by the DCP and MRP procedures.

Take our Brexit quiz to see if you are ready.

Do you still need to change your MAH(s) in any of the EU Member States because of Brexit?

If so, refer to the following updated guidance issued in January 2019 which details the documentation and requirements to submit a Marketing Authorisation Holder transfer:

CMDh guidance on Brexit, Jan 2019

If you need any clarification or support to complete a Marketing Authorisation Holder transfer, Ivowen will gladly assist you in a timely manner.  Contact us for more information or to make an enquiry.

 

Is the UK your current RMS?

If so, you need to initiate an RMS switch as soon as possible. The guidance issued in July 2018 along with the template issued in June 2018 is required to complete this process. This template needs to be completed and sent to a specific e-mail address at the proposed new RMS. The list of contacts points to send the completed template is provided below:

Guidance:

CMDh guidance on changing RMS

Template for RMS change

List of RMS contacts can be found in the excel spread sheet in the link Contact Points, which can be found here:

MS contact points

If you need any clarification or support a RMS switch, Ivowen will gladly assist you in a timely manner.  Contact us for more information or to make an enquiry.

 

 

Do you need to change your UK batch release site, etc., if it currently within the UK?

If so, you can refer to the updated guidance document issued in December 2018, which provides information on the type of variation that is required to change functions such as batch release site(s), QC testing site(s), packaging site(s), deletion of site(s) for batch release and changes to the QP for Pharmacovigilance (QPPV) and PSMF where these functions still reside within the UK:

CMDh practical guidance for Brexit & DCP/MRP

If you need any clarification or support to complete variations to support changes needed as a result of Brexit, Ivowen will gladly assist you in a timely manner.  Contact us for more information or to make an enquiry.

 

Do you supply product to Cyprus?

If so, the Cypriot Competent Authority has issued a newsletter to Stakeholders on the 14 January 2019 which lists 105 products authorised via an exceptional marketing authorisation affected by Brexit which are considered critical. The Drugs Council in Cyprus recommends that pharmaceutical companies register these products via an exceptional marketing authorisation using another reference state other that the UK.

If you need any clarification or support to complete an Exceptional Marketing Authorisation to avoid no supply of these critical products on the Cypriot market, Ivowen will gladly assist you in a timely manner.  Contact us for more information or to make an enquiry.

 

 Written by Marian Winder

marian

eCTD is coming…

All good (and bad) things, must come to an end.  The NeeS (Non-eCTD electronic submissions) submission format, will no longer be accepted for any Marketing Authorisation applications (MAAs) or submissions in MRP or DCP from 1st January 2018. Centralised Procedure (CP) submissions have been mandatory in eCTD since 2010.  All new MAAs submitted using either the Decentralised Procedure (DCP) or the Mutual Recognition Procedure (MRP), have had to be in eCTD format since the middle of 2015.  As of 1st January 2018, all MRP submissions must be submitted in eCTD.  Therefore, if your application/product is not in eCTD format and you need to submit an MRP variation, you have to transition to eCTD for the next submission.

What is the timetable?

Starting from 1st January 2018 it is mandatory for all CP, DCP and MRP submissions to be in eCTD format.  For national procedures (NP) the deadline is currently set at 1st July 2018 for new MAAs.

Following quickly behind these requirements, all submissions in CP, DCP, MRP and NP will have to be in eCTD from January 2019.  At this stage, the exact date is not confirmed, but you need to be ready.

We can help…

Ivowen can create a baseline dossier for any submission based on currently approved information. Currently, baselines are not mandatory but some Member States are requesting them.  In addition, it is best practise to get your dossier into a baseline for all future submissions.

Ivowen can transition your application to eCTD at the next regulatory activity (variation, renewal, Article 61.3, etc.).

Ivowen can manage the eCTD lifecycle for you in-house and provide you with fully valid, submission-ready sequences.

Contact us for more information or for help with building your eCTD now.