L2 Rules for Engagement Flashcards
Define Drug.
Any substance, other than food, that when inhaled, injected, smoked, consumed, absorbed via a patch on the skin or dissolved under the tongue causing a physiological change
Define medicine.
Substance used to treat, cure, prevent, diagnose a disease or promote well-being
What is the drug substance/API/IMP?
Pharmacologically active ingredient
What is the drug product?
Full pharmaceutical product in final form - contains APIs & excipients
What is an excipient?
non-API components of a finished medicinal drug product included to facilitate manufacture, stability, control release of API, or other characteristics
What is a novel drug/NCE/New Biologics?
Any drug where the composition is not generally recognized as safe & effective among experts
What 3 things are also included in the new drug definition?
major changes in formulation/manufacturing
New fixed dose combo of approved drugs
New route of admin
What is a regulatory agency?
Competent authority is any person or organization that has legally delegated or invested authority, capacity or power to perform a designated function
What is the Sponsor?
Entity that will ultimately market the product, take responsibility for writing the marketing approval applications
eg. company
What are the investigators?
People on the ground conducting clinical trials
what are 3 regulatory instruments?
Laws - written statutes
Regulations - standards & rules
Guidance - documentation
What are cons of the global regulatory landscape?
Different territories have developed different licensing procedures, regulatory requirements & approval processes - anti-innovation & anti-business
What must all medicines marketed, distributed & used in a country be?
Registered with national competent regulatory authority
What is the main submission for licensing/market authroisation?
Marketing Authorisation Application
What are 4 primary issues to be addressed for marketing authorisation?
Is the drug safe & effective?
Do benefits outweigh risks?
Are manufacturing methods & controls adequate to preserve identity, strength, quality & purity?
Is proposed labelling & accompanying info appropriate?
What does the Totality of Evidence comprise of (6 things)?
Chemistry/Quality Review
Pharma/toxic review
Medical/clinical review
Biopharma review
Stats review
Proposed labelling review
What 4 pieces of evidence is supplied with the MAA?
audits
inspections & approvals
engaged CROs
clinical trial sites
What is a Dossier?
Collection of documents/files containing all technical data relating to proposed medicinal product
What is an early developmental document?
Investigators Brochure
What are the Clinical Development documents?
EU - IMPD
US - IND/DMF
What is the document for licensing approval?
Common technical document - accepted by all major medicine regulatory authorities
What are the 5 benefits of the CTD?
Reduce time & resources
Ease of prep
Facilitate reviews
Improves communication
Simplify exchange of info
What is module 1 in CTD?
Regional specific info
What is module 2 in CTD?
overviews & summaries - quality, non-clinical & clinical