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Brazilian Health Surveillance Agency – Anvisa CASSS LATAM 2015 Marcelo Mario Matos Moreira General-Manager of Biological Products, Blood, Tissues, Cells and Organs – GGPBS Updates on Regulatory issues for Biotherapeutics Products License in Brazil August, 24 th 2015

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Agência Nacional de Vigilância Sanitária - Anvisa

Brazilian Health Surveillance Agency – Anvisa

CASSS LATAM 2015

Marcelo Mario Matos MoreiraGeneral-Manager of Biological Products, Blood, Tissues,

Cells and Organs – GGPBS

Updates on Regulatory issues for Biotherapeutics Products License in BrazilAugust, 24th 2015

Agência Nacional de Vigilância Sanitária - Anvisa

Anvisa´s Mission

To protect and promote public health and to intervene in the

risks caused by the production and use of products regulated

by health surveillance. This mission must be carried out in

coordination with states, municipalities and the Federal

District, according to the Brazilian Health System principles,

in order to improve the quality of life of the population.

Agência Nacional de Vigilância Sanitária - Anvisa

ACTIONS OPERATIONALIZATION

TACTICAL MANAGEMENT

TRANSVERSAL CONSULTING

STRATEGIC ORIENTATION

CONSULTIVE COUNCIL

Organization chart

General Office ofBiologicals

Agência Nacional de Vigilância Sanitária - Anvisa

RDC 55/10Registration

RDC 49/11 e 24/13Post-approval

RDC 46/00Blood products

RDC 323/03Probiotics

RDC 50/11 and 25/13Stability

RDC 47/09 e 60/12 Package insert

RDC 71/09, RDC 168/02RDC 61/12

Label

RDC 17/10Good Manufacturing

Practices

RDC 233/05Allergenics

Ordinance 174/96Antivenom serums

RDC 81/08Import

Law 6360/76Decree 8.077/13

RDC 234/05RDC 38/10

Quality control

Regulatory acts concerning biological products

Agência Nacional de Vigilância Sanitária - Anvisa

Regulatory Convergence

1. RDC 55/2010

2. Harmonized requirements for the licensing of vaccines in the Americas and Guidelines for the preparation of application

Agência Nacional de Vigilância Sanitária - Anvisa

Guidelines

http://s.anvisa.gov.br/wps/s/r/lg

Comparability exercise Guideline

Agência Nacional de Vigilância Sanitária - Anvisa

Guidelines

http://s.anvisa.gov.br/wps/s/r/lg

Heparin Guideline

Agência Nacional de Vigilância Sanitária - Anvisa

Guidelines

http://s.anvisa.gov.br/wps/s/r/lg

Interferon Alpha Guideline

Agência Nacional de Vigilância Sanitária - Anvisa

Guidelines

http://s.anvisa.gov.br/wps/s/r/lg

Guideline for Elaboration of Clinical Study Reports

Agência Nacional de Vigilância Sanitária - Anvisa

Guidelines – Future perspectives

1. Etanercept

2. Rituximab

3. Review the current guidelines

Agência Nacional de Vigilância Sanitária - Anvisa

Transparency

Drug Approval and Refusal Letters

http://www.anvisa.gov.br/datavisa/Fila_de_analise/index.asp

Agência Nacional de Vigilância Sanitária - Anvisa

Top 3 Challenges

Interchangeability1

Extrapolation of indications2

International non-proprietary name or INN3

Agência Nacional de Vigilância Sanitária - Anvisa

Interchangeability

EMA FDA Health Canada Anvisa

Individual countries in EU have adopted

varying policies

US law permits FDA to designate a product as interchangeable. However, decisions about substitution by the pharmacy are governed by the state laws

Health Canada doesn´t declare interchangeabilityfor biosimilars

Interchangeabilityis underdiscussion. Bynow, Anvisa willdeclare interchangeabilityafter reviewclinical data withthis purpose

Agência Nacional de Vigilância Sanitária - Anvisa

Interchangeability

1. A medical practice of change one medicine for another that is expected to achieve the same clinical effect;

2. It´s not a requirement to license a biosimilar;

3. It´s necessary to conduct clinical trials;

4. Develop international Guidelines (WHO)

Agência Nacional de Vigilância Sanitária - Anvisa

Extrapolation of indications

1. Reflection paper on extrapolation of indication

- Working group to discuss the theme and propose areflection paper

- Strong scientific justification for extrapolation ofindication by companies should be emphasized inthe paper

Agência Nacional de Vigilância Sanitária - Anvisa

International non-proprietary name or INN

Agência Nacional de Vigilância Sanitária - Anvisa

International Non-proprietary Name or INN

Board Directors Resolution – RDC nº 63/2012

Provides for the rules used for the Brazilian Non-proprietary Names - DCB.

Agência Nacional de Vigilância Sanitária - Anvisa

References

- Brazil, Resolution RDC n° 55, December, 16th, 2010, Anvisa

- Brazil, Resolution RDC n° 50, September, 20th, 2011, Anvisa

- Brazil, Resolution RDC n° 49, September, 20th, 2011, Anvisa

- Brazil, Resolution RDC n° 63, December, 28th, 2012, Anvisa

- Brazil, Law n° 6360, September, 23th, 1976

- www.anvisa.gov.br

Agência Nacional de Vigilância Sanitária - Anvisa

Take Home Message

FOLLOW-ON PROTEIN PRODUCT

OR FOLLOW ON BIOLOGICS SUBSEQUENT

ENTRY BIOLOGICS

SIMILAR BIOTHERAPEUTICPRODUCTS

FOLLOW ON BIOLOGICS (FOB)

MEDICAMENTO BIOLÓGICO SIMILAR

(BIOSIMILAR)

BIOSIMILAR

PRODUTO BIOLÓGICOOR BIOSSIMILAR

• Generic Biological•Biogenerics

BIOSSIMILAR BIOSIMILAR

Agência Nacional de Vigilância Sanitária - Anvisa

Thank you

Acknowledgments

GPBIO and GSTCO StaffSUMED/ANVISA

Contacts

phone: +55(61)3462-5593E-mails: [email protected]

[email protected]@anvisa.gov.br

Agência Nacional de Vigilância Sanitária - AnvisaSIA Trecho 5 - Área especial 57 - Lote 200

CEP: 71205-050Brasília - DF

Phone: +55(61)3462 6000

www.anvisa.gov.brwww.twitter.com/anvisa_oficialAnvisa Atende: 0800-642-9782

[email protected]