the overview of pmda activitiesmedical devices review of efficacy and safety reinforced safety...
TRANSCRIPT
The overview of PMDA activities
Atsushi TAMURA, Ph.D.
International Coordination Officer for Medical DevicesPharmaceuticals & Medical Devices Agency
Who are we? PMDA (Pharmaceuticals and Medical Devices Agency) is
Japanese regulatory agency, working together with Ministry of Health, Labour and Welfare.
Our obligation is to protect the public health by assuring safety, efficacy and quality of pharmaceuticals and medical devices.
We conduct scientific reviews of marketing authorization applications for pharmaceuticals and medical devices, monitoring of their post-marketing safety. We are also responsible for providing relief compensation for sufferers from adverse drug reaction and infections by pharmaceuticals or biological products.
PMDA’s Mission
To provide safer and more effective pharmaceuticals and medical devices as
fast as we can
3
Philosophy of PMDA PMDA continues to improve the public health and safety of our nation by reviewing applications for marketing approval of pharmaceuticals and medical devices, conducting safety measures, and providing relief to people who have suffered from adverse drug reactions.
We conduct our mission in accordance with the following principles:
We pursue the development of medical science while performing our duty with greater transparency based on our mission to protect public health and the lives of our citizens.
We will be the bridge between the patients and their wishes for faster access to safer and more effective drugs and medical devices.
We make science-based judgments on quality, safety, and efficacy of medical products by training personnel to have the latest technical knowledge and wisdom in their field of expertise.
We play an active role within the international community by promoting international harmonization.
We conduct services in a way that is trusted by the public based on our experiences from the past.
[MHLW]Ultimate Responsibilities in policies & administrativemeasures
[PMDA]Science base review, examination, data analysis, etc. to assist MHLW’S measures
Our Responsibilities
PMDA three major functions/tasks
Relief Service for ADR and Other Infectious Disease
Review and Audit for Drugs/ Medical Devices Efficacy and Safety
Provision of Medical Expenses, Disability Pensions etc.
Relief Service for SMON, HIV-positive and AIDS patients
Clinical Trial Consultation
Conformity Audit for Application Materials of GLP,GCP and GMP/QMS
Information Provision (via the Internet), Pharmaceutical Consultation for Consumers
Post- marketing Safety Operations for Drugs / Medical Devices
Review of Efficacy and Safety
Reinforced Safety Information (Database)
Scientific Review and Research for Safety Information
PMDA (Phermaceuticals and Medical Devices Agency) was established in April, 2004 to ensure the following 3 tasks to protect public health.
6
Key Organization Chart of PMDA
Office of Review Administration
Office of Review Management
Office of Medical Devices I - III
Office of New Drug I - V
Office of Biologics I - II
Office of OTC/Generic Drugs
Office of Conformity Audit
Office of Relief Funds
Office of Safety I - II
Office of Compliance and Standards
Offices of General Affairs/ Financial ManagementOffice of Planning and Coordination
Review Department
Post-marketing Department
(Inspections such as GLP/GCP and GPSP)
(GMP/ QMS Inspection)
Senior Executive Director
Chief Executive
Auditor
Auditor
Chief Safety Officer
Executive Director
Executive Director
Office of Reg. Sci. Operations
Office of International Programs
Chief Management Officer
Chief Relief Officer
Director(Center for Product
Evaluation)
7http://www.pmda.go.jp/english/about/organization.html
Contents
1. Organizational Updates2. Safety Measures3. PMDA International Vision4. Regulatory Science5. Science Board
8
1. Organizational Updates
Staff SizeStrengthen Review System
9
10
0
100
200
300
400
500
600
700
800
2004 2005 2006 2007 2008 2009 2010 2011 2012 2013
Administrative part
Safety Department
Review Department
Planned
PMDA Staff Size
648605
521426
341319291256
678751
Strengthen Review System in PMDA-
11
Special Assistant for Chief Executive (Feb. 2012)
Office of Review Innovation (Apr. 2012)
Science Board (May 2012)
2 Deputy Directors for Center for Product Evaluation (June 2012)
New Organization(as of June 2012)- Enhance partnership with academia -
Chief Executive
Relief Section
Executive Director
(Review・Research)
Director, Center for product evaluation
Administration Section
Deputy Center Director for medical Devices
Secretariat Director
Safety Section
Senior Executive Director
(Technology Management)
Review Section
Executive Director
(General Coordination)
Special Assistant
Deputy Associate director General
Associate director GeneralOffice of Review Innovation,
Director General
Deputy Center Director for Cellular-and Tissue-based products
Science Board
Subcommittee(Drug)
Subcommittee(Medical Device)
Subcommittee(biologics)
Subcommittee(cell-and tissue-based products)
12
To reduce Drug Submission Lag
1. Promoting Global Clinical Trial• Developing Guidelines• Holding MRCT Workshop
2. Consultation • Pharmaceutical Affairs Consultation on R&D Strategy• Prior Assessment Consultation on Drugs
3. Efforts in Regulatory Science• Collaboration with Academia• Establishment of the Science Board• MHLW/PMDA/Academia Collaborative Study
2. Safety Measures
New Risk Management SystemElectronic Medical Record NetworkProject for Drug Safety
14
New Risk management
system
AnalysisCollection of Information
Planning and Implementation of Safety measures
Hypothesis
Evaluation of hypothesis
Crisis management
• Prevention of serious drug safety-related crisis from Japan• Effective encouragement of proper drug use.• Ensuring credibility to post-market safety management system.
Goal
Assessment of Safety measure effects
Improving Safety Measures
Network of
the Collaborative
Hospitals
Collaborative Hospital
• Budget approved FY2011 Governmental to initiate “Safety 10Mil. Data project”• The network construction will be completed by FY2013.
Health RecordsClaim Data
Desired Outcomes:• Risk & benefit review of medical technologies to provide safer healthcare. • Quick and appropriate measures to ensure drug safety.
ResearchersJoint Study
Collaborative study
Data request
Collaboration
Quick actions Ordering Data Laboratory Data
Database
Database
Database
Database
EthicalCommittee
Database
Electronic Medical Record Network Project for Drug Safety
3. PMDA International Vision
17
PMDA EPOCH TOWARD 2020
Concrete goals for PMDA to attain by 2020 as one of world’s premier medical products regulatory agencies
(Published in November 2011)
18
PMDA International vision
- PMDA EPOCH toward 2020 -1. Excellence in Performance
2. Partnership with the Orient
3. Contribution to Harmonization
19
4. Regulatory Science
MHLW/PMDA/Academia Collaborative StudyRegulatory Science CyclePromotion of Regulatory ScienceProgram of Collaborative Graduate Schools
20
MHLW /PMDA /Academia Collaborative Study (MHLW FY 2012 Budget)
NIHS
366M yen (about $4.6M US) for;Developing guidance for innovative drug/medical device/biologics to streamline review process
Research Intuitions
Personnel exchangeSupport
MHLW
1.2B yen (about $15M US)Establishment of evaluation methods for safety and efficacy based on Regulatory Science Enhancement of personnel exchange among PMDA, Research Institutes, NIHS
Cultivate Human Resource
Develop Guidelines
Regulatory Science Cycle
22
Data Acquisition
Evaluation &Estimation
Balancing Factors
Regulatory Action
Scientific Reflection
Advanced RS
For Developments Eying their Exits(Practical Use), for Rapid Processes Leading to Practical Use, and for Ensuring
the Efficacy and SafetyPromotion of Regulatory Science Research is Essential
Target for Drug
discovery
SeedsDiscovery
Lead compounds
IdentificationOptimization Non-clinical
Trial Clinical TrialLicense out to
IndustryDrug discovery by
Academia
R&D by IndustryValley of Death
Regulatory Science is seen as “Science that adjusts science technology outcome to it’s most favorable shape in harmonization between human and society ” that is an essential concept to prove risk/benefit and to ensure safety of pharmaceuticals and medical devices.
Promotion of Regulatory SciencePolicy recommendations released in 2011 Committee on Pharmaceutical of Science,
Science Council of Japan (August 19, 2011)
23
Collaboration with Academia
Program of Collaborative Graduate Schools
Yamagata University
University of Tsukuba
Yokohama City University
Gifu Pharmaceutical University
Kobe University Chiba University
Musashino University
Agreement with 12 Universities (as of June, 2012)
Gifu University
Shujitsu University
Teikyo University
Shizuoka Prefectural University
24
Osaka University
5 Establishment of the Science Board
25
Why “Science Board” now?
① Provide review and consultation services with understanding of advanced technologies (antibody-based drugs, companion diagnostic drugs, ventricular assist devices, regenerative medicine, cancer vaccines, etc.).
② Provide consultation/advice on the advanced scientific technology from the early stage of development to deliver the medicinal products utilizing advanced technologies sooner to the medicinal scene.
③ Keep close relationship with the academia to have the PMDA reviewers updated to the accelerating innovation.
With Review Goal (Time) achieved andStaffers increasing, We at PMDA are required to:
Science Board26
Subcommittee
① Review policy for innovative medical products ② Development of guidelines ③ Regulatory Science Research ④ Personnel exchanges ⑤ Election of External review experts ⑥ Improvements in the scientific aspects of review
・ Deliberation on problems in each field ・ Collaboration with PMDA working team (RS research,
guideline development, etc.)
・・・・・・
Cell- & tissue- Based
products
Science Board
Medical Devices
Pharma- ceuticals
Mission Reform PMDA reviews and related services based on science with consideration for actual medical practices
Secretariat Director
Associate Director General
Secretariat Director’s office
Bio-based products
Director General
Office of Review Innovation
Committee
PMDA Offices
Science Board and Office of Review Innovation
27
・Committee members: External experts from Academia
・Not involved in the Review Process of individual products
Review Safety
RS SGD
RS: Office of Regulatory ScienceSGD: Office of Standards and Guidelines Development
Academia
Board members
Establishment of the Science BoardThe Science Board was established in May 2012 to discuss how PMDA can better cope with products with advanced scientific technology, in each developmental stage such as basic research, development support, product review, and post market safety measures.
Office of Review Innovation
For PMDA To Be More Science-Based
28
Pharmaceutical consultation on R&D Strategy
Basic Research
Seeds of new
drug / medical devices
originated in
Japan
Non-clinical tests
CTQuality Tests
Practical use
Innovative medical products
Offices of Review (Drugs & Medical Devices), Office of Safety
Clinical Trial Consultation Review
Review ApprovePost
Marketing
Post Marketing Safety Measure
To Improve Public Health
29
Review Safety Relief
Thank you for your attention!
Atsushi TAMURA, Ph.D.International Coordination Officer for Medical DevicesPharmaceuticals & Medical Devices AgencyJAPAN(独)医薬品医療機器総合機構 国際業務調整役(医療機器担当)
田村 敦史〒100-0013 東京都千代田区霞ヶ関3-3-2TEL 03(3506)9456 FAX 03(3506)9572
E-Mail: [email protected]: http://www.pmda.go.jp/
30