Procedure: Ongoing Pharmacovigilance Service
Country: Global Procedure
Version #: 01/23/2024
Author: Daria Kostiuchenko
Editor: Daria Kostiuchenko
ID: GP-PhR-OPS-SR
Category: Pharmaceuticals
Validity: Annual
Certified by: Vlad Reznikov
Copyright: Pattern of USA Inc.
SUMMARY
Ongoing Pharmacovigilance is a critical component of public health, ensuring the ongoing monitoring and assessment of drug safety to protect patients, and maintain the integrity of the healthcare system. Post-market surveillance for medicinal products is an integral part of Market Authorization in the EU, US, and other pharmaceutical markets.Data Collection and Reporting in pharmacovigilance involve spontaneous reporting, where healthcare professionals, patients, and consumers voluntarily report adverse drug reactions (ADRs) to regulatory authorities or pharmaceutical companies. Literature monitoring entails the regular review of scientific literature and medical publications to identify potential safety concerns. Signal detection utilizes statistical methods and data analysis to identify patterns or signals indicating potential safety issues, followed by signal validation to determine causal relationships. Data Management involves establishing centralized databases to collect and manage information on adverse events, along with standardizing coding systems for categorization. Risk Assessment includes determining the likelihood of a drug’s responsibility for reported adverse events and evaluating the overall benefits and risks through benefit-risk analysis. Regulatory Reporting includes mandatory reporting requirements for pharmaceutical companies to submit safety update reports and promptly report serious adverse events, ensuring compliance with regulations. Communication and Information Dissemination involves issuing alerts and warnings about safety concerns to healthcare professionals, patients, and the public, along with educational initiatives for safe medication use. Risk Management Strategies encompass implementing measures to minimize identified risks, such as changes in product labeling or additional warnings, and conducting post-marketing studies to further investigate safety concerns in real-world settings. Collaboration and Networking involve international collaboration with regulatory agencies and organizations to share information and coordinate global pharmacovigilance efforts, as well as building networks with healthcare professionals, academia, and industry stakeholders to enhance surveillance capabilities.
Must-Have Requirements, Recognized Standards, and Certification:
- Regulatory status of the medicinal product
- RMP
- ICH E2D (Post-Approval Safety Data Management)
- ICH E2E (Pharmacovigilance Planning)
- GVP
- Adverse Event Reporting System
- Safety Data Sheets (SDS)
- Product Information and Labels
- Batch Records and Manufacturing Summary
- Patient Information Leaflets
- HQ CPPV (Certified Professional in Pharmacovigilance) contact information
- Collaboration chain on Signal Detection and Risk Management
Nice-to-have:
- Training Materials
- Periodic Safety Update Reports (PSURs) if available
Typical Gaps and Deficiencies: Non-compliance with regulatory requirements and recognized standards, such as ICH guidelines or GVP, incomplete or inaccurate information, underreporting of adverse events, late reporting
Implementation Period: Ongoing activity
Deliverables: Adverse Drug Reaction (ADR) Reporting, Risk Assessment and Management, PSURs, Benefit-Risk Assessment, Post-Marketing Surveillance, Compliance Monitoring
PHASE | TASK | TASK | START | DURATION | Fee | KPI | ||
NUMBER | TITLE | OWNER | W/M/Q/Y | in weeks | 3rd Party | Service | State | |
0 | In-house Pre-Submission Activity | |||||||
0.1 | NDA signing or validation | Executor | week 1 | 1 | ||||
0.2 | Contract Closing | MAH | week 1 | 1 | ||||
0.3 | SOW is approved by MAH | MAH | week 1 | 1 | SOW | |||
0.4 | POA issuance and shipping | MAH | week 2 | 1 | ||||
0.5 | Invoice is sent to MAH and paid | MAH | week 3 | 1 | POP | |||
I | Setup | |||||||
I.1 | Local PhV system set-up and integration | Executor | week 4 | 1 | ||||
I.2 | Appointment of the Local PhV Authorized Person | MAH | week 5 | 1 | Appointment | |||
II | Local PhV support | |||||||
II.1 | Local PhV with 24/7 availability | Executor | Year 1 | 52 | ||||
II.2 | Monthly NRA PhV-relevant info screening | Executor | Year 1 | 52 | Report | |||
II.3 | Collection of local medical inquiries, answering, forwarding, and translation | Executor | Year 1 | 52 | ||||
II.4 | Weekly local literature search, product screening incl. AE/SAE (ADR) signals and PSUR-relevant information | Executor | Year 1 | 52 | Report | |||
II.5 | Reconciliation of data with MAH | Executor | Year 1 | 52 | ||||
II.6 | PSUR Development | Executor | Year 1 | 52 | PSUR | |||
II.7 | PSUR Submission | Executor | Year 1 | 52 | Submission | |||
II.8 | Obtaining approvals from NRA | Executor | Year 1 | 52 | Approval | |||
II.9 | Reporting to MAH | Executor | Year 1 | 52 | Report | |||
II.9 | Reporting to MAH | Executor | Year 1 | 52 | Report | |||
III | QPPV Support | |||||||
III.1 | Communication with NRA | Executor | Year 1 | 52 | ||||
III.2 | Inspection Support | Executor | Year 1 | 52 | ||||
III.3 | Reporting Support incl. Educational Materials, DHPC Letters, Urgent Communication, etc. approval | Executor | Year 1 | 52 | Approval | |||
III.4 | Undesirable Effect (UE), Special Situation (SS), and/or Product Quality Complaint (PQC) collection | Executor | Year 1 | 52 | Report | |||
III.5 | Management of cases, and forwarding to QPPV | MAH | Year 1 | 52 | ||||
F | Final Phase In-house Post-Authorization Activity | |||||||
F.1 | Service Acceptance Certificate signing | MAH | Year 1 | 52 | ||||
F.2 | Final Invoice | Executor | Year 1 | 52 | ||||
F.3 | Final Payment | MAH | Year 1 | 52 | ||||
F.4 | Contract Termination | Executor | Year 1 | 52 | ||||
F.5 | Archiving and limiting access | Executor | Year 1 | 52 | Archiving |
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