The European Pharmacopoeia in a Global Context May 17, 2010 | Beijing Dr. Susanne Keitel European Directorate for the Quality of Medicines & HealthCare, Council of Europe TOPICS Role and History of the European Pharmacopoeia / EDQM Working Principles Establishment of Monographs Revision of Monographs Susanne Keitel ©2011 EDQM, Council of Europe, All rights reserved 2 The Council of Europe • Founded on 5 May 1949 by 10 countries • An international organization in Strasbourg which comprises 47 countries of Europe. • The primary aim of the Council of Europe is to create a common democratic and legal area throughout the whole of the continent, ensuring respect for its fundamental values: human rights, democracy and the rule of law. Susanne Keitel ©2011 EDQM, Council of Europe, All rights reserved 3 4 The EDQM The European Directorate for the Quality of Medicines & HealthCare (EDQM), a Directorate of the Council of Europe (DG Social Cohesion) Our vision is to be a leader in protecting public health by establishing high quality standards for: • medicines for human and veterinary use, blood transfusion and organ transplantation; • the safe and appropriate medication; • participating in programmes targeted towards the protection of consumer health. Susanne Keitel ©2011 EDQM, Council of Europe, All rights reserved 5 European Pharmacopoeia Convention S.Almeling, 26/09/10 ©2010 EDQM, Council of Europe, All rights reserved 6 Susanne Keitel ©2011 EDQM, Council of Europe, All rights reserved From the European Pharmacopoeia.. • 1964: Activities based on an International Convention from the Council of Europe to promote free movement of medicines in Europe • Mandatory status reinforced in 1975 in the EU Regulations (Directives) – with relevance for the EEA • 1994: EU signs the EP Convention • 1994: creation of the European Network for Official Medicines Control Laboratories Susanne Keitel ©2011 EDQM, Council of Europe, All rights reserved 7 ..... To The EDQM • 1994: creation of the procedure of certification for active substances • 2007: transfer of activities on blood transfusion and organ transplantation • 2008: transfer of activities on combating counterfeits and healthcare activities • 2009: transfer of activities on cosmetics and foodpackaging Susanne Keitel ©2011 EDQM, Council of Europe, All rights reserved 8 The Ph.Eur. in the World Susanne Keitel ©2011 EDQM, Council of Europe, All rights reserved 9 European Regulatory Network European Union European Medicines Agency EMA**** London European Union Council Parliament Commission DG Health & Consumers Brussels Council of Europe Ph. Eur.** European Directorate for the Quality Certification*** Blood Transfusion of Medicines & HealthCare Pharmaceuticals/ Pharm. care Organ Transplantation *OMCL :Official Medicines Control Laboratories **Ph.Eur : European Pharmacopoeia ***Certification : Certification of Suitability of Monographs of the European Pharmacopoeia ****EMA : European Medicines Agency EDQM Strasbourg Susanne Keitel ©2011 EDQM, Council of Europe, All rights reserved OMCL* Network 10 European Pharmacopoeia • Protecting public health - one common compulsory standard • THE official pharmacopoeia in Europe – complemented by national pharmacopoeias for texts of interest to only one Member State • Mandatory at the same date in 36 Member States (CoE) and the EU (decision of Ph. Eur. Commission). • Legally binding quality standards for ALL medicinal products in the EU, i.e. raw material, preparations, dosage forms, containers must comply with the Ph. Eur. requirements when they exist. KEITEL©2010 EDQM, All rights reserved SusanneSusanne Keitel ©2011 EDQM, Council of Council Europe,ofAllEurope, rights reserved 11 Parties Involved The European Pharmacopoeia Commission The National Pharmacopoeia authorities The Groups of Experts and Working Parties The EDQM / Technical Secretariat The Stakeholders Susanne Keitel ©2011 EDQM, Council of Europe, All rights reserved 12 Ph. Eur. Commission Decision making body of the European Pharmacopoeia Up to 3 delegates for each member country 1 delegate for each Observer Susanne Keitel ©2011 EDQM, Council of Europe, All rights reserved 13 Role of the Ph.Eur. Commission To determine the general principles applicable to the elaboration of the Pharmacopoeia To decide upon methods of analysis for that purpose To define and adopt the work programme To recommend the implementation dates of the Pharmacopoeia To appoint chairs and members of expert groups and working parties Susanne Keitel ©2011 EDQM, Council of Europe, All rights reserved 14 Observers to the Commission • Admittance of Observers from : – Member States of the CoE that are not part of the Convention – States that are not Members of the CoE – International governmental organisations Decided by unanimous vote of the Commission Susanne Keitel ©2011 EDQM, Council of Europe, All rights reserved 15 National Pharmacopoeia Authorities • Usually, the Secretariat of the National Pharmacopoeia Commission, or if missing, the National Competent Authority – Appoint delegates to the Commission – Nominate experts to groups of experts/working parties – Implement the European Pharmacopoeia – Provide the necessary funding Susanne Keitel ©2011 EDQM, Council of Europe, All rights reserved 16 The Groups of Experts Currently 20 permanent Expert Groups and 48 Working Parties (more than 250 meeting days/year) Task: To draft and verify the monographs and general methods Composition: • Experts from universities, industries, licensing authorities and Official Medicines Control Laboratories • Up to one expert per member country, chosen on the sole basis of his/her scientific competence • Additional specialists, where needed • Meet 2 to 3 times a year 17 The Purpose of the European Pharmacopoeia • To promote public health by the provision of recognised common standards. Such standards are to be for the safe use of medicines by patients and consumers. • Their existence: — facilitates the free movement of medicinal products in Europe; — ensures the quality of medicinal products and their components imported into or exported from Europe. Susanne Keitel ©2011 EDQM, Council of Europe, All rights reserved 18 The Principles • Elaboration and approval of monographs and other texts proceeds through an efficient and transparent, smoothrunning process, based on scientific co-operation between the members of the various Groups of Experts and Working Parties assigned by the European Pharmacopoeia Commission, the governing body of the Pharmacopoeia. Susanne Keitel ©2011 EDQM, Council of Europe, All rights reserved 19 The Principles • Experts give of their time, expertise and experience to produce the highest-level quality standards available to the public, standards that are continually revised in line with scientific developments. This co-operation between experts from regulatory authorities and official government laboratory scientists, academia and industry represents the pinnacle of scientific co-operation to produce a high standard of technical monographs and chapters. Susanne Keitel ©2011 EDQM, Council of Europe, All rights reserved 20 The Principles • Furthermore, the technical requirements adopted by the Pharmacopoeia Commission are based upon a unanimous decisionmaking process – each Member State of the Pharmacopoeia Commission has the right to veto, should they choose to exercise it. Susanne Keitel ©2011 EDQM, Council of Europe, All rights reserved 21 Contents of the Ph. Eur. More than 2200 monographs Fats dosage forms Herbals Radiopharm. Human vaccines Vet. Vaccines Plastics Chemicals Blood deriv. Antibiotics Gases homeopathy biologicals 22 Basis for Monographs • Monographs must take account of all currently approved products • Approved specification(s) are the main basis backed up by batch data • Draft monographs are checked by regulatory authorities at Pharmeuropa stage • Close collaboration between European Pharmacopoeia and European Licensing Authorities defined in EU Pharmaceutical Legislation (e.g. Directive 2001/83/EC) • Policy for monograph development is given in the Technical Guide for the Elaboration of Monographs (available on web site) Susanne Keitel ©2011 EDQM, Council of Europe, All rights reserved 23 Creation or Revision of a Text Request of creation / revision Approval by the Commission Allocation to a Working Procedure Publication Text approved by the Commission Overall timescale: 2-3 years Assignment to a Group of expert Public enquiry Creation / revision of the text by the Group Susanne Keitel ©2011 EDQM, Council of Europe, All rights reserved 24 Notification of National Monographs • According to the Guide for Work, delegations must notify the Commission of any creation/revision of National Monographs that may be within the scope of the Ph. Eur.: – Information is sent by the NPA to the Secretariat. – Proposals are then distributed by the Secretariat to all delegations. – Item added to the work programme: • If at least 2 delegations are interested, • If the text is within the scope of the Ph. Eur. • If no delegation is opposed to it. Susanne Keitel ©2011 EDQM, Council of Europe, All rights reserved 25 New Monographs • Addition to programme depends on: – therapeutic importance – extent of use – number of countries in which product is approved – known quality problems Susanne Keitel ©2011 EDQM, Council of Europe, All rights reserved 26 Revision: Why? • Impact of globalisation: new sources (may) have new impurity profiles • Revision requests from European Licensing Authorities or the EDQM Certification Division (CEP) • New quality issues arise • Analytical methods change: more convenient methods, more powerful methods, more reliable methods become available • International harmonisation (PDG, ICH, VICH) Susanne Keitel ©2011 EDQM, Council of Europe, All rights reserved 27 How Standards Are Regularly Reviewed and Revised To Stay ‘State of The Art’ Increased demand for Generic and Biosimilar products Developments in Regulatory Environment e.g. Guidelines, ICH Q8/Q9/Q10/Q11, REACH e.g. New sources Need to regularly review and update Ph Eur texts _ need to create new texts Scientific / technical evolutions New risks to Public Health e.g. Genotoxic impurities, TSE, contamination/ falsification (heparins) e.g. Fast LC, NIR, PAT, new molecules, new therapies e.g. CT Developments in Manufacture and Globalisation e.g. continuous manufacturing, changed routes of synthesis 28 Pharmeuropa • is the European Pharmacopoeia Forum containing draft monographs and texts for public comment • 4 issues per year • 4 comment deadlines per year • As of Jan 2012, i.e. Pharmeuropa 24.1, will be paperless and free • Texts will be published on ongoing basis, while comment deadlines will stay as before • Trial period (both online and print available): – 23.3 and 23.4 access for ANPs – 23.4 access for general public Susanne Keitel ©2011 EDQM, Council of Europe, All rights reserved 29 30 Publication and Implementation • The text is first published in Pharmeuropa for information and posted on the EDQM website. • Ph. Eur. texts are implemented usually 1 year after adoption by the Commission and about 6 months after publication. • Ph. Eur.: 3 supplements per year and 1 new edition every 3 years. Susanne Keitel ©2011 EDQM, Council of Europe, All rights reserved 31 Reference Standards • Most monographs require at least one reference standard • The reference standard underpins the quality standard • Established and monitored by the EDQM Laboratory • Produced and distributed by the Reference Standards Division 2200 reference standards • Since 2010, EDQM is also responsible for WHO’s ICRS portfolio Susanne Keitel ©2011 EDQM, Council of Europe, All rights reserved ouncil of Europe, All rights reserved 32 Ph. Eur. International Activities • 36 European Member States and EU • 22 observer countries and WHO • MoU‘s and Confidentiality Agreements with NIFDC, FDA, TGA.... • Pharmacopoeial Discussion Group (PDG) • Collaboration in the establishment of reference standards • .... 33 Key Documents • Convention on the Elaboration of a European Pharmacopoeia http://www.edqm.eu/medias/fichiers/1964_PhEur_Convention_English.pdf • Protocol to the Convention on the Elaboration of a European Pharmacopoeia http://www.edqm.eu/medias/fichiers/1994_Protocol_PhEur_English.pdf • Rules of Procedure of the European Pharmacopoeia Commission http://www.edqm.eu/medias/fichiers/Rules_of_Procedure_of_the_European_Pharmacopoeia_C.pdf • Guide for the Work of the European Pharmacopoeia http://www.edqm.eu/medias/fichiers/PAPHSG_10_42_DEF_Guide_for_the_work_of_the_Europea.pdf • Code of Practice for the Work of the European Pharmacopoeia http://www.edqm.eu/medias/fichiers/Code_of_Practice_for_the_Work_of_the_European_Phar.pdf Susanne Keitel ©2011 EDQM, Council of Europe, All rights reserved 34