CAMEVET PROCEEDINGS III REVIEW DATA in BRAZIL: HOMEOPATHIC COMMISSION - SINDAN August 04, 2014 GUIDE TO REGISTER PRODUCTS HOMEOPATHIC FOR VETERINARY USE SÃO PAULO, BRAZIL August 2014 Page 2 of 16 GUIDE TO REGISTER PRODUCTS HOMEOPATHIC FOR VETERINARY MEDICINE 1. INTRODUCTION Currently, in the practice of Veterinary Medicine, there is an increasing demand for homeopathic products. The worldwide trend is to treat the animals with substances of natural origin, seeking to reduce the indiscriminate use of active ingredients with undesirable secondary effects. For this reason, among the functions of regulatory bodies in each country, there are the legislating and harmonizing the use of homeopathic products in Veterinary Medicine, in order to verify the compliance with strict requirements on Manufacturing, Inspection and Quality Control. 2. PURPOSE AND SCOPE: Establish requirements for registering homeopathic products for veterinary use. This document includes all persons, natural or juridical, engaged in the production, production by agreement and import of veterinary homeopathic products, wishing to register homeopathic veterinary products with the purpose to market them. 3. DEFINITIONS. For purposes of this document, the following were adopted: 3.1 GOOD MANUFACTURING PRACTICES. Set of procedures and standards of technical character, intended to ensure the quality of homeopathic products in Veterinary Medicine. 3.2 HOMEOPATHIC STRAIN OR PARENT DYE. It is the whole primary preparation from raw materials of animal, vegetable, mineral or synthetic origin, used as a starting point for homeopathic preparations. 3.3 TAG OR LABEL. Is the printed information, under any system, that should be in the primary packaging, whatever is its type of material. Page 3 of 16 3.4 EXCIPIENT OR INERT INGREDIENT. It's that compound or mixture of compounds that, at concentrations present in a pharmaceutical form, does not have any activity or drug-drug reaction (pharmacological). 3.5 OFFICIAL HOMEOPATHIC PHARMACOPOEIAS. For purposes of this document, are accepted as Official Homeopathic Pharmacopoeia, in their latest editions in force, the European Union, United States of North America, Germany, France, England, India, Mexico, Brazil and others that the official organ deems appropriate to welcome, provided they are recognized worldwide. 3.6 PHARMACEUTICAL FORM. Physical form of a pharmaceutical preparation, sterile or not, whose purpose is to facilitate the administration and dosage of a drug. 3.7 PACKAGE INSERT. It is the complementary information to that expressed on the label or product packaging. 3.8 BATCH. Amount of a veterinary input produced in a single manufacturing cycle. The essential feature of the batch is its homogeneity and identification by numbers, letters or a combination of both. 3.9 HOMEOPATHIC PRODUCT FOR VETERINARY USE. It is the pharmaceutical preparation obtained from Strains or homeopathic Parent Dyes, according to the preparation rules described in the official homeopathic pharmacopoeia, with the purpose to: prevent the disease, alleviate, cure, treat and/or rehabilitate an animal individually or; prevent the disease, alleviate, cure, treat and/or rehabilitate the animals and promote the zoo-technical performance of livestock, individually or the entire herd or batch. 3.10 BIOTHERAPEUTICS - are pharmaceutical preparations obtained from biological products, chemically undefined, such as; secretions, tissues, bodies, products of microbial origin, helminthes, arthropods, hemoparasites, larval stages, cysts, eggs and embryonic stages of animals. These preparations may be of pathological origin (nosodes) or not pathological origin (Sarcodes), and must be prepared according to the official Homeopathic Pharmacopoeia of election. 3.11 REFERENCE COUNTRIES. For purposes of this document, the reference countries are Member States of OIE - International Organization of Epizootics and the others that the official body deems appropriate to nominate, whenever it counts on the experience of the subject. Page 4 of 16 3.12 ACTIVE INPUT. It is the starting point for the preparation of homeopathic product, which constitutes a drug, medicine, parent dye and derived pharmaceutical form. 3.13 THERAPEUTIC INDICATION. are several properties that an homeopathic product can have to prevent diseases and balance the animal or herd, improving its individual animal performance or collectively or restore the health of an animal or herd before a specific pathological picture, which justifies its use as a therapeutic. 3.14 ISOTHERAPY. Therapeutic technique that is based on the Law of Equals (Aequalia Aequalibus Curantur), whose use does not require a pathogenetic experimentation. 3.15 DILUTION. It is the reduction of the active input concentration by the addition of a suitable inert input. 3.16 STREAMLINING. The process of dilutions followed by succussion and/or successive crunches of the active ingredient in a suitable inert ingredient. 3.17 STRENGTH. It is a quantitative indication of the number of streamlining that a matrix or homeopathic drug received. 4. GENERAL PROVISIONS OF REGISTRATION. Registration will not be granted to the homeopathic product for veterinary use manufactured in the country in which the production and marketing of these products are not regulated and controlled. Will not be accepted homeopathic products whose composition contains parents dyes and dilutions before the fourth decimal or second hundreds, except those set in the homeopathic pharmacopoeia officially accepted and/or in the official monographs prepared by expert committees of reference countries or scientific papers, reports and references attesting the atoxicity at lower dilutions than the aforementioned, or when they are used for the preparation of pharmaceutical forms for external use only. The degree of dilution of homeopathic drug must ensure its innocuousness. Page 5 of 16 Changes in the composition of the homeopathic product, relating to the parent dye or homeopathic strain, dilution, streamlining scale or pharmaceutical form, will require a review of the record, adapting to the Label, Package Insert, etc... Homeopathic products for veterinary use have a time of shortage of zero (0) days, provided that its concentration meets the requirements listed above. If a product shows previous dilutions of the fourth decimal, the time of shortage specified in the labeled shall not be less than seven (7) days for the eggs, for the milk and for meat. Nevertheless, times of shortage mentioned may be modified if present scientific studies that advocate different times. Any change in the processes and materials of the container determines the execution of a new stability study and submission of the respective report. 5. REGISTRATION VETERINARY USE. REQUIREMENTS OF HOMEOPATHIC PRODUCTS FOR Every duly qualified legal Establishment may produce, market and register homeopathic products for veterinary use, provided that they keep the items described below. Every person, natural or juridical, interested in marketing and register homeopathic products for veterinary use which are produced in another country, should appear before the official organ, registration application for each product separately, with the following information and attachments: 5.1 GENERAL REQUIREMENTS 5.1.1 Count on the registry to perform activities of: Manufacturer, Producer by Agreement or Importer of homeopathic products for veterinary use, granted by the National Competent Authority (ANC). 5.1.2 Presenting a registration application signed by the applicant. The technical documents must be signed by the relevant responsible professional (Veterinary Doctor and/or Pharmacist). Page 6 of 16 EXPLICATIVE / COMPLEMENTARY NOTES When dealing about the IMPORTER, the technical documents must be accompanied by an official public or sworn translation (Apostille or Consular Survey) and official certifications. The texts must be in the language of the country where the product will be registered. 5.1.3 Documents that include the following information: A) Name or corporate name of the registrant, the home address of the factory, warehouse or storage facility. B) Scientific name of the strain or homeopathic parent dye. C) Trade name of the homeopathic product D) Route of administration. E) The pharmaceutical form, streamlining, power and production method. Possible pharmaceutical forms are all usually allowed in Veterinary Medicine, as well as those described in the official Pharmacopoeia. F) Animal species for which they are indicated. G) Commercial presentations, specifying the type and material of the container and packaging. H) Information on precautions, contraindications and timing of proposed lack. I) Composition of homeopathic product, indicating separately the strain or homeopathic parent dye (identified with the scientific name in Latin with a graphical font in italic and respective botanical, zoological, chemical or biological names), followed by the dilution and streamlining scale as the official homeopathic pharmacopoeia current used, excipients and the amounts employed. 5.1.4 Attach the Report or Technical Report that describes: the obtainment and certification of the quality control of the parent dye or homeopathic strain, indicating edition and full name of the official homeopathic pharmacopoeia used, quality and quantity of active ingredients with the method of preparation of strains or homeopathic parent dyes, observing the pattern or degree of quality described in the monographs of the official homeopathic pharmacopoeia accepted in each country, for each active ingredient; for the case of an active ingredient that is not an official homeopathic pharmacopoeia, it should be demonstrated a pattern or degree of quality similar to other strains or homeopathic parent dyes described in the official Pharmacopoeia. Page 7 of 16 In the case of inert excipients or inputs, it must demonstrate their quality and ensure the origin. For homeopathic products for veterinary use containing Biotherapeutics, the Report must include a description of measures taken to ensure the elimination of any pathogenic agent. 5.1.5 Description of the manufacturing process according to the pharmaceutical form, indicating the dilution method, streamlining scale and pharmacopoeia used. If the route of administration of homeopathic product for veterinary use is parenteral, they should include evidence of sterility and apyrogenicity. 5.1.6 Description of the specifications and results of the quality control: microbiological, physical-chemical and others, described by the monographs of the official homeopathic pharmacopoeia employed for the finished product. 5.1.7 Stability Study Report of the pharmaceutical form of the drug which allows for the establishment of the expiration date and storage conditions. The report must include the following: A) Full Description of the product object of registry. B) Specifications: physical, chemical and microbiological of the product. C) Parameters to Evaluate: physical, chemical or microbiological, according to the pharmaceutical form. D) Duration of the Study: as a minimum, the expiration date of which is intended for the product, or the duration described in the Accelerated Stability studies of each country. E) Packing: studies should be developed in the same primary packaging in which the product will be marketed. Indicate the specifications of the primary packaging. When a product has packaging with various specifications, the Stability Study will be made for each one of them. For products whose commercial presentation is greater than one (01) kilo or one (01) liter, the Stability Studies can be made in smaller presentations, in packages that have the same features and specifications of those in which the product will be marketed. Page 8 of 16 F) Number of Batches: the Stability study should include at least one (01) industrial batch identified. The size (kilograms / milliliter) of each product batch must be indicated. G) Samples for each Batch: those necessary according to the pharmaceutical form, the commercial presentation and type of packaging, for analyses to be performed, in at least three independent samples at the times indicated. H) Sampling Times: at time zero (0) and a time for every year of the product's life. The final analysis should be done on the edge of the product's life that if you want to ask, except as described in item D, on the Accelerated Stability studies. I) Temperature and Relative Humidity (RH - when applicable): Identify and justify the temperature and relative humidity, chosen for the study. The company should take a permanent record of these parameters. The conditions of the stability study should match the climate zone of the country you intend to market the product. J) Analysis: description of the parameters analyzed according to the official homeopathic pharmacopoeia employed. K) Summary of data obtained in different times of sampling until the end of the expiration period proposed, including the assessments and conclusions of the study. EXPLANATORY NOTE: for the homeopathic products, the lifetime is at most five (5) years. 5.1.8 Three color copies of the final arts on the product label (tag, box and package insert, if included). 5.1.9 If the homeopathic product to be registered is not produced by the applicant, but is manufactured in the country, attach a copy of the Manufacturing Agreement and Quality Control entered into with a manufacturer of homeopathic products registered with the official body. Also present existing certificate before the official body in Good Manufacturing Practices or an equivalent document, and if the product in question is remanufactured, attach a copy of the Agreement entered with a Quality Control Laboratory registered before the official body, if it does not have its own laboratory or if all quality tests required for homeopathic products are not made in it. Page 9 of 16 5.1.10 For products not produced in the country, should be enclosed with the application: A) Original of the certificate of free sale in the country of origin, issued by the competent authority or official certification that explains the reason for which it is not registered, with the issuance date not exceeding twelve (12) months of the application for registration. This certificate must express the following: Product composition, identifying each of the parent dyes or homeopathic strains with their respective classifications, botanical, zoological, chemical or biological, in Latin, followed by dilution and scale of dynamics, according to the official homeopathic pharmacopoeia used, excipients and inert ingredients and quantities used. Pharmaceutical form. The registrant. Name of manufacturer. Number and expiration date of the registration. B) Official certificate of the country of origin, certifying that the manufacturer observes the Good Manufacturing Practices or equivalent document. C) Expressed authorization from the owner of the product in the country of origin, to process the record and market the product. 5.1.11 Certificate of the brand or freedom to use it, issued by the competent authority, where it applies, or Agreement between the parties allowing its use. 5.1.12 Scientific documentation justifying the therapeutic usefulness of homeopathic veterinary product (homeopathic medical subjects, official monographs of the components developed by expert committees of reference countries, recognized scientificcharacter publications and scientific studies available). 5.1.13 Proof of payment according to the current rate established by the official body. Page 10 of 16 6. SPECIFIC REQUIREMENTS 6.1 EVALUATION OF THERAPEUTIC UTILITY OF VETERINARY HOMEOPATHIC PRODUCTS FROM NON-BIOLOGICAL STRAINS AND NOT INCLUDED IN PHARMACOPEIA: To make the evaluation of the therapeutic utility of homeopathic veterinary products from strains or homeopathic parent dyes, that used raw materials of non-biological origin, not included in any of the official homeopathic pharmacopoeia, it is considered as a minimum the following criterion: 6.1.1 Justification and defense of the strains or combination of them in their respective dilutions, supported by a scientific documentation: A) Monograph of the strain(s) not included in the pharmacopoeia, the strain must be authorized in the composition of a homeopathic product in, at least, one reference country. For the assessment effects of homeopathic strain, it must attach the information regarding the description of the raw material, the method of preparation and their specifications, as well as the certificate of quality control. B) Report of the homeopathic use of strain, based on studies of pathogenetic trials, studies of natural or experimental toxicological effects or document corresponding to any of the health authorities or organizations accredited by the same, the reference countries to certify the use or potential homeopathic use of said strain (similarity or equality). 6.1.2 EVALUATION OF THERAPEUTIC UTILITY OF HOMEOPATHIC VETERINARY PRODUCTS FROM BIOLOGICAL STRAINS: To obtain the registration, the homeopathic products of biological origin must comply with the requirements established in number five point one (5.1) of this document and those listed below: A) That the strains or homeopathic parent dyes are expressed in any official homeopathic pharmacopoeia in force in the Reference Countries. B) Certificate issued by the health authority of at least one reference country, stating that the product is approved and marketed in that country. Page 11 of 16 C) That fulfills the requirements of quality required to ensure the elimination of pathogenic agents. D) Certificate of fulfillment of Good Manufacturing Practices from the laboratory manufacturer, issued by the competent health authority or similar document stating the authorization for its production. EXPLANATORY NOTE: The national manufacturers laboratories may manufacture strains or homeopathic parent dyes and homeopathic veterinary products obtained from raw materials of biological origin, as long as the strain is authorized in the composition of a homeopathic product, at least one reference country, and count on the ANC written authorization, except in cases of Technological Innovation (see 6.1.3.C). 6.1.3 EVALUATION OF THERAPEUTIC UTILITY OF NON-PHARMACOPOEICAL BIOTHERAPICS HOMEOPATHIC VETERINARY PRODUCTS: In the case of homeopathic veterinary products of biological origin (biotherapics) containing strains not included in any of the official homeopathic pharmacopoeia, it must observe the provisions in number six point one point two (6.1.2), except the statement in the letter A. For the purpose of making the assessment of therapeutic utility, it must take into account, as a minimum, justification and defense of the strains or combination of them in their respective dilutions, supported by scientific documentation: A) Monograph of strain(s) not included in pharmacopoeia(s). The strain must be authorized in the composition of a homeopathic drug for at least one referenced country. For the assessment effects of homeopathic strain, it must attach the information regarding the description of the raw material, the method of preparation of the parent dye and their specifications, as well as the certificate of quality control, or, B) Report of the homeopathic use of strain, based on studies of pathogenetic trials or document of any health authority or organizations accredited by the same, the reference countries to certify the use or potential homeopathic use of said strain, or, Page 12 of 16 C) Document that justifies that such strain is the result of a TECHNOLOGICAL INNOVATION, the use of which is based on the therapeutic isotherapy and not of pathogenetic trials or other type of indication applicable. 7. MEDICAL MATTERS. For purposes of this document, the following Medical Matters are accepted: Medical Matter of Hahnemann, William Boericke, James Tyler Kent, B. Nash, H. Allen, Lathoud, Leon Vannier, Bardoulat, Bernardo Vjjnovsky, Pharmacology and Medical Matter of Jacques Jouanni, Dennis DemarqueCrapanne, Farrington, Hans Reckeweg, Phatak, George Vithoulkas, J. Clark, Quinquandon, H, Pigot, Tyler, M and others, as well as Text Books, that the official body deems appropriate to host. 8. RESEARCH ACTIVITIES. Homeopathic laboratories can start the researches, for the purpose of obtaining dyes or strains with the object of carrying out the preparation of homeopathic products, if and when, presenting the official body of research protocols and data sheets of products, so that is authorized the favorable prior research concept. 9. LABELING. The final arts of the label, box and package insert of homeopathic veterinary products must: 9.1 Include the following information: A) Name of the owner of record. B) Product name or scientific name of the strain or strains, followed by the dilution degree, using the symbols of official homeopathic pharmacopoeia employed. C) Composition of the drug, identifying each of the homeopathic strains used with respective name, botanical, zoological, chemical or biological in Latin, dilution and scale of streamlining, as the official homeopathic pharmacopoeia in force employed, quantity of each dilution and reference of the inputs inert used. D) Pharmaceutical Form. E) Route of administration. F) Animal species for which the medicine or product is intended for. G) Therapeutic indications and dosage should be included in the labeling, as well as the sentence "Indications and dosage at the discretion of the veterinarian." Page 13 of 16 H) Liquid content expressed in units of the decimal or International metric system. I) Manufacturing date and batch. J) Expiration date. K) Registration number of official authority. L) When it is about a product manufactured by third parties, shall bear the manufacturer's name. For imported products, must show the country of origin and the name of the importer. The imported products, with fractionation or filling process in the importing country, must show the legal name of the person who performs it. M) Instructions on conservation and storage conditions of the product. N) Precautions and contraindications. O) The expressions: stay out of the reach of children, keep away from electrical appliances or that emit electromagnetic waves, sale under prescription by a veterinary doctor, lack of time or equivalent terms, should be written so that they are easy to read. 9.2 The label should carry, as a minimum, the following information: Product name and holder of the record, the term "homeopathic product for veterinary use", batch, expiration date and registration of the official authority. 9.3 The label must be in the language of the country which will be marketed and may be in another language required by the holder, with the exception of information concerning the name of the strain or homeopathic parent dye that should appear in Latin. 9.4 When the commercial presentation of the product is not accompanied by a box or a package insert, all the information required on the label must appear on the label. 9.5 The characters used on the label should be presented in dimensions that allow its easy reading. 10. OBLIGATIONS. 10.1 The areas used for the production and packaging of homeopathic veterinary products should be used exclusively for these activities and must comply with the Good Manufacturing Practices. Page 14 of 16 10.2 The parent dyes or homeopathic strains and the base dilutions industrially developed can only be manufactured by homeopathic pharmaceutical laboratories legally allowed to comply with the Good Manufacturing Practices as determined herein. 10.3 When the product is presented in a collective package for retail or counter sale, it is mandatory to include a package insert for each unit of sale contained. 10.4 The holders of record of the products must meet the pharmacovigilance requirements established by the ANC. 11. SAFETY OF THE HOMEOPATHIC PRODUCT FOR VETERINARY USE: For security purposes with the use of homeopathic products on animals and livestock populations, comply with the following assumptions are mandatory: 11.1 INNOCUOUSNESS: the homeopathic product for veterinary use should be innocuous (absence of pathogens), while its packaging is inviolate and within the expiration date. Quality controls should be validated and monitored. 11.2 DISPOSAL OF PRODUCTS: intermediate homeopathic preparations, active ingredients and finished products for disposal must have the appropriate destination, according to their category and environmental risk, always considering the peculiarities and lack of toxicity from the homeopathic manufacturing process and environmental legislation in the country. This procedure should be described and the records maintained by the manufacturing laboratory. 12. REFERENCES Council Regulation (EEC) Nᵒ 2377/90. Laying down a Community procedure for the establishment of maximum residue limits of veterinary medicinal products in foodstuffs of animal origin. CPMP Committee for proprietary medicinal products. European Medicines Agency. 2003. Guideline on stability testing: stability testing of existing active substances and related finished products. Guideline 2009/9/CE of the Commission (February 10, 2009). Amending the Guideline 2001/82/CE of the European Parliament and of the Council by which a Community code on veterinary medicines is established. Page 15 of 16 Directive 2001/82/EC of the European Parliament and of the Council of 6 November 2001 on the Community code relating to veterinary products. Directive 2004/28/EC of the European Parliament and of the Council of 31 March 2004 amending Directive 2001/82/EC on the Community code relating to veterinary medicinal products. Irish medicines board. 2008. Guide to the registration of homeopathic veterinary medicinal products. MAPA Ministry of Agriculture, Livestock and Supply. Agriculture Defense Secretariat. 2001. Service Instruction No. 001/CPV. Coordinating supervision of veterinary products. ANVISA. Brazilian Homeopathic Pharmacopoeia 3rd edition. MAPA. Circular Letter 002 DFIP/DAS 03/28/2013 MAPA. Circular Letter 003 DFIP/DAS 4/10/2013 MAPA. Normative Instruction 46, as of 10/06/2011 Regulation (UE) No. 37/2010 of the Commission. Concerning pharmacologically active substances and their classification regarding the maximum residue limits in foodstuffs of animal origin. Regulation (CE) No. 470/2009 of the European Parliament and of the Council (May 06, 2009). By which to establish Community procedures for the establishment of LMR for pharmacologically active substances in foodstuffs of animal origin, the Regulation (CEE) No. 2377/90 of the Council is derogated and modifies the Guideline 2001/82/CE of the European Parliament and Council and the Regulation (CE) No. 726/2004 of the European Parliament and the Council. Page 16 of 16 12. AUTHORS: National Service of Animal Health of Costa Rica (SENASA). Institute of Veterinary Medicine of Ministry of Agriculture of Cuba. National Service of Sanitation, Innocuousness and Quality of Food Processing (SENASICA). National Association of Pharmaceutical Laboratories (ANALAC). National Association of Industrial Products for Animal Health (SINDAN). Brazil. National Chamber of Pharmaceutical Industry (INFARVET). National Association of Veterinary Products Laboratories (APROVET). National Federation of Traders (FENALCO) Colombian Agricultural Institute (ICA). São Paulo, August 04, 2014