Half-yearly performance reports July to December 2013 May 2014 Therapeutic Goods Administration About the Therapeutic Goods Administration (TGA) The Therapeutic Goods Administration (TGA) is part of the Australian Government Department of Health, and is responsible for regulating medicines and medical devices. The TGA administers the Therapeutic Goods Act 1989 (the Act), applying a risk management approach designed to ensure therapeutic goods supplied in Australia meet acceptable standards of quality, safety and efficacy (performance), when necessary. The work of the TGA is based on applying scientific and clinical expertise to decisionmaking, to ensure that the benefits to consumers outweigh any risks associated with the use of medicines and medical devices. The TGA relies on the public, healthcare professionals and industry to report problems with medicines or medical devices. TGA investigates reports received by it to determine any necessary regulatory action. To report a problem with a medicine or medical device, please see the information on the TGA website <http://www.tga.gov.au>. Copyright © Commonwealth of Australia 2013. This work is copyright. You may reproduce the whole or part of this work in unaltered form for your own personal use or, if you are part of an organisation, for internal use within your organisation, but only if you or your organisation do not use the reproduction for any commercial purpose and retain this copyright notice and all disclaimer notices as part of that reproduction. Apart from rights to use as permitted by the Copyright Act 1968 or allowed by this copyright notice, all other rights are reserved and you are not allowed to reproduce the whole or any part of this work in any way (electronic or otherwise) without first being given specific written permission from the Commonwealth to do so. Requests and inquiries concerning reproduction and rights are to be sent to the TGA Copyright Officer, Therapeutic Goods Administration, PO Box 100, Woden ACT 2606 or emailed to <tga.copyright@tga.gov.au>. Half-yearly performance reports, July to December 2013 Page 2 of 73 Therapeutic Goods Administration Overview What the TGA regulates The Therapeutic Goods Administration (TGA) is part of the Australian Government Department of Health, and is responsible for regulating therapeutic goods including prescription medicines, vaccines, sunscreens, vitamins and minerals, medical devices, blood and blood products. As part of the Department of Health, the TGA safeguards and enhances the health of the Australian community through effective and timely regulation of therapeutic goods. The TGA is responsible for ensuring that therapeutic goods available for supply in or exported from Australia are safe and fit for their intended purpose. These include goods Australians rely on every day, such as vitamin tablets and sunscreens, through to goods used to treat serious conditions, such as prescription medicines, vaccines, blood products and surgical implants. The TGA regulates the supply, manufacturing and advertising of these products: medicines prescribed by a doctor or dentist medicines available from behind the pharmacy counter medicines available in the general pharmacy medicines available from supermarkets complementary medicines, these include vitamins, herbal and traditional medicines medical devices, from simple devices like bandages to complex technologies like heart pacemakers products used to test for various diseases or conditions (in vitro diagnostic devices), such as blood tests; and vaccines, blood products, and other biologics; How the TGA regulates The Australian community expects therapeutic goods in the marketplace to be safe, of high quality and of a standard at least equal to that of comparable countries. The TGA regulates therapeutic goods through: pre-market assessment and market authorisation; post-market monitoring and enforcement of standards; and ensuring manufacturing facilities, whether in Australia or overseas, comply with internationally recognised standards. Therapeutic goods are divided broadly into three classes: biologicals, medicines and medical devices. Unless exempt, biologicals and medical devices must be 'included' and medicines must be entered as either 'registered' or 'listed' medicines on the ARTG before they may be supplied in or exported from Australia. If a problem is discovered with a medicine, device or manufacturer, the TGA is able to take a variety of regulatory actions. Possible actions vary and may include continued monitoring through to withdrawing the product from the market or in some circumstances referral to the Commonwealth Director of Public Prosecutions for possible prosecution in relation to criminal offences. Half-yearly performance reports, July to December 2013 Page 3 of 73 Therapeutic Goods Administration A summary of the processes used in regulation is depicted below: Regulating medicines The regulation of medicines includes the following features: classifying the medicine based on different levels of risk to the person taking them implementing appropriate regulatory controls for the manufacturing processes of medicines Medicines assessed as having a higher level of risk (prescription medicines, some nonprescription medicines) are evaluated for quality, safety and efficacy Ingredients in medicines with a lower risk (medicines purchased over the counter, such as complementary medicines) are required to meet standards for quality and safety Medicines determined to be available for lawful supply by the Therapeutic Goods Administration can be identified by either an AUST R number or an AUST L number on the outer packaging. Please note, there are a small number of medicines that are exempt and do not require this information on the label Once available for supply, medicines are subject to monitoring by the TGA. This monitoring includes a comprehensive adverse event reporting programme that allows safety problems to be identified and actions taken to minimise any further potential for harm to patients. Regulating medical devices The regulation of medical devices includes: classifying the medical device based on different levels of risk to the user assessing compliance with a set of internationally agreed essential principles for their quality, safety and performance implementing appropriate regulatory controls for the manufacturing processes of medical devices including the medical device in the Australian Register of Therapeutic Goods Half-yearly performance reports, July to December 2013 Page 4 of 73 Therapeutic Goods Administration Once available for supply, medical devices are subject to monitoring by the TGA. This monitoring includes a comprehensive adverse event incident reporting programme that allows for early identification of potential safety issues. Other therapeutic goods regulated by the TGA The TGA also applies a risk management approach to the regulation of: In vitro diagnostic medical devices (IVDs) blood blood components plasma derivatives tissue and cellular products tissue and cell based derivatives sterilants and disinfectants Key observations about the July to December 2013 report Market Authorisation Prescription medicines The number of Category 1 submissions (application to register a prescription medicine via the normal process) has remained relatively constant over the last year. However the number of applications per submission has decreased, likely due to a reduction in applications for different strengths being applied for or different dosage forms. No Category 2 submissions (application to register a prescription medicine with the same formulation, dosage and indications as in two acceptable countries or for which two independent evaluation reports are available) were received during the last year. Category 3 submissions (application to register or vary a registration that does not require clinical, pre-clinical or bioequivalence data) have been increasing over the last twelve months. Submissions other than for Category 1,2 and 3 have almost doubled in the last twelve months. Average processing times for Category 1 and 3 were well below the statutory timeframes of 255 days and 45 days respectively. Non-prescription medicines – over the counter (OTC) Applications decreased over the twelve month period Oct-Dec 2012- Oct-Dec 2013 but increased in the period June-Dec 2013 compared to the first half of 2013. The fluctuation in applications received over the last twelve months is likely due to a combination of: – the OTC team clearing a backlog of applications; and – an OTC Business Process Review in 2013. Average processing times for all types of applications continue to decrease and the number of new applications completed within the target timeframe has increased significantly. This is directly attributable to the progressive implementation of a new application classification framework being developed as part of the OTC Business Process Review Half-yearly performance reports, July to December 2013 Page 5 of 73 Therapeutic Goods Administration Non-prescription medicines – complementary medicines There were no new applications received for registered complementary medicines during Jul-Dec 2013. This is consistent with past reporting periods. The number of new listed complementary medicines and sunscreens shows variability over time and has increased sharply during Jul-Dec 2013. During Jul-Dec 2013 an upgrade of the electronic Business System for new listed medicine products came into production. The upgrade is more user friendly, providing more help and guidance for users and this upgrade may be linked to the increase in applications received. Medical Devices In 2013, joint implants were up classified to Class III. This is shown in the large increase in applications received, completed and on hand during Apr-June 2013 relative to the applications for Jul-Dec 2013. The number of application audits for medical devices reduced between Jul-Dec 2013 due to a more targeted approach to post-market activities with work more closely focussed on regulatory non-compliance that could result in significant public health risks. Special Access Scheme for Medicines Category A notifications for use in terminally ill or seriously ill/life threatening conditions increased in Jul-Dec 2013 compared to the first half of 2013 but shows variability over time. Category B applications for use in patients other than those with terminally ill or seriously ill/life threatening conditions shows a trend to increasing applications. Post Market Activities Licencing and Manufacturing As at 31 December 2013 there were 417 Australian companies holding manufacturing licences covering 457 sites. During Jul – Dec 2013 90% of licence application inspections of Australian manufacturers were found to have satisfactory compliance and a further 8% were found to have marginal compliance. As at 31 December 2013 there were 433 overseas manufacturers covering 433 sites. During Jul-Dec 2013 79% of certification inspections for assessment and approval of overseas manufacturers were found to have satisfactory compliance and a further 21% were found to have marginal compliance. Medicine Recalls During Jul-Dec 2013 there were 25 medicine recalls. The average number of medicine recalls for a six month period over the last three years is 22. Medical Device recalls During Jul-Dec 2013 there were 305 medical device recalls. The average number of medical device recalls for a six month period over the last three years is 256. Half-yearly performance reports, July to December 2013 Page 6 of 73 Therapeutic Goods Administration Biologicals recalls There were no biologicals recalls during Jul-Dec 2013. Adverse medicine reaction reports Reporting of adverse medicine reactions has increased since 2012. This may reflect recent action taken by TGA to encourage reporting not only from sponsors but also from Pharmacists, GPs and State/Territory health authorities and therefore indicate greater awareness of the importance of reporting adverse reactions. Regulatory Compliance During Jul –Dec 2013 the TGA dealt with 591 alleged offences. Key statistics July to December 2013 report Total products on the Australian Register of Therapeutic Goods (ARTG) Category Biologicals Prescription medicines OTC medicines Listed medicines Registered Complementary Medicines Export only medicines IVDs Medical Devices Total Number 2 13,720 3,177 12,164 193 2,706 1,205 45,655 78,822 Recall information Recall Level Recalls to consumer level Recalls to retail level Recalls to hospital level Recalls to wholesale level Total recalls Medicines 4 5 14 2 25 Devices 11 11 280 3 305 Individual human blood recalls to hospital level for Jul 2012-Jun 2013 total 1980. Adverse medicine reaction reporting Incoming Medicine ADR reports Hospitals Companies General Practitioners Specialists Pharmacists Members of the Public (Consumer) Nurses, dentists, complementary State/Territory Health Department General list (cause unclear) includes rejected and withdrawn Total Half-yearly performance reports, July to December 2013 941 5,085 357 117 717 273 76 1,276 1,256 10,098 Page 7 of 73 Therapeutic Goods Administration Medical Device incident reports Number of reports received User reports Sponsor reports Total received 898 2,115 3,013 Medicines applications received by TGA Number of medicine registrations processed Prescription Medicines New medicine entries Changes (major and minor) Cancellations OTC Medicines New medicine entries Changes (major and minor) Cancellations Complementary Medicines New medicine entries Changes (major and minor) Cancellations Number of listings processed Medicines for supply in Australia New medicine entries Changes (major and minor) Cancellations Medicines for export only New medicine entries Changes (major and minor) Cancellations 1,013 9,979 77 89 176 9 1 12 0 954 183 207 76 22 19 Devices applications received by TGA Number of medical device inclusions processed Included medical devices New entries Cancellations Included medical devices for export New entries Cancellations Included IVD medical devices New entries Cancellations Included IVD medical devices for export New entries Cancellations Other therapeutic goods New entries Cancellations Other therapeutic goods for export New entries Cancellations Half-yearly performance reports, July to December 2013 3,284 639 170 42 267 8 5 0 18 18 0 0 Page 8 of 73 Therapeutic Goods Administration Detailed Statistical Information Contents Market authorisation 11 Prescription medicines ___________________________________________________ 11 Category 1 application _________________________________________________________________ Category 2 application _________________________________________________________________ Category 3 application _________________________________________________________________ Category 0 application _________________________________________________________________ Application/submission _______________________________________________________________ Workflow of Category 1, 2 and 3 applications/submissions ________________________ Processing times _______________________________________________________________________ 11 11 11 11 11 12 17 Non-prescription medicines – over the counter medicines _________ 19 Workflow of applications ______________________________________________________________ 19 Processing times _______________________________________________________________________ 21 Applications in progress _______________________________________________________________ 22 Non-prescription medicines – export only medicines________________ 23 New applications, variations and processing times__________________________________ 23 Export certifications for medicines ___________________________________________________ 26 Non-prescription medicines – complementary medicines __________ 27 Registered complementary medicines for supply in Australia ______________________ 27 Listing of new ingredients and medicines for supply in Australia __________________ 27 Registration of Human Cells and Tissues ______________________________ 29 Workflow of applications ______________________________________________________________ 29 Inclusion of medical devices _____________________________________________ 29 Class 1 medical devices ________________________________________________________________ Class 1 measuring and sterile medical devices _______________________________________ Class IIa medical devices ______________________________________________________________ Class IIb medical devices ______________________________________________________________ Class III and AIMD medical devices ___________________________________________________ Medical device (non-IVD) applications selected for application audit _____________ Medical device (non-IVD) application outcomes_____________________________________ 29 30 30 31 31 32 33 Medical device conformity assessment applications _________________ 33 Conformity assessment application workflow _______________________________________ 33 Inclusion of in vitro diagnostic medical devices in the ARTG _______ 34 All classes of IVD application workflow ______________________________________________ In vitro diagnostic medical device applications selected for application audit – Quarter 1, 2013/14 ____________________________________________________________________ In vitro diagnostic medical device applications selected for application audit – Quarter 2, 2013/14 ____________________________________________________________________ In vitro diagnostic medical device applications selected for application audit – Quarter 1, 2013/14 ____________________________________________________________________ In vitro diagnostic medical device applications selected for application audit – Quarter 2, 2013/14 ____________________________________________________________________ In vitro diagnostic applications received by class ___________________________________ Class 1 in vitro diagnostic medical devices ___________________________________________ Class 2 in vitro diagnostic medical devices ___________________________________________ Class 3 in vitro diagnostic medical devices ___________________________________________ Class 4 in vitro diagnostic medical devices ___________________________________________ In vitro diagnostic medical device application outcomes ___________________________ In vitro diagnostic medical device conformity assessment applications ___________ 34 34 35 35 36 36 37 37 38 38 39 39 Export certifications for medical devices ______________________________ 40 Blood permits processed _________________________________________________ 40 Half-yearly performance reports, July to December 2013 Page 9 of 73 Therapeutic Goods Administration Access to Unapproved Therapeutic Goods _____________________________ 41 Clinical Trial Notification Scheme - medicines _______________________________________ Clinical trials – medical devices _______________________________________________________ Clinical trials – biologicals _____________________________________________________________ Special Access Scheme - medicines ___________________________________________________ Special Access Scheme – medical devices ____________________________________________ Special Access Scheme – biologicals __________________________________________________ Authorised Prescribers ________________________________________________________________ Import permits _________________________________________________________________________ 41 43 43 44 45 45 46 46 Orphan drug designations ________________________________________________ 46 Post-market activities 47 Licencing and manufacturing ____________________________________________ 47 Manufacturing Licences _______________________________________________________________ 47 Certifications ___________________________________________________________________________ 48 Clearances ______________________________________________________________________________ 49 Laboratories and scientific services ____________________________________ 50 Laboratory testing _____________________________________________________________________ 50 Recalls _______________________________________________________________________ 53 Medicine recalls ________________________________________________________________________ 53 Medical device recalls _________________________________________________________________ 54 Adverse medicine reaction reports _____________________________________ 55 Incoming adverse medicine reaction notifications __________________________________ 55 Communications and Publications ____________________________________________________ 56 Other Publications: ____________________________________________________________________ 56 Listed Medicine Reviews__________________________________________________ 57 New and completed reviews __________________________________________________________ 57 Listing Compliance Review Outcomes ________________________________________________ 58 Medical device post market reviews ____________________________________ 59 Regulatory compliance – random reviews ___________________________________________ 59 Regulatory compliance – restricted word reviews __________________________________ 59 Regulatory compliance – targeted reviews___________________________________________ 59 Medical device incident reports _________________________________________ 60 Medical device incident reports received ____________________________________________ Australian incident notification workflow ___________________________________________ Australian incident notification response times _____________________________________ Incident notification outcomes________________________________________________________ 60 60 60 61 Regulatory compliance ___________________________________________________ 62 Alleged offences by type _______________________________________________________________ Final action taken ______________________________________________________________________ Dosage forms of products investigated _______________________________________________ Product category of products investigated ___________________________________________ Special interest investigations ________________________________________________________ Investigations by complainant type __________________________________________________ Investigations complainant type and state/territory ________________________________ 62 62 63 63 64 64 65 Australian Register of Therapeutic Goods _____________________________ 65 New, variations and cancelled records _______________________________________________ 65 Registration of products _______________________________________________________________ 67 Yearly summary of activities __________________________________________________________ 69 Abbreviations used in the report ________________________________________ 71 Management of data from manual sources ____________________________ 72 Half-yearly performance reports, July to December 2013 Page 10 of 73 Therapeutic Goods Administration Market authorisation Prescription medicines Definitions and specified periods (statutory time limits) Category 1 application An application to register a prescription medicine via the normal process of evaluation. Examples of Category 1 applications are new substances, extensions of indication, and new routes of administration. Specified periods For processing of applications – 40 working days From acceptance of application to Delegate’s decision – 255 working days Category 2 application An application to register a prescription medicine with the same formulation, dosage and indications as in two acceptable countries and for which two independent evaluation reports are available. Specified periods For processing of applications – 20 working days From acceptance of application to Delegate’s decision – 175 working days Category 3 application An application to register or to vary the registration of a prescription medicine where the application does not require the support of clinical, pre-clinical or bio-equivalence data, e.g. Change in site of manufacture. Specified period Period in which to raise an objection – 45 working days Category 0 application All prescription medicine applications received at TGA prior to the commencement of evaluation time restrictions provided in legislation, and new non-categorised applications. Application/submission In the case of prescription medicines, an “application” relates to a single change to a single product. A “submission” typically includes a number of applications all submitted at the one time. The Office of Medicines Authorisation tracks each submission and each product application within each submission. Half-yearly performance reports, July to December 2013 Page 11 of 73 Therapeutic Goods Administration Workflow of Category 1, 2 and 3 applications/submissions Figure 1 - Category 1 workflow (no Category 2 submissions received) 600 Number of submissions 500 400 300 200 100 Pre-submissions received Oct-Dec 2013 Jul-Sep 2013 Apr-Jun 2013 Jan-Mar 2013 Oct-Dec 2012 0 Submissions finalised On hand at end of reporting period Figure 2 - Category 3 workflow 450 Number of submissions 400 350 300 250 200 150 Submissions received Submissions finalised Half-yearly performance reports, July to December 2013 Oct-Dec 2013 Jul-Sep 2013 Apr-Jun 2013 Jan-Mar 2013 Oct-Dec 2012 100 On hand at end of reporting period Page 12 of 73 Therapeutic Goods Administration Table 1 - Workflow of Category 1 & 2 Pre-submissions and Category 3 submissions 2012 Oct-Dec 2013 Jan-Mar Apr-Jun Jul-Sep Oct-Dec Pre-Submissions/Submissions received* 428 486 408 474 555 Submissions finalised** 411 400 500 477 545 On hand at end of reporting period 662 748 656 653 663 Pre-Submissions received* 104 111 108 107 128 Submissions finalised** 88 77 114 127 103 On hand at end of reporting period 506 540 534 514 539 Pre-Submissions received* 0 0 0 0 0 Submissions finalised** 0 0 0 0 0 On hand at end of reporting period 0 0 0 0 0 Submissions received 324 375 300 367 427 Submissions finalised** 323 323 386 350 442 On hand at end of reporting period 156 208 122 139 124 Overall Category 1 Category 2 Category 3 *Includes submissions in the Pre-Submission stage **Includes submissions withdrawn or rejected at acceptance for evaluation stage Half-yearly performance reports, July to December 2013 Page 13 of 73 Therapeutic Goods Administration Table 2 - Category 1 Pre-submissions received by fee category and the number of submitted applications for those Pre-submissions (no Category 2 Pre-submissions received) 2012 Oct-Dec 2013 Jan-Mar Fee category Pre Subs Apps Pre Subs Apps Pre Subs Apps Pre Subs Apps Pre Subs Apps New Chemical Entity 13 64 16 61 12 35 11 24 13 n/a* Extension of indications 3 9 9 24 13 46 7 21 9 n/a* Major variation 12 98 7 29 13 57 10 52 8 n/a* New generic product 47 645 49 357 29 256 43 361 32 n/a* Additional trade name 12 97 5 24 14 66 7 42 6 n/a* Minor variation 3 9 3 11 2 12 4 3 10 n/a* Changes to PI involving evaluation 14 44 22 81 25 79 25 104 17 n/a* All Others 0 0 0 0 0 0 0 0 33 n/a* Total 104 966 111 587 108 551 107 608 128 n/a* Apr-Jun Jul-Sep Oct-Dec Notes (reference to Table 2): A Submission is one or more applications from the same sponsor, with the same active ingredient, submitted at the same time. An Application corresponds to a single ARTG entry. A streamlined submission process involving pre-submissions was introduced with effect from 1 November 2010. There is a delay of at least 2 ½ months from the time a sponsor lodges a PreSubmission until they submit a submission that can include many applications. * A sponsor has a minimum of at least 2 ½ months to submit their submission and application from the receipt of the Pre-submission. At the time of reporting no applications have been received for these Pre-submissions. The numbers of category 1 submissions received were constant during the reporting period however the number of applications per submission decreased. This is likely due to a reduction in the applications for different strengths being applied for and different dosage forms (I.E. 10mg Blister pack, 10mg Bottle, 20mg Blister pack, 20mg Bottle). Half-yearly performance reports, July to December 2013 Page 14 of 73 Therapeutic Goods Administration Table 3 - Submissions other than Category 1, 2 and 3 by reporting period 2012 Oct-Dec 2013 Jan-Mar Apr-Jun Jul-Sep Oct-Dec Safety related request 151 212 180 197 240 Self-assessable request 266 346 389 352 333 Minor editorial change to PI 13 18 76 132 167 Correction of error 8 26 29 50 37 Request for Orphan Drug Designation 8 3 5 5 5 Not yet determined 0 0 0 0 0 Total 446 605 679 736 782 Submission type Table 4 - Delegate’s decision made on submissions – Approved or rejected (see interpretation notes after Table 5) 2012 Oct-Dec 2013 Jan-Mar Apr-Jun Jul-Sep Oct-Dec Category 1 68 66 102 116 92 Category 2 0 0 0 0 0 Category 3 317 318 377 348 437 Total 385 384 479 464 529 Category 1 4 0 4 1 4 Category 2 0 0 0 0 0 Category 3 2 0 1 0 0 Total 6 0 5 1 4 Approved Rejected Half-yearly performance reports, July to December 2013 Page 15 of 73 Therapeutic Goods Administration 2012 Oct-Dec 2013 Jan-Mar Apr-Jun Jul-Sep Oct-Dec Category 1 72 66 106 117 96 Category 2 0 0 0 0 0 Category 3 319 318 378 348 437 Total 391 384 484 465 533 Sub-total approved and rejected Table 5 - Delegate’s decision made on submissions – Withdrawn or Rejected before evaluation stage 2012 Oct-Dec 2013 Jan-Mar Apr-Jun Jul-Sep Oct-Dec Category 1 10 11 8 10 7 Category 2 0 0 0 0 0 Category 3 4 5 8 2 5 Total 14 16 16 12 12 Category 1 6 0 0 0 0 Category 2 0 0 0 0 0 Category 3 0 0 0 0 0 Total 6 0 0 0 0 Withdrawn by sponsor Rejected in application entry Sub-total Withdrawn by Sponsor and Rejected in application entry Category 1 16 11 8 10 7 Category 2 0 0 0 0 0 Category 3 4 5 8 2 5 Total 20 16 16 12 12 Half-yearly performance reports, July to December 2013 Page 16 of 73 Therapeutic Goods Administration 2012 Oct-Dec 2013 Jan-Mar Apr-Jun Jul-Sep Oct-Dec Category 1 88 77 114 127 103 Category 2 0 0 0 0 0 Category 3 323 323 386 350 442 Total 411 400 500 477 545 Total finalised submissions Notes (reference to Tables 4 and 5): ‘Approved or Rejected’ are decisions made by the delegate after the evaluation process has been completed. ‘Withdrawn’ are submissions withdrawn by the sponsor before the evaluation process has been completed. A submission may contain both Approved and Rejected applications but is reported as ‘Approved’ if at least one of its applications is ‘Approved’. Processing times Figure 3 - Processing times for Category 1 applications finalised between 1 July and 31 December 2013 (no Category 2 applications) 600 500 Working Days 400 300 200 100 0 Average Median Range Average TGA Time Median Range Sponsor Time Application Type Changes to PI Major Variations Half-yearly performance reports, July to December 2013 NCEs New Generics New Indications Page 17 of 73 Therapeutic Goods Administration Table 6 - Average Processing times for Category 1 and Category 3 submissions (working days) Target 2012 Oct-Dec 2013 Jan-Mar Apr-Jun Jul-Sep Oct-Dec Receipt and payment to acceptance 40 25 37 47 47 48 Acceptance to evaluation completed 135 162 136 131 134 128 Evaluation completed to Delegate’s decision 120 73 37 44 47 47 Net overall TGA evaluation time 255 235 173 175 181 175 Receipt and payment to acceptance 5 6 8 8 7 7 Acceptance to evaluation completed 30 15 16 16 20 21 Evaluation completed to Delegate’s decision 10 3 1 2 2 2 Net overall TGA evaluation time 45 27 25 26 29 30 Category 1 submissions Category 3 submissions Notes (reference to Table 6): Figures shown are TGA-time in working days, not calendar days. Figures provided are based on the quarter in which the action was completed. From 1 July 2007 the ‘Net Overall TGA Evaluation Time’ relates only to those submissions decided in the quarter. Time taken to complete ADEC/ACPM activities, if any, are included in ‘Evaluation completed to Delegate’s decision’. For Category 1 and 2 submissions the number of evaluation days is calculated from the date that the submission has been accepted for evaluation by the Therapeutic Goods Administration in accordance with Section 16C(2) and 16D(2) of the Therapeutic Goods Regulations 1990. In accordance with Section 16F(3) of the Therapeutic Goods Regulations 1990, the number of evaluation days for Category 3 submissions is calculated from the date of lodgement or payment of evaluation fee. Half-yearly performance reports, July to December 2013 Page 18 of 73 Therapeutic Goods Administration Non-prescription medicines – over the counter medicines Workflow of applications Figure 4 - Workflow of applications – totals 1200 Number of applications 1000 800 600 400 200 Received Approved Jul-Dec 2013 Jan-Jun 2013 Jul-Dec 2012 Jan-Jun 2012 Jul-Dec 2011 0 Rejected/Returned/Withdrawn Notes (reference to Figure 4): The number received of new applications and variations has increased in July to December 2013 compared to January to June 2013. Notifications are in line with historical variability. Thirty two applications were rejected, withdrawn by, or returned to, sponsors during this period. Half-yearly performance reports, July to December 2013 Page 19 of 73 Therapeutic Goods Administration Table 7 - Non-prescription medicines – over the counter medicines workflow of applications 2011 Jul-Dec 2012 Jan-Jun Jul-Dec 2013 Jan-Jun Jul-Dec Applications received 190 145 98 118 151 Total applications on hand 463 440 369 303 267 Approved 140 136 137 172 86 Rejected 1 3 0 1 1 Returned to sponsor 0 0 24 7 8 Withdrawn by sponsor 27 30 23 7 2 In progress at the end of the reporting period 295 271 185 116 170 Variation applications received 215 146 161 112 221 Total applications on hand 445 397 298 204 288 Approved 181 233 182 129 176 Rejected 0 0 4 2 0 Returned to sponsor 0 0 0 0 0 Withdrawn by sponsor 13 27 20 5 7 In progress at the end of the reporting period 251 137 92 68 106 Notifications received 454 680 670 419 340 Total notifications 517 746 763 470 400 Approved/acknowledged 445 646 703 394 345 Withdrawn by sponsor 6 7 9 16 14 In progress at the end of the reporting period 66 93 51 60 41 New applications Variations processed through TGA only Notifications Notes (reference to Table 7) : The variation in applications approved during this reporting period compared with previous reporting periods is due to the following factors: A drop in applications received due to the OTC Business Process Review; and The OTC team clearing a backlog of applications during the previous reporting period, creating an higher than usual volume. See also note after Figure 6 Half-yearly performance reports, July to December 2013 Page 20 of 73 Therapeutic Goods Administration Processing times 120 100 80 60 40 20 Jul-Dec 2013 Jan-Jun 2013 Jan-Jun 2012 Jul-Dec 2012 0 Jul-Dec 2011 Average TGA processing time (working days) Figure 5 - Average TGA processing times (working days) New Applications & Variations Referred to ACNM Variations Processed Through TGA Notifications Notes (reference to Figure 5) : Average processing times for new applications and variations continue to decrease. The number of new applications completed within the target time has increased significantly. Table 8 - Non-prescription medicines – OTC medicines processing times ( working days) 2011 Jul-Dec 2012 Jan-Jun Jul-Dec 2013 Jan-Jun Jul-Dec New applications and variations referred to Advisory Committee on Non-prescription Medicines (ACNM) Receipt and payment to Delegate’s decision – target 71 working days 55 83 102 96 48 Company response time 135 354 204 109 120 Percentage completed within target 73 55 51 56 80 Receipt and payment to Delegate’s decision – target 32-45 working days 69 85 66 55 48 Company response time 43 88 92 42 20 Percentage completed within target 50 38 43 69 66 Receipt and payment to completion – target 20 working days 23 9 9 10 9 Percentage completed within target 92 99 91 93 93 Variations not referred to ACNM Notifications Half-yearly performance reports, July to December 2013 Page 21 of 73 Therapeutic Goods Administration Applications in progress Table 9 - Non-prescription medicines – over the counter medicines applications in progress as at 31 December 2013 Number in progress Number awaiting response from sponsor Type of application Applications 170 81 Variations 106 36 Notifications 41 13 Total in progress at the end of the reporting period 317 130 Jul-Dec 2013 Jan-Jun 2013 Jan-Jun 2012 Jul-Dec 2012 650 600 550 500 450 400 350 300 250 200 Jul-Dec 2011 Total number Figure 6 - Total number of applications in progress at the end of the reporting period Total Number in Progress Notes (reference to Figure 6): The increase in the total number of applications in progress reflects the increase in number of applications received within this period since the commencement of the new OTC reform process in April 2013. The number of applications received before this period Jun-Dec 2012 and Jan to Jun 2013 were well down. The higher applications in progress in 2011 reflects the large backlog of old applications that have since been cleared before the new process started. Half-yearly performance reports, July to December 2013 Page 22 of 73 Therapeutic Goods Administration Table 10 - Non-prescription medicines – over the counter medicines stage of processing 2011 Jul-Dec 2012 Jan-Jun Jul-Dec 2013 Jan-Jun Jul-Dec Less than 10 weeks 192 182 113 126 143 10 – 12 weeks 41 9 15 15 29 12 – 16 weeks 34 27 10 9 17 More than 16 weeks 345 283 190 94 128 Total in progress at the end of the reporting period 612 501 328 244 317 Time in progress Non-prescription medicines – export only medicines New applications, variations and processing times Table 11 - New applications for export only medicines (see notes after Table 13) 2012 Jan-Jun Jul-Dec 2013 Jan-Jun Jul-Dec Applications received 50 175 70 83 Not accepted 0 0 0 0 Withdrawn 5 7 5 2 Approved 52 155 73 82 Rejected 0 0 0 0 Total completed 57 162 78 84 Total in progress at the end of the reporting period 13 26 18 17 New applications Half-yearly performance reports, July to December 2013 Page 23 of 73 Therapeutic Goods Administration Table 12 - Variations and groupings for export only medicines 2012 Jan-Jun Jul-Dec 2013 Jan-Jun Jul-Dec Applications received 45 38 69 22 Not accepted 0 0 0 0 Withdrawn 3 6 1 0 Approved 33 40 74 22 Rejected 0 0 0 0 Total completed 36 46 75 22 Total in progress at the end of the reporting period 15 7 1 1 Variation and grouping applications Figure 7 - Average TGA processing times (working days) Average working days 35 30 25 20 15 New Applications Half-yearly performance reports, July to December 2013 Jul-Dec 13 Jan-Jun 13 Jul-Dec 12 Jan-Jun 12 Jul-Dec 11 10 Variations Page 24 of 73 Therapeutic Goods Administration Table 13 - Processing time for new applications and variations for export only medicines 2012 Jan-Jun Jul-Dec 2013 Jan-Jun Jul-Dec Average TGA processing time (working days) 19 27 27 24.8 Percentage processed within 31 days 98% 74% 92% 80% Average sponsor response time (working days) 5 2 11.3 5 Average TGA processing time (working days) 17 31 24 24.7 Percentage processed within 31 days 100% 88% 91% 90% Average sponsor response time (working days) 0 0 7.5 0 New applications Variations Notes (reference to Tables 11+12 + 13) While the number of new export medicine applications (Table 11) was 83 which is normal for any six month period, the number of variation applications (Table 12) received was significantly less than the average number of applications received in the last three half yearly periods (Only 22 applications were received as opposed to an average of 50 applications received in each last three six month periods). This simply means not many changes were required by sponsors to their existing export listed medicines. 80% of the new export medicine applications and 90% of the variation applications were processed within the target time frame of 31 days. Average sponsor response time (Table 13) improved significantly this six month period as compared to the previous six months period, from 11 days to 5 days for new applications, and from 7 days to the same day for variation applications. Table 14 - Processing time for applications in progress for export only medicines 2012 Jan-Jun Jul-Dec 2013 Jan-Jun Jul-Dec Total outstanding at end of reporting period 28 33 19 18 Time taken to date 0-4 weeks 61% 63% 61% 50% 4-8 weeks 26% 11% 26% 45% 8-12 weeks 18% 21% 18% 0 12-16 weeks 3% 0% 3% 0 >16 weeks 20% 5% 20% 6% Number awaiting response from sponsor 6 16 6 1 Half-yearly performance reports, July to December 2013 Page 25 of 73 Therapeutic Goods Administration Export certifications for medicines Figure 8 - Average TGA processing times for export certificates (working days) Average working days 12 10 8 6 4 2 Completion of BMU processing Jul-Dec 2013 Jan-Jun 2013 Jul-Dec 2012 Jan-Jun 2012 Jul-Dec 2011 0 OMA - certificate issued Table 15 - Applications for export certifications 2012 Jan-Jun Jul-Dec 2013 Jan-Jun Jul-Dec Applications received 1169 805 1044 954 Certificates issued 1084 884 926 995 Applications rejected 1 0 0 0 From receipt of application to completion of BMU processing (average number of working days) 1 1 1 1 From BMU processing completed to issue of certificate (average number of working days) 11.5 10.8 11.7 12 Average TGA processing time (target 15 working days) 12.5 12 13 13 Percentage processed in less than 16 working days (target 100%) 98.5% 98.6% 98.2% 96.3% Processing times Notes (reference to Table 15): The number of applications for export certificates processed was within the range recorded over the previous three half-year periods. 96% of the certificates were issued within the target time of 15 days. Half-yearly performance reports, July to December 2013 Page 26 of 73 Therapeutic Goods Administration Non-prescription medicines – complementary medicines Registered complementary medicines for supply in Australia Table 16 - Applications for new registered complementary medicines 2012 Oct-Dec 2013 Jan-Mar Apr-Jun Jul-Sep Oct-Dec Applications received 2 1 1 0 0 Approved 1 0 1 1 0 Rejected 0 0 0 0 1 Withdrawn by sponsor 2 2 2 0 0 Lapsed 0 0 0 0 0 Total in progress at the end of the reporting period 8 8 7 6 5 Table 17 - Applications for variations to registered complementary medicines 2012 Oct-Dec 2013 Jan-Mar Apr-Jun Jul-Sep Oct-Dec Applications received 2 7 2 5 6 Approved 4 6 1 6 6 Rejected 0 1 0 0 0 Withdrawn by sponsor 0 0 0 0 0 Lapsed 1 0 0 0 0 Total in progress at the end of the reporting period 1 1 2 1 1 Listing of new ingredients and medicines for supply in Australia Table 18 - Applications for new listable substances (ingredients) 2012 Oct-Dec 2013 Jan-Mar Apr-Jun Jul-Sep Oct-Dec Applications received 1 5 5 1 1 Approved 3 1 2 0 3 Rejected 1 1 0 1 0 Withdrawn by sponsor 0 0 0 1 0 Lapsed 1 0 0 0 0 Total in progress at the end of the reporting period 6 7 7 3 4 Half-yearly performance reports, July to December 2013 Page 27 of 73 Therapeutic Goods Administration Figure 9 - Applications received for new listed medicine products Number of applications received 600 550 500 450 400 350 Oct-Dec 2013 Jul-Sep 2013 Apr-Jun 2013 Jan-Mar 2013 Oct-Dec 2012 Jul-Sep 2012 Apr-Jun 2012 Jan-Mar 2012 Oct-Dec 2011 Jul-Sep 2011 Apr-Jun 2011 Jan-Mar 2011 Oct-Dec 2010 Jul-Sep 2010 Apr-Jun 2010 Jan-Mar 2010 Oct-Dec 2009 Jul-Sep 2009 Apr-Jun 2009 Jan-Mar 2009 Oct-Dec 2008 Jul-Sep 2008 Apr-Jun 2008 Jan-Mar 2008 300 New Products Notes (reference to Figure 9): These statistics include all listed complementary medicines and sunscreens Table 19 - Applications received (completed) through the electronic Business System for new listed medicine products 2012 Oct-Dec 2013 Jan-Mar Apr-Jun Jul-Sep Oct-Dec New products 414 358 318 410 428 Exemption updates 0 0 0 0 0 Groupings 132 99 71 85 88 Variations 3 7 6 6 4 Update of record* 198 229 238 279 258 *’Update of record’ indicates the number of applications processed via electronic Business System by sponsors updating existing product information on the ARTG. These updates do not attract fees. Half-yearly performance reports, July to December 2013 Page 28 of 73 Therapeutic Goods Administration Registration of Human Cells and Tissues Workflow of applications Table 20 - Human Cells and Tissue application workflow for 1 July to 31 December 2013 Received Completed On hand at end of the reporting period Technical Master File (TMF) new 0 0 2 TMF annual updates 5 1 5 TMF variations 13 16 1 TMF notifications 10 9 1 Plasma Master File (PMF) 13 7 6 Biological Class 2 – new applications 0 0 19 Biological Class 3 – new applications 0 0 2 Biological Class 3 – variations 3 1 2 Total 44 34 38 Note (reference to Table 20): There were no Biological Class 2 variations received, completed or on hand between 1 July 2013 and 31 December 2013. Inclusion of medical devices Note: Figures reported in this document are accurate as at the 6 January 2014. Any variation from previously reported statistics are a result of data quality improvements from the time of publication. Class 1 medical devices Table 21 - Class 1 medical device application workflow 2012 Oct-Dec 2013 Jan-Mar Apr-Jun Jul-Sep Oct-Dec Applications received 612 603 836 824 672 Applications finalised 612 603 836 818 671 Class 1 medical devices Half-yearly performance reports, July to December 2013 Page 29 of 73 Therapeutic Goods Administration Class 1 measuring and sterile medical devices Table 22 - Class 1 measuring and sterile medical device application workflow 2012 Oct-Dec 2013 Jan-Mar Apr-Jun Jul-Sep Oct-Dec Total Class 1 measuring and sterile medical devices Applications received 70 67 84 101 120 Applications completed 87 48 69 103 139 Applications on hand 32 51 66 50 31 Class 1 measuring medical devices Applications received 20 10 11 12 21 Applications completed 19 9 10 10 24 Applications on hand 7 8 9 8 5 Applications received 50 57 73 89 99 Applications completed 72 39 59 93 115 Applications on hand 20 48 62 42 26 Class 1 sterile medical devices Class IIa medical devices Table 23 - Class IIa medical device application workflow 2012 Oct-Dec 2013 Jan-Mar Apr-Jun Jul-Sep Oct-Dec Applications received 315 338 387 383 350 Applications completed 355 323 302 371 464 Applications on hand 170 185 270 235 121 Class IIa medical devices Half-yearly performance reports, July to December 2013 Page 30 of 73 Therapeutic Goods Administration Class IIb medical devices Table 24 - Class IIb medical device application workflow 2012 Oct-Dec 2013 Jan-Mar Apr-Jun Jul-Sep Oct-Dec Applications received 170 136 162 179 157 Applications completed 204 149 127 168 197 Applications on hand 101 88 123 103 63 Class IIb medical devices Class III and AIMD medical devices Table 25 - Class III and AIMD medical device application workflow 2012 Oct-Dec 2013 Jan-Mar Apr-Jun Jul-Sep Oct-Dec Total Class III, Class III Joint Reclassification and AIMDs Applications received 92 225 1031* 184 359 Applications completed 255 206 347* 216 339 Applications on hand 146 165 849* 804 824 Applications received 81 88 89 123 148 Applications completed 220 92 48 57 137 Applications on hand 129 125 166 213 224 Class III medical devices Class III Joint Reclassification medical devices Applications received 18 82 933* 57 158 Applications completed 6 82 287* 146 183 Applications on hand 12 12 658* 567 542 Applications received 11 55 9 4 53 Applications completed 35 32 12 13 19 Applications on hand 17 40 37 24 58 AIMD medical devices * Notes (reference to Table 25): The increase in applications received and applications on hand for the April to June quarter are due to the up classification of joint implants. Half-yearly performance reports, July to December 2013 Page 31 of 73 Therapeutic Goods Administration Medical device (non-IVD) applications selected for application audit Table 26 - Application audits completed between 1 July to 31 December 2013 Percentage within target Average TGA days Level 1 Compulsory Audit Assessment (30 working day target) 33% 70 Level 2 Compulsory Audit Assessment (60 working day target) 31% 89 Non-Compulsory Audit Assessment (30 working day target) 38% 51 Medical device applications selected for application audit Notes (reference to Table 26): The number of application audits for medical devices reduced between Jul-Dec 2013 due to a more targeted approach to post-market activities with work more closely focussed on regulatory non-compliance that could result in significant public health risks. Figure 10 - Processing times for applications finalised between 1 July to 31 December 2013 90 Average working days 80 70 60 50 40 30 20 10 Sponsor time Half-yearly performance reports, July to December 2013 Level 2 Compulsory Audit Assessment Level 1 Compulsory Audit Assessment Non-Compulsory Audit Assessment 0 TGA time Page 32 of 73 Therapeutic Goods Administration Medical device (non-IVD) application outcomes Figure 11 - Outcomes of applications completed between 1 July to 31 December 2013 Class I Class 1M Class IS Class IIa Class IIb Class III AIMD Class IIb Reclas 0 200 400 600 800 1000 1200 1400 1600 Number of submissions Withdrawn Rejected Approved Medical device conformity assessment applications Conformity assessment application workflow Table 27 - Conformity Assessment application workflow 2011 2012 2013 Jul-Dec* Jan-Jun Jul-Dec Jan-Jun Jul-Dec Applications received 87 100 104 118 136 Applications completed** 115 67 91 116 121 Applications on hand 132 165 178 180 202 Conformity Assessments Note (reference to Table 27): *IVD applications added from Jul-Dec 2012 period. ** Applications completed includes applications withdrawn post payment of application fee. Half-yearly performance reports, July to December 2013 Page 33 of 73 Therapeutic Goods Administration Inclusion of in vitro diagnostic medical devices in the ARTG All classes of IVD application workflow Table 28- In-vitro device application workflow 2012 Oct-Dec 2013 Jan-Mar Apr-Jun Jul-Sep Oct-Dec Applications received 137 130 137 139 136 Applications completed 123 137 117 164 130 Applications on hand 41 34 54 21 27 IVD applications In vitro diagnostic medical device applications selected for application audit – Quarter 1, 2013/14 Figure 12 - Sponsor/TGA processing times for IVD application audits between 1 July to 30 September 2013 60 Average working days 50 40 30 20 10 Sponsor time Half-yearly performance reports, July to December 2013 TGA time Class 3 Comp audit Class 2 Non-comp audit Class 2 Comp audit Class 1 Comp audit 0 Page 34 of 73 Therapeutic Goods Administration In vitro diagnostic medical device applications selected for application audit – Quarter 2, 2013/14 Figure 13 - Sponsor/TGA processing times for IVD application audits between 1 October to 31 December 2013 35 Average working days 30 25 20 15 10 5 Sponsor time Class 3 Comp audit Class 2 Non-comp audit Class 1 Comp audit Class 2 Comp audit 0 TGA time In vitro diagnostic medical device applications selected for application audit – Quarter 1, 2013/14 Figure 14 - IVD applications selected for application audit between 1 July to 30 September 2013, outcomes Number of applications 25 20 15 10 5 Completed Approved Half-yearly performance reports, July to December 2013 Class 3 Comp audit Class 2 Non-comp audit Class 2 Comp audit Class 1 Comp audit 0 Rejected/withdrawn Page 35 of 73 Therapeutic Goods Administration In vitro diagnostic medical device applications selected for application audit – Quarter 2, 2013/14 Figure 15 - IVD applications selected for application audit between 1 October to 31 December 2013, outcomes 20 Number of applications 18 16 14 12 10 8 6 4 2 Completed Approved Class 3 Comp audit Class 2 Non-comp audit Class 2 Comp audit Class 1 Comp audit 0 Rejected/withdrawn In vitro diagnostic applications received by class Figure 16 - IVD applications received by class 80 Number received 70 60 50 40 30 20 10 Class 1 IVD Class 2 IVD Half-yearly performance reports, July to December 2013 Class 3 IVD Oct-Dec 13 Jul-Sep 13 Apr-Jun 13 Jan-Mar 13 Oct-Dec 12 0 Class 4 IVD Page 36 of 73 Therapeutic Goods Administration Class 1 in vitro diagnostic medical devices Table 29 - Class 1 IVD application workflow and outcomes 2012 Oct-Dec 2013 Jan-Mar Apr-Jun Jul-Sep Oct-Dec Applications received 30 32 27 38 26 On hand 2 4 2 2 1 Completed 32 30 29 38 27 Approved 30 29 27 38 27 Rejected 0 0 0 0 0 Withdrawn 2 1 2 0 0 Class 1 IVD applications Notes (reference to Table 29): The figures for withdrawn applications only include those applications that were withdrawn after payment, not applications that were withdrawn prior to payment of the application. Class 2 in vitro diagnostic medical devices Table 30 - Class 2 IVD application workflow and outcomes 2012 Oct-Dec 2013 Jan-Mar Apr-Jun Jul-Sep Oct-Dec Applications received 75 74 72 52 58 On hand 23 14 21 9 10 Completed 62 83 65 63 57 Approved 62 71 62 58 55 Rejected 0 1 0 0 0 Withdrawn 0 11 3 5 2 Class 2 IVD applications Notes (reference to Table 30): The figures for withdrawn applications only include those applications that were withdrawn after payment, not applications that were withdrawn prior to payment of the application. Half-yearly performance reports, July to December 2013 Page 37 of 73 Therapeutic Goods Administration Class 3 in vitro diagnostic medical devices Table 31 - Class 3 IVD applications workflow and outcomes 2012 Oct-Dec 2013 Jan-Mar Apr-Jun Jul-Sep Oct-Dec Applications received 30 21 36 25 52 On hand 17 14 27 10 16 Completed 27 24 23 39 46 Approved 20 18 21 35 45 Rejected 0 0 0 0 0 Withdrawn 7 5 2 4 1 Class 3 IVD applications Notes (reference to Table 31): The figures for withdrawn applications only include those applications that were withdrawn after payment, not applications that were withdrawn prior to payment of the application. Class 4 in vitro diagnostic medical devices Table 32 -Class 4 IVD applications workflow and outcomes 2012 Oct-Dec 2013 Jan-Mar Apr-Jun Jul-Sep Oct-Dec Applications received 2 3 2 24 0 On hand 0 0 0 0 0 Completed 2 3 2 24 0 Approved 2 2 2 24 0 Rejected 0 0 0 0 0 Withdrawn 0 1 0 0 0 Class 4 IVD applications Notes (reference to Table 32): The figures for withdrawn applications only include those applications that were withdrawn after payment, not applications that were withdrawn prior to payment of the application. Half-yearly performance reports, July to December 2013 Page 38 of 73 Therapeutic Goods Administration In vitro diagnostic medical device application outcomes Table 33 - IVD outcome of applications 2012 Oct-Dec 2013 Jan-Mar Apr-Jun Jul-Sep Oct-Dec Approved 114 118 110 155 127 Rejected 0 1 0 0 0 Withdrawn 9 17 7 9 3 All classes of IVD Notes (reference to Table 33): The figures for withdrawn applications only include those applications that were withdrawn after payment, not applications that were withdrawn prior to payment of the application. In vitro diagnostic medical device conformity assessment applications Table 34 - IVD conformity assessment application workflow 2012 Oct-Dec 2013 Jan-Mar Apr-Jun Jul-Sep Oct-Dec In vitro diagnostic conformity assessment applications Applications received 8 11 8 16 9 Applications completed 3 4 6 14 2 Applications on hand 26 33 34 36 43 Notes (reference to Table 34): Of the six applications completed in Apr-Jun 2013 one conformity assessment application lapsed. Half-yearly performance reports, July to December 2013 Page 39 of 73 Therapeutic Goods Administration Export certifications for medical devices Table 35 - Applications for export certifications 2012 Jan-Jun Jul-Dec 2013 Jan-Jun July-Dec Applications received 217 161 228 152 Export certificates issued 187 151 206 161 Applications rejected/withdrawn 3 0 0 2 Export certificates (target = 5 days) 3 5 4 3 Percentage processed within target time (Target >90%) 91.0% 66.0% 89% 97.5% Applications Processing times (average working days) Notes (reference to Table 35): The number of device certificate applications received was 152 in this six month period, which is lower than the number of applications received in the previous three six-month periods. Average processing time for the certificates was three days and 97.5% applications were processed within the target time frame. Blood permits processed Figure 17 - Number of permits processed Number of permits processed 60 50 40 30 20 10 Individual permits Jul - Dec 13 Jan-Jun 13 Jul-Dec 12 Jan-Jun 12 0 Blood fractions Half-yearly performance reports, July to December 2013 Annual permits Page 40 of 73 Therapeutic Goods Administration Access to Unapproved Therapeutic Goods Clinical Trial Notification Scheme - medicines Table 36 - New trial notifications that include a medicine or biological received by State or Territory (single & multi-site trials) 2011 Jul-Dec 2012 Jan-Jun Jul-Dec 2013 Jan-Jun Jul-Dec New South Wales 175 151 207 143 164 Victoria 110 111 122 110 106 Queensland 18 31 29 30 33 South Australia 29 31 38 25 41 Western Australia 12 15 20 18 10 Tasmania 4 2 0 0 1 Australian Capital Territory 2 1 0 0 0 Northern Territory 0 1 0 0 0 Summary 350 343 416 326 355 State Notes (reference to Table 36): Clinical trials data were previously under-reported for the period of Jul-Dec 2009 to Jul-Dec 2012. The corrected figures for 2010/11 and 2011/12 have been provided below. For further information see the TGA website http://www.tga.gov.au/newsroom/media-2013-clinical-trial-statistics-130801.htm:1 August 2013. Table 37 - New trial notifications that include a medicine or biological received by phase (single & multi-site trials) 2011 Jul-Dec 2012 Jan-Jun Jul-Dec 2013 Jan-Jun Jul-Dec Phase 1 81 55 85 65 132 Phase 2 86 84 128 86 102 Phase 3 130 143 155 131 70 Phase 4 38 43 34 28 32 Bioavailability/equivalence 2 3 5 4 5 None specified 13 15 9 12 14 Summary 350 343 416 326 355 Phase Half-yearly performance reports, July to December 2013 Page 41 of 73 Therapeutic Goods Administration Figure 18 - Total notifications and new trial notifications that include a medicine or biological 1600 Total number 1400 1200 1000 800 600 400 200 Total Notifications Jul-Dec 2013 Jan-Jun 2013 Jul-Dec 2012 Jan-Jun 2012 Jul-Dec 2011 0 Total New Trials Table 38 - Notifications that include a medicine or biological received by State or Territory (total number of trial sites notified) 2011 Jul-Dec 2012 Jan-Jun Jul-Dec 2013 Jan-Jun Jul-Dec New South Wales 404 376 435 404 492 Victoria 411 456 460 415 507 Queensland 241 259 312 311 268 South Australia 186 133 165 168 193 Western Australia 121 130 151 125 123 Tasmania 19 22 28 29 31 Australian Capital Territory 19 17 29 25 33 Northern Territory 6 2 4 0 1 Summary 1 407 1 395 1 584 1 477 1648 State Half-yearly performance reports, July to December 2013 Page 42 of 73 Therapeutic Goods Administration Table 39- Notifications that include a medicine or biological received by phase (total number of trial sites notified) 2011 Jul-Dec 2012 Jan-Jun Jul-Dec 2013 Jan-Jun Jul-Dec Phase 1 143 92 143 115 123 Phase 2 363 308 465 355 374 Phase 3 771 825 842 890 1020 Phase 4 103 144 120 96 95 Bioavailability/equivalence 2 3 5 4 5 None specified 25 23 9 17 31 Summary 1 407 1 395 1 584 1 477 1648 Phase Clinical trials – medical devices Table 40 - New trial notifications received that include a medical device Number of notifications received 2011 Jul-Dec 2012 Jan-Jun Jul-Dec 2013 Jan-Jun Jul-Dec 107 130 165 168 199 Jul-Dec 6 Clinical trials – biologicals Table 41 - New trial notifications received that include a biological Number of notifications received 2011 Jul-Dec 2012 Jan-Jun Jul-Dec 2013 Jan-Jun 3 4 9 4 Half-yearly performance reports, July to December 2013 Page 43 of 73 Therapeutic Goods Administration Special Access Scheme - medicines Figure 19 - Category A notifications and Category B applications for medicines by reporting period 20000 Total received 18000 16000 14000 12000 Category A Notifications Jul-Dec 2013 Jan-Jun 2013 Jul-Dec 2012 Jan-Jun 2012 8000 Jul-Dec 2011 10000 Category B Applications Table 42 - Category A notifications and Category B applications by reporting period 2011 Jul-Dec 2012 Jan-Jun Jul-Dec 2013 Jan-Jun Jul-Dec 16 570 12 948 19 795 15 790 19259 Applications received 8 537 8 676 8 792 9 036 12938 Approved 8 326 8 437 8 626 8 681 12557 Cancelled 30 14 31 45 226 Rejected 21 23 30 53 13 Pending at end of reporting period 94 202 105 257 142 Category A notifications Total notifications Category B applications Note (reference to Figure 19 and Table 42): Category A – For use in terminally ill or seriously ill / life threatening conditions. Category B – For use in all other patients. Half-yearly performance reports, July to December 2013 Page 44 of 73 Therapeutic Goods Administration Special Access Scheme – medical devices Table 43 - Category A notifications and Category B applications for devices by reporting period 2011 Jul-Dec 2012 Jan-Jun Jul-Dec 2013 Jan-Jun Jul-Dec 265 290 1 130 649 1561 Applications received 2 267 2 807 1 543 1 143 1415 Approved 2 261 2 805 1 542 1 142 1408 Cancelled 0 0 0 1 5 Rejected 6 2 1 0 0 Pending at end of reporting period 0 0 0 0 2 Category A notifications Total notifications Category B applications Note (reference to Table 43): Category A – For use in terminally ill or seriously ill / life threatening conditions. Category B – For use in all other patients. Special Access Scheme – biologicals Table 44 - Category A notifications and Category B applications for biologicals by reporting period 2011 Jul-Dec 2012 Jan-Jun Jul-Dec 2013 Jan-Jun Jul-Dec 0 3 3 9 5 Applications received 0 13 788 964 962 Approved 0 13 788 964 961 Rejected 0 0 0 0 0 Pending at end of reporting period 0 0 0 0 1 Category A notifications Total notifications Category B applications Note (reference to Table 44): Category A – For use in terminally ill or seriously ill / life threatening conditions. Category B – For use in all other patients. Half-yearly performance reports, July to December 2013 Page 45 of 73 Therapeutic Goods Administration Authorised Prescribers Table 45 - Authorised Prescriber approvals for medicines and medical devices 2011 Jul-Dec 2012 Jan-Jun Jul-Dec 2013 Jan-Jun Jul-Dec 252 207 402 251 221 22 23 116 141 101 Medicines Number of approvals Medical devices Number of approvals Import permits Table 46 - Import permits issued for medicines by reporting period Number of approvals 2011 Jul-Dec 2012 Jan-Jun Jul-Dec 2013 Jan-Jun Jul-Dec 344 360 344 466 672 Orphan drug designations Table 47 - Number of orphan drug designations by reporting period Number of designations 2011 Jul-Dec 2012 Jan-Jun Jul-Dec 2013 Jan-Jun Jul-Dec 14 17 23 6 11 Half-yearly performance reports, July to December 2013 Page 46 of 73 Therapeutic Goods Administration Post-market activities Licencing and manufacturing Manufacturing Licences Table 48 - Manufacturing licence applications by year 2009/10 Jul-Jun 2010/11 Jul-Jun 2011/12 Jul-Jun 2012/13 Jul-Jun 2013 Jul-Dec New licences granted 18 23 13 19 10 Withdrawn application 4 9 2 7 16 Revoked licences Voluntarily By TGA 0 0 0 19 1 10 0 Ceased 24 16 29 0 0 Suspended Voluntarily By TGA 1 NR NR 1 NR NR 4 NR NR 3 3 0 1 1 0 Note (reference to Table 48): As at 31 December 2013 there were 417 Australian companies holding manufacturing licences covering 457 sites. NR = Recording of voluntary or TGA suspension of licences commenced in 2012-13 Figure 20 - Licence application outcomes for July to December 2013 8% 2% 90% Satisfactory compliance Marginal compliance Unacceptable Notes (reference to Figure 20): 38 inspections were incomplete at 31 December 2013. Half-yearly performance reports, July to December 2013 Page 47 of 73 Therapeutic Goods Administration Table 49 - Licence application outcomes by year 2009/10 Jul-Jun 2010/11 Jul-Jun 2011/12 Jul-Jun 2012/13 Jul-Jun 2013 Jul-Dec Inspections conducted 333 244 272 247 123 Satisfactory compliance 74% 76% 81% 85% 90% Marginal compliance 24% 23% 16% 12% 8% Unacceptable 2% 1% 3% 3% 2% Initial inspections conducted within 3 months of application (see Note) 98% 81% 79% 60% 67% Re-inspections conducted within 6 months of due date 99% 86% 68% 70% 67% Notes (reference to Table 49): Applicants often submit applications for GMP licences before completing all of their systems and processes. It is therefore common for initial applications to be conducted later than the 3 months. Certifications Table 50 - Certification application status by year 2009/10 Jul-Jun 2010/11 Jul-Jun 2011/12 Jul-Jun 2012/13 Jul-Jun 2013 Jul-Dec New applications received 104 189 141 117 84 Re-inspection applications 233 235 172 229 85 Certified 128 119 130 156 56 Rejected 0 0 0 111 82 Notes (reference to Table 50): As at 31 December 2013 there were 433 overseas manufacturers covering 433 sites. Figure 21 - Certification outcomes for July to December 2013 0% 21% 79% Satisfactory compliance Marginal compliance Unacceptable Notes (reference to Figure 21): 32 certification inspections were incomplete at 31 December 2013. Half-yearly performance reports, July to December 2013 Page 48 of 73 Therapeutic Goods Administration Table 51 - Certification outcomes by year 2009/10 Jul-Jun 2010/11 Jul-Jun 2011/12 Jul-Jun 2012/13 Jul-Jun 2013 Jul-Dec Inspections conducted 134 157 143 109 60 Satisfactory compliance 81% 84% 87% 86% 79% Marginal compliance 16% 14% 13% 13% 21% Unacceptable 3% 2% 0% 1% 0% Initial certifications inspections conducted within 6 months of application (see Note) 73% 90% 80% 74% 67% Certification re-inspections conducted within 6 months of due date 65% 75% 82% 68% 64% Notes (reference to Table 51): Applicants often submit applications for GMP licences before completing all of their systems and processes. It is therefore common for initial applications to be conducted later than the 6 months. Clearances Table 52 - Clearance application status by year 2009/10 Jul-Jun 2010/11 Jul-Jun 2011/12 Jul-Jun 2012/13 Jul-Jun 2013 Jul-Dec Applications received 2 511 2 418 3 900 3 941 1407 Renewal applications 829 1 067 1 172 1 033 770 Approved 3 163 3 362 4 103 3 644 2058 Rejected 8 18 232 92 46 Table 53 - Clearance application outcomes by year 2009/10 Jul-Jun 2010/11 Jul-Jun 2011/12 Jul-Jun 2012/13 Jul-Jun 2013 Jul-Dec MRA Evidence 1 618 1 478 1 444 1 575 811 Compliance Verification evidence 455 520 283 316 130 TGA Certification evidence 638 677 698 405 110 Half-yearly performance reports, July to December 2013 Page 49 of 73 Therapeutic Goods Administration Laboratories and scientific services Laboratory testing Table 54 - Number of samples and products tested Prescription medicines Over the counter medicines Complementary medicines Medical devices Contract Unregistered 2011 Jul-Dec 2012 Jan-Jun Jul-Dec 2013 Jan-Jun Jul-Dec Total 461 663 404 558 419 % fail 3.5 0.3 0.7 1.6 1.9 Total 70 32 31 31 62 % fail 4.3 3.1 9.7 12.9 3.2 Total 95 69 54 71 42 % fail 51.6 18.8 24.1 23.9 23.8 Total 79 243 284 100 75 % fail 16.5 16.9 21.1 23 17.3 Total 34 18 12 3 2 % fail 14.7 33.3 25.0 0 0 Total 63 62 109 91 105 % fail 74.6 33.9 61.5 67 63.8 896 1252 1000 938 816 802 1087 895 855 705 17% 8% 17% 13% 14% 460 464 488 394 385 Total samples per half year1 Total samples per half year (excluding AHQ samples) Percentage fail per half year Total number of products tested per half year2 Notes (reference to Table 54): 1Includes accreditation, harmonisation and quality control samples. 2OLSS may test a number of samples of each product per reporting period. Note: It has been noted that the previous 2 reports, for July - December 2012 and January- June 2013, contained some incorrect values in the totals for Table 54. These entries have been corrected in this report. Half-yearly performance reports, July to December 2013 Page 50 of 73 Therapeutic Goods Administration Table 55 - OLSS testing: reason for fail for rejected samples between 1 July and 31 December 2013 Medical devices Contamination OTC medicines Prescription medicines 1 Formulation 4 Performance 7 Physical or mechanical properties 1 7 64 1 1 73 7 12 1 8 1 3 1 13 2 8 Total 3 1 Unregistered product Total Comp medicines 2 1 Label and packaging deficiencies Unregistered products 1 67 10 100 Table 56 - Target timeframes for testing (working days*) Priority of testing Biochemical / chemical testing Microbiological testing Medical device testing Urgent 20 40 20 Priority 40 50 40 Routine 50 50 50 Notes (reference to Table 56): *Samples requiring biological testing are excluded from the above target turnaround times. Half-yearly performance reports, July to December 2013 Page 51 of 73 Therapeutic Goods Administration Table 57 - Compliance with testing timeframes this reporting period1 Medical devices Over the counter medicines Prescription medicines Complementary medicines Unregistered products Priority Total Percentage Routine 104 77% Priority 1 100% Urgent 0 n/a Routine 59 73% Priority 5 100% Urgent 2 100% Routine 124 77% Priority 5 100% Urgent 5 100% Routine 35 97% Priority 7 86% Urgent 1 100% Routine 3 67% Priority 88 78% Urgent 15 100% Notes (reference to Table 57): 1Timeframes for completion of testing are set out in Table 56. NR – none received Low numbers of samples in categories may affect compliance percentages. Table 58 - Batch release and export certification 2011 Jul-Dec 2012 Jan-Jun Jul-Dec 2013 Jan-Jun Jul-Dec Batch release1 167 251 176 248 136 Export certification 22 84 26 75 23 Notes (reference to Table 58): 1Vaccines, biotechnology and blood products – evaluation of batch release documentation. Half-yearly performance reports, July to December 2013 Page 52 of 73 Therapeutic Goods Administration Recalls Medicine recalls Table 59 - Medicine Recalls - By reporting period 2010 Jul-Dec 2011 Jan-Jun Jul-Dec 2012 Jan-Jun Jul-Dec 2013 Jan-Jun Jul-Dec Recalls to consumer level 1 1 2 1 4 4 4 Recalls to hospital level 7 11 11 14 8 8 14 Recalls to retail level 6 8 10 6 9 5 5 Recalls to wholesale level 4 2 5 2 2 2 2 Total 18 22 28 23 23 19 25 Table 60 - Medicine Recalls - Reason for Recalls 2010 Jul-Dec 2011 Jan-Jun Jul-Dec 2012 Jan-Jun Jul-Dec 2013 Jan-Jun Jul-Dec Adverse reactions 2 1 0 0 1 1 1 Foreign matter 0 0 0 0 0 1 1 Illegal supply 1 3 0 0 1 2 2 Impurity and degradation 4 1 4 5 0 1 0 Labelling and packaging 5 6 9 6 8 3 7 Micro-organisms 1 0 2 1 1 5 0 pH 0 0 0 0 0 0 0 Potency 0 0 0 0 0 1 1 Sterility 1 0 1 1 0 0 0 Other 4 11 12 10 12 6 13 Total 18 22 28 23 23 19 25 Half-yearly performance reports, July to December 2013 Page 53 of 73 Therapeutic Goods Administration Medical device recalls Table 61 - Medical device (including IVDs) - recalls by reporting period 2010 Jul-Dec 2011 Jan-Jun Jul-Dec 2012 Jan-Jun Jul-Dec 2013 Jan-Jun Jul-Dec Recalls to consumer level 5 5 9 11 8 11 11 Recalls to hospital level 159 212 219 226 246 265 280 Recalls to retail level 12 13 9 15 32 21 11 Recalls to wholesale level 2 1 1 1 2 3 3 Total medical device recalls 178 231 238 253 288 300 305 Jul-Dec 2013 Jan-Jun Jul-Dec Table 62 - Medical device (including IVDs) - Reason for recalls 2010 Jul-Dec 2011 Jan-Jun Adverse incidents 2 0 0 1 2 1 1 Diagnostic inaccuracy 28 24 24 26 46 46 37 Electrical defect 15 21 22 25 22 20 10 Illegal supply 0 0 1 1 5 0 0 Labelling and packaging 26 38 41 40 53 49 56 Mechanical and physical defects 58 82 80 80 97 119 125 Software defects 42 29 56 68 47 55 65 Sterility 1 0 3 2 2 0 1 Other 6 37 11 10 14 10 10 Total 178 231 238 253 288 300 305 Jul-Dec 2012 Jan-Jun Table 63 - Biologicals Recalls - By reporting period Recalls to hospital level 2010 Jul-Dec 2011 Jan-Jun 0 0 Jul-Dec Half-yearly performance reports, July to December 2013 3 2012 Jan-Jun 2 Jul-Dec 0 2013 Jan-Jun 7 Jul-Dec 0 Page 54 of 73 Therapeutic Goods Administration Adverse medicine reaction reports Incoming adverse medicine reaction notifications Figure 22 - Total number of incoming adverse medicine reaction notifications received Number of reports 10500 10000 9500 9000 8500 Jul-Dec 13 Jan-Jun 13 Jul-Dec 2012 Jan-Jun 2012 Jul-Dec 2011 8000 Total number of reports received for reporting period Table 64 - Source of incoming notifications 2011 Jul-Dec 2012 Jan-Jun Jul-Dec 2013 Jan-Jun Jul-Dec Hospitals 788 734 852 837 941 Companies 4196 4217 4144 4499 5085 General Practitioners 450 405 349 372 357 Specialists 99 87 87 106 117 Pharmacists 515 491 552 562 717 Members of the Public (Consumer) 244 222 312 300 273 Nurses, dentists, complementary 59 83 90 99 76 State/Territory Health department 1082 1131 757 1835 1276 General list (cause unclear) includes rejected and withdrawn 776 992 1121 1348 1256 Total 8209 8362 8264 9958 10098 Vaccine reports* 1298 1422 903 2125 1432 Average number of reports received weekly 315 321 317 383 388 Notes (reference to Table 64): *The vaccine figures are not additional to the total figures listed above but are included within these figures. Half-yearly performance reports, July to December 2013 Page 55 of 73 Therapeutic Goods Administration Communications and Publications Table 65 - Communications and publications 2011 Jul-Dec 2012 Jan-Jun Jul-Dec 2013 Jan-Jun Jul-Dec Requests for database output or other information 3267 3764 3388 4440 5570 1800 number calls received 321 332 286 312 204 *** Medicine Safety Update (MSU) Numbers (see reference below) 4, 5, 6 7, 8, 9 ** 10,11,12 * 13,14,15 16,17,18 Other Publications: *. International Journal of Risk & Safety in Medicine 24 (2012) 215-219. Severe muscle symptoms with lipid-lowering agents may be confused with neurogenic claudication associated with spinal canal stenosis . Ruth L. Savage, Kristina Star, Richard Hill. **. WHO Signal June 2012. Fesoterodine – GI haemorrhage. Dr Richard Hill, Australia. ***. This does not include calls directed to OPR from the Public Contact Team Early Warning System (July-Dec 2013) Caffeine and oxedrine containing products (15 October 2013) Hydroxyethyl starch (Voluven and Volulyte) and increased risk of mortality (9 July 2013) Medicine Alerts (July-Dec 2013): NordiPen used with 5 mg, 10mg and 15 mg Norditropin SimpleXx cartridges (23 July 2013) Febridol paracetamol 500mg – 100 tablet bottles (24 July 2013) Rotavirus vaccination and the risk of intussusception (28 August 2013) Apixaban (Eliquis), dabigatran (Pradaxa) and rivaroxaban (Xarelto): Information for health professionals (24 September 2013) Apixaban (Eliquis), dabigatran (Pradaxa) and rivaroxaban (Xarelto): Information for consumers (24 September 2013) Pain-killers containing dextropropoxyphene – De-Gesic and Doloxene, 10 October 2013 (10 October 2013) Oral ketoconazole (Nizoral) 200mg tablets (10 October 2013) Mefloquine hydrochloride (Lariam) (11 October 2013) Imigran (sumatriptan) catridge injections (11 November 2013) Children’s Panadol Baby Drops syringe (22 November 2013) Pain-killers containing dextropropoxyphene – De-Gesic and Doloxene (27 November 2013) Slimming Factor (also known as Easy Trim, Que She and Chinese Herbal Diet Pills (2 December 2013) Children’s Panadol 1-5 years suspension (13 December 2013 Half-yearly performance reports, July to December 2013 Page 56 of 73 Therapeutic Goods Administration Listed Medicine Reviews New and completed reviews Table 66 - New and completed reviews 2012 Jan-Jun Jul-Dec 2013 Jan-Jun Jul-Dec Targeted reviews 73 102 46 58 Random 14 2 4 19 Investigation* 51 22 42 7 Total initiated 138 126 92 84 Targeted reviews 144 116 48 77 Random 31 27 14 6 Investigation* 58 38 22 23 Total 233 181 84 106 Reviews in progress as at last day of each 6 monthly period 270 190 200 271 New reviews / investigations initiated Reviews / investigations finalised Notes (reference to Table 66): *Investigations can include products not listed on the ARTG All investigations are assessed and triaged based on a risk management approach. All investigations are actioned on this basis to provide the greatest overall benefit for the Australian public. Investigations may be finalised through a number of mechanisms, such as initiating a targeted review or referral to another area of the TGA. Half-yearly performance reports, July to December 2013 Page 57 of 73 Therapeutic Goods Administration Listing Compliance Review Outcomes Notes (reference to Tables 67, 68and 69): As of September 2012, the Listing Compliance Section implemented a new framework for conducting compliance reviews for Listed complementary medicines (refer to http://www.tga.gov.au/industry/cm-basics-regulation-compliance-reviews.htm for more details). As a consequence, a new system was implemented to capture the data that related to listing compliance reviews. Because of the differences in data collection and listing compliance framework, the data prior to September have not been reported as they are not comparable. Table 67 - Listing Compliance Review Outcomes Jul-Dec 2013 Number Percentage No compliance breaches identified against selected listing requirements 41 50% Medicines with verified compliance breaches against selected listing requirements 31 37% Compliance status not determined (Includes medicines cancelled after Section 31 notice issued, medicines not yet manufactured, financial cancellations etc) 11 13% Total 83 100% Table 68 - Listing Compliance Review issues Jul-Dec 2013 Number ARTG 6 Product: formulation / manufacturing / quality 4 Labelling and Advertising 40 Evidence 10 Other (e.g. Sponsor has failed to comply with a condition that the medicine is subject to, Sponsor has failed to comply with an additional condition of listing, etc) 9 Table 69 - Actions taken 2013 Jul-Dec Number Proposal to Cancel letter sent by the TGA 41 Medicines cancelled by TGA 7 Medicines cancelled by Sponsor after Proposal to Cancel letter issued 13 Medicines cancelled by Sponsor before compliance status could be determined e.g. after a section 31 notice was issued to Sponsor 6 Compliance reviews initiated but not able to be completed (e.g. medicine not yet manufactured or product cancellation for non - payment of fees) 9 Investigations resulting in initiation of target review 4 Notes (reference to Tables 68 and 69): Medicines may have multiple issues and actions Half-yearly performance reports, July to December 2013 Page 58 of 73 Therapeutic Goods Administration Medical device post market reviews Regulatory compliance – random reviews Table 70 - Devices verification - random review workflow 2012 Oct-Dec 2013 Jan-Mar Apr-Jun Jul-Sep Oct-Dec Reviews completed 21 63 66 2 2 Reviews commenced 29 0 0 0 0 Reviews on hand 156 93 27 25 23 Notes (reference to Table 70): No random reviews were commenced in Jan-Mar and Apr-Jun 2012/13. This was due to the reallocation of TGA resources to the up classification of joint implants. This is supported with reference to Table 24 Application Workflow. Regulatory compliance – restricted word reviews Table 71 - Devices verification - restricted word review workflow 2012 Oct-Dec 2013 Jan-Mar Apr-Jun Jul-Sep Oct-Dec Reviews completed 0 13 12 16 11 Reviews commenced 17 8 9 5 15 Reviews on hand 24 19 16 5 9 Regulatory compliance – targeted reviews Table 72 - Devices verification - targeted review workflow 2012 Oct-Dec 2013 Jan-Mar Apr-Jun Jul-Sep Oct-Dec Reviews completed 26 37 64 29 34 Reviews commenced 0 18 23 27 56 Reviews on hand 211 192 151 149 171 Half-yearly performance reports, July to December 2013 Page 59 of 73 Therapeutic Goods Administration Medical device incident reports Medical device incident reports received Table 73 - Number of medical device incident reports received by financial year 2007/08 2008/09 2009/10 2010/11 2011/12 2012/13 Total received 1244 1711 1861 2161 2346 3013 User reports 400 418 537 480 492 898 Sponsor reports 844 1293 1324 1681 1854 2115 Australian incident notification workflow Table 74 - Australian incident notification workflow 2011 Jul-Dec 2012 Jan-Jun Jul-Dec 2013 Jan-Jun Jul-Dec Reports entered 1218 1404 1271 1255 1630 Reports completed 1234 1112 1148 1865 1443 Reports still in progress 295 731 970 687 627 Australian incident notification response times Table 75 - Australian incident notification - Average working days to resolve incidents and percentage not resolved in target time Target 2011 Jul-Dec 2012 Jan-Jun Jul-Dec 2013 Jan-Jun Jul-Dec Average time to investigate and resolve 90 days 56 51 34 ** 30 Percentage of reports not resolved in target time 0% 22% 17% 25% ** 16% Notes (reference to Table 75): ** Data unavailable due to system recording failure. Half-yearly performance reports, July to December 2013 Page 60 of 73 Therapeutic Goods Administration Incident notification outcomes Table 76 - Device incident notification report outcomes 2011 Jul-Dec 2012 Jan-Jun Jul-Dec 2013 Jan-Jun Jul-Dec Reviewed and used for trend analysis purposes 957 812 459 516 736 Reviewed, no further action required 198 195 284 754 585 Product Recall1 18 14 23 29 37 Recall for Product Correction1 0 1 6 10 37 Hazard Alert1 0 3 1 55 41 Product Notification 0 0 1 0 1 Safety Alert1 2 5 5 4 11 Product Enhancement/Improvement Notice 3 6 1 2 1 Instructions for Use Amended 3 13 9 10 28 Referral for Post-Market Review 0 0 1 2 1 Referral to TGA Office of Manufacturing Quality 2 0 1 3 0 Refer to another TGA Office 7 21 13 26 28 Company warned 0 0 0 0 1 Product Suspended from ARTG 0 0 0 1 0 Product Cancelled from ARTG 1 4 3 26 5 Manufacturing Process Improvements 6 21 22 30 18 Quality System Process Improvements 3 2 3 1 6 Maintenance Carried out by the Hospital 0 0 0 1 1 Change to Design 3 13 12 26 8 Not Device Related 3 21 26 8 11 Other 53 17 20 43 44 Notes (reference to Table 76): Outcomes are not mutually exclusive. A report may have more than one outcome, such as instructions for use amended plus TGA publication or product recall plus cancellation. Therefore it is possible that the total number of outcomes will be more than completed reports. These outcomes are as a result of an adverse event report investigation or a report for a medical device that has been the subject of a recall or safety alert action. The outcome of all 458 PIP reports closed during this time period was the same – TGA publication of information. Therefore, the outcome was one publication covering all of these reports. Half-yearly performance reports, July to December 2013 Page 61 of 73 Therapeutic Goods Administration Regulatory compliance Alleged offences by type Table 77 - Count of alleged offences by type Count Import 379 Supply 195 Manufacture 10 Claims 5 Export 2 Total 591 Final action taken Table 78 - Count of final action taken Count Investigation in progress 222 Warned 223 No offence detected 90 Goods released under personal Import Scheme 31 Referred to another agency or department outside of TGA 17 Referred to another Office within the TGA 7 Import treated as abandoned goods by Customs 1 Total 591 Half-yearly performance reports, July to December 2013 Page 62 of 73 Therapeutic Goods Administration Dosage forms of products investigated Table 79 - Count of dosage forms investigated Count Capsule 279 Tablet 214 Topical 149 Medical device 124 Injection 65 Oral liquid 36 Drops 19 Spray 13 Powder 12 Oral jelly / paste 11 Inhalator 3 Lozenge 3 Transdermal 2 Oral food 1 Reagent Test Kit 1 Total 932 Product category of products investigated Table 80 - Count of product category of products investigated Count Complementary medicines 390 Prescription medicines 349 Medical devices 121 Homoeopathic medicines 41 OTC medicines 17 Other 17 Total 935 Half-yearly performance reports, July to December 2013 Page 63 of 73 Therapeutic Goods Administration Special interest investigations Table 81 - Count of special interest investigations for each type Count Unapproved product 770 Counterfeit 137 Parallel import / export 4 Manufacture without licence 2 Other 5 Total 918 Investigations by complainant type Table 82 - Count of investigations by complainant type Count Customs 353 General public 159 TGA internal 42 External agency 19 Sponsor / client 10 Patient / practitioner 4 Total 587 Half-yearly performance reports, July to December 2013 Page 64 of 73 Therapeutic Goods Administration Investigations complainant type and state/territory Table 83 - Count of investigations by complainant type and state/territory ACT NSW NT QLD SA VIC WA Others Customs 0 54 15 75 6 174 22 7 External agency 0 11 0 2 1 0 4 1 General public 0 14 0 7 5 13 3 117 Patient / practitioner 0 2 0 0 0 1 0 1 Sponsor / client 1 5 0 0 0 1 0 3 TGA internal 42 0 0 0 0 0 0 0 Total 43 86 15 84 12 189 29 129 Complainant type Australian Register of Therapeutic Goods New, variations and cancelled records Table 84 - Number of medicine registrations processed 2011 Jul-Dec 2012 Jan-Jun Jul-Dec 2013 Jan-Jun Jul-Dec New medicine entries 1098 941 958 814 1013 Changes (major and minor) 6558 7938 7554 7439 9979 Cancellations 394 302 86 332 77 New medicine entries 134 115 140 159 89 Changes (major and minor) 181 233 182 129 176 Cancellations 56 190 13 146 9 New medicine entries 0 3 1 1 1 Changes (major and minor) 8 12 8 7 12 Cancellations 1 5 1 6 0 Prescription medicines Over the counter medicines Complementary medicines Half-yearly performance reports, July to December 2013 Page 65 of 73 Therapeutic Goods Administration Table 85 - Number of listings processed 2011 Jul-Dec 2012 Jan-Jun Jul-Dec 2013 Jan-Jun Jul-Dec New medicine entries 886 836 875 872 954 Changes (major and minor) 243 304 245 183 183 Cancellations 362 1361 382 958 207 New medicine entries 47 52 155 81 76 Changes (major and minor) 29 33 40 74 22 Cancellations 139 165 143 98 19 Medicines for supply in Australia Medicines for export only Table 86 - Number of medical device inclusions processed 2011 Jul-Dec 2012 Jan-Jun Jul-Dec 2013 Jan-Jun Jul-Dec New entries 2744 2459 2584 2863 3284 Cancellations 743 2238 482 1752 639 New entries 69 62 115 95 170 Cancellations 10 9 20 32 42 New entries 100 174 233 228 267 Cancellations 1 5 8 6 8 Included medical devices Included medical devices for export Included IVD medical devices Included IVD medical devices for export New entries 0 3 4 4 5 Cancellation 0 0 1 2 0 New entries 15 2 9 12 18 Cancellations 38 2 11 38 18 New entries 0 0 0 0 0 Cancellations 0 0 0 0 0 Other therapeutic goods Other therapeutic goods for export Half-yearly performance reports, July to December 2013 Page 66 of 73 Therapeutic Goods Administration Table 87- Number of biological inclusions processed 2013 Jan-Jun Jul-Dec New entries 1 1 Cancellations 0 0 Biological inclusions Table 88 - Cancellation of registered and listed devices 2011 Jul-Dec 2012 Jan-Jun Jul-Dec 2013 Jan-Jun Jul-Dec Registered devices 0 0 0 0 0 Listed devices for supply in Australia 0 0 2 6 1 Listed devices for export only 0 0 0 0 0 Registration of products Figure 23 - Total number of registrations on the Australian Register of Therapeutic Goods at end of reporting period 80000 Number of registrations 70000 60000 50000 40000 30000 20000 10000 Total medicines Total biological entries Half-yearly performance reports, July to December 2013 31 Dec 2013 30 Jun 2013 31 Dec 2012 30 Jun 2012 31 Dec 2011 0 Total medical devices Total registrations Page 67 of 73 Therapeutic Goods Administration Table 89 - Number of medicine products on the Australian Register of Therapeutic Goods 2011 31 Dec 2012 30 Jun 31 Dec 2013 30 Jun 31 Dec Prescription medicines 10801 11439 12316 12792 13720 Over the counter medicines 3149 3071 3193 3096 3177 Complementary medicines 83 86 91 198 193 Total registered medicines 1433 14596 15600 16086 17090 Listed medicines 11743 11200 11697 11604 12164 Export only medicines 2755 2651 2667 2650 2706 Total medicines 28531 28447 29964 30340 31960 Medicine registrations Medicine listings Table 90 - Number of medical device entries on the Australian Register of Therapeutic Goods 2011 31 Dec 2012 30 Jun 31 Dec 2013 30 Jun 31 Dec Included devices 37115 37335 39478 40574 42917 Included IVDs 330 499 724 946 1205 Included devices for export only 574 627 722 778 906 Included IVDs for export only 6 9 12 14 19 Other therapeutic goods – listings and registrations 695 632 630 605 597 Other therapeutic goods for export only 13 10 10 10 10 Total medical devices 38733 39112 41576 42948 45655 Medical device inclusions Other therapeutic goods Table 91 - Number of biological entries on the Australian Register of Therapeutic Goods 2013 30 Jun 31 Dec 1 2 Biological entries Biologicals Half-yearly performance reports, July to December 2013 Page 68 of 73 Therapeutic Goods Administration Table 92 - Australian Register of Therapeutic Goods totals 2011 31 Dec 2012 30 Jun 31 Dec 2013 30 Jun 31 Dec Total registrations on the ARTG 67264 67559 71540 73289 77617 Total number of sponsors 3318 3335 3443 3565 3639 Yearly summary of activities Number of new products, variations and cancellations Figure 24 - Yearly summary of activities for medicine products 25000 20000 15000 10000 5000 0 2009 2010 2011 New registrations Cancellations 2012 2013 Variations/groupings Yearly summary Figure 25 - Yearly summary of activities for medical device products Number of new products, variations and cancellations 10000 9000 8000 7000 6000 5000 4000 3000 2000 1000 0 2009 2010 New registrations 2011 Cancellations Half-yearly performance reports, July to December 2013 2012 2013 Yearly summary Page 69 of 73 Therapeutic Goods Administration Table 93 - Medicine products – new products, variations and groupings and cancellations by year 2009 2010 2011 2012 2013 Prescription medicines 815 1313 1911 1899 1827 Over the counter medicines 156 233 230 255 248 Registered complementary medicines 1 5 0 4 2 Listed medicines 1562 1801 1608 1710 1826 Export only medicines 156 152 107 208 157 Yearly total 2690 3504 3856 4076 4060 Prescription medicines 13789 9946 14381 15492 17418 Over the counter medicines 320 405 326 415 305 Registered complementary medicines 5 24 17 20 19 Listed medicines 331 333 453 549 366 Export only medicines 70 72 48 73 96 Yearly total 14515 10780 15225 16549 18204 Prescription medicines 329 310 811 382 413 Over the counter medicines 227 129 214 203 163 Registered complementary medicines 3 3 1 7 7 Listed medicines 1955 1673 1341 1739 1352 Export only medicines 442 214 259 311 118 Yearly total 2956 2329 2626 2642 2053 Medicines activities year summary 20161 16613 21707 23267 24317 New registrations Variations and groupings Cancellations Half-yearly performance reports, July to December 2013 Page 70 of 73 Therapeutic Goods Administration Table 94 - Medical device products – new products and cancellations by year 2009 2010 2011 2012 2013 Included devices 4972 5603 5319 5043 6147 Included devices for export only 78 90 171 177 265 Included IVDs 0 107 225 407 495 Included IVDs for export only 0 4 2 7 9 Other therapeutic goods 80 83 32 10 26 Other therapeutic goods for export only 0 3 0 0 0 Yearly total 5130 5890 5749 5644 6942 Registered devices 14 4 7 4 6 Listed devices 198 67 96 80 44 Listed devices for export only 0 0 1 3 0 Included devices 1888 2725 2711 2679 2689 Included devices for export only 11 17 36 29 74 Included IVDs 0 0 2 13 14 Included IVDs for export only 0 0 0 1 2 Other therapeutic goods 35 19 17 8 18 Other therapeutic goods for export only 3 0 0 0 0 Yearly total 2149 2832 2870 2817 2846 Medical devices yearly summary 7279 8722 8619 8461 9788 New products Cancellations Table 95 - Biological products – new products and cancellations by year 2013 New products 2 Cancellations 0 Biological products yearly summary 2 Table 96 - ARTG activity yearly summary ARTG activity 2009 2010 2011 2012 2013 27440 25335 30326 31728 34107 Abbreviations used in the report ACNM Advisory Committee on Non-prescription Medicines ACPM Advisory Committee on Prescription Medicines Half-yearly performance reports, July to December 2013 Page 71 of 73 Therapeutic Goods Administration ADEC Australian Drug Evaluation Committee AIMD Active Implantable Medical Device ARCBS Australian Red Cross Blood Service ARTG Australian Register of Therapeutic Goods BMU Business Management Unit BPR Business Process Reform IVD In-Vitro Diagnostic Devices MRA Mutual Recognition Agreement MSU Medicines Safety Update OLSS Office of Laboratories and Scientific Services OTC Over the Counter PI Product Information PIP Poly Implant Prothese PMF Plasma Master File TMF Technical Master File TRALI Transfusion-Related Acute Lung Injury WHO World Health Organisation Management of data from manual sources Some of the data used in this report is drawn initially from manual record keeping systems and is reported prior to comprehensive verification. The verification process occasionally identifies errors in the original data. Where such errors are immaterial, the accurate comparative data will be reported in the next half yearly report without being highlighted. Material or significant changes in comparative data will be reported in the next report and will include an explanatory note explain the reason for the change. Half-yearly performance reports, July to December 2013 Page 72 of 73 Therapeutic Goods Administration PO Box 100 Woden ACT 2606 Australia Email: info@tga.gov.au Phone: 1800 020 653 Fax: 02 6232 8605 http://www.tga.gov.au Reference/Publication R14/720365