Stevens Institute of Technology Howe School of Technology Management Syllabus MGT 684 Regulation & Compliance in the Pharmaceutical Industry Semester: 2012 Day of Week/Time: WebCampus Instructor Name & Contact Information: Elaine Lehecka Pratt elaine.pratt@stevens.edu 201-216-5062 Office Hours: Wednesday and Thursday, 1-3 pm Class Website: Overview This course explores the economic theory of regulation in general, and the US and international regulatory environments that govern the pharmaceutical and biotechnology industries with particular focus on the US Food and Drug Administration, the European Agency for the Evaluation of Medical Products and the Japanese Ministry of Health, Labor and Welfare. The essential components of Good Laboratory Practices, Good Clinical Practices and Good Manufacturing Practices regulations will be covered. Students will develop an understanding of the formulation and execution of regulatory strategy and key ethical issues in medical research and production. Where appropriate, case studies will be used to illustrate the challenges and issues associated with compliance as well as the consequences of noncompliance. Ethical issues and the potential consequences of ethical lapses will also be explored. Current events will be used to illustrate key ethical principles and serve as a basis for discussion. Prerequisites: None. Relationship of Course to Rest of Curriculum This is an elective course in the Pharmaceutical Technology Management Program. It can be taken by students pursuing a Graduate Certificate in Pharmaceutical Technology Management. It is also cross-listed in the Pharmaceutical Manufacturing program and is an elective course in the Validation and Regulatory Affairs Graduate Certificate. Learning Goals After successfully completing this course, students will be able to 1. Appraise economic theories of regulation to determine application to the pharmaceutical industry 2. Analyze US and international regulatory requirements and strategize management challenges for compliance 3. Evaluate the role of ethics in pharmaceutical regulation and compliance Pedagogy The course employs lectures, class discussions, in-class assignments, homework, team projects, and an individual research term paper. Students will make several formal presentations during the class. Required Text(s) FDA Regulatory Affairs: A Guide for Prescription Drugs, Medical Devices and Biologics, 2nd edition, edited by Douglas Pisano and David Mantus, published by Informa Healthcare, 2008, ISBN 978-142007354-6 Research Ethics: A Reader, edited by Deni Elliot and Judy Stern, University Press of New England, 1997, ISBN 0874517974 Additional Readings Will be assigned during the course. Assignments Readings will be assigned each week for in class analysis and discussion. Students are expected to come to class each week prepared to discuss the readings and cases, and to participate fully in the preparation and presentation of team project assignments. Specific assignments include: 1. Student Team Presentation 1: Regulatory Submissions – Requirements and Strategy Working in teams, students will be research an assigned international regulatory submission. They will create a presentation highlighting the regulatory submission requirements, timeline, and content topics, and the strategy and staffing expertise needed to accomplish the submission. 15 % of final grade (including individual and team grade components) 2. Student Team Presentation 2: Consequences of Noncompliance Working in teams, students will be assigned a case study for evaluation. They will create a presentation summarizing the situation, contributing factors, corrective and preventive action ideas, and specific recommendations of future strategies. 15 % of final grade (including individual and team grade components) 2 3. Student Team Presentation 3: Consequences of Ethical Lapses Working in teams, students will be assigned a case study for evaluation. They will create a presentation summarizing the situation, contributing factors, an analysis using a model for ethical decision making, corrective and preventive action ideas, and specific recommendations of future strategies. 15 % of final grade (including individual and team grade components) 4. Final Paper Each student will select an aspect of regulatory compliance and prepare a 15 page research paper which explores the impact of the requirements on the process (e.g. – research and development, clinical trials, production, etc.), the economic cost of regulatory compliance, the functions and staffing necessary to meet the requirements, a short term regulatory compliance goals, corrective and preventive action plans for compliance, the use of technology in achieving compliance goals, and the development of an overall strategy for maintaining regulatory compliance. Guidance for the paper will be provided. 25 % of final grade 5. Class Participation in Weekly Discussions Each student is expected to attend all classes, to have completed the assigned readings and prepared the assigned case studies or other work, and to contribute thoughtfully to the class discussions. 20 % of final grade 6. Final Exam The final exam is the final synthesis of course information by means of several presented scenarios for which the student must formulate an appropriate response with sufficient detail, drawing on the material presented in the course. 10% of final grade 3 Ethical Conduct The following statement is printed in the Stevens Graduate Catalog and applies to all students taking Stevens courses, on and off campus. “Cheating during in-class tests or take-home examinations or homework is, of course, illegal and immoral. A Graduate Academic Evaluation Board exists to investigate academic improprieties, conduct hearings, and determine any necessary actions. The term ‘academic impropriety’ is meant to include, but is not limited to, cheating on homework, during in-class or take home examinations and plagiarism.“ Consequences of academic impropriety are severe, ranging from receiving an “F” in a course, to a warning from the Dean of the Graduate School, which becomes a part of the permanent student record, to expulsion. Reference: The Graduate Student Handbook, Academic Year 2003-2004 Stevens Institute of Technology, page 10. Consistent with the above statements, all homework exercises, tests and exams that are designated as individual assignments MUST contain the following signed statement before they can be accepted for grading. ____________________________________________________________________ I pledge on my honor that I have not given or received any unauthorized assistance on this assignment/examination. I further pledge that I have not copied any material from a book, article, the Internet or any other source except where I have expressly cited the source. Signature ________________ Date: _____________ Please note that assignments in this class may be submitted to www.turnitin.com, a webbased anti-plagiarism system, for an evaluation of their originality. 4 Course Schedule Week 1 2 3 4 Topic(s) Introduction to the Pharmaceutical Regulated Environment Theories of regulation o Public interest or “market failure” theory o Capture theory o Economic theory o Public choice “theory” Background and history of pharmaceutical regulation Stages of discovery, development, approval, marketing, and postmarketing, and where regulation fits in the stages of the drug product lifecycle FDA regulatory enforcement and consequences of noncompliance Economic impact of regulatory compliance The US Regulatory Environment Nonclinical laboratory studies (GLP) Clinical trials (GCP) Pharmaceutical production (GMP) Management issues: Managing regulatory compliance and its costs The US Regulatory Environment continued Medical device design and production (QSR) Validation Post-marketing pharmacovigilance Management issues: Managing regulatory compliance and its costs Product Submissions Approval process Regulatory strategy Meeting with the agency PAIs (pre-approval inspections) and on-going inspections Inspection response strategies Internal audits Assignments “What is Regulation and Why Do We Do It?” by Susan Dudley, http://www.mercatus.org/regrad ar/subcategory.php/301.html “The Theory of Economic Regulation” by George Stigler, http://www2.susu.edu/faculty/w atkins/stigler.htm Pisano/Mantus – Chapter 1 Pisano/Mantus – Chapters 9, 10 Case Study – BioDevelopment Associates Warning Letter, www.fda.gov/foi/warning_ letters/g4811d.htm Pisano/Mantus – Chapter 7 Case Study – GE Warning Letter, www.fda.gov/foi/warning_ letters/g5280d.htm Pisano/Mantus – Chapters 2-5 Case Study – C.R. Bard Warning Letter, www.fda.gov/foi/warning_ letters/g4797d.htm 5 5 6 7 8 9 Management issues: Managing regulatory compliance and its costs Team Presentations: Regulatory Submissions – Requirements and Strategy IND (Investigational New Drug Application) NDA/ANDA (New Drug Application, Abbreviated New Drug Application) BLA (Biologics License Application) PMA/510(k) (Pre-market Approval Application) Compliance Strategy for Electronic Technology Management 21 CFR Part 11 (Electronic Records and Electronic Signatures) eCTD (electronic common technical document) submissions CSV (computer system validation) issues Management issues: The economic impact of regulatory compliance The International Regulatory Environment European Union Japan ISO (International Organization for Standardization) ICH (International Committee on Harmonization) GHTF (Global Harmonization Task Force) Management issues: The economic impact of global marketing Team Presentations: Consequences of Noncompliance Barr Laboratories decision Abbott consent decree Schering-Plough consent decree MIT Biomedical Engineering Center warning letter Practice and Components of Regulatory Affairs and Compliance Quality management system planning Quality management system control Student Team Presentations Pisano/Mantus – Chapter 11 www.fda.gov/cder/regulatory/ ersr/ectd.htm www.fda.gov/cder/meeting/ eCTD4_2005.htm References for lecture: http://pharmacos.eudra.org/F2/e udralex/index.htm (Volume 4 GMP) http://www.jpma.or.jp/12englis h/parj/index.html www.iso.org www.ich.org www.ghtf.org Student Team Presentations Pisano/Mantus – Chapter 12 6 10 11 12 13 14 Technology controls for compliance Management issues: Managing regulatory compliance and its costs Introduction to Ethics in Medical Research The Baltimore case The CalTech case The Nuremberg Code and the Helsinki Declaration Ethics in clinical trials Introduction to Ethics in Pharmaceutical Validation, Quality Assurance, Production and Post-Marketing Pharmacovigilance Team Presentations: Consequences of Ethical Lapses Dr Bishop warning letter case Elliott/Stern case pp 109 – The New Technician Elliott/Stern case pp 297 – Case 3 Bristol-Myers Squibb DTC warning letter case The Future of Regulation and Compliance Harmonization of regulations FDA 21st century initiatives Risk-based management Impact of future technology on compliance Term Papers Due, Final Exam Elliott/Stern – pp 11-17, 20-33, 43-59, 60-68, 286-294, 300-306 Case Study – Data Selection, Legitimate or Illegitimate?, http://onlineethics.org/cases/ nspe/ec85-5.html Elliott/Stern – pp 174-186, 193196, 218-221, 242 Student Team Presentations http://www.fda.gov/cder/gmp/g mp2004/GMP_finalreport2004. htm 7