Regulatory Science In Therapeutics Development Henrietta Ukwu, MD, FACP, FRAPS Senior Vice President, Global Regulatory Affairs Changing Landscape, Changing Needs Regulatory Demands and Responsibilities Regulatory Science Demands 1980s 1990s Biotech / Pharma Blockbuster Boom 1980 – 1990s Orphan Drug Act 1983 2000 2002 Mergers and Acquisitions 1990s – 2000s Outsourcing (CRO, CMO) 2000s 2004 Drug Safety Concerns 2004 (ex. Vioxx) Emerging Markets 2004 - 2005 2006 2008 PERFECT STORM! Decline in Productivity; Rise in Product Failures; Unsustainable Paradigm 2010 Current EMERGING REGULATORY TRENDS: ICH to Local Heterogenicity Collaboration amongst Regulatory Agencies Adaptive Trial Designs CV Outcomes Studies REMS Development Advanced Therapeutic Pipelines Personalized Medicine Orphan Drug Indications Gundersen LE. Careers in regulatory affairs: from practitioner to professional. Nature biotechnology. (20) Apr 2002:409-410 Freedman TB. Career Opportunities in the Life Sciences. www.careersbiotech.com. 2007 Ukwu H, Malone H. Blueprint – Driving Regulatory Excellence. Regulatory Focus Mar 2009:40-45 Regulatory Science in the Drug Development Process Chemistry Synthesis Chemical and analytical characterization Development pharmaceutics Research and development activity Pharmaceutical Pharmacology Screening Side effects Acute toxicology Toxicology Analytical specifications Interaction with other drugs/Genomics Subacute toxicology/ teratology Chronic toxicology mutagenicity carcinogenicity Absorption distribution metabolism excretion// Biomarker Pharmacokinetics R RxX Phase I studies Clinical trials Regulatory affairs Scale up manufacture Advice on regulatory strategy Phase II studies Preclinical / Biomarker strategy Orphan drug, pediatric, Regulatory agency/ IND/ Regulatory agency – early pharmaceutical novel technologies strategy Phase III studies TA expertise, Innovative CT ;REMS HE; Tools validation, SPA; SA/B-R On the average, ~8-12 years to develop a drug at a cost of ~£464 million or ~$900 million " Knowing is not enough ; we must apply..." Goethe Phase IV/V studies Product approval / Safety & PMS/ Life cycle optimization Emergence of Regulatory Science • Bridge the scientific, translational and clinical knowledge into regulatory development planning − Become the liaison between multidisciplinary groups − Bring clinical reasoning and scientific methodology to a processdriven field − Continually educate themselves on international regulations that govern scientific discovery • Need for precision, prediction, and intelligence in adapting the Regulatory Process to product development − Introduce pragmatic methods to proactive approaches to complex situations − Incorporate analytical process to improve operational execution • Infuse business doctrine into strategy − Business Development- licensing opportunities, outsourcing strategies and CRO partnerships “Regulatory science is the science of developing new tools, standards and approaches to assess the safety, efficacy, quality and performance of regulated products…” FDA Strategic Elements of Regulatory Contribution TPP / Product inception Competitive, Globally acceptable, Value-adding, Sustainable Product Global CTA / IND filings Clinical trial design & conduct Fast track; Orphan drug; Opportunities for acceleration; Manufacturing strategies TPP-Driven Regulatory Agency meetings / Consultations & scientific advice Post Approval / Life cycle optimization Special Protocol Assessment Pivotal studies/ Endpoint assessment; SRI Stakeholder Engagements KOL; HTA / Experts Data review; Competitive Benchmarking; Product label; REMS; Benefit /Risk Assessment Global Filing & Review of Marketing Ukwu, H. (2011). Chapter 2: Global regulatory affairs – role in bio-pharmaceutical industry. Applications e-CTD In Global Regulatory Systems: A strategic primer for biopharmaceutical product development and registration. Center watch Publishing www.store.centerwatch.com Opportunities for Regulatory Science REGULATORY SCIENCE DEMANDS ... Differentiation is the name of the game! Strategic Regulatory Expertise Competitive Regulatory Intelligence Therapeutic Expertise Regional / Local Expertise Operational Excellence OPPORTUNITIES Redefinition of Stakeholders; Heightened Regulatory Approval Threshold; Increased Patient Access; Product Value Proposition / Differentiation; Increased Competition; Transformation Initiatives Simultaneous Global Development / Registration; Cost Containment Measures; Rigorous Regulatory Reviews CHALLENGES Redundancy vs. Complementarities to Clinical/Medical/Scientific Affairs teams; Clarity of Value-added roles; Positioning and Development of Career Advancement vs. Traditional Model Ukwu H, Malone H. Blueprint – Driving Regulatory Excellence. Regulatory Focus Mar 2009:40-45 Position Profile of a Regulatory Scientist Profile • Combination of strategic and operational excellence − − − − − − Program development planning Strategic regulatory intelligence Regulatory authority meetings Clinical trial methodologies Global awareness & understanding Matrix-organization supervisory experience ing P La rod be uc lin t g ertis Ad v and otion Su bm i ss ion s Strategic Excellence Operational Excellence: Regulatory Compliance Ukwu, H. (2011). Chapter 2: Global regulatory affairs – role in bio-pharmaceutical industry. In Global Regulatory Systems: A strategic primer for biopharmaceutical product development and registration. Center watch Publishing www.store.centerwatch.com Ukwu, H. Role of Regulatory Scientist in BioPharmaceutical Industry. RAPS Focus perspectives.. March 2003 Th Cl in Ex era ica p pe e l rti uti se c Regulatory Affairs Scientist d an y y or l i c l a t n ce Po g u i g e e R tell In Responsibilities C MC • • Local / Regional Expertise l& na i o i cs a t st sl ati ise an st rt Tr Bio xpe E • Usually terminal clinical and/or scientific degrees (MD, PhD, PharmD, DDS) with post-doc/fellowship experience Active participation in professional organizations and publications Background in translational research/medicine Therapeutic Area and technical/data review Capabilities are strong assets Prom • od Pr uc t v De elo e pm nt Industry Model: Regulatory Development Regional Strategy & Operational excellence: Executing on Milestones Regulatory submission BOH correspondence Physician / Scientific Application of Therapeutic Area expertise and Strategic Regulatory Intelligence Associate/Principle/Senior Associate/Principle/Senior Specialist / Analyst Coordinator/Specialist Associate/Senior Associate/Senior Manager / Scientist Manager / Liaison Associate/Senior/Executive Director Therapeutic Area Head Associate/Senior/Executive Vice President Associate/Senior/Executive Director Career Development of a *PPD Regulatory Scientist Associate/Principle/Senior Specialist / Analyst Associate/Senior Regulatory Scientist (Thought Providers) Integrate Regulatory Intelligence Support Consultants and Directors Develop and plan strategy Direct Liaisons for Operations and Teams Problem solvers PPD Global Regulatory Intelligence (GRI) Manager / Scientist Associate/Senior/Executive Director / Consultant Regulatory Consultant (TA experts/ Thought Leaders) Apply Regulatory Science and Intelligence Advise Client Development Strategy Oversee Planning and Implementation Direct Liaisons for Company and Regulatory Bodies PPD Global Regulatory Consulting (GRC) Associate/Senior/Executive Vice President *Ukwu, H. (2011). Leading a CRO paradigm shift at PPD from operational to strategic regulatory science application to enhance quality of services to clients