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DRUG CONTROL AND REGISTRATION




                  SIRIPORN CHAWANON
              Pharmacist, professional level
                   Drug Control Division
            Thai Food and Drug Administration
8/12/2010                                       1
OUTLINE
        • Drug Control System
        • The Organization of Drug Control Division
        • Drug Licensing and Registration
        •Drug Registration system
        •Safety Monitoring Program

8/12/2010                                             2
DRUG CONTROL SYSTEM

  MINISTRY OF PUBLIC HEALTH
        FOOD AND DRUG ADMINISTRATION (FDA)
        DEPARTMENT OF MEDICAL SCIENCES
        PROVINCIAL HEALTH OFFICES


  THAI FDA
       PRE-MARKETING: LICENSING
                     DRUG REGISTRATION

       POST-MARKETING: INSPECTION
                       SURVEILLANCE
                      ADR MONITORING
8/12/2010                                    3
The Organization Chart of Drug Control Division

                                        Drug Control Division




                                                               Administrative Sub-division




     Policy and System         Herbal and                  New Drug          National List of
    Development Section Traditional Drug Section            Section        Essential Medicines
                                                                          Development Section

Generic Drug    International Affairs   Biological Product Advertising Control   Veterinary Drug
  Section         and IND section            Section            Section              Section


                                                                    Generic Product industry and
    8/12/2010                                                                                   4
                                                                     Intellectual Property Section
Thai Regulatory System


    The legislative basis of this system is
    the Drug Act BE 2510 (1967) and
    amendments




8/12/2010                                     5
Thai Regulatory System

           The Drug Act provides that decisions of the
       Secretary-General, FDA, be made with advice of a
       Drug Board made up of principal relevant
       Departmental Directors General in the MoPH as
       well as representatives from related organizations,
       plus five to nine drug experts.

           The Drug Board meets monthly and may give
       recommendations or opinions on licensing and
       registration decisions such as approved, withdraw
       or suspend the licenses.


8/12/2010                                                    6
Licensing

    The drug Act requires that persons
    who wish to sell, produce, or import
    drugs into Thailand have to obtain a
    license from the FDA.




8/12/2010                                  7
Registration
            • Qualified person: Authorized licensees
            • To ensure efficacy safety and quality
              of drugs
            • Upon receipt of Drug Registration
              Certificate, the drug can be lawfully
              marketed.




8/12/2010                                             8
DRUG REGISTRATION AND APPROVAL

New Drugs and New Generic Drugs                                      New Drug Section
(for human uses)


Generic Drugs (for human uses)                            Generic Drug Section

Biological Products                                      Biological Product Section
(for human or veterinary uses)


Veterinary Drugs                 Veterinary and Pharmaceutical chemicals Section
(not include Biological Products and Traditional and Herbal Drugs)


Traditional and Herbal Drugs              Traditional and Herbal Medicine Section
(for human or veterinary uses)


  8/12/2010                                                                             9
DRUG REGISTRATION PROCESS

  Applicants: Only authorized licensees are qualified to apply for
              product registration.

  Manufacturing plants :GMP compliance

  2 steps:
  Step 1: Application for permission to manufacture or import of
               drug samples – One Stop Service Center
  Step 2: Application for product registration approval




8/12/2010                                                            10
Flow Chart of Drug Review Process

                                       Applicant


                                      Application


   [Completeness Review]        Pre-filing screening Review


[Technical Review]       Review by Experts/Subcommittee/Committee



                                 Make Decision by FDA



              Approved                 Revised                Rejected

  8/12/2010                                                              11
Thai FDA Classified modern medicine into 3 categories :

   New drugs

   New generic drugs: Pharmaceutical products with the
   same active ingredients, doses and dosage forms as
   those of new compounds (new drugs) registered after
   1992 but manufactured by different manufacturers


   Generic drugs.




8/12/2010                                             12
Thai FDA Classified modern medicine into 3 categories :

   New drugs: registrations is the most stringent of all
   require a complete set of product dossiers


   Generic drugs. The registrations require basically
   dossiers on product manufacturing and quality
   control together with product information.

   New generic drugs: In addition to the required
   dossiers for generic submission, the new generic
   registrations require dossiers of bioequivalence
   studies as well as literature documents for
   supporting safety and efficacy
8/12/2010                                                  13
ASEAN HARMONIZATION PRODUCT i.e.

   ACTR , ACTD
   4 Technical Guidelines
    (1) Analytical Validation guideline
    (2) BA/BE Studies guideline
    (3) Process Validation guideline
    (4) Stability Study
    .



8/12/2010                                 14
Process of New Drug Registration


Track 1 : Standard Review
            210 - 280 working days


Track 2 : Accelerated or Priority Review
            (Drugs for public health problems / life
            threatening)
            100-130 working days


8/12/2010                                              15
Process of New Generic Drug Registration


Track 1 : Standard Review
            110 working days


Track 2 : Accelerated or Priority Review
            (Drugs for public health problems / life
            threatening)
            70 working days


8/12/2010                                              16
New Drug Registration (ASEAN Harmonization)

   ASEAN Common Technical Dossiers (ACTD)
   Documents to be submitted 4 Parts

   Part 1: Administrative Data and Product Information
   Part 2: Quality Document
   Part 3: Nonclinical Document
   Part 4: Clinical Document




8/12/2010                                                17
New Drug Registration System


                              New Drug
            Step I                    Experts/Subcommittee
                                      Approval

                         Conditional approval

                                      SMP & Limited distribution (2 yrs)

                        Unconditional approval

            Step II

              Voluntary Spontaneous ADR Reporting System

8/12/2010                                                                  18
Conditional Approval

            Safety Monitoring Program (SMP) will be
            conducted for approx. 2 years.
            Drug packages must bear labeling to
            show conditional approval status.
                                                  should
                                                  monitori
                                                  ng
               Triangle shows monitoring status.
               Specially-control drug
              Limited distribution only through
             medical institutes or hospitals
8/12/2010                                                19
Why SMP?
Objectives:
• To confirm the drug safety in Thai
  patients
• To generate earlier safety signals and
  gather more safety information of new
  drugs before granting and unconditional
  approval.
• To more rigorously control the usage of
  new drugs
8/12/2010                              20
Why SMP?       (2)

Objectives:
• To encourage physicians, pharmacist
  and other health professionals to have
  more concerns on the safety of new
  drugs and their usage.




8/12/2010                                  21
What Have Been Currently Done ?

 • Capacity building on drug evaluation and
   registration in order to be prepared for ASEAN
   Pharmaceutical Harmonization and WHO
   assessment of regulartory system.
 •    Collaboration and communication links with other
     NRAs in order to strengthen professional
     competence and exchange information (MOU with
     TGA, US FDA Regulator Training Program for
     vaccine)
 • BE study submitted for registration should be
   conducted in compliance with the ICH GCP as well
   as GLP standard.
 8/12/2010                                          22
What Have Been Currently Done ?

• Encourage current and new domestic manufacturer
  to upgrade their quality standard.
• The proposed revision of Drug Act is
  expected to bring about better drug
  regulatory implications
• One Stop Service Center has been
  established for submitted applications which
  can be processed and approved within a
  short time period.
 8/12/2010                                     23
What Have Been Currently Done ?

• Maintain a balance between ensuring a product is
  safe, efficacious and of good quality and not
  delaying public access to the products.by Clearly
  separate the tracks of registration submission into
  standard review and priority review and Reduce the
  timelines for each steps were announced.




 8/12/2010                                        24
The proposed policies to promote the accessibility of
the medicine, which can solve the public health’s
problem


 1. The fast track pathway for the emergent medicine,
    such as, neoplastic, H.I.V., antituberculous drug,
    antiviral vaccine, can reduce the consideration
    period from 280 working days to 130 working
    days.
 2. Thailand's MoPH issued a compulsory license for
    HIV drug (EFFAVIRENZE, lopinavir/ritronavir)
    and drug for other diseases with public health
    consequences such as cancer or other chronic
    diseases (letrozole Imatinib errotinib docetaxel
  8/12/2010                                        25



    clopidogrel)
The proposed policies to promote the
accessibility of the medicine, which can solve
the public health’s problem

 3. The  personnel’s efficiency should be more
       developed and improve competence

 4. the ASEAN Economic Ministers signed the ASEAN
     Sectoral Mutual Recognition Arrangement (MRA)
     for Good Manufacturing Practice (GMP).



  8/12/2010                                      26
THANK YOU FOR YOUR
                 ATTENTION
               www.fda.moph.go.th
            E-mail: be.study@gmail.com

8/12/2010                                27

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Drug Registration Thailand_2010

  • 1. DRUG CONTROL AND REGISTRATION SIRIPORN CHAWANON Pharmacist, professional level Drug Control Division Thai Food and Drug Administration 8/12/2010 1
  • 2. OUTLINE • Drug Control System • The Organization of Drug Control Division • Drug Licensing and Registration •Drug Registration system •Safety Monitoring Program 8/12/2010 2
  • 3. DRUG CONTROL SYSTEM MINISTRY OF PUBLIC HEALTH FOOD AND DRUG ADMINISTRATION (FDA) DEPARTMENT OF MEDICAL SCIENCES PROVINCIAL HEALTH OFFICES THAI FDA PRE-MARKETING: LICENSING DRUG REGISTRATION POST-MARKETING: INSPECTION SURVEILLANCE ADR MONITORING 8/12/2010 3
  • 4. The Organization Chart of Drug Control Division Drug Control Division Administrative Sub-division Policy and System Herbal and New Drug National List of Development Section Traditional Drug Section Section Essential Medicines Development Section Generic Drug International Affairs Biological Product Advertising Control Veterinary Drug Section and IND section Section Section Section Generic Product industry and 8/12/2010 4 Intellectual Property Section
  • 5. Thai Regulatory System The legislative basis of this system is the Drug Act BE 2510 (1967) and amendments 8/12/2010 5
  • 6. Thai Regulatory System The Drug Act provides that decisions of the Secretary-General, FDA, be made with advice of a Drug Board made up of principal relevant Departmental Directors General in the MoPH as well as representatives from related organizations, plus five to nine drug experts. The Drug Board meets monthly and may give recommendations or opinions on licensing and registration decisions such as approved, withdraw or suspend the licenses. 8/12/2010 6
  • 7. Licensing The drug Act requires that persons who wish to sell, produce, or import drugs into Thailand have to obtain a license from the FDA. 8/12/2010 7
  • 8. Registration • Qualified person: Authorized licensees • To ensure efficacy safety and quality of drugs • Upon receipt of Drug Registration Certificate, the drug can be lawfully marketed. 8/12/2010 8
  • 9. DRUG REGISTRATION AND APPROVAL New Drugs and New Generic Drugs New Drug Section (for human uses) Generic Drugs (for human uses) Generic Drug Section Biological Products Biological Product Section (for human or veterinary uses) Veterinary Drugs Veterinary and Pharmaceutical chemicals Section (not include Biological Products and Traditional and Herbal Drugs) Traditional and Herbal Drugs Traditional and Herbal Medicine Section (for human or veterinary uses) 8/12/2010 9
  • 10. DRUG REGISTRATION PROCESS Applicants: Only authorized licensees are qualified to apply for product registration. Manufacturing plants :GMP compliance 2 steps: Step 1: Application for permission to manufacture or import of drug samples – One Stop Service Center Step 2: Application for product registration approval 8/12/2010 10
  • 11. Flow Chart of Drug Review Process Applicant Application [Completeness Review] Pre-filing screening Review [Technical Review] Review by Experts/Subcommittee/Committee Make Decision by FDA Approved Revised Rejected 8/12/2010 11
  • 12. Thai FDA Classified modern medicine into 3 categories : New drugs New generic drugs: Pharmaceutical products with the same active ingredients, doses and dosage forms as those of new compounds (new drugs) registered after 1992 but manufactured by different manufacturers Generic drugs. 8/12/2010 12
  • 13. Thai FDA Classified modern medicine into 3 categories : New drugs: registrations is the most stringent of all require a complete set of product dossiers Generic drugs. The registrations require basically dossiers on product manufacturing and quality control together with product information. New generic drugs: In addition to the required dossiers for generic submission, the new generic registrations require dossiers of bioequivalence studies as well as literature documents for supporting safety and efficacy 8/12/2010 13
  • 14. ASEAN HARMONIZATION PRODUCT i.e. ACTR , ACTD 4 Technical Guidelines (1) Analytical Validation guideline (2) BA/BE Studies guideline (3) Process Validation guideline (4) Stability Study . 8/12/2010 14
  • 15. Process of New Drug Registration Track 1 : Standard Review 210 - 280 working days Track 2 : Accelerated or Priority Review (Drugs for public health problems / life threatening) 100-130 working days 8/12/2010 15
  • 16. Process of New Generic Drug Registration Track 1 : Standard Review 110 working days Track 2 : Accelerated or Priority Review (Drugs for public health problems / life threatening) 70 working days 8/12/2010 16
  • 17. New Drug Registration (ASEAN Harmonization) ASEAN Common Technical Dossiers (ACTD) Documents to be submitted 4 Parts Part 1: Administrative Data and Product Information Part 2: Quality Document Part 3: Nonclinical Document Part 4: Clinical Document 8/12/2010 17
  • 18. New Drug Registration System New Drug Step I Experts/Subcommittee Approval Conditional approval SMP & Limited distribution (2 yrs) Unconditional approval Step II Voluntary Spontaneous ADR Reporting System 8/12/2010 18
  • 19. Conditional Approval Safety Monitoring Program (SMP) will be conducted for approx. 2 years. Drug packages must bear labeling to show conditional approval status. should monitori ng Triangle shows monitoring status. Specially-control drug Limited distribution only through medical institutes or hospitals 8/12/2010 19
  • 20. Why SMP? Objectives: • To confirm the drug safety in Thai patients • To generate earlier safety signals and gather more safety information of new drugs before granting and unconditional approval. • To more rigorously control the usage of new drugs 8/12/2010 20
  • 21. Why SMP? (2) Objectives: • To encourage physicians, pharmacist and other health professionals to have more concerns on the safety of new drugs and their usage. 8/12/2010 21
  • 22. What Have Been Currently Done ? • Capacity building on drug evaluation and registration in order to be prepared for ASEAN Pharmaceutical Harmonization and WHO assessment of regulartory system. • Collaboration and communication links with other NRAs in order to strengthen professional competence and exchange information (MOU with TGA, US FDA Regulator Training Program for vaccine) • BE study submitted for registration should be conducted in compliance with the ICH GCP as well as GLP standard. 8/12/2010 22
  • 23. What Have Been Currently Done ? • Encourage current and new domestic manufacturer to upgrade their quality standard. • The proposed revision of Drug Act is expected to bring about better drug regulatory implications • One Stop Service Center has been established for submitted applications which can be processed and approved within a short time period. 8/12/2010 23
  • 24. What Have Been Currently Done ? • Maintain a balance between ensuring a product is safe, efficacious and of good quality and not delaying public access to the products.by Clearly separate the tracks of registration submission into standard review and priority review and Reduce the timelines for each steps were announced. 8/12/2010 24
  • 25. The proposed policies to promote the accessibility of the medicine, which can solve the public health’s problem 1. The fast track pathway for the emergent medicine, such as, neoplastic, H.I.V., antituberculous drug, antiviral vaccine, can reduce the consideration period from 280 working days to 130 working days. 2. Thailand's MoPH issued a compulsory license for HIV drug (EFFAVIRENZE, lopinavir/ritronavir) and drug for other diseases with public health consequences such as cancer or other chronic diseases (letrozole Imatinib errotinib docetaxel 8/12/2010 25 clopidogrel)
  • 26. The proposed policies to promote the accessibility of the medicine, which can solve the public health’s problem 3. The personnel’s efficiency should be more developed and improve competence 4. the ASEAN Economic Ministers signed the ASEAN Sectoral Mutual Recognition Arrangement (MRA) for Good Manufacturing Practice (GMP). 8/12/2010 26
  • 27. THANK YOU FOR YOUR ATTENTION www.fda.moph.go.th E-mail: be.study@gmail.com 8/12/2010 27