2. International conference on harmonization
It is a joint initiative involving regulators &
industry as equal partners in the scientific &
technical discussions of the testing procedures
which are required to ensure and assess the safety,
quality & efficacy of medicines.
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M
ICH (April 1990)
3. To make recommendations towards
achieving greater harmonization in the
interpretation and application of technical
guidelines and requirements for
pharmaceutical product registration, there by
reducing duplicating of testing carries out
during the research & development of new
human medicines.
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Mission
4. Realisation was driven by tragedies, such as that
with thalidomide in Europe in the 1960s.
The 1960s and 1970s saw a rapid increase in laws,
regulations and guidelines for reporting and
evaluating the data on safety, quality and efficacy of
new medicinal products.
Divergence in technical requirements from
country to country.
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Need to Harmonize
5. Harmonization of regulatory requirements was pioneered by
European Community (Now EU)
Success acheived by Europe when it demonstrated that
harmonization was possible
At same time there were bilateral discussions between Europe,
Japan & US, on possibilites for harmonization
The birth of ICH took place at meeting of EFPIA [European
Federation of Pharmaceutical Industries and
Associations] in April 1990 in Brussels
Topics selected for harmonization –
SAFETY
QUALITY
EFFICACY
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Initiation of ICH
6. Two decades of success, attributed by scientific concensus
& the commitment between industry and regulatory
parties.
First decade saw significant progress in the development
of tripartitie ICH guidelines on SAFETY, QUALITY &
EFFICACY topics and also on Multidisciplanary topics
(MedDRA, CTD)
Expanded communication & dessemination of
information on ICH guidelines with Non-ICH regions
Estblishment of Global Cooperation Group (GCG) – in
response to a growing interest from beyond the ICH
region in the use of ICH guidelines HTTP://WWW.MYCLINICALRESEARCHBOOK.BLOG
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Evolution of ICH
7. HTTP://WWW.MYCLINICALRESEARCHBOOK.BLOG
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Structure of ICH
Regulatory Body
European
Union
(EU)
Ministry
of Health,
Labor and
Welfare,
Japan
(MHLW)
US Food
& Drug
Administr
ation
(US-FDA)
Industry
European
Federation
of
Pharmaceuti
cal
Industries
Associations
(EFPIA)
Japan
Pharmaceuti
cal
Association
(JPMA)
Pharmaceuti
cal Research
&
Manufactur
es of
America
(PHRMA)
10. Governing body that overseas the harmonization activities
Six representative of founding parties on the SC (EU, EFPIA,
MHLW, JPMA, USFDA, PhRMA)
3 Observers are WHO, Health Canada, Swissmedic.
The IFPMA participates as a non-voting member
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Steering Committee
11. Global Cooperation Group represents from 6 Regional
Harmonnizational Initiatives (RHI‘s) APEC [Asia-Pacific
Economic Cooperation], ASEAN [Association of
Southeast Asian Nations], EAC[East African
Community], GCC [Gulf Cooperation Council],
PANDRH [Pan American Network for Drug Regulatory
Harmonization], SADC [Southern African
Development Community], in addition to eight Drug
Regulatory Authorities/Department of Health (DRAs/DoH)
namely Australia, Brazil, China, Chinese Taipei, India,
Republic of Korea, Russia and Singapore, are invited in the
ICH bi-annual meetings.
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GCG & MedDRA Management Board
12. MedDRA management Board:- Overall responsibility for
direction of MedDRA.
MedDRA (Medical Dictionary for Regulatory Activities) is an
ICH‘s standardized dictonary of medical terminology.
The board oversees the activites of MedDRA “Maintenance and
Support Services“ (MSSO) which serves as the repository,
maintainer, developer and distributor of MedDRA
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GCG & MedDRA Management Board
13. The MedDRA Management Board is composed of the six ICH
Parties (EU, EFPIA, MHLW, JPMA, FDA, PhRMA), the
Medicines and Healthcare products Regulatory Agency (MHRA) of
the UK, Health Canada and the WHO (as Observer). The IFPMA
acts as a non-voting observer on the Management Board.
14. Secretariat located in Geneva, Switzerland, operating
from IFPMA offices
Secretariat staff is responsible for day to day management
of ICH, namely preparations for & documentation of,
meetings of the SC and its working group
Coordinators: fundamental to the smooth running of
ICH.
European Union (EU), Ministry of Health, Labour and
Welfare (MHLW), Pharmaceuticals and Medical Devices
Agency (PMDA), FDA, Health Canada, EFPIA, JPMA
and PhRMA.
Secretariat & Coordinators
15. Each party establishes a contact network of experts
with in their own organization or region in order to
ensure that, in the discussions they reflect the views &
policies of the co-sponsor they represent.
There are several different types of ICH working
groups
EWG: Expert Working Group
IWG: Implementation Working Group
Informal Working Group HTTP://WWW.MYCLINICALRESEARCHBOOK.BLOG
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ICH Working Groups
16. ICH harmonization activities fall into 4 categories
1. Overview
2. Initiation of ICH harmonisation action
3. Full ICH harmonisation process for major topics
4. Abbreviated process for maintenance of ICH
agreements
5. Type of maintenance: updating based on new
information
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Process of Harmonization
17. OVERVIEW:
Steering committee ensure that
1. Harmonize new technical requirement
2. Updating and supplementing current ICH
guideline
3. Working procedure have been agreed
Major harmonisation – new guideline, change in
existing guideline, change in policy
Minor harmonisation – other changes
18. INITIATION OF ICH HARMONISATION
ACTION:
1. Proposal for harmonisation action
I. New types of medicinal product
II. Lack of harmonisation in current technical
requirements
III. Transition to technically improved testing procedures
IV. Review of an existing ICH guideline
V. Maintenance of existing guideline
2. Preparation of concept paper – 2 pages summary of
proposal
3. Selection of procedure – I to IV full ICH process, V –
ICH secretariat
HERE COMES YOUR FOOTER PAGE 18
19. FULL ICH PROCESS FOR MAJOR
HARMONISATION TOPICS:
1. Topic selection
2. Steering committee action – objective, EWG, timeline
3. Expert working groups – report to SC
4. Timetables and action plan – 2 years
5. Steps in ICH process
A. Consensus building
B. Start of regulatory action
C. Regulatory consultation
D. Adoption of a tripartite harmonised text
E. Implementation
HERE COMES YOUR FOOTER PAGE 19
20. ABBREVIATED PROCESS FOR MAINTENANCE
OF ICH AGREEMENTS:
1. Contact network for maintenance of guidelines
2. Procedure: Maintenance network – concept paper,
review and sign off
3. Procedure: steering committee
Types of maintenance
1. Proposal on permitted daily exposure (PDE)
2. Revision of established PDE
3. Publish relevant information of ICH website
4. Request revision of pharmacopoeias
5. Request WHO to distribute information to non ICH region
HERE COMES YOUR FOOTER PAGE 20
21. 1. ICH Guidelines
2. MedDRA
3. CTD [common technical document]
4. Electronic Standards
5. Consideration Documents
6. Open Consultations
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Work Products
22. Quality (Q1-Q11)
chemical & Pharmaceutial QA
Safety (S1-S10,M3)
dealing with invitro & invivo preclinical testing
Efficacy (E1-E16, Except E13)
clinical studies in human beings
Multidiscilplinary (M1-M8)
terminology, electronic standards, common documentsHTTP://WWW.MYCLINICALRESEARCHBOOK.BLOG
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The Guidelines – Q S E M
25. E1-Clinical Safety for Drugs used in Long-Term Treatment
E2A-E2F- Pharmacovigilance
E3-Clinical Study Reports
E4-Dose-Response Studies
E5-Ethnic Factors
E6-Good Clinical Practice
E7,E8,E9,E10&E11-Clinical Trials
E12-Clinical Evaluation by Therapeutic Category
E14-Clinical Evaluation
E15-Definitions in Pharmacogenetics / Pharmacogenomics
E16-Qualification of Genomic Biomarkers
E17-Multi-regional clinical trials
E18-Genomic sampling
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Efficacy
26. M1-MedDRA Terminology
M2-Electronic Standards
M3-Non-clinical Safety Studies
M4-CTD
M5-Data Elements & Standards for Drug dictionaries
M6-Gene Therapy
M7-Genotoxic Impurities
M8-eCTD
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Multidisciplinary
27. ICH launched 20 years ago
ICH brings together the drug regulatory authorities of
Europe, Japan, and the United States, along with the
pharmaceutical trade associations from these three
regions, to discuss scientific and technical aspects of
product registration.
It is ICH’s mission to achieve greater harmonization in
the interpretation and application of technical guidelines
and requirements for product registration, thereby
reducing duplication of testing and reporting carried out
during the research and development of new medicines.HTTP://WWW.MYCLINICALRESEARCHBOOK.BLOG
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Conclusion