Key
points in regulatory management of variations
• Lifecycle management of pharmaceutical products varies between
the EU and US in terms of different submission requirements and assessment
timelines. However, similarities do exist in regional approaches to a general categorization
of post-approval changes (variations) and in many cases also the principles of
implementation.
• Post-approval variations in the EU and US can be administrative
in nature, simple changes requiring minor review, or major changes that are
often complex.
• Administrative: EU regulators go
as far as to define “administrative” as a category in their classification
guideline, whereas in other regions they fall into the lowest variation
category and have significant crossover with minor variations, e.g. new
addresses. Many agencies accept that these changes can be implemented without
the need for approval. Prior approval of administrative changes is
time-consuming for agencies and costly for industry. Additionally, in certain
cases such as a marketing authorization holder (MAH) moving address, the change
would actually need to take place prior to submission.
• Minor: Minor variations are generally
considered to have either no impact on the quality of the product or have a
very low chance of impact; and hence lower risk. Consequently, the level of
agency review, and hence the time required is reduced. As regulatory frameworks
have developed, agencies have introduced means to allow the most minor of
variations to be implemented before review. For example, in the EU, when a Type
IA variation is submitted the MAH must state which of a pre-defined list of
conditions applies to its change, thereby reducing the amount of review
required. With minor variations, many agencies have documentation requirements
that are well-established and must be met before variations are submitted. This
ensures that MAHs know what is expected before a submission and can prepare
sufficient supporting data. This leads to faster review times as assessors have
less need to request further data from applicants.
• Major: Where notable alterations to product registration are required,
these are expected to have an impact on a product’s quality and efficacy and as
such are tightly controlled, requiring in-depth assessment and review. The MAH
must demonstrate that the product will retain the same level of quality and
efficacy. Comparative data is a significant requirement for such changes and
must reliably show the proposed changes do not impair product quality.
Assessment times for such variations are often much longer, as agencies
carefully review submissions and frequently make requests for additional data
and answers to questions and concerns.
Table 1: Summary of variations and anticipated implementation
dates in Europe and US.
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Europe
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US
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Variation
|
Type
|
Anticipated implementation time
|
Guideline approval timeline
|
Type
|
Anticipated implementation time
|
Guideline approval timeline
|
Admin
|
Type IAIN
|
14 days before submission
|
N/A
|
AR
|
Up to 1 year before submission
|
N/A
|
Type IA
|
Up to 1 year before submission
|
N/A
|
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Minor
|
Type IB
|
Up to 3 months after submission*
|
30 days
|
CBE-0
|
On receipt of submission by FDA
|
N/A
|
CBE-30
|
30 days after receipt of submission
|
6 months
|
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Major
|
Type II
|
Up to 6 months after submission*
|
30 days
|
PAS
|
Up to 6 months after submission*
|
4 months
|
*The noted anticipated dates are
based on experience with submitting variations to the relevant agencies and
incorporate the time taken for validation, application assessment,
applicant’s response to questions (clock stop) and assessment of responses.
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