FDA, EMA Early Access Approach Report

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FDA and the European Medicines Agency have published a report on their 11/26/18 workshop with stakeholders on support for quality development in early access approaches such as PRIME (priority medicines) and Breakthrough Therapy designation. “Experience to date has shown that applicants face challenges to complete quality and manufacturing development and data requirements during development of products in early access approaches,” the report says. “In order to address and overcome these challenges, U.S. and EU regulators wish to support applicants with guidance and risk-based flexibility regarding their pharmaceutical development program including, for example, product characterization, specification setting, validation and stability testing as well as early identification of quality issues/attributes that are critical to the clinical use of the medicinal product.”

The workshop’s aim was to discuss between regulators and industry the quality challenges and possible scientific and regulatory approaches that could be used to facilitate development and preparation of robust data quality packages, to enable timely access to medicines for patients while providing assurance that patient safety, efficacy, and product quality are not compromised.

Sessions discussed in the report were background and scope of early access approaches; process validation; control strategy; GMP compliance; breakout session on biologicals process validation and control strategy, comparability and stability; breakout session on chemicals control strategy and stability; regulatory tools to support early access; and general discussion to sum up and point a way forward.

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