REMS Modification, Revision Guidance

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FDA has published a guidance, Risk Evaluation and Mitigation Strategies: Modifications and Revisions, with information on how the agency defines the types of changes to an approved risk evaluation and mitigation strategy (REMS), how application holders should submit changes to an approved REMS, and how FDA will process submissions from application holders for changes to REMS. The document provides specific information on what types of changes to REMS will be considered modifications of the REMS, and what types of changes will be considered revisions of the REMS (changes that may be implemented following notification of FDA).

The guidance applies to all types of REMS, including those that are part of a shared system. It does not address additional submission procedures that may apply to application holders proposing changes to REMS that are part of a shared system and that use a drug master file for their REMS submissions.

Contents of the guidance are Introduction, Background, Policy, Submission Procedures, FDA Time Frames for REMS Changes, Contact Information, and an Appendix.

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