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Trainings and capacity building activities in WHO Prequalification Programme. Quality Assurance and Safety: Medicines (QSM) Essential Medicines and Policy (EMP) Dr. Milan Smid. Capacity building. WHO support to development, manufacture, control or regulation of medicines. Manufacturers.
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Trainings and capacity building activities in WHO Prequalification Programme Quality Assurance and Safety: Medicines (QSM) Essential Medicines and Policy (EMP) Dr. Milan Smid
Capacity building • WHO support to development, manufacture, control or regulation of medicines Manufacturers Clinical Research Organizations (CROs) Quality control laboratories (QCLs) National Regulatory Authorities (NRAs)
Capacity building • How to manufacture according to WHO Good Manufacturing Practice (GMP) standards • How to compile a dossier for WHO Prequalification Programme • How NRAs can benefit from WHO Prequalification Programme • How to be in compliance with Good Practices for Quality Control (QC) laboratories • Relevant sources of information Stimulate submissions to WHO Prequalification Programme Stimulate submissions for prequalification of QC laboratories
Capacity building Prequalification Programme is in itself capacity building: • Learning from assessment (deficiency) letters and technical meetings • Learning from GMP and GCP inspections • Learning from WHOPARs/WHOPIRs etc
Capacity building 1) Trainings 2) Technical assistance 3) Provision of information and standards
1a) Trainings • Seminars and workshops • Often local manufacturers and national regulators together • Third parties often involved • Support to trainings organized by others • Focus on "training of trainers" • WHO training materials used, when available (GMP, GPCL))
Basic training modules • Principles of WHO prequalification of medicines • Good Manufacturing Practices (GMP) • Quality requirements for medicinal products/Assessment training • Development of pharmaceutical formulations (e.g. ped's) • Bioequivalence/BCS • Principles of WHO prequalification of QC laboratories and GPCL May be adapted to specific therapeutic areas (RH, MA, TB, HIV)
Main partners in organization of trainings in 2007/2009 • International Pharmaceutical Federation (FIP) • European Directorate for the Quality of Medicines & Healthcare (EDQM) • National Regulatory Authorities in South Africa, Tanzania, Estonia, Ukraine, Morocco, Brazil, Jordan, Ghana, Egypt, Indonesia, Kenya, Uganda, China • National Quality Control Laboratories in Morocco and Tanzania • East Africa Community (EAC) • Association of Southeast Asian Nations (ASEAN) • Ministry of Health China, Pakistan, Iran, Morocco • Program for Appropriate Technology in Health (PATH) • United Nations Population Fund (UNFPA) • European Department for Quality of Medicines (EDQM) • European Medicines Agency (EMEA) • Drug Information Association (DIA) • Therapeutic Goods Agency Australia (TGA) • Roche Pharmaceuticals
1b) Individualized trainings • Involvement of assessors from NRAs in CPH sessions • Involvement of inspectors from NRAs in PQ inspections • 3-month rotation of assessors from NRAs* at WHO HQ Capacity building of experts from NRAs (regional resource persons - improvement of NRA practices/procedures, trainings, networking, product issues) *Ethiopia, Kenya, Tanzania, Uganda, Ukraine, Zimbabwe, Ghana…
2) Technical Assistance • Provision of expert consultants to • Manufacturers • QC laboratories • Assistance focuses on • GMP, GCP or GLP compliance • Data development and compilation of dossier • Regulatory guidance • Assistance is separate from assessments/inspections and may be followed by specific training
Conditions for technical assistance Manufacturers: • Participation in the PQ programme • Capable and willing to improve • Location in a developing country Products: • Inclusion in the Invitation for Expression of Interest (EOI) • High public health value • Poorly represented on the Prequalification list.
3) Provision of information • Information related to prequalified products, or manufacturers/CROs • Prequalified lists (products, labs) and "Dossier status" • "Characteristics of prequalified product" • Public assessment reports (WHOPAR, SPC, PIL) • Public inspection reports (WHOPIR – APIs and FPPs) • Notice of concern/suspension • Guidelines and standards • Published training materials / CDs • Technical Briefing Seminars in Geneva