Topics ICH Association 9th Meeting "ICH Singapore Meeting" was held
The International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use (ICH) Association's face-to-face meeting was held in Singapore from November 16-20, 2019. The meeting included an Expert Working Group (EWG) to discuss technical guidelines, a Management Committee responsible for preparing proposals to be presented and discussed at the Assembly and for managing the ICH, and a Assembly attended by all members. The meeting was attended by more than 450 participants from a total of 48 organizations, including ICH member regulators, industry associations, and observers. The ICH face-to-face meetings are held on a rotating basis among the three regions of Europe, the United States, and Asia. In the past, all Asian meetings have been held in Japan, but this was the first time for the meeting to be held outside of Japan.
ICH Singapore Assembly
The participating organizations at the ICH Singapore Meeting included six industry-government organizations*1 from Japan, the U.S., and the EU, which are founding members; two standing members (Health Canada and Swissmedic); eight members*2; two standing observers*3; and 30 other observers. There were 38 participants from JPMA. Fourteen Topics were discussed in person this time, including six Topics that were being discussed for the first time in a face-to-face meeting.
The EWG discussions took place over five days (four days for some Topics) from November 16 to 20. In parallel, the Management Committee met on November 17 and 18, and the Assembly, the decision-making body, met on November 19 and 20, and some Topics were approved for Step transition.
Below are some special notes from the Singapore meeting.
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1U.S. Food and Drug Administration (FDA), European Commission/ European Medicines Agency (EC/EMA), Ministry of Health, Labour and Welfare/Pharmaceuticals and Medical Devices Agency (MHLW/PMDA), Pharmaceutical Research and Manufacturers of America (PhRMA), European Federation of Pharmaceutical Manufacturers and Associations (EFPIA), Japan Pharmaceutical Manufacturers Association (JPMA)
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2National Medical Products Administration (NMPA), Brazilian Health Regulatory Agency (ANVISA), Korea Food and Drug Safety Administration (MFDS), Singapore Health Sciences Authority (HSA), Taiwan Food and Drug Administration (TFDA), International Generic and Biosimilar Medicines Association (IGBA), World Self-Medication Association (WSMI), Biotechnology Innovation Organization (BIO)
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3World Health Organization (WHO), International Federation of Pharmaceutical Manufacturers and Associations (IFPMA)
1. approval of newly elected Management Committee members
The Brazilian regulatory authority (ANVISA) was approved as a newly elected Management Committee member.
The ICH Management Committee consists of 8 Standing Members (Regulatory Authorities and Trade Associations from Japan, USA and Europe respectively, and Regulatory Authorities from Switzerland and Canada), up to 6 Elected Members (4 Regulatory Authorities and 2 Trade Associations; elected periodically), and Standing Observers from WHO and IFPMA.
Currently, there are only three regulatory organizations, NMPA (China), HSA (Singapore), and MFDS (South Korea), leaving one vacancy for an Elected Representatives slot, which will be filled by a Brazilian regulatory authority. The industry association slots for Elected Representatives are currently held by BIO and IGBA.
The requirements to run as a regulatory authority for the elected Management Committee membership are: "Participation in ICH face-to-face meetings for four consecutive years," "Dispatch of experts in two or more Topics," and "Implementation of the ICH Guidelines (at least up to Tier 2*4).
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4Tier 2: See Section 4
2. election of the Chair and Vice-Chair of the Assembly and Management Committee
The Chair and Vice-Chair of the Assembly and the Chair and Vice-Chair of the Management Committee are elected for two-year and one-year terms, respectively, during the ICH face-to-face meetings. Mr. Nobumasa Nakajima, PMDA Councilor, was re-elected as Vice Chair of the Management Committee. The situation will continue to allow Japan's presence to be demonstrated.
Assembly
- Chair
- Ms. Lenita Lindstrom-Gommers (EC: reappointment)
- Vise Chair
- Ms. Celia Lourenco (Health Canada: reappointment)
MC
- Chair
- Ms. Theresa Mullin (FDA: reappointment)
- Vise Chair
- Mr. Norimasa Nakajima (PMDA: reappointment)
3) Trends in the Technical Topic
All 14 Topics discussed during the face-to-face meeting are as follows: Q12 (in bold) was approved to move to Step 4. Q12 (in bold) has been approved to move to Step 4 and will be implemented by each regulator in the future. The underlined 6 Topics were discussed for the first time in the face-to-face meeting, and the Concept Paper and Business Plan were finalized for all of them.
- Q12
- Lifecycle Management of Pharmaceuticals
- Q2 (R2)/Q14
- Analytical Methods and Validation
- Q13
- Continuous Production
- Q5A (R2)
- Viral Safety Assessment of Biopharmaceuticals
- E14/S7B
- QT prolongation and evaluation of serious arrhythmias Q&A
- M10
- Analytical Method Validation for Drug Concentration in Biological Samples
- S12
- Nonclinical Biodistribution Considerations for Gene Therapy Products
- E19
- Optimization of Safety Data Collection
- E11A
- Extrapolation in Pediatric Drug Development
- M11
- CeSHarP (Clinical electronic Structured Harmonized Protocol)
- E2D (R1)
- Handling of post-approval safety information
- E6 (R3)
- E6 revision based on GCP renewal RP
- E20
- Adaptive Clinical Trials
- M12
- Drug Interaction Studies
The following two other Topics were not discussed in-person, but were approved to move to Step 4. As with Q12 above, we will wait for implementation by the respective regulatory authorities.
- E9(R1)
- Estimand and Sensitivity Analysis in Clinical Trials
- M9
- BioWeber based on BCS (Biopharmaceutics Classification System)
The following 3 Topic are those that were agreed upon for future progress. They will be promoted as new Topic in the future, although there are differences in timing.
- Q3E
- Evaluation and management of eluates and leachates of pharmaceutical and biopharmaceutical products
The establishment of the INFORMAL Working Group (WG) itself was approved at the Amsterdam meeting in June 2019, and now the expert nomination process has also been initiated and will officially start. - M13
- BE evaluation of fast dissolving solid oral dosage forms
The establishment of the informal WG and the initiation of the expert nomination process were agreed upon and will be officially started. - Q9
- Quality Risk Management (Revision)
It was agreed to establish an informal WG, but not to start the process of nominating experts immediately due to conflicts with other quality topics. It will be officially started when the situation is ready.
4. review the results of the survey on the implementation of the guidelines in the ICH region
A survey on the implementation of the ICH Guidelines was conducted from February to April 2019 and the results were published on the ICH website in November. At this meeting, we discussed the results of the survey, the scope of future survey items, etc.
The following guidelines were reviewed for implementation in this survey.
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Tier 1
Q1: (Stability-All), Q7: (GMP for API), E6 (R2): (GCP)
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Tier 2
E2A, E2B (R3), E2D: (E2 Series: Safety Information), M1 (MedDRA), M4 (CTD)
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Tier 3
M3 (R2): (Non-clinical study timing), M8: (eCTD), E17: (International Clinical Trials)
5. training
Mr. Masashi Yokota, Vice Chairperson of the JPMA ICH Project Committee, has been appointed as Co-Lead of the Training Subcommittee, which will comprehensively manage activities to ensure efficient implementation of the ICH Guidelines in each region by supporting the implementation of various external training programs on the ICH Guidelines and developing a system for providing online training. The committee will comprehensively manage activities to promote the implementation of the ICH Guidelines in each region in a reliable and efficient manner.
6. ICH 30th Anniversary
Thirty years have passed since the inception of ICH, and we will celebrate the 30th anniversary with a face-to-face meeting in Athens, Greece, in the fall of 2020. In addition, special ICH sessions will be held at the Drug Information Association (DIA) EURO Annual Meeting in March 2020, the DIA USA Annual Meeting in June 2020, and the DIA Japan Annual Meeting in November 2020, respectively.
At this meeting, videotaped interviews were conducted with key participants of the in-person meetings in preparation for the 30th anniversary celebration. Camera crews also entered each Topic and Assembly meeting room to record the meeting. A documentary-style video will be made for the Athens meeting. Please keep an eye on ICH Activity, including sessions at the DIA Annual Meetings in Japan, USA, and Europe (Brussels, Belgium in March, Washington, USA in June, and Japan in November).
Upcoming ICH Assembly Meetings
May 23-27, 2020 Vancouver, Canada
ICH is actively disclosing information on ICH activities, including the outcomes of ICH meetings, to deepen understanding of ICH activities not only among those involved but also among the general public. The outcomes of this ICH Singapore meeting, concept papers on each topic, work plans, etc. are available on the ICH website (ICH Singapore meeting outcomes, concept papers on each topic, work plans, etc. are available on the ICH website.
( Manabu Yanagisawa, Director, International Regulatory Coordination Division)
