Clinical Trials Involving a Variety of IVDs Face Complex Issues
Pharma Tech Outlook

Clinical Trials Involving a Variety of IVDs Face Complex Issues

Pharma Tech Outlook | Monday, September 05, 2022

Sponsors operating in the EU face “critical challenges” when trying to set up clinical trials that require the use of an in vitro diagnostic (IVD), who called on the European Commission to address the challenges to avoid damaging the local clinical trial environment.

FREMONT, CA: The In Vitro Diagnostic Regulation (IVDR) has the full support of EFPIA (the European Federation of Pharmaceutical Industries and Associations), but the organisation issued a warning that the EU still faces serious obstacles that may ultimately lead to a reduction of clinical trial sites in Europe and patients' delayed access to cutting-edge treatments. The focus of the complaint is on the alleged flaws in the procedure for approving applications to employ IVDs in clinical studies. The trade group claimed that as of now, neither the streamlined process established by the IVDR to facilitate the review of applications for IVDs used in clinical trials nor the supportive infrastructure and guidance needed to enable companies to evolve in a fully reliable and operational environment, are in place. The EFPIA urged the Commission to address the pressing issues and offered to participate in a constructive dialogue about potential solutions and guidelines that will enable the optimal use of IVDs in clinical research. If the Commission, does not take action, the EU may experience unintended consequences that harm the clinical trial environment. After the Medical Device Coordination Group (MDCG), which counsels the Commission on issues about IVDR, published a question and answer document regarding the relationship between the new regulations on clinical trials and IVDs, EFPIA issued the statement. To enable the coordinated evaluation of applications to conduct multi-country research, the document describes how IVDR relates to diagnostics used in clinical trials.

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Italy will debut a brand-new National Pharmacovigilance Network (RNF) and an international standard framework for gathering information on adverse reactions. The modifications will enable the use of a new online reporting system for adverse occurrences to the Italian Medicines Agency (AIFA). Italy will enter a phase of transition where patients and healthcare providers will need to email specifics of alleged adverse reactions using the reporting forms. Affected parties can email the facility's pharmacovigilance officer or the person in charge of the product's marketing authorisation. The goal of RNF is to provide an increasingly precise assessment of the safety profile of medications by providing advanced services for the management and analysis of reports of possible adverse events. One of the modifications is the implementation of a new reporting technique. Italy will replace its present Vigifarmaco portal when it switches to the new system. To launch reporting through its portal, AIFA deactivated the portal. The new procedure will adhere to a new, global standard for reporting alleged adverse medication reactions, whose use will be required in the EU by the end of the month. Italy will be able to connect RNF to the EudraVigilance system to exchange adverse event reports once they switch to the new format.

For the first time since Brexit, the UK's Medicines and Healthcare products Regulatory Agency (MHRA) has rejoined the International Council for Harmonisation (ICH) Assembly as a member and now has a full voice in the organization's operations. Before Brexit, the MHRA took part in ICH activities as a member of the EU delegation, giving it the chance to sit on working groups and have an impact on global standards. The UK had to reapply after leaving the EU, initially as an observer. The UK regulator was accepted by ICH as an observer last summer. To become a full member of the ICH, observers have traditionally needed to participate in three of the previous four biannual sessions.

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