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Speeding the path to FDA approval in the era of electronic submissions
01-10-2010
SHARING OPTIONS:
An Investigational New Drug (IND) Application submitted to
the U.S. Food & Drug Administration (FDA) can easily run 10 or more
volumes, largely consisting of reviews and copies of published studies of the
drug in question. Many of the documents required come from published literature
sources, mainly in the form of scientific articles. Obtaining, assembling,
transmitting and managing this volume of materials is a major task for any
pharmaceutical company, whether it submits traditional paper documents to the
regulatory agency or opts for electronic submission—and let’s face it, it can
be time-consuming, expensive and downright exhausting.
In 2008, the FDA mandated that all electronic submissions
adhere to the electronic Common Technical Document (eCTD) format. This eCTD
standard poses additional distinct challenges as the scientific literature is
not published in this format, but needs to be reformatted to fit the FDA’s standard.
Even though it has been two years since the electronic system was implemented,
many pharmaceutical companies are still struggling to navigate the approval
process efficiently.
There is help. Acquiring the necessary published literature
for the regulatory approval process can be effectively standardized and
facilitated by a dedicated professional document preparation service.
The eCTD format: Advantages and pitfalls
First, a bit about the eCTD format itself. Designed by the
International Conference on Harmonization, it represents a common organization
structure for the submission of regulatory information to worldwide health
authorities such as the FDA. An eCTD document is comprised of five modules:
Administrative Information and Prescribing Information; Common Technical
Document Summaries; Quality; Nonclinical Study Reports; and Clinical Study
Reports. The reason this format was chosen is because it is optimized for
copying/pasting, viewing/printing, annotating, facilitating the export of information
to databases, searching within and across applications and navigating through
the document.
Additionally, the eCTD format offers an important
opportunity to make your company globally relevant, as it is standard across
all markets worldwide. A successful pharmaceutical company is a global
pharmaceutical company.
As with all electronic submissions, delays can arise when
last-minute requests for FDA-quality documents are made. It is no longer
acceptable to have documents with anything but clean text. Making sure these
documents are acceptable can be a complex process that involves a number of
parties. Currently, workflow at many companies is decentralized with multiple
insourcing and outsourcing providers. A pharmaceutical company’s Information Center
might bear responsibility for the task of removing any stray marks, while
regulatory affairs professionals might ensure that the documents are formatted,
modified and assembled in a manner consistent with a regulatory agency’s
specifications. It involves a great deal of management and juggling before,
during and after any submissions are made.
Companies need a centralized workflow system with standards
in place. The eCTD format requires enhanced and specific digital document
formatting and the inclusion of key navigation aids, making last-minute
requests even more problematic and delaying the drug approval process even
further. When the authorities reading a submittal encounter non-compliant PDF
files, they can stop the review until the pharmaceutical company supplies them
with corrected versions—a situation that can cost you and your company huge
sums in lost revenue by impacting the time to market and the stock price. As
the adage goes, time is money, and this is particularly applicable when it comes
to getting a drug through the regulatory approval process and successfully to
market.
How a dedicated professional document service can help
There are services out there dedicated specifically to
helping you avoid the pitfalls and hold-ups associated with the approval
process. If a company’s expertise lies in drug development, the company should
find a professional document repurposing company to manage the approval
process.
A dedicated eCTD document service can provide valuable aid
to global pharmaceutical companies facing the challenges of regulatory
submissions. Such a service is capable of processing orders for documents
either singly or in batches and procuring them—in as little time as a couple of
hours. It can ensure that the retrieved documents are digitally formatted to
internal and local regulatory specifications, and will oversee quality control
and assurance processing. The service can also be set up to report on the
details of usage for every document requested by the pharmaceutical company.
And while the latter’s Information Center may be overburdened, an independent
service can provide a dedicated project manager to oversee the entire process.
It is perhaps easier to envision how this alternative system
works by imagining what happens when Company X requires a set of, say, 12
documents on drug Y. First, Company X contacts the document service and
specifies the documents on drug Y that it needs. The document service then
retrieves those documents and pays copyright royalties to the documents’
publishers. It then formats the document PDFs according to the specifications
of both the client and regulatory agencies such as the FDA.
One of the most striking differences between this
arrangement and the traditional submission process involves the timing of
document preparation. Traditionally, when paper versions of documents were
used, the preparation was undertaken immediately prior to submission. With
electronic submission, documents can be prepared continuously from the start of
clinical trials, potentially saving considerable time and money later on.
Anyone skeptical of taking what has traditionally been an
activity overseen by the pharmaceutical companies themselves and assigning it
to an outside service need only consider the advantages the latter can provide.
An independent document service will not only have specialized expertise in
managing information and electronic resources but also will have a thorough
familiarity with both the eCTD format and current copyright laws. The opinions
of some of those familiar with the electronic submission process are worth
quoting.
“Invariably, [a] submission is held up waiting for that last
journal article or monograph,” notes Antoinette Azevedo, president of
e-SubmissionsSolutions.com. “It is better to collect them starting at the IND
phase rather than waiting [until a later stage of the application process].”
Robin Holmes, an information services and content
management consultant who formerly worked for Johnson & Johnson and Jazz
Pharmaceuticals, observes, “An eCTD solution should be an information center
expertise and deliverable. With this, the center can enhance document delivery
by leveraging existing purchases and removing a cause of submission delays.”
Given the perspectives reviewed above, the advantages come
clear to a pharmaceutical company sharing the eCTD challenge of regulatory
submission with a scholarly document service. The best step you can take to
speed your company’s way through the regulatory approval process is to have your
regulatory affairs personnel or contract research organization contact a
supplier for a content workflow analysis to find a solution that will benefit
you, your financing and ultimately, the people who will reap the benefits of
your drug.
Peter V. Derycz is the founding partner and president of
Derycz Scientific, a marketing services conglomerate focused on content
repurposing tools and services, in Los Angeles.
From 2003 to 2004, he was CEO of the Puerto Luperon Co.,
a luxury resort real estate development company. From 1990 to 2003, he was
president, chairman and CEO of Infotrieve Inc., a global provider of content
management technology and information services. He has also served as an
advisor to various organizations in the United States, Europe and Australia. He
holds nine Internet technology patents.
Code: E01111001 Back |
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