Wiesner Jacqueline
Federal Institute for Drugs and Medical Devices, K.-G.-Kiesinger-Allee 3, 53175 Bonn, Germany.
J Ethnopharmacol. 2014 Dec 2;158 Pt B:467-70. doi: 10.1016/j.jep.2014.08.013. Epub 2014 Aug 21.
Each application for authorisation of a medicinal product must be accompanied by the particulars and documents referred to in Directive 2001/83/EC on the Community code relating to medicinal products for human use. Details on the documentation needed for traditional herbal medicinal products (THMP) are given in article 16c of the above mentioned Directive. It is pointed out that a bibliographic review of safety data together with an expert report and additional data, if necessary, are required. The Committee on Herbal Medicinal Products (HMPC) provides in its "Guideline on the use of the CTD format in the preparation of a registration application for traditional herbal medicinal products" (EMA/HMPC/71049/2007 Rev. 1) guidance on how to present the information and the dossier needed for an application. There, in agreement with the Directive 2001/83/EC, a bibliographical review of safety data is required within the "Non-clinical Overview". However, it is assumable that for such products, with a long tradition of usage bibliographical information relating to non-clinical safety are available, even if incomplete or not in accordance with today׳s state of the art. In the "Guideline on non-clinical documentation for herbal medicinal products in applications for marketing authorisation (bibliographical and mixed applications) and in applications for simplified registration" (EMEA/HMPC/32116/2005) it is reflected how to deal with such an incomplete set of data for traditional herbal medicinal products and crucial information are highlighted. This article will focus on the explanation of the requirements needed for the non-clinical safety evaluation of THMPs and some detailed explanations of the performance and interpretation of the mutagenicity studies.
每份药品授权申请必须附有关于人用药品的共同体法规的2001/83/EC号指令中提及的详情和文件。上述指令第16c条给出了传统草药药品(THMP)所需文件的详细信息。需要指出的是,必要时需要对安全数据进行文献综述,并附上专家报告和补充数据。草药药品委员会(HMPC)在其“关于在编写传统草药药品注册申请时使用CTD格式的指南”(EMA/HMPC/71049/2007修订版1)中提供了关于如何呈现申请所需信息和卷宗的指导。在那里,根据2001/83/EC号指令,在“非临床概述”中需要对安全数据进行文献综述。然而,可以假定,对于这类有着长期使用传统的产品,即使不完整或不符合当今的技术水平,也可获得与非临床安全性相关的文献信息。在“关于草药药品上市授权申请(文献和混合申请)及简化注册申请中的非临床文件的指南”(EMEA/HMPC/32116/2005)中反映了如何处理传统草药药品这类不完整的数据集,并突出了关键信息。本文将重点解释传统草药药品非临床安全性评估所需的要求,以及对致突变性研究的操作和解读的一些详细解释。