Inokuma Yasuko
The University of Tokyo, Research Center for Advanced Science and Technology, 4-6-1 Komaba, Meguro-ku, Tokyo, 153-8904, Japan.
Drug Saf. 2017 Jun;40(6):475-482. doi: 10.1007/s40264-017-0517-2.
Two Japanese regulatory agencies, the Ministry of Health, Labour and Welfare and the Pharmaceuticals and Medical Devices Agency announced the implementation of a new review system called 'Conditional Approval,' specifically for the emerging field of regenerative medicine, in an amendment to the Pharmaceutical Affairs Act in 2014. Regenerative medicine was regulated in the category of 'Medical Devices' prior to the amendment and was not covered by the Relief Service, a system that provides financial aid to people who have experienced an adverse drug reaction and developed serious side effects as a result. Through the amendment, regenerative medicine is defined as a new category and is covered by the Relief Service under the amended Pharmaceutical Affairs Act, called the 'Act on Securing Quality, Efficacy and Safety of Pharmaceuticals, Medical Devices, Regenerative and Cellular Therapy Products, Gene Therapy Products, and Cosmetics' (PMD Act). This amendment allows the use of Relief Service data for pharmacovigilance activities, making the Relief Service the third adverse drug reaction reporting route in addition to the existing reporting routes from marketing authorization holders and healthcare providers. For optimum incorporation and use of this Relief Service data, earlier access should be allowed even before the reports from the Pharmaceuticals and Medical Devices Agency to the Ministry of Health, Labour and Welfare are finalized, which is mandatory under the current PMD Act.
2014年,日本厚生劳动省和药品医疗器械局这两家监管机构宣布,在对《药事法》进行修订时,针对再生医学这一新兴领域实施一种名为“有条件批准”的新审查制度。在修订之前,再生医学被归类为“医疗器械”,且不属于救济服务体系的范畴,该体系旨在为因药物不良反应而出现严重副作用的患者提供经济援助。通过此次修订,再生医学被定义为一个新类别,并被修订后的《药事法》(即《确保药品、医疗器械、再生和细胞治疗产品、基因治疗产品及化妆品的质量、疗效和安全性法》,简称《PMD法》)中的救济服务体系所涵盖。此次修订允许将救济服务数据用于药物警戒活动,使救济服务成为继上市许可持有人和医疗保健提供者现有的报告途径之后的第三条药品不良反应报告途径。为了最佳地整合和使用这些救济服务数据,甚至应在药品医疗器械局向厚生劳动省提交的报告最终确定之前(根据现行《PMD法》这是强制性要求)就允许更早获取这些数据。