European Medicines Agency, International Affairs, Amsterdam, NL.
Regulation and Prequalification Department, World Health Organization (WHO), Geneva, Switzerland.
Expert Rev Clin Pharmacol. 2022 Jul;15(7):805-810. doi: 10.1080/17512433.2022.2088503. Epub 2022 Aug 9.
Responding to new threats and public health emergencies (PHE) creates serious challenges to regulators. The pandemic due to SARS-CoV-2 has been the catalyzer for change in global and local regulatory practices. Intensified collaboration, rapid and coordinated actions, and reliance mechanisms were key elements of the regulators' response to COVID-19 for all regulatory functions.
This article presents how collaboration and reliance among regulators were crucial tools for the regulatory responses to COVID-19, describes the reliance approaches for authorization of COVID-19 vaccines and other commodities, and the importance of reliance for other regulatory functions to avoid duplication and save resources where possible. This article also presents the results of a follow-up survey of reliance approaches in case of public health emergencies conducted between the International Pharmaceutical Regulators Programme (IPRP) members and discusses the forward-looking potential of reliance, analyzing the journey from theoretical concepts to real-life implementation.
Regulatory reliance is an essential tool for regulators to act quickly and collectively in times of public health emergencies. Reliance approaches facilitate regulatory approvals and allow a more efficient use of resources, ultimately serving patients by facilitating earlier access to quality assured, safe and effective medicines.
应对新威胁和公共卫生突发事件(PHE)给监管机构带来了严峻挑战。由 SARS-CoV-2 引起的大流行是改变全球和地方监管实践的催化剂。加强合作、快速协调行动和依赖机制是监管机构应对 COVID-19 所有监管职能的关键要素。
本文介绍了监管机构之间的合作和依赖如何成为监管机构应对 COVID-19 的重要工具,描述了在授权 COVID-19 疫苗和其他商品方面的依赖方法,以及在其他监管职能中依赖的重要性,以避免重复并尽可能节省资源。本文还介绍了国际药品监管机构组织(IPRP)成员在公共卫生突发事件情况下进行的依赖方法后续调查的结果,并讨论了依赖的前瞻性潜力,分析了从理论概念到实际实施的历程。
在公共卫生突发事件期间,监管依赖是监管机构快速、集体行动的重要工具。依赖方法有助于监管部门批准,并允许更有效地利用资源,最终通过促进尽早获得质量保证、安全有效的药物来为患者服务。