Drug Approval Trends at the FDA and EMEA
Process Improvements, Heightened Scrutiny and Industry Response
| Publication Date | April 2008 |
|---|---|
| Publisher | Business Insights |
| Product Type | Report |
| Pages | 147 |
| ISBN Number | not applicable |
| Product Code | RBI00215 |
Summary
Business Intelligence for the Pharmaceutical Industry
The healthcare portfolio of reports can be used across a wide range of business functions to assess market conditions and devise future strategy. Our reports cover key areas including strategy, industry analysis, market outlook, new business opportunities and strategic insight.
Some key findings from this report
- The FDA and EMEA are asking for more data in drug applications that pose heightened safety concerns, although there have been no official changes in overall drug approval standards.
- The number of new molecular entities approved in the US each year has declined from 36 to 18 since 2004, despite a sustained increase in the amount of clinical trials conducted.
- The EMEA is approving fewer products than the FDA even though processing speed and volume have been significantly improved. System reforms include reduced review times, faster approvals for innovative drugs and relaxed requirements in pediatric trials.
- Information about new drug candidates is being increasingly shared by the FDA and EMEA as globalization continues throughout the pharma industry. Such convergence is prominent in the orphan drugs area, where evaluations require considerable resources.
- Biosimilar approval structures in the EMEA are significantly more comprehensive than those of the FDA. Europe is now becoming the global center for biosimilar development and production.
Drug Approval Trends at the FDA and EMEA
Drug safety has become a major industry concern following the market withdrawal of Merck's Vioxx in 2004 and several other discontinuations of COX-2 inhibitors. Although adverse reactions were previously considered a relatively minor risk compared to a drug's wider benefit, both newly approved and established drugs are now under intense scrutiny.
Drug approvals in the US and Europe have become subject to approval delays, rising requests for further clinical data, and greater chances of rejection. Regulators are currently attempting to reconfigure review processes in order to minimize delays in recognition of the potential mass benefit of new applications. Drug Approval Trends at the FDA and EMEA: Process improvements, heightened scrutiny and industry response is a new report published by Business Insights that provides a comprehensive review of current drug approval trends in the US and Europe with case studies highlighting successful and unsuccessful applications. Emerging regulatory developments and process improvements are examined and the strategic measures implemented by developers to enhance the approval potential of their drugs are assessed. This report also evaluates the future regulatory landscapes of the FDA and EMEA, with a review of anticipated developments through to 2012.
Understand the changing landscape for FDA and EMEA drug approvals, discover the implications of process changes upon your drug applications and anticipate future regulatory developments with this new report...
Top five reasons to order your copy today
- Examine the latest developments in US and European drug approval processes with this report's detailed analysis of the key regulatory issues surrounding new molecular entities, generic drug applications, indication expansions and drug safety.
- Understand the implications of rising adverse drug reactions by exploring the issues surrounding safety failures and measuring the potentially affected patient populations of recent discontinuations.
- Measure the future impact of drug approval trends on R&D programs using this report's extensive review of anticipated changes to FDA and EMEA approval frameworks over the 2008-12 period.
- Evaluate the strategies that companies are using to accelerate drug approvals by understanding the latest industrial approaches to safety test improvements, outsourcing, repositioning and the management of clinical study results and data reporting.
- Benchmark successful drug applications and avoid approval delays with this report's case studies featuring numerous profiles for issues such as risky drug applications, biosimilar approvals and Rx-to OTC switches.
Key issues examined in this report
- Delayed approvals. Regulators are requesting more data to validate or refute conclusions about product risks. This is creating a rise in the size and number of clinical trials as well as overall research budgets.
- Rising R&D costs. Drug developers are continually increasing their R&D expenditures to generate approvable drug applications, despite rising financial pressures in the industry. Emerging technologies such as stem cells, genomics and proteomics are among the most prevalent initiatives being used to identify appropriate drug candidates.
- US generics focus. The FDA is allocating resources to generic drug approvals in an attempt to speed these products to market. However, although Europe has recently developed a clear regulatory path for generic versions of biologicals, this is yet be achieved in the US.
- Regulatory process improvements. Regulators are enhancing their drug review processes with new technologies such as electronic drug applications and technology-based standards for drug review.
Your questions answered
- Why are new molecular entities experiencing growing approval delays?
- How is the FDA responding to allegations that reviewers are being influenced by the intense pressure to approve new products?
- In which therapy areas are the FDA currently showing the greatest flexibility for novel product approval?
- How will the FDA encourage Rx-to-OTC switches of novel medicines?
- What technologies are drug makers utilizing to help speed the drug development process?
- What new processes has the EMEA recently established to significantly speed drug approvals?
- What emerging trends are companies using to bypass early-stage drug testing?
- How has the convergence of FDA and EMEA approaches benefited European drug marketers?
Content
- Executive Summary
- The shifting regulatory landscape
- Drug approval trends at FDA
- Drug approval trends at EMEA
- Industry response
- Global drug approval trends through 2012
- Chapter 1 The shifting regulatory landscape
- Summary
- Drug usage in the U.S. and Europe
- New molecular entities
- Generic drugs
- Rising usage of generics
- Generic drug application trends
- Indication expansions
- Drug approval issues
- Ensuring drug safety
- Safety shortfalls: rising adverse drug reactions
- Safety failures: drug withdrawals
- The importance of time to market
- Impact of cost constraints
- Conclusion
- Chapter 2 Drug approval trends at the FDA
- Summary
- Drug approval process
- Pressure to approve drug candidates
- Future directions in the FDA drug approval process
- Ensuring drug safety
- Evolution of drug safety testing
- Pediatric safety testing
- Future directions in drug safety reviews
- Reducing time to market
- Fast track approvals
- Orphan drug approvals
- Decreasing FDA drug approvals
- Future directions in speeding drug approvals
- Delaying risky applications
- Rising data requirements
- Case study: hormone replacement therapy
- Case study: Galvus
- The future for risky drug applications
- Biosimilars
- The future of biosimilar approvals
- Canadian biosimilars legislation
- Rx-to-OTC switches
- New OTC drug categories
- Antihistamines
- Emergency contraceptives
- Hyperosmotic laxatives
- Ophthalmic allergy medications
- Proton pump inhibitors
- Weight loss medications
- Switch rejections
- Statins
- Future directions in nonprescription drug approvals
- Creation of a pharmacist dispensed class
- Marketing withdrawals
- Application withdrawals
- Future directions in marketing and application withdrawals
- Conclusion
- Chapter 3 Drug approval trends at the EMEA
- Summary
- Drug approval process
- History of European drug regulation
- The formation of the EMEA and the MRP
- The EMEA
- The Mutual Recognition Procedure (MRP)
- The National Competent Authorities
- The Common Technical Document
- Ensuring drug safety
- Creation of Scientific Advisory Groups
- Future directions in drug safety testing
- Reducing time to market
- Accelerated opinions
- Pediatric testing exemptions
- Decreasing EMEA approvals vs. FDA approvals
- Current EMEA approval levels
- Future directions in speeding drug approvals
- Delaying risky applications
- The future for risky drug applications
- Biosimilars
- New biosimilar guidelines
- Future directions in biosimilar approvals
- Rx-to-OTC switches
- Future directions in nonprescription drug approvals
- Marketing withdrawals
- Application withdrawals
- Future directions in marketing and application withdrawals
- Conclusion
- Chapter 4 Industry response
- Summary
- Background
- Improving safety testing
- Genomics
- Stem cell approaches
- Future drug safety testing improvements
- Raising investment in R&D
- Improving R&D productivity
- Contract research organizations
- Repositioning
- Future directions in R&D investment
- Public reporting of clinical study results
- United States
- Europe
- Association of the British Pharmaceutical Industry
- Future directions in clinical data reporting
- Strengthening regulatory processes
- Coalition for a Stronger FDA
- Future directions in regulatory support
- Conclusion
- Chapter 5 Global drug approval trends to 2012
- Summary
- Background
- Trends at the FDA
- Focus on drug safety
- New technology-based standards for drug application review
- Decreasing application review times
- Boosting integrity and accountability
- Trends at the EMEA
- Focus on drug safety
- Product Information Management (PIM) Project
- Cooperation with other regulators
- Incentives for small drug developers
- Convergence of regulatory approaches
- Orphan drug approvals
- Conclusion
- Chapter 6 Appendix
- Index
- List of Figures
- Figure 1.1: Drug safety risk spectrum
- Figure 1.2: Growth in U.S. reported adverse drug reactions, 1995 - 2007
- Figure 1.3: U.S. R&D spending versus new drug approvals, 1995 - 2007
- Figure 2.4: U.S. drug approvals, 1995 - 2007
- Figure 3.5: Average number of days for centralized procedure positive opinions, 2004 - 2006
- Figure 3.6: Average number of days for orphan drug designation opinions, 2004 - 2006
- Figure 3.7: EMEA marketing withdrawals, 2000 - 2007
- List of Tables
- Table 1.1: Selected indication expansions for U.S. commercialized drugs, 2002 - 2007
- Table 1.2: Potential safety risks of popular drug classes
- Table 1.3: Significant drug discontinuations and affected patient groups, 1997 - 2007
- Table 2.4: Timeline of key FDA legislations
- Table 2.5: CDER Advisory Committees, 2008
- Table 2.6: U.S. New Molecular Entity (NME) Approvals, 2000 - 2007
- Table 2.7: Key U.S. Rx-to-OTC switches, 1997 - 2007
- Table 2.8: Key events in the approval of OTC nonsedating antihistamines
- Table 2.9: Recent withdrawals of U.S. marketing applications, 2002 - 2007
- Table 3.10: Leading European National Competent Authorities, 2008
- Table 4.11: U.S. Clinical trials and R&D spending, 2000 - 2007
- Table 4.12: Selected repositioning specialists
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