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Busting Myths: Comparator Sourcing from RoW Markets

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Busting Myths: Comparator Sourcing from RoW Markets

Busting common myths about comparator sourcing from RoW markets — counterfeits, equivalence, batch sizes and the regulations that actually govern the trade.

By

DR. PIYUSH GUPTA (MBBS, MBA)

ASSOCIATE DIRECTOR – BUSINESS DEVELOPMENT
GNH USA

  1. What’s A Workshop ? And Why This Subject ?
  2. Busting Myths – Common Myths When Sourcing From Row.
  3. Facts From RoW Markets
  4. Key regulations governing comparator sourcing
What’s a Workshop ?

What’s A Workshop ?

My Personal Advisor – Mr. Google Says:

A workshop is a single, short (although short may mean anything from 45 minutes to two full days) educational program designed to teach or introduce to participants practical skills, techniques, or ideas which they can then use in their work or their daily lives 

Why this subject now ?
  • We all are interested in Becoming really really Rich and pronto !!!

  • Oops wrong answer…

  • To bring cost effective solution to patients.

  • Ohh are the products originals or counterfeit ?

  • But even if I agree to buy from RoW, are these equivalent to EU Lines ?

  • Will I get a single batch for 10 packs ?

  • What’s the MA number of the product ?

  • Key regulations governing comparator sourcing

  • Drugs from RoW are counterfeit !!

Ohh are these products originals or counterfeit ?
  • RoW is a Large and Lucrative market for drug marketeers.
  • Indian market is estimated as US $ 20 billion !
  • Component of Branded lines imported into India is approx. 30% i.e. US $
    6 Billion !
  • Every product coming into the country gets registered with the local (Indian) FDA to
    obtain marketing permission.
  • The Government of India has implemented track and trace (dava.gov.in) in collaboration
    with GS1 since 2016: http://dava.gov.in to monitor stocks coming in and
    going out of the country.
Counterfeit ?
Registration process : eCDT Dossiers
Lets Focus on Module 1
Module 1
  • Module 1 – General Information:

  • One of the most important requirement of module 1 is CPP (Certificate of Pharmaceutical Product).

  • CPP is a certificate developed under WHO (World Health Organisation) Certification scheme in 1975 and most recently revised in 1997.

  • Detailed information is published by the WHO under its Certification Scheme. Certificate of a Pharmaceutical Product (CPP) issued by Swissmedic for Ristova (rituximab) exported to India

    US Pack

    Indian Pack

  • But even if I agree to buy from RoW, are these equivalent to EU Lines ?

  • Equivalent ?

  • Drug Distribution Map for high value lines

  • Common Myths When Sourcing from RoW

    • Will I get a single batch for 10 packs ?

      ParametersBelgiumIndia
      Population11.35 Million1.25 Billion
      Relapsing MS0.82%1.33%
      Patients93,07016,62,500
      Product supply????
  • What’s the MA number of the product ?

  • **What is a MA number:**Process of reviewing and assessing the dossier to support a medicinal product in view of its
    marketing (also called licensing, registration, approval, etc.), finalised by granting of a
    document also called marketing authorisation (MA) (equivalent: product license)In Indian terms MA number is not practised, we have product license system which is linked
    to factory site.For Drugs manufactured in India – ML (Manufacturing license) number is printed on the packFor Drugs imported into India  – Import license number is printed on the pack.

    Indian-market pack made in India (Falcigo, Zydus Cadila)

    Indian-market pack showing the manufacturing licence (M.L.) number and MRP in rupees

    Import license # on an Indian-market pack

    Indian-market pack of an imported product showing the Indian import licence number and MRP in rupees

    Indian-market pack: imported and marketed in India by Pfizer Products India

  • Key regulations governing comparator sourcing

Regulatory Scenario – USA
  • Important act governing Biologic and Biosimilar Development:
  • Biologic price competition and innovation act.
  • Over 110 reference made in this act to “Reference” product (Comparator).
  • Important restriction: (5) General Rules (A) – One reference product per application.
  • No mention of Origin or license status of Reference product!
Regulatory Scenario – EU
  • Important Acts governing Biologic and Biosimilar Trade:
  • Guidelines on Similar Biological Medicinal product: Guideline on similar biological medicinal products (CHMP/437/04 Rev 1), EMA
  • Section 3.2: Choice of reference product:
  • Restriction: “The reference medicinal product must be a medicinal product authorised in the EEA, on the basis of a complete dossier in accordance with the provisions of Article 8 of Directive 2001/83/EC, as amended”
  • “However, with the aim of facilitating the global development of biosimilar and to avoid unnecessary repetition of clinical trials, it may be possible for an Applicant to compare the biosimilar in certain clinical studies and in vivo nonclinical studies (where needed) with a “non-EEA authorised”.
White paper
Question time!
  • How Many Of You’ll Are Developing Two Versions Of The Drugs ?
  • One For North America, Europe And Another For RoW Markets ?

Other Resources

Little-known Facts about Comparator Sourcing from Emerging Markets

View & Download Little-known Facts about Comparator Sourcing from Emerging Markets

Comparators The “Check Nut” of Clinical Trials

View & Download Comparators  The “Check Nut” of Clinical Trials

Busting Myths in Comparator Sourcing

View & Download Busting Myths in Comparator Sourcing

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