The quality standard (i.e., tests, analytical procedures, and acceptance criteria) provided in an approved application to confirm the quality of drug substances, drug products, intermediates, raw materials, reagents, components, in-process materials, container closure systems, and other materials used in the production of a drug substance or drug product. For the purpose of this definition, acceptance criteria means numerical limits, ranges, or other criteria for the tests described. FDA CFR 314[2]、FDA CFR 600
Labeling for such products includes but is not limited to:
Prescribing Information (PI):
Labeling includes three sections: Highlights of Prescribing Information (Highlights), a Table of Contents (Contents), and the Full Prescribing Information (FPI). Highlights contains selected information from the FPI that health care practitioners most commonly reference and consider most important. Contents lists the sections and subsections of the FPI. FPI contains the detailed prescribing information necessary for safe and effective use of the drug. The final rule also reordered and reorganized the FPI, made minor changes to the content of the FPI, and set minimum graphic requirements for the format of the labeling.[3]
FDA-approved patient labeling [Medication Guides, Instructions for Use, and Patient Information (also called Patient Package Inserts)]:
o Medication Guides are a type of FDA-approved patient labeling for drugs used primarily on an outpatient basis when the FDA determines that it is necessary for patient's safe and effective use.
o Instructions for Use (IFU) are a type of FDA-approved patient labeling for drugs that have complicated or detailed patient-use instructions. The IFU provides detailed, action-oriented, step-by-step written and visual instructions for the patient on how to use the drug including instructions on preparation, administration, handling, storage, and disposal.
o Patient Package Inserts (PPIs) are a type of FDA-approved patient labeling that are required for oral contraceptives (21 CFR 310.501) and estrogen-containing products (21 CFR 310.515). PPIs are voluntary for other prescription drug products.
Carton and container labeling
EMA
Summary of the product characteristics(SmPC): is the basis of information for healthcare professionals on how to use the medicinal product safely and effectively. The Package Leaflet (PL) shall be drawn up in accordance with the SmPC. The Guideline on excipients in the label and package leaflet of medicinal products for human use is also applicable to the SmPC.
Directive 2001/83/EC of the European Parliament and of the Council, also known as the Community code relating to medicinal products for human use, is a comprehensive regulatory framework that governs various aspects of medicinal products, including their definitions, scope, placement on the market, manufacture, importation, labelling, advertising, and pharmacovigilance, among other things. This directive has been amended several times to incorporate new regulations and to address evolving needs in the pharmaceutical sector.
Applicable Positions:
Regulatory Affairs (RA): Must stay updated on all changes to ensure regulatory compliance.
Quality Assurance (QA): Ensures that manufacturing and quality control processes adhere to the guidelines.
Research and Development (R&D): Needs to be aware of the definitions and classifications that may affect new drug development.
Clinical Research: Should be knowledgeable about the requirements for clinical trials and pharmacovigilance.
Marketing Authorization Holder (MAH): Responsible for compliance with all aspects of the directive, including pharmacovigilance and product labelling.
Work Suggestions:
RA: Continuously monitor updates and amendments to Directive 2001/83/EC to ensure timely implementation of changes.
QA: Develop and maintain quality systems that are aligned with the directive's requirements for GMP and GDP.
R&D: Design research projects with awareness of the directive's classifications and definitions to facilitate smooth regulatory pathways.
Clinical Research: Ensure that clinical trials are conducted and reported in compliance with the directive, focusing on safety and efficacy.
MAH: Maintain oversight of all activities related to the product's lifecycle, from development through to post-marketing surveillance.
Scope of the Directive:
Applies to all medicinal products for human use intended to be placed on the market within the European Union.
Covers chemical药品, biological制品, vaccines, radiopharmaceuticals, and advanced therapy medicinal products.
Includes regulations for both innovative drugs and generic medicines, as well as specific provisions for homeopathic and herbal medicinal products.
Key Points from the Directive:
Definitions and Classifications: The directive provides a comprehensive list of definitions for terms such as medicinal product, active substance, excipient, and various categories of medicinal products, including advanced therapy medicinal products and homeopathic medicinal products.
Marketing Authorization: No medicinal product can be placed on the market unless a marketing authorization has been issued by the competent authorities, with specific procedures for mutual recognition and decentralized procedures.
Pharmacovigilance: A robust system for monitoring the safety of authorized medicinal products and detecting any changes to their risk-benefit balance is mandatory.
Manufacture and Importation: Manufacturing of medicinal products is subject to authorization and must comply with good manufacturing practices (GMP).
Labelling and Package Leaflet: Specific requirements ensure that all necessary information is provided to healthcare professionals and patients, including details of the product, its uses, dosage, and potential side effects.
Conclusion: The directive sets out a stringent regulatory framework aimed at ensuring the quality, safety, and efficacy of medicinal products available in the EU. It is essential for all relevant stakeholders in the pharmaceutical industry to be fully acquainted with its contents and to implement the necessary processes to comply with its requirements. Regular updates and revisions to the directive reflect the evolving nature of the pharmaceutical sector and the ongoing commitment to protect public health.