May 2024

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Editorial Board

Content stream editors

Translational science
Gary Kelloff US National Institutes of Health
Ilan Kirsch Adaptive Biotechnologies Corp.

regulatory science
Isaac Rodriguez-Chavez 4Biosolutions Consulting

Patient engagement
Natasha Ratcliffe Patient Engagement Specialist
Thomas Smith Independent Patient Consultant

Data and Digital
Lisa Barbadora Barbadora Ink

VALUE AND ACCESS
Wyatt Gotbetter Parexel

Editorial Staff

Alberto Grignolo, Editor-in-Chief

Sandra Blumenrath, Managing Editor, Scientific Publications DIA Scientific Communications

Chris M. Slawecki, Managing Editor, Global Forum DIA Scientific Communications

Linda Felaco, Copy Editor and Proofreader

Regional Editors

AFRICA
David Mukanga Bill and Melinda Gates Foundation

ASEAN
Jin Shun Belief BioMed

AUSTRALIA/NEW ZEALAND
Richard Day University of New South Wales, Medicine, St. Vincent’s Hospital

CHINA
Ling Su Shenyang Pharmaceutical University, Lilly Asia Ventures

INDIA
J. Vijay Venkatraman Oviya MedSafe

JAPAN
Toshiyoshi Tominaga Keio University Hospital, Clinical and Translational Research Center

LATIN AMERICA
Cammilla Gomes Roche

US
Ebony Dashiell-Aje BioMarin

DIA Membership

Bringing together stakeholders for the betterment of global health care.

Issues, Ideas, and Initiatives: Proposals from the DIA/Harvard-MIT CRS Cell and Gene Therapy Executive Roundtable
Fouad Atouf
USP
Susan Awad
Sanofi
Megan Canniere
Spark Therapeutics
Daniel Cushing
Carisma Therapeutics
Tamei Elliott
DIA
Min Lin
Chenghong Wei
Yao-Yao Zhu
AstraZeneca
Peter Marks
Nicole Verdun
FDA
Janice Watch
UCB
Ryan Soderquist
Bristol Myers Squibb
James Wabby
AbbVie
A

s of May 2024, there are 36 US-approved cellular and gene therapy products. These products offer unprecedented solutions for diseases where traditional approaches fall short. However, groundbreaking innovations like cell and gene therapies bring unique challenges in their development and commercialization. During a presentation at the DIA/Harvard-MIT Center for Regulatory Science (CRS) Executive Roundtable in January 2024, Director of the FDA Center for Biologics Evaluation and Research (CBER) Peter Marks emphasized that addressing challenges in manufacturing, clinical development timelines, and different global regulatory requirements for these products is one of the center’s main goals in the year ahead: “CBER aims to make 2024 a breakout year addressing key challenges to the development of cell and gene therapies, especially for rare disorders,” Marks said.

DIA convened/designed the roundtable with input from Harvard-MIT CRS. Associate Professor of Pediatrics at Harvard Medical School, Boston Children’s Hospital, and Co-Director of the Harvard-MIT CRS Florence Bourgeois said, “We are looking forward to using this unique and collaborative format, and excited to join DIA in this effort. Together, we will work toward developing solutions to streamline the regulatory pathway for cell and gene therapies.”
A Platform Approach to mRNA Product Development and Regulation: Necessary and Feasible Now
John H. Skerritt
University of Melbourne, Australia
Carolyn Tucek-Szabo
Moderna Australia
Brett Sutton
CSIRO Health and Biosecurity, Australia
Terry Nolan
Peter Doherty Institute for Infection and Immunity, Australia
m

RNA-lipid nanoparticle (LNP) products form a platform technology because the development process is very similar for products for different diseases and conditions. Clarifying the data required for regulatory submissions is critical to provide a predictable development pathway. Benefits will include reduced development and regulatory costs, faster consumer access, and more nimble development of products for pandemics, rare diseases, and cancers where alternatives may not exist.

The FDA sIRB Power Shift and Its Impact on Clinical Research Efficiency
James Riddle
Advarra
S

ingle institutional review board (sIRB) review for multisite or cooperative clinical trials in the United States has had a long, twisty history and is expected to take another turn by the end of the year. Industry sponsors and contract research organizations (CROs) may be aware of the anticipated FDA sIRB mandate, but many don’t fully appreciate its seismic impact.

The proposed mandate signifies a dramatic shift in power from sites to sponsors. Sponsors will have final say over IRB selection. This marks a major change and allows sponsors greater leverage to control study timelines at institutions. When institutions no longer have the option to conduct their own local IRB review and sponsors are using the same sIRB for all trial sites, then study start-up timelines and administrative redundancies that exist today will be reduced.
Digitizing Protocol Design and Deploying AI to Save Hundreds (of Hours) and Millions (of Dollars)
Kimberly Tableman
ESPERO Health
S

wapping digital for paper has proven to be the springboard for operational transformation across dozens of industries from financial services to manufacturing. Yet protocol design—the building block for clinical research—remains rooted in paper, belaboring an already long, slow process.

Paper-based protocol design is not only inefficient but also vulnerable to error, leading to delays, protocol deviations, and potentially trial failure altogether. Considering, for example, that the median revenue of oncology drugs is about $1.6 billion (with the median cost to develop oncology drugs at $648 million), there’s a lot at stake. And not just money: poor protocol design can delay the delivery of life-altering medicines. Unfortunately, it has been difficult to digitize clinical trial protocols due to a lack of standardization, document variability, and significant increase in trial complexity.

Good Publications Practice in the Workplace
GPP 2022, Professional Engagement, and Artificial Intelligence in Publications Practice
Lisa DeTora
Hofstra University
Meera Kodukulla
AstraZeneca
Jennie G. Jacobson
Jacobson Medical Writing, Inc.
T

he current iteration of Good Publication Practice (GPP) Guidelines for Company-Sponsored Research was published in Annals of Internal Medicine in late summer 2022. These guidelines included important new topics previously reviewed in Global Forum, such as working with patients and helping to establish scientific and medical publications as a key function not just within clinical research but across the scientific endeavor of biomedical research in company-sponsored settings.

White Paper

ePI & the Future of Pharma Labeling:<br />
Reinventing Content Authoring to Improve Patient Outcomes

White Paper

Glemser: ePI & the Future of Pharma Labels: Reinventing Content Authoring to Improve Patient Outcomes
This guide delves into the profound impact of electronic Product Information (ePI) on the pharmaceutical industry and healthcare ecosystem, exploring how it not only revolutionizes content authoring but also sets the stage for a future where patients are empowered with accessible, personalized, comprehensible information about their health and medications. It also focuses on how AI-powered structured content authoring platforms help equip companies with the tools to streamline and enhance their content-authoring and -management processes, getting them ready for an ePI world.
Special Section: Identification of Medicinal Products (IDMP)
Part 1: What is Identification of Medicinal Products and Why Does It Matter?
Malin Fladvad
Olof Lagerlund
Julia Nyman

WHO-UMC
Ron Fitzmartin
Ta-Jen Chen

US FDA
Panagiotis Telonis
Isabel Chicharo

EMA
Vada Perkins
Boehringer Ingelheim
R

egulatory oversight of medicinal products entails both challenges and opportunities for regulatory authorities, including the fact that today much information about medical products is in electronic form. Electronic information translates into vast quantities of medicinal product and regulatory data, not all of which are uniform in structure, format, and content across jurisdictions. The unambiguous global identification of medicinal products is needed to achieve common international public health goals in areas such as pharmacovigilance, medicinal product track and trace, and to support other international initiatives, such as pharmaceutical quality.

Special Section: Identification of Medicinal Products (IDMP)
Part 2: Identification of Medicinal Products and Drug Shortages: A Use Case
Ron Fitzmartin
Norman Schmuff

US FDA
Panagiotis Telonis
EMA
Malin Fladvad
Marilina Castellano

WHO-UMC
T

he IDMP standards developed by the International Organization for Standardization (ISO) provide an international framework to uniquely identify and describe medicinal products with consistent documentation and terminologies, as well as to facilitate the exchange of product information between global regulators, manufacturers, suppliers, and distributors. When fully implemented globally, the standards will facilitate the unique identification of medicinal products in the context of pharmacovigilance, drug shortages, and the safety of medications (and patients who take them) throughout the world.

Special Section: Identification of Medicinal Products (IDMP)
Part 3: IDMP and Pharmacovigilance: A Use Case
Ron Fitzmartin
Sonja Brajovic

US FDA
Panagiotis Telonis
EMA
Malin Fladvad
Marilina Castellano

WHO-UMC
I

dentification of Medicinal Products (IDMP) standards developed by the International Organization for Standardization (ISO) provides an international framework to uniquely identify and describe medicinal products with consistent documentation and terminologies, as well as to facilitate the exchange of product information between global regulators, manufacturers, suppliers, and distributors. When fully implemented globally, the standards will facilitate the unique identification of medicinal products in the context of pharmacovigilance, drug shortages, and the safety of medications (and patients who take them) throughout the world.

White Paper

Enhancing Patient Safety: A Paradigm Shift Through Early AI Adoption in Pharmacovigilance Workflows

White Paper

Enhancing Patient Safety: A Paradigm Shift Through Early AI Adoption in Pharmacovigilance Workflows
Traditional PV operations typically start at Case Processing, but the persistent challenge of underreported adverse drug reactions (ADRs) demands a paradigm shift. US FDA’s estimate that only 1–10% of ADRs reach the FDA Adverse Event Reporting System underscores a need for a more proactive strategy. This paper stems from the FDA Discussion paper on Using Artificial Intelligence and Machine Learning in the Development of Drug and Biologic Products, which highlighted the applications for PV beginning at the Case Processing stage. However, the emphasis on identifying adverse events remains a pivotal precursor to effective processing. Vast unstructured data, often beyond a company’s control, poses a considerable hurdle in this endeavor.
Meeting Highlights: DIA Europe 2024 Latin America Town Hall
Collaborative Efforts and Regulatory Harmonization: Progress and Challenges in Latin America
Leonardo Semprun
MSD
F

or the second consecutive year, DIA Europe hosted a Latin America Town Hall, a panel discussion to foster collaboration and share updates from regulatory activities in Latin America and Europe, and the intersections between them.

Representatives from regulatory authorities and industry joined the discussions, including the Brazilian Health Regulatory Agency (ANVISA), European Medicines Agency (EMA), European Federation of Pharmaceutical Industries and Associations (EFPIA), and an industry expert who conducted a comparative study in the area of post-approval changes, focused on the regulatory realities in Latin America.
Around the Globe: Korea
Korea Regulatory Science Center Signs MoU for Exchange and Cooperation with DIA
I

n April 2024, the Korea Regulatory Science Center signed a Memorandum of Understanding (MoU) with DIA. Through this MoU, the two organizations will jointly plan and conduct regulatory science network-based events, including meetings and workshops; jointly plan and conduct regulatory science educational programs as well as training courses; and exchange information plus collaborate on creating a forum for discussion of the latest regulatory and technology trends in the biopharmaceutical, device and diagnostic, healthcare, and life sciences industries.

DIA 60th Anniversary
Executive, Editor, and Essential: Remembering Thomas W. Teal
I

n 1964, the Drug Information Association (DIA) was founded by a group of 30 pharmaceutical professionals, medical writers, and academicians who saw the need to facilitate communications and collaboration among professionals engaged in drug development, medical communications, and health information. (Read Six Decades of Impact: DIA’s Global Journey for a more detailed historical overview.) Tom Teal was the driving force behind DIA for many of the early years and beyond.

Early efforts of the fledgling organization focused on convening the DIA annual meeting and on publishing the Drug Information Bulletin, which was renamed the Drug Information Journal in 1967. The organization was incorporated in the state of Maryland as a not-for-profit 501(c)(3) in 1972.
WE ARE DIA
DIA Congratulates EMEA 2024 Regional Inspire Award Winners

Our 2024 EMEA Regional Inspire Award Winners

Portrait photograph headshot of Marco Greco (European Patients' Forum - EFP) grinning
Outstanding Contribution to Health Award
Marco Greco
European Patients’ Forum (EPF)
Portrait photograph headshot of Magda Chlebus (EFPIA) smiling
Excellence in Service Award – Europe
Magda Chlebus
EFPIA
Portrait photograph headshot of Rodrigo Palacios (Roche) grinning
Excellence in Service Award – Europe
Rodrigo Palacios
Roche
Portrait photograph headshot of Ronnie Mundair (Pfizer) grinning
Excellence in Service Award – Europe
Ronnie Mundair
Pfizer
Portrait photograph headshot of Wija Oortwijn (HTAi & Radboud University Medical Centre) smiling
Excellence in Service Award – Europe
Wija Oortwijn
HTAi & Radboud University Medical Centre
Portrait photograph headshot of Amira Younes (MSD) grinning
Excellence in Service Award – Middle East
Amira Younes
MSD
DIA Global Annual Meeting 2024 Advertisement
Thanks for reading our May 2024 Issue!
Views and opinions expressed in Global Forum are those of the authors alone and do not necessarily represent those of DIA or any other agency, organization, employer, or company. DIA does not guarantee the accuracy or completeness of any information published in Global Forum and will not be responsible for any errors, omissions, or claims for damages, including exemplary damages, arising out of use, inability to use, or with regard to the accuracy or sufficiency of the information contained in Global Forum.