November 2019

November 2019

November 2019 Global Forum

Table of Contents


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Editorial Board

Content stream editors

Translational science
Gary Kelloff US National Institutes of Health
David Parkinson ESSA Pharma, Inc.

regulatory science
Yoshiaki Uyama Pharmaceuticals and Medical Devices Agency (PMDA)
Adora Ndu BioMarin Pharmaceutical, Inc.

Patient engagement
Deborah Collyar Patient Advocates In Research (PAIR)
Lode Dewulf Servier

Editorial Staff

Alberto Grignolo, Editor-in-Chief Parexel International

Ranjini Prithviraj, Global Associate Director, Content Collaboration DIA Publications

Sandra Blumenrath, Science Writer DIA Publications

Chris M. Slawecki, Senior Digital Copyeditor DIA Publications

Regional Editors

David Mukanga Bill and Melinda Gates Foundation

Silke Vogel Duke-National University of Singapore Medical School

Richard Day University of New South Wales, Medicine, St. Vincent’s Hospital

Judith Glennie JL Glennie Consulting, Inc.
Megan Bettle Health Canada

Ling Su Shenyang Pharmaceutical University, Lilly Asia Ventures

Thomas Kühler Sanofi R&D

J. Vijay Venkatraman Oviya MedSafe

Kazuhiro Kanmuri Inter-Professional, Inc.

Inas Chehimi Novartis

Ebony Dashiell-Aje FDA

Young Professionals Editor

Kaley Weintraub Medical Affairs, Daiichi Sankyo

DIA Membership

Bringing together stakeholders for the betterment of global health care.

South Korea MFDS: Improving Regulatory Science Based on R&D

In-Sook Park
National Institute of Food and Drug Safety Evaluation (NIFDS)
Ministry of Food and Drug Safety Evaluation (MFDS), South Korea

he Ministry of Food and Drug Safety (MFDS) is a science-based regulatory agency responsible for the safety management of food, agricultural commodities, livestock and fishery products, drugs, biologics, herbal medicines, medical devices, quasi-drugs, cosmetics, and hygiene products to protect the public health. MFDS continues to expand its scope of product regulation by adopting new technologies to develop and establish strategies for regulatory science in Korea.

MFDS establishes new regulations in response to events in Korea, and sometimes accepts global regulations in the spirit of international harmonization. MFDS staff play an important role in joint expert groups, developing ICH guidelines, supporting the APEC Harmonization Center, discussing these topics and programs with DIA members (often including staff from other regulatory agencies), and other international harmonization activities.

Identification of Medicinal Products

How to Turn a Compliance Project Into a Strategic Initiative with Additional Benefits

Andrea Herrmann
Jörg Werner
Moritz Kloft
Merck Healthcare KgaA

he Identification of Medicinal Products (IDMP) is a master data initiative across the European Union that is based on a set of five international ISO standards. For pharmaceutical companies, a compliance project like IDMP can be turned into a company’s information and data management initiative, resulting in additional benefits on top of being compliant. However, this requires top management support, as well as strong general and change management skills combined with subject matter expertise.

Pharmaceutical companies will be required to submit data to the European Medicines Agency (EMA) in accordance with ISO IDMP Standards. So why is it important to comply with IDMP in the future, and what is the strategic relevance of IDMP implementation beyond compliance?

eConsent: Using Metadata to Support Study Oversight and Enhance Informed Consent

Mika Lindroos
Signant Health
Neetu Pundir
Signant Health
Jenna McDonnell
Signant Health

lectronic Informed consent (or eConsent) refers to using electronic systems and processes that may employ multiple electronic media to convey information related to the study as well as to obtain and document informed consent. eConsent offers so much more than simple confidence in the clinical trial consenting process. The metadata it collects provides deep insights and transforms processes around recruitment, retention, and compliance as well as improving documentation and education materials.

Industry-leading data analytics tools can rate site performance by identifying training needs, spotting potentially fraudulent enrollment, or flagging data integrity issues by simply viewing an online dashboard.

As the shift towards eConsent gathers pace, we expect exponential growth in the ways we use data collected during the consenting process, allowing us to build the patient-centric, robust, compliant clinical trials of the future.

Patient Focused Medicines Development: The Book of Good Practices
Evolution of Methodology

Chi Pakarinen
PFMD/The Synergist
Paula Wray
Nicholas Brooke
PFMD/The Synergist
Katherine Deane
School of Health Sciences
University of East Anglia, UK
Simon Stones
Patient Advocate, Consultant, and Researcher
Mary Alice Dwyer
Medical Innovation and Insights
Thierry Escudier
Pierre Fabre Medicament
Anne-Marie Hamoir
PFMD/ The Synergist
Daniel De Schryver

atient Focused Medicines Development (PFMD), today a global coalition of 32 members, began its Framework Building workstream in 2016 in order to respond to a need for a practical and actionable framework to define how stakeholders can start their patient engagement (PE) journey and continue to do more effective and meaningful PE. Starting with a landscape analysis of existing PE frameworks, one of the first outputs—the Patient Engagement Quality Guidance (PEQG)—was a co-creation effort of multiple Working Groups that involved more than 100 experts globally (representing more than 51 organisations). The PEQG went through four feedback and validation rounds, from internal reviews to a public consultation, before its release in May 2018.

Another identified need was the need for consensus among stakeholders of what “good PE” looks like, as well as an opportunity to satisfy a high demand to see practical examples demonstrating the quality and outcomes of PE. In response, PFMD created the Book of Good Practices (BOGP) to accompany the practical guidance provided by the PEQG. It is a set of real-life PE cases from different stakeholders illustrating how they have achieved the PE Quality Criteria presented in the PEQG (Figure 1).

This article explains the methodology used to select and assess initiatives to become a part of the BOGP, and it provides examples of the chosen initiatives that help illustrate what a “good practice” in PE could look like.


How Do You Put Your Disease on the Agenda?

Around the Globe

Amended Drug Administration Law of China:
Changes and Consequences for the Pharmaceutical Industry

Chen Yang
Sidley Austin LLP


n August 26, 2019, the Standing Committee of the National People’s Congress passed the Amended Drug Administration Law (the Amended Law) in China, effective from December 1, 2019. Compared with amendments passed during the last ten years, the Amended Law contains several significant changes.

Key Takeaways

  • The Amended Law serves as the legal basis for regulatory agencies to develop regulations to support the Law’s reforms.
  • The Amended Law abolishes the certification requirements of good clinical practice (GCP), good supply practice (GSP), and good manufacturing practice (GMP); as a result, clinical institutions, drug distributors, and drug manufacturers will no longer be subject to compulsory certification.
  • The Amended Law significantly increases administrative penalties, specifically monetary penalties, for manufacturing and selling counterfeit drugs and other violations.

The below highlights are most relevant to multinational pharmaceutical companies with Chinese operations.

Healthy Population Key to Economic Success

Around the Globe

Early Dialogue in the EU

Integrating Regulatory and HTA Requirements During Medicines Development

Thomas Kühler
Regulatory Science & Policy, EU/AMESA
Sanofi R&D

arly Dialogue, Parallel Scientific Advice, or Joint Consultation are all variations on the same theme: aiming to provide a vehicle for sponsors to integrate Health Technology Assessment (HTA) requirements upfront into drug development that targets European Medicines Agency (EMA) regulatory approval. Combining evidence generation requirements from the EMA and the HTA bodies into one single process has the potential to avoid duplication of effort and allows documentation satisfying both actors to be generated in the first development cycle. This brings added benefit to regulators, health technology assessors, and healthcare product developers, but most importantly to the EU healthcare system and its patients.

Around the Globe

Nurturing Growth of RWD into RWE in Japan
Manami Yoshida
Shionogi & Co., Ltd.
Shinzo Hiroi
Shionogi & Co., Ltd.

eal world data (RWD) has grown into one of the buzzwords in the healthcare industry in Japan. Although utilizing sales data for pharmaceutical medicines in market surveys is an established practice based on RWD, changing circumstances and use of RWD in pharmaceutical and medical device companies in Japan have raised more issues and attention in recent years. The second DIA Health Economics Outcomes Research (HEOR) Workshop in Japan explored the ideal future direction for transforming RWD into real world evidence (RWE) suitable for regulatory decisions in the healthcare industry.

Key Takeaways

  • Glowing reviews of various applications for RWE offer hope, but unresolved issues remain. It is important to consider if the data are reliable enough to serve as evidence in a rationale for regulatory approval or disapproval of a future medical treatment.
  • Growing purposes for utilizing RWD in Japan include non-clinical research and pharmacovigilance.
  • Effective utilization of RWE is only half of the story; completing it will require continuous and collaborative discussion and actions by multifunctional stakeholders.


Defining Rational Medicine and Research at DIA Japan 2019
Career Column
Three Practical Tips for Leadership Development
Rohan Chittella
Daiichi Sankyo, Inc.


trong and effective leadership is essential to any business that is looking to thrive in the marketplace. However, strong and effective leadership is often lacking. Management teams that send talented employees to leadership development workshops may ultimately see no improvement in their ability. While workshops are good and have their place, they cannot replace the daily activities of leadership that contribute to an organization’s success. Like a muscle, leadership must be constantly exercised to yield benefits.

Thanks for reading our November 2019 Issue!