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Procedure for assessing the acceptability, in principle, of vaccines ...

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<strong>for</strong> submission <strong>of</strong> PSFs do not apply. In addition, <strong>the</strong> site audit will take place <strong>in</strong><br />

parallel with quality control tests <strong>of</strong> samples while <strong>the</strong> results <strong>of</strong> tests are pend<strong>in</strong>g.<br />

There should be maximum flexibility <strong>in</strong> this process. For example, review <strong>of</strong> <strong>the</strong><br />

dossier and test<strong>in</strong>g <strong>of</strong> samples will be concomitantly per<strong>for</strong>med and <strong>the</strong> site audit will<br />

be conducted as soon as <strong>the</strong> dossier review is completed. As <strong>in</strong> <strong>the</strong> streaml<strong>in</strong>ed<br />

approach described under section 4, consideration should be given to review <strong>of</strong><br />

<strong>in</strong><strong>for</strong>mation provided by <strong>the</strong> relevant regulatory authority with <strong>the</strong> manufacturer’s<br />

permission (<strong>in</strong>clud<strong>in</strong>g <strong>in</strong>spection reports), and to results <strong>of</strong> tests per<strong>for</strong>med by <strong>the</strong><br />

relevant NRA/NCL to facilitate <strong>the</strong> evaluation process.<br />

6 Special considerations <strong>for</strong> accept<strong>in</strong>g submissions <strong>of</strong><br />

vacc<strong>in</strong>es manufactured at multiple sites or <strong>in</strong> different<br />

countries<br />

It is a precondition <strong>of</strong> any submission <strong>of</strong> vacc<strong>in</strong>es <strong>for</strong> prequalification evaluation that<br />

<strong>the</strong> NRA responsible <strong>for</strong> <strong>the</strong> regulatory oversight <strong>of</strong> <strong>the</strong> product must be assessed by a<br />

WHO team with respect to its compliance with <strong>the</strong> six critical functions identified by<br />

WHO. The functionality status <strong>of</strong> <strong>the</strong> NRA also needs to be susta<strong>in</strong>ed with time.<br />

Due to <strong>the</strong> <strong>in</strong>creas<strong>in</strong>g diversity and complexity <strong>of</strong> <strong>the</strong> vacc<strong>in</strong>es that can be<br />

manufactured at multiple sites, <strong>in</strong>clud<strong>in</strong>g different countries, WHO has to ensure that<br />

<strong>the</strong> regulatory oversight is fully exercised and that responsibilities are clearly def<strong>in</strong>ed<br />

at all stages <strong>of</strong> production by <strong>the</strong> relevant functional NRAs. Certa<strong>in</strong> criteria will be<br />

applied, as described here.<br />

The assessment evaluation will be product-specific, as <strong>for</strong> vacc<strong>in</strong>es produced by one<br />

company at a s<strong>in</strong>gle site or <strong>in</strong> one country.<br />

If a company <strong>for</strong>mulates and/or fills from bulks (company A) purchased from<br />

different sources (companies B and C) each <strong>of</strong> <strong>the</strong>se f<strong>in</strong>al products is considered as a<br />

unique product and will be prequalified separately.<br />

25

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