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

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particular attention to any data that are relevant to <strong>the</strong> use <strong>of</strong> <strong>the</strong> product worldwide <strong>in</strong><br />

WHO recommended schedules (e.g. co-adm<strong>in</strong>istration <strong>of</strong> o<strong>the</strong>r vacc<strong>in</strong>es). In <strong>the</strong><br />

absence <strong>of</strong> such data, <strong>the</strong> summary should provide a precl<strong>in</strong>ical and/or cl<strong>in</strong>ical<br />

justification <strong>for</strong> <strong>the</strong> extrapolation <strong>of</strong> <strong>the</strong> exist<strong>in</strong>g data to <strong>the</strong> likely circumstances <strong>of</strong><br />

use after prequalification. This summary should complement, and not replace, <strong>the</strong><br />

summary written by an <strong>in</strong>dependent cl<strong>in</strong>ical expert described <strong>in</strong> 8.2.5.<br />

8.2.4 Assessment reports<br />

Whenever possible <strong>the</strong> applicant should provide <strong>the</strong> cl<strong>in</strong>ical sections <strong>of</strong> <strong>the</strong> NRA<br />

assessment reports from <strong>the</strong> country <strong>of</strong> orig<strong>in</strong> and/or country where <strong>in</strong>itially licensed.<br />

Assessment reports <strong>for</strong> both <strong>in</strong>itial licensure and <strong>for</strong> any subsequent variations to <strong>the</strong><br />

licence <strong>for</strong> changes relevant to cl<strong>in</strong>ical data are requested.<br />

8.2.5 Cl<strong>in</strong>ical expert report<br />

Provide an <strong>in</strong>dependent cl<strong>in</strong>ical expert report on <strong>the</strong> cl<strong>in</strong>ical studies (evidence <strong>of</strong><br />

expertise and <strong>in</strong>dependence should be provided). If <strong>the</strong> application <strong>for</strong> prequalification<br />

is based on <strong>the</strong> extrapolation <strong>of</strong> <strong>the</strong> exist<strong>in</strong>g cl<strong>in</strong>ical data to <strong>the</strong> likely circumstances <strong>of</strong><br />

use after prequalification and if <strong>the</strong> data are old or <strong>the</strong>re is a doubt regard<strong>in</strong>g <strong>the</strong><br />

ethical or regulatory oversight <strong>of</strong> <strong>the</strong> trial, <strong>the</strong> report should discuss <strong>the</strong> degree <strong>of</strong><br />

compliance with WHO GCP recommendations and current guidance regard<strong>in</strong>g<br />

precl<strong>in</strong>ical and cl<strong>in</strong>ical trials with vacc<strong>in</strong>es.<br />

8.2.6 Precl<strong>in</strong>ical studies sponsored by <strong>the</strong> applicant<br />

Provide a simple list <strong>of</strong> all precl<strong>in</strong>ical studies that were sponsored by <strong>the</strong> applicant <strong>in</strong><br />

support <strong>of</strong> use <strong>in</strong> cl<strong>in</strong>ical trials <strong>in</strong> humans, or <strong>for</strong> significant changes to manufacture or<br />

use. Include <strong>in</strong> <strong>the</strong> list any important conclusions. For precl<strong>in</strong>ical studies per<strong>for</strong>med<br />

after <strong>in</strong>itial licensure, <strong>in</strong>dicate <strong>the</strong> reasons <strong>for</strong> <strong>the</strong>se studies. Any o<strong>the</strong>r particularly<br />

relevant reports regard<strong>in</strong>g safety aspects, whe<strong>the</strong>r or not generated by <strong>the</strong> applicant,<br />

should be provided.<br />

8.3 Documentation <strong>of</strong> safety<br />

Safety data should be submitted both <strong>in</strong> <strong>the</strong> case <strong>of</strong> <strong>the</strong> <strong>in</strong>itial application <strong>for</strong><br />

prequalification evaluation and <strong>for</strong> reassessment purposes.<br />

8.3.1 Post-market<strong>in</strong>g pharmacovigilance<br />

Provide an outl<strong>in</strong>e <strong>of</strong> <strong>the</strong> post-market<strong>in</strong>g pharmacovigilance plan <strong>for</strong> <strong>the</strong> product.<br />

8.3.2 Initial evaluation <strong>of</strong> vacc<strong>in</strong>es that have been <strong>in</strong> <strong>the</strong> market <strong>for</strong> a long time or<br />

reassessment <strong>of</strong> already prequalified vacc<strong>in</strong>es<br />

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