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

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67<br />

WHO/BS/10.2155<br />

Page 67<br />

Appendix 4 Prequalification procedure <strong>for</strong> vacc<strong>in</strong>es evaluated by<br />

EMA under Article 58 <strong>of</strong> Regulation (EC) No 726/2004<br />

Background<br />

WHO provides a service to UNICEF and o<strong>the</strong>r United Nations agencies that purchase vacc<strong>in</strong>es,<br />

to determ<strong>in</strong>e <strong>the</strong> <strong>acceptability</strong>, <strong>in</strong> pr<strong>in</strong>ciple, <strong>of</strong> vacc<strong>in</strong>es from different sources <strong>for</strong> supply to <strong>the</strong>se<br />

agencies.<br />

The purpose <strong>of</strong> <strong>the</strong> prequalification assessment is to verify that <strong>the</strong> vacc<strong>in</strong>es meet <strong>the</strong><br />

specifications <strong>of</strong> <strong>the</strong> relevant United Nations agency, and are produced and overseen <strong>in</strong><br />

accordance with <strong>the</strong> pr<strong>in</strong>ciples and specifications recommended by WHO <strong>for</strong> good<br />

manufactur<strong>in</strong>g practice (GMP), and <strong>for</strong> good cl<strong>in</strong>ical practice (GCP). This is to ensure that<br />

vacc<strong>in</strong>es used <strong>in</strong> national immunization services <strong>in</strong> different countries are safe and effective <strong>for</strong><br />

<strong>the</strong> target population at <strong>the</strong> recommended schedules, and that <strong>the</strong>y meet particular operational<br />

specifications <strong>for</strong> packag<strong>in</strong>g and presentation.<br />

For vacc<strong>in</strong>es (and all medic<strong>in</strong>es) manufactured by European manufacturers (or at least those with<br />

a legal presence <strong>in</strong> <strong>the</strong> European Community) <strong>in</strong>tended <strong>for</strong> exclusive use <strong>in</strong> markets outside <strong>the</strong><br />

European Community, <strong>the</strong> European Medic<strong>in</strong>es Agency (EMA) established a mechanism<br />

(Article 58 <strong>of</strong> Regulation (EC) No 726/2004) whereby <strong>the</strong> EMA may give a scientific op<strong>in</strong>ion, <strong>in</strong><br />

<strong>the</strong> context <strong>of</strong> cooperation with <strong>the</strong> WHO.<br />

WHO recognizes that <strong>the</strong> evaluation by EMA under Article 58 is conducted accord<strong>in</strong>g to <strong>the</strong><br />

pr<strong>in</strong>ciples applied by <strong>the</strong> prequalification process <strong>in</strong> terms <strong>of</strong> assurance <strong>of</strong> quality, safety and<br />

efficacy <strong>for</strong> <strong>the</strong> <strong>in</strong>tended population (i.e. develop<strong>in</strong>g countries). WHO provides <strong>in</strong>put at different<br />

stages <strong>of</strong> <strong>the</strong> process, <strong>in</strong>clud<strong>in</strong>g <strong>the</strong> determ<strong>in</strong>ation <strong>of</strong> eligibility <strong>of</strong> <strong>the</strong> product <strong>for</strong> evaluation<br />

under Article 58 and <strong>in</strong>volvement <strong>in</strong> <strong>the</strong> assessment <strong>of</strong> <strong>the</strong> dossier. There<strong>for</strong>e, <strong>in</strong> order to align<br />

<strong>the</strong> EMA evaluation under Article 58 and <strong>the</strong> WHO evaluation <strong>for</strong> prequalification purposes, a<br />

simplified procedure has been developed.<br />

Application process to WHO<br />

The applicant must submit <strong>the</strong> follow<strong>in</strong>g:

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