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Guidelines for registration of pharmaceutical products. According to ...

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<strong>Guidelines</strong> <strong>for</strong> <strong>registration</strong> <strong>of</strong> <strong>pharmaceutical</strong> <strong>products</strong>.<br />

<strong>According</strong> <strong>to</strong> the ministerial decree 302/80.<br />

Documents and materials required <strong>for</strong> <strong>registration</strong> and re-<strong>registration</strong> <strong>of</strong> a<br />

Pharmaceutical company and its <strong>products</strong> in accordance with ministerial decree.<br />

N.B: Legalized must be done by the following:<br />

I. Kuwait embassy/consulate in the country <strong>of</strong> origin and when it is not<br />

possible, by an authorized Arabian embassy/consulate in the country<br />

II. Arab chamber <strong>of</strong> commerce <strong>of</strong> the country <strong>of</strong> origin.<br />

III. Kuwait chamber <strong>of</strong> commerce.<br />

* * Legalized is applied <strong>to</strong> the affiliated branches <strong>to</strong>o.<br />

N.B: file should be submitted in CTD <strong>for</strong>mat according <strong>to</strong> ICH guidelines.<br />

See annexe (1)<br />

1. Company <strong>registration</strong>:<br />

1.1. Legalized letter <strong>of</strong> appointment from company (Stating that the agent is the<br />

sole exclusive agent in Kuwait.).<br />

1.2. Original legalized Manufacturing License from country <strong>of</strong> origin <strong>for</strong> each<br />

manufacturing site issued from ministry <strong>of</strong> health in country <strong>of</strong> origin.<br />

1.3. Original legalized “Good Manufacturing Practice” (GMP) from country <strong>of</strong><br />

origin. (Not older than 2 years)<br />

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1.4. Site master file must contain the following:<br />

1.4.1. General in<strong>for</strong>mation & his<strong>to</strong>ry <strong>of</strong> the company including registered<br />

1.4.2. capital & turnover <strong>for</strong> the past 3 years<br />

1.4.3. Layout and diagrams <strong>of</strong> manufacturing sites.<br />

1.4.4. Quality control unit & quality management.<br />

1.4.5. Personnel in<strong>for</strong>mation including number <strong>of</strong> employees in each<br />

department and their qualifications.<br />

1.4.6. Premises & equipments which include manufacturing sites owned by<br />

company, manufacturing lines, and equipments.<br />

1.4.7. List <strong>of</strong> <strong>products</strong> manufactured by the company and exporting<br />

countries.<br />

1.4.8. Distribution problems, complaints, product defects and recalls from<br />

any authorities worldwide.<br />

1.4.9. Contract manufacturing in<strong>for</strong>mation<br />

1.4.10. FDA, EMEA, GCC or any recognized global approvals <strong>for</strong> the<br />

company.<br />

* * *<br />

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2. Product <strong>registration</strong>:<br />

2.1. Original legalized Certificate <strong>of</strong> <strong>pharmaceutical</strong> product (CPP) <strong>for</strong><br />

each <strong>pharmaceutical</strong> product in accordance with World Health<br />

Organization (WHO) recommended <strong>for</strong>mat issued from ministry <strong>of</strong><br />

health in the country <strong>of</strong> origin. See annexe (2) <strong>for</strong> detailed in<strong>for</strong>mation<br />

about CPP<br />

2.2. Original legalized Price certificate issued from the country <strong>of</strong> origin,<br />

and showing the following:<br />

2.2.1. Ex-Fac<strong>to</strong>ry price.<br />

2.2.2. Whole sale price in the country <strong>of</strong> origin.<br />

2.2.3. Public price in the country <strong>of</strong> origin.<br />

2.2.4. C & F unit price <strong>for</strong> Kuwait.<br />

2.2.5. C & F unit price <strong>for</strong> the GCC countries and retail price in UAE.<br />

2.3. Legalized declaration - <strong>for</strong> Innova<strong>to</strong>rs’ companies- <strong>of</strong> patent expiry<br />

date& patent no. <strong>of</strong> the innova<strong>to</strong>r product from the country <strong>of</strong> origin,<br />

USA (if available in US) and EU (if available in EMEA) ,legalized by<br />

Chamber <strong>of</strong> Commerce and with supportive documents from patent<br />

<strong>of</strong>fice should be submitted according <strong>to</strong> the Ministerial Regulation No.<br />

675/1998, in order <strong>to</strong> reserve the rights <strong>of</strong> the innova<strong>to</strong>r company.<br />

2.4. Certificate <strong>of</strong> composition, mentioning the active and inactive<br />

ingredient (excipients , preservatives , coloring materials, flavoring<br />

agents , etc.. ) with their quantities.<br />

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2.5. Source <strong>of</strong> supply <strong>of</strong> all ingredients (active & inactive)<br />

2.6. Raw materials specification (Pharmacopeia reference.)<br />

2.7. Certificate <strong>of</strong> suitability <strong>for</strong> any ingredient from animal origin<br />

(TSE/BSE certificate)<br />

2.8. Alcohol content declaration See annex (3)<br />

2.9. Detailed Finished Product Specification and standards / (End <strong>of</strong> shelf<br />

life, Finished product specification), laid down by the manufacturer,<br />

with limits <strong>for</strong> the respective tests <strong>for</strong> each <strong>pharmaceutical</strong> product,<br />

<strong>to</strong>gether with its method <strong>of</strong> analysis in details. When the product is the<br />

subject <strong>of</strong> a monograph in the Pharmacopeia it is sufficient <strong>to</strong> refer the<br />

page, edition and name <strong>of</strong> the Pharmacopeia concerned if it is issued in<br />

Arabic or English, a pho<strong>to</strong>copy <strong>of</strong> the page or pages referring <strong>to</strong> the<br />

product and an Arabic or English, translation is required.<br />

see annex (4)<br />

2.10. Reference standard <strong>of</strong> the active ingredients and related<br />

substances with certificate <strong>of</strong> analysis <strong>to</strong> be submitted with their<br />

specification in full detail <strong>to</strong> be used as standard in the assay and<br />

identification. It should be labeled by generic name and batch number,<br />

manufacturing date, expiry date, s<strong>to</strong>rage conditions and chemical<br />

potency. Reference standard <strong>of</strong> preservatives (if the product contains<br />

these preservatives) or any by- <strong>products</strong> (if any) should be submitted<br />

with the same label requirement <strong>of</strong> the standard.<br />

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2.11. Quantities <strong>of</strong> samples <strong>of</strong> the product <strong>to</strong> be submitted with the<br />

documents should be in their original packs and have the same batch<br />

number <strong>to</strong> be registered should be made available <strong>to</strong> the<br />

Pharmaceutical & Herbal Medicines Registration & Control<br />

Administration. In amounts as requested <strong>to</strong> carry out analysis <strong>of</strong> the<br />

product according <strong>to</strong> the requirements <strong>of</strong> the specification and method<br />

<strong>of</strong> analysis.<br />

2.12. Certificate <strong>of</strong> analysis in full detail <strong>for</strong> the finished product (<strong>for</strong><br />

the same batch <strong>to</strong> be registered).<br />

2.13. Batch manufacturing records <strong>to</strong> be submitted <strong>for</strong> the same batch<br />

<strong>of</strong> the product <strong>to</strong> be registered.<br />

2.14. The pack label: should be printed with:<br />

2.14.1. Name <strong>of</strong> the product.<br />

2.14.2. Name <strong>of</strong> the manufacturer and country <strong>of</strong> origin.<br />

2.14.3. Batch or lot number.<br />

2.14.4. Manufacturing date.<br />

2.14.5. Expiry date.<br />

2.14.6. S<strong>to</strong>rage conditions.<br />

2.14.7. Name <strong>of</strong> the Pharmacopeia (<strong>for</strong> the Pharmacopoeial product).<br />

2.14.8. Above in<strong>for</strong>mation on stickers is not approved / allowed.<br />

2.14.9. All in<strong>for</strong>mation on sample label, container and package insert<br />

(leaflet) must be in English or in both English and Arabic.<br />

2.15. Leaflet should include the following in<strong>for</strong>mation:<br />

2.15.1. Enclosed leaflet must be in readable text size, understandable<br />

language (English or English/Arabic), and ordered headings <strong>for</strong> ease <strong>of</strong><br />

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navigation, full and comprehensive in<strong>for</strong>mation in consistency with<br />

Sm.P.C.<br />

2.15.2. Description; product name, strength, dosage <strong>for</strong>m, active<br />

substance, list <strong>of</strong> excipients, warning about certain excipient such as<br />

lac<strong>to</strong>se.<br />

2.15.3. Indication, use and Clinical pharmacology.<br />

2.15.4. Dosage and method <strong>of</strong> administration.( may illustrated with<br />

pic<strong>to</strong>grams and symbols)<br />

2.15.5. Warnings and precaution.( boxed warnings maybe added at the<br />

<strong>to</strong>p <strong>of</strong> leaflet)<br />

2.15.6. Contraindications.<br />

2.15.7. Use in specific populations. ( pregnancy, nursing mothers,<br />

pediatric, geriatric)<br />

2.15.8. Adverse reactions.<br />

2.15.9. Over dosage.<br />

2.15.10. Drug interaction /Labora<strong>to</strong>ry test interaction.<br />

2.15.11. Drug abuse /dependence.<br />

2.15.12. Non clinical <strong>to</strong>xicology.<br />

2.15.13. Clinical studies.<br />

2.15.14. How supplies /s<strong>to</strong>rage and handling.<br />

2.15.15. Name &address <strong>of</strong> marketing authorization holder.<br />

2.15.16. Date <strong>of</strong> last revision<br />

2.16. Stability studies as per ICH guidelines <strong>for</strong> climatic zone III & IIV<br />

2.16.1. Batch Type and Size:<br />

2.16.1.1. Stability studies should be provided <strong>for</strong> three batches <strong>of</strong> the<br />

same <strong>for</strong>mulation and dosage <strong>for</strong>m in the container closure system<br />

proposed <strong>for</strong> marketing.<br />

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2.16.1.2. Two <strong>of</strong> the three batches should be at least pilot scale (1) , the<br />

third batch may be smaller.<br />

2.16.1.3. Batch type and size should be mentioned in stability study<br />

pro<strong>to</strong>col.<br />

2.16.2. Raw data <strong>of</strong> the study must be in tabulated <strong>for</strong>m.<br />

2.16.3. Study conditions:<br />

2.16.3.1. . General case / non specific studies:<br />

Study S<strong>to</strong>rage conditions Minimum time period at<br />

submission<br />

Long term 30 ºC ± 2 ºC / 65 ± 5%RH Complete shelf life.<br />

Accelerated 40 ºC ± 2 ºC /75 ± 5%RH 6 months<br />

2.16.3.2. Studies <strong>for</strong> <strong>products</strong> s<strong>to</strong>red in refrigera<strong>to</strong>r :<br />

Study S<strong>to</strong>rage conditions Minimum time period at<br />

submission<br />

Long term 5 ºC ±3 ºC Complete shelf life.<br />

Accelerated 25 ºC ± 2 ºC /60 ± 5%RH 6 months<br />

(1) Pilot scale batch: Batches <strong>of</strong> drug product manufactured by a procedure fully representative<br />

<strong>of</strong> and simulating that <strong>to</strong> be applied on a fully manufacturing scale.<br />

For solid oral dosage <strong>for</strong>m this generally taken <strong>to</strong> be at a min. scale <strong>of</strong> one tenth <strong>of</strong> full<br />

production or 100,000 tablets or capsules, whichever is large<br />

Page 7 <strong>of</strong> 11


2.16.3.3. Studies <strong>for</strong> <strong>products</strong> s<strong>to</strong>red in impermeable containers (2)<br />

Study S<strong>to</strong>rage conditions Minimum time period<br />

at submission<br />

Long term 30 ºC ± 2 ºC Complete shelf life.<br />

Accelerated 40 ºC ± 2 ºC 6 months<br />

2.16.3.4. Studies <strong>for</strong> <strong>products</strong> s<strong>to</strong>red in semi permeable containers (3) :<br />

Study S<strong>to</strong>rage conditions Minimum time period<br />

at submission<br />

Long term 30 ºC ± 2 ºC / 35 ± 5%RH Complete shelf life.<br />

Accelerated 40 ºC ± 2 ºC /25 ± 5%RH 6 months<br />

2.16.3.5. Studies <strong>for</strong> <strong>products</strong> s<strong>to</strong>red in freezer :<br />

Study S<strong>to</strong>rage conditions Minimum time period<br />

At submission<br />

Long term -20 ºC ±5 ºC Complete shelf life.<br />

N.B: In absence <strong>of</strong> accelerated s<strong>to</strong>rage condition <strong>for</strong> drug <strong>products</strong> intended <strong>to</strong> be<br />

s<strong>to</strong>red in a freezer , data from elevated temperature ( e.g 5 ºC ±3 ºC or 25 ºC ± 2<br />

ºC ) on a single batch should be conducted <strong>for</strong> an appropriate time period <strong>to</strong><br />

support use <strong>of</strong> the drug outside the proposed label s<strong>to</strong>rage condition.<br />

(2) Impermeable containers: containers which provide a permanent barrier <strong>to</strong> the passage <strong>of</strong><br />

gases & solvents ( e.g : sealed aluminum tubes <strong>for</strong> semi-solids , sealed glass ampoules <strong>for</strong><br />

solutions ) .<br />

(3) Semi permeable containers: containers which allow the passage <strong>of</strong> solvent while preventing<br />

solute loss .e.g: plastic bags or low-density polyethylene (LDPE) pouches <strong>for</strong> large volume<br />

parenterals (LVPs), LDPE ampoules, bottles and vials.<br />

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2.16.4. Stability study pro<strong>to</strong>col and conclusion.<br />

2.16.4.1. Product shelf life and s<strong>to</strong>rage conditions should be in<br />

conclusion <strong>of</strong> stability study.<br />

2.16.5. Testing frequency :<br />

2.16.5.1. Every 3 months the first year , every 6 months the second year<br />

and then annual<br />

2.16.6. Bracketing (4) can be applied <strong>to</strong> studies <strong>of</strong> the same container<br />

closure system where strength, container size or fill varies while the<br />

other remains constant.<br />

2.16.7. Stability studies <strong>for</strong> utilization period (in-use period) <strong>for</strong><br />

preparations in multi-dose containers should be submitted.<br />

2.16.8. Effect <strong>of</strong> light (If applicable )<br />

2.16.9. Recommended description <strong>of</strong> labeled s<strong>to</strong>rage conditions :<br />

S<strong>to</strong>rage conditions<br />

S<strong>to</strong>rage statement on label<br />

Room temperature “ S<strong>to</strong>re below 30 ºC” or “ S<strong>to</strong>re below 25 ºC”<br />

Refrigera<strong>to</strong>r<br />

“ S<strong>to</strong>re in a refrigera<strong>to</strong>r between 2 ºC and 8 ºC”<br />

Freezer<br />

“ S<strong>to</strong>re in a freezer between -5 ºC and -20 ºC”<br />

N.B: Any changes or updates in stability condition or guidelines in ICH is<br />

applicable <strong>to</strong> MD<br />

(4) Bracketing : It is the design <strong>of</strong> a stability schedule such that only samples on the extremes <strong>of</strong><br />

certain design fac<strong>to</strong>rs ( e.g strength , container size or fill ) are tested at all time points as in a<br />

full design .The design assumes that the stability <strong>of</strong> any intermediate levels is represented by the<br />

stability <strong>of</strong> the extremes tested<br />

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2.17. Pharmacological, <strong>to</strong>xicological, clinical & non clinical studies and<br />

reports <strong>of</strong> the product, with published papers from international<br />

journals as <strong>to</strong> the safety and clinical efficacy <strong>of</strong> the product.<br />

2.18. A signed commitment <strong>to</strong> provide Kuwait food and control with a<br />

post marketing surveillance reports and any safety reports or ADRs<br />

report which the company may receive from users or healthcare<br />

pr<strong>of</strong>essionals.<br />

2.19. Pharmaceutically equivalent multi –source <strong>pharmaceutical</strong><br />

product (generic) needs <strong>to</strong> con<strong>for</strong>m the same standards <strong>of</strong> quality,<br />

efficacy and safety <strong>of</strong> the origina<strong>to</strong>r, several test methods are available<br />

<strong>to</strong> therapeutic equivalence:<br />

2.19.1. Bioequivalence studies in Humans.<br />

2.19.2. Comparative Pharmaco-dynamic studies in Humans.<br />

2.19.3. Comparative Clinical studies.<br />

2.19.4. In-vitro dissolution studies.<br />

Applicability <strong>of</strong> each <strong>of</strong> these four modalities is discussed later, See annexe (5)<br />

2.20. Biosimiler <strong>products</strong> require additional documents, See annexe (6 )<br />

2.21. Any change in the name <strong>of</strong> the manufacturer, product, shape <strong>of</strong><br />

pack, specifications, shelf life, composition or leaflet <strong>of</strong> the product<br />

should be handled with logical reasons or scientific explanations. For<br />

detailed types <strong>of</strong> changes and required documents, See annexe (7)<br />

2.22. All the ministerial decree regulations <strong>for</strong> the <strong>registration</strong>, release<br />

and inspection <strong>of</strong> human <strong>pharmaceutical</strong> <strong>products</strong> is applicable <strong>for</strong> the<br />

<strong>registration</strong> <strong>of</strong> veterinary <strong>pharmaceutical</strong> product. See annexe (8)<br />

Page 10 <strong>of</strong> 11


2.23. Registration cancellation circumstances:<br />

2.23.1. If the product does not comply with the specification issued by<br />

the manufacturer or by the pharmacopoeial specification, the product<br />

will be cancelled.<br />

2.23.2. If the registered <strong>pharmaceutical</strong> product is not imported <strong>to</strong><br />

Kuwait <strong>for</strong> the previous two years the product will be cancelled.<br />

2.23.3. As per the instruction from the manufacturer <strong>to</strong> cancel, the<br />

product will be cancelled.<br />

2.23.4. A product is liable <strong>to</strong> cancellation if the Pharmaceutical and<br />

Herbal Medicine Control and Registration administration come <strong>to</strong><br />

know by any circumstances other than agent about any warning issued<br />

<strong>for</strong> a specific drug or manufacturing site by FDA,EMEA,WHO,GCC or<br />

any other International Health Forums.<br />

2.23.5. Liable <strong>to</strong> cancellation if the agent fails <strong>to</strong> renew the product<br />

<strong>registration</strong>.<br />

2.23.6. Pharmaceutical and Herbal Medicines Control and <strong>registration</strong><br />

administration reserves the right <strong>to</strong> cancel the <strong>registration</strong> <strong>of</strong> the<br />

product if it fails <strong>to</strong> comply with this ministerial decree.<br />

2.24. Renewal <strong>of</strong> <strong>registration</strong>:<br />

2.24.1. Original legalized Certificate <strong>of</strong> Pharmaceutical product in<br />

WHO <strong>for</strong>mat 3 months prior <strong>to</strong> <strong>pharmaceutical</strong> product <strong>registration</strong><br />

expiration.<br />

2.24.2. Summary <strong>of</strong> product characteristics.<br />

2.24.3. Long term and accelerated stability studies as per ICH<br />

guidelines.(Production batch)<br />

2.24.4. Finished product sample.<br />

* * *<br />

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