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Pharmaceutical Administration and Regulations in Japan - Nihs

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of New Drug III, Office of New Drug IV, Office of<br />

New Drug V, Office of Biologics I, Office of<br />

Biologics II, Office of OTC <strong>and</strong> Generic Drugs,<br />

Office of Medical Devices I, Office of Medical<br />

Devices II, Office of Conformity Audit, Office of<br />

Safety I, Office of Safety II, Office of Compliance<br />

<strong>and</strong> St<strong>and</strong>ards Officer, [Fig. 2 Organization of the<br />

<strong>Pharmaceutical</strong> <strong>and</strong> Food Safety Bureau (PFSB)<br />

<strong>and</strong> the <strong>Pharmaceutical</strong>s <strong>and</strong> Medical Devices<br />

Agency (PMDA)]. The duties are <strong>in</strong>dicated below.<br />

The Second Medium Range Plan (2009 – 2014)<br />

is now underway <strong>and</strong> efforts are be<strong>in</strong>g made to<br />

shorten the review period, make reviews more<br />

efficient, promote <strong>in</strong>ternational harmonization by<br />

strengthen<strong>in</strong>g ties with Western <strong>and</strong> Asian<br />

countries, <strong>and</strong> participation <strong>in</strong> global cl<strong>in</strong>ical trials.<br />

1) Drug ADR Relief Work<br />

• Provision of medical benefits to cover<br />

healthcare expenses, disability pensions,<br />

<strong>and</strong> survivor’s pensions for <strong>in</strong>dividuals<br />

suffer<strong>in</strong>g disease or disability due to<br />

adverse drug reactions or bioderived<br />

<strong>in</strong>fections<br />

• Provision of medical allowances for<br />

treatment of myelo-optico-neuropathy<br />

(SMON) patients <strong>and</strong> for HIV carriers <strong>and</strong><br />

AIDS patients<br />

• Surveys on damage caused by drugs <strong>and</strong><br />

research on treatment, etc. of adverse<br />

drug reactions as health <strong>and</strong> welfare work<br />

• Provision of medical allowances based on<br />

the Special Measures Law for Provision of<br />

Medical Allowances for Treatment of<br />

Hepatitis C Patients Infected by Specified<br />

Fibr<strong>in</strong>ogen Concentrates or Specified<br />

<strong>Pharmaceutical</strong> <strong>Regulations</strong> <strong>in</strong> <strong>Japan</strong>:<br />

Coagulation Factor XI Concentrates.<br />

2) Review Related Work<br />

• Approval reviews of new drugs <strong>and</strong><br />

medical devices based on the<br />

<strong>Pharmaceutical</strong> Affairs Law (PAL)<br />

• Guidance <strong>and</strong> advice related to cl<strong>in</strong>ical<br />

trials<br />

• Reviews of GLP <strong>and</strong> GCP compliance of<br />

attached data of approval applications <strong>and</strong><br />

reexam<strong>in</strong>ation <strong>and</strong> reevaluation<br />

applications<br />

• Reviews of manufactur<strong>in</strong>g facilities,<br />

processes, <strong>and</strong> quality control by GMP<br />

<strong>in</strong>spections<br />

• Confirmation of reexam<strong>in</strong>ations <strong>and</strong><br />

reevaluations based on the<br />

<strong>Pharmaceutical</strong> Affairs Law<br />

3) Safety Measures<br />

• Collection, analysis, <strong>and</strong> dissem<strong>in</strong>ation of<br />

<strong>in</strong>formation related to the quality, efficacy,<br />

<strong>and</strong> safety of drugs <strong>and</strong> medical devices<br />

• Consultations with consumers <strong>and</strong> other<br />

parties concern<strong>in</strong>g drugs <strong>and</strong> medical<br />

devices<br />

• Guidance <strong>and</strong> advice for manufacturers,<br />

etc. to improve the safety of drugs <strong>and</strong><br />

medical devices<br />

The work of the review <strong>and</strong> safety offices is<br />

detailed below.<br />

4.1 Office of New Drug I<br />

This office confirms cl<strong>in</strong>ical trial notifications <strong>and</strong><br />

adverse drug reactions <strong>and</strong> conducts reviews<br />

required for approval, reexam<strong>in</strong>ations, <strong>and</strong><br />

2011-3 - 7 -

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