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Pharmacovigilance

Patient safety is the ultimate objective of any pharmacovigilance (PV) or drug safety department. The appropriate number of qualified, trained personnel are needed to ensure quality pharmacovigilance processes and outcomes in this rapidly evolving regulatory environment.

As always, an inspection-ready stance is a constant need. Training plans and records, as well as high-quality, adequate training for the PV staff, are under the scope of audits and inspections. Often companies struggle to provide strong evidence of 100% compliant PV training documentation. To ensure compliance, a well-prepared and continually monitored training matrix should be in place to support the continuous improvement of all relevant skill levels, knowledge, and expertise.

Med Communications, Inc. has a team of highly skilled pharmacovigilance professionals with several years of experience covering multiple therapeutic areas in both clinical trials and post-marketing products. Our training programs are comprehensive, supporting:

• Client-specific quality updates

• Product and therapeutic area updates

• Current laws and regulations

• Relevant software updates

Full Suite of Pharmacovigilance Services:

  • Case Management

    Case Intake

    • Manage intake and documentation of source information

    Case Triage

    • Conduct assessment of case specifics
    • Perform duplicate case checks
    • Perform medical assessment if needed
    • Perform additional triage per client request

    Case Reconciliation

    • Capture PC investigation results and reconcile AE/PC cases
    • Reconcile cases from call center
    • Reconcile cases sent by any other means (business partner, E2B, EDC)

    Case Processing

    • Perform case entry (enter case data)
    • Assess events for listedness/ labelness, and coding of patient history, product, and event information
    • Write narratives
    • Perform case coding activities (MedDRA, WHO Drug)
    • Prepare and conduct follow-up on cases as needed
    • Perform quality check and quality assurance activities on cases
    • Provide medical review to fully support medical assessment
    • Write periodic report case comments
    • Route case per workflow
  • Literature

    • Provide a validated literature database
    • Prepare literature strategy
    • Validate literature review parameters
    • Complete literature review
    • Monitor EMA medical literature
    • Identify terms
    • Monitor global medical literature
    • Identify terms of special interest
  • Regulatory Reporting

    • PADER
    • DSUR
    • PSUR / PBRER
    • IND Annual Report
    • Canadian PBRER
    • Non-expedited submissions
    • Routine safety listings
    • Expedited reporting
    • Marketed product
    • Clinical trials
    • Aggregate reporting
  • Risk Management

    • Aid in risk evaluation and mitigation strategies documentation
    • Provide guidance in REMS and RMPs and facilitate the elements of each document
    • Regulatory communications
    • Healthcare communications
    • Respond to ad hoc requests
    • Monitor effectiveness of safety mitigation measures
  • Signal Management

    • Aid in signal detection
    • Aid in investigation activities
    • Run reports to support signal detection activities
    • Track and document each signal or potential signal identified in client signal tracking tool
    • Provide evaluation and prioritization of confirmed signals
    • Prepare benefit-risk analysis and recommended action plan for the identified signal with input from PV physician and client personnel
    • Conduct routine safety surveillance meetings with client personnel
    • Assist client in determining appropriate communication plans as necessary for the identified signal and provide support for the communication plan
    • Coordinate and document periodic safety surveillance meetings by PV Specialist
    • Provide medical expertise and lead safety surveillance meeting activities by PV Physician
  • Regulatory Intelligence

  • Pharmacovigilance Consultancy

    • Assist in building client PV department
    • Advise client with data migration and oversight
    • Help with data migration tasks and oversight
    • Provide guidance and supports in development of PV SOPs
    • Onsite or remote regulatory inspection support
    • Support safety database including due diligence, setup, configuration, validation, data, migration and activities

For more information on pharmacovigilance and risk management, click the following links.

What is Pharmacovigilance?

Pharmacovigilance is the science and activities related to the detection, assessment, understanding, and prevention of adverse effects or any other drug-related problem.1

Patient safety is always a priority for pharmaceutical companies. Making medicines to improve lives requires monitoring all aspects of safety and assessing the data associated with the patient experience for the life of the product. The tasks associated with the collection, input, and assessment of the adverse event information are performed by skilled health care professionals. Across the industry, these professionals are technically proficient. They recognize the importance of staying current, given the dynamic regulatory environment around the world.

The collection and processing of adverse event information requires many steps by individuals with special training in pharmacovigilance. The manner in which these steps are executed are dictated by regulations. Each country or geographical area are governed by regulatory authorities. Each of these regulatory authorities, where a product is marketed, determine how and when qualifying adverse event information gets reported. Pharmaceutical companies often rely on external vendors to perform daily or periodic regulatory reporting tasks on their behalf.

Med Communications has a global pharmacovigilance team ready to serve your company’s needs. Physicians, pharmacists, nurses, and other health care professionals are fully trained in all aspects of pharmacovigilance and provide outstanding support.

References:

1 World Health Organization. The importance of pharmacovigilance: safety Monitoring of medicinal products. [Internet]. 2002. [cited 14 Oct 2020]. Available from: http://whqlibdoc.who.int/hq/2002/a75646.pdf?ua=1&ua=1

What Is Risk Management?

Risk management activities within pharmacovigilance have evolved in the last several years. The development of new products outside of the traditional small and large molecules require broader views of how to obtain adverse event information and use current technologies to assess this data. The industry must keep an eye to the future and be prepared to anticipate how best to capture and evaluate this data.

According to the Drug Information Association (DIA), “Today’s safety and pharmacovigilance professionals assess and manage risk of a broad and changing scope of therapeutic products. Their ability to apply best practices in current daily operations while anticipating coming changes associated with new therapies and technologies is key to putting safe products on the market and optimizing benefits to patients.”1

Health care professionals working in pharmacovigilance understand this changing landscape and are trained to navigate through the data points to guide companies in determining safety profiles for their product. This information helps populate the reference safety information / product label and helps guide the architecture of future trials to further learn about safety and the patient experience.

The pharmacovigilance team at Med Communications are highly skilled in the assessment and evaluation of safety information. The benefit-risk profile of a product is reviewed per regulatory guidelines. Our global pharmacovigilance team works cohesively with our clients to provide robust assessment and documentation. We remain inspection-ready as we perform our work and support our clients during inspection, taking responsibility for our outsourced work.

We welcome the opportunity to discuss your company’s pharmacovigilance needs. Risk Management will continue to evolve and our Med Communications team is committed to keeping current with industry and regulatory trends and guidelines to keep patient safety a priority!

References:

1 Drug Information Association. Pharmacovigilance and risk management in 2020: A global perspective. 2020 [Internet]. 2015 [cited 14 May 2020]. Available from: http://engage.diaglobal.org/2020-Global-PV-eBook.html

What are SOPs?

Standard operating procedures, or SOPs, are quality documents critical to any pharmacovigilance (PV) quality system. Experienced PV professionals need to dedicate time and diligence to ensure these documents are clear, concise, and easy to follow. SOPs need routine content review to ensure they are in compliance with current regulations.

Although it is well known that a list of SOPs is one of the first items to be requested during an FDA inspection, lack of or inadequately written SOPs, or failure by the companies to follow their own SOPs, is still one of the most common inspection findings.

Knowing the challenges that our clients face, Med Communications offers our clients a comprehensive PV SOP package that is:

  • Fully auditable
  • Regularly reviewed
  • Maintained by Med Communications through our own Quality Management System

Companion documents, such as Work Instructions and Handling Guides, are also created to provide the client-specific and product-specific details necessary to effectively manage your safety information. With Med Communications’ team of experts, we can ensure your SOPs and companion documents are inspection ready.


Our Pharmacovigilance Partners