A new platform born from EMA and EUnetHTA collaboration

10 July 2017 365 Views
A new platform born from EMA and EUnetHTA collaboration

The European Medicines Agency (EMA) and the European Network for Health Technology Assessment (EUnetHTA) are stepping up their efforts to provide developers of medicines with simultaneous, coordinated advice on their development plans and facilitate alignment of data requirements.

This initiative provides a single gateway for requests for parallel consultations with EMA and HTA bodies in the Member States on evidence-generation plans to support decision-making on marketing authorisation and health technology assessment. Not only will these consultations be possible for initial evidence generation but also for post-authorisation data collection. The objective is to help generate optimal and robust evidence in an efficient development plan that satisfies the needs of both regulators and health technology assessment bodies.

The main benefits of this new platform will be:

• increased mutual understanding and problem solving ability through a more structured interaction between EMA and HTA bodies;
• improved coordination with, and greater participation of HTA bodies, as a result of the creation of an Early Dialogue Working Party and an Early Dialogue Secretariat at EUnetHTA;
• streamlined logistics for the requesters.

These advantages are expected to lead to more robust outcomes resulting from the parallel consultation on evidence-generation plans for pharmaceuticals.

As patients are at the heart of both EMA and EUnetHTA’s missions, patient representatives will be involved in parallel consultations on a routine basis so that their views and experiences can be incorporated into the discussions.
EMA and EUnetHTA have released joint guidance as well as joint templates that can be used by requesters of parallel consultations as of today. The first requests will be processed in September. In the interim, sponsors with pre-notified submissions will be informed about the transitional arrangements.

Patients have access to medicines through a two-step process. First, a medicine requires a marketing authorisation from a medicine regulatory agency, which is based on the assessment of the balance of the benefits versus the risks of the medicine. Following regulatory approval, HTA bodies assess the value of the medicine versus other treatments available and, based on this assessment, provide recommendations to payers and other decision-makers. While there is some overlap between evidence requirements of regulators and HTA bodies, each may have specific requirements that need to be accounted for in the development plan.

Closer interaction between regulators and HTA bodies during the development of medicines is therefore expected to close these gaps and allow the development plan to address the needs of all parties. This early dialogue can also facilitate discussion on evidence generation required after the launch of a medicine to allow the continuous assessment of the benefit-risk balance and long-term effectiveness of the medicine.

EMA with its scientific committees, EUnetHTA, HTA bodies and the European Commission have been working closely in the past few years on various levels to reinforce HTA-regulatory collaboration and achieve timely patient access and sustainability of health care while providing incentives for innovation.

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