“Metro Map” analysis of FDA facilitated regulatory pathways and their influence on median approval times.
Slide of the Month
Survey responses regarding regulatory and HTA agency attitudes toward adaptive licensing. From Liberti et al, WHO CCPPR Winter Meeting, January 2015.
For each NAS (new active substance) approved between 2004 and 2013 by the European Medicines Agency (EMA), the United States Food and Drug Administration (FDA), Japan Pharmaceuticals and Medical Devices Agency (PMDA), Health Canada, Swissmedic and Australian Therapeutic Goods Administration (TGA), the date of submission and the date of approval by the agency were collected from the public domain or obtained from the agency.
The variability in HTA organisations and methodologies that are utilised in HTA appraisal and coverage decision-making processes in different countries results in a complex and challenging environment and it is therefore important for companies to incorporate a clear understanding of HTA requirements into early strategic planning to mitigate risk.
Prior to the inception of the Common Drug Review (CDR) in 2002, multiple provincial, territorial and federal drug plans performed their own HTA to determine coverage for new drugs. The Canadian Agency for Drugs and Technologies in Health (CADTH) established the CDR to standardise the Canadian HTA environment by reducing the duplication of HTA and ultimately decrease the time taken for patients to access new and innovative medicines.