HMPWG in the view of the NCA

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1 EMEA Homeopathic Workshop Bundesinstitut für Arzneimittel London, HMPWG in the view of the NCA Objectives, Achievements, Roles and Responsibilities Werner Knöss Head of Division Complementary and Alternative Medicines and Traditional Medicines Dagmar Larsen-Schmidt Head of Unit Pharmaceutical assessment of Homeopathic and Anthroposophic Medicinal Products Federal Institute for Drugs and Medical Devices (BfArM), Bonn, Germany

2 Overview Introduction HMPWG Network of Organisations Routes to harmonisation PD Dr. W. Knöss 2

3 HMPWG - Homeopathic Medicinal Products Working Group Bundesinstitut für Arzneimittel HMPWG - Working Group of the HMA BfArM organized 1 st informal meeting in 1999 BfArM will host the 4 th and 5 th formal meeting in November 2006 / March 2007 in Bonn PD Dr. W. Knöss 3

4 Homeopathy a traditional therapeutic system Bundesinstitut für Arzneimittel Samuel Christian Hahnemann Essay on a New Principal for Ascertaining the Curative Powers of Drugs similia similibus curentur - let likes be cured by likes Homeopathy is an experience-based traditional therapeutic system nevertheless subjected to an ongoing evolutionary process. PD Dr. W. Knöss 4

5 The Homeopathic Regulatory Framework - Bundesinstitut für Arzneimittel from national concepts towards a European market Past Present time Future HMPWG Homeopathic Pharmacopoeias European Legislation National Legislation PD Dr. W. Knöss 5

6 WHY HMPWG? Bundesinstitut für Arzneimittel! Need for a European solution for regulation of homeopathic medicinal products with regard to the particular characteristics of this therapeutic system! - Developing harmonisation of the assessment of homeopathic medicinal products - Developing common interpretation of criteria - Guidance for the assessment - Need for communication and harmonisation PD Dr. W. Knöss 6

7 HMPWG Mandate Formal mandate in November 2004 by the Heads of Agencies (HoA): - Forum of exchange of regulatory and scientific expertise - To provide guidance -To provide advice and expertise Challenges of the future (program, strategy) PD Dr. W. Knöss 7

8 Participation in the HMPWG Bundesinstitut für Arzneimittel Assessors and regulatory experts from National Agencies Representative of European Commission Representative of European Pharmacopoeia Representative of EMEA Representative of WHO Observer PD Dr. W. Knöss 8

9 HMPWG Rules and Roadmap Bundesinstitut für Arzneimittel Rules of procedure: Organisation of meetings Communication amongst the participants Contact and communication with interested parties Transparency of work publishing of documents Roadmap facilitate the process of mutual recognition PD Dr. W. Knöss 9

10 Current Topics ongoing discussion Bundesinstitut für Arzneimittel - Safety of homeopathic products from biological origin - Non-clinical safety of homeopathic medicinal products - General practice in the assessment - European Pharmacopoeia requirements - Different homeopathic traditions - Quality issues PD Dr. W. Knöss 10

11 Guidance Documents Bundesinstitut für Arzneimittel Points to consider on safety of homeopathic medicinal products for human and veterinary use from biological origin. March available on the HMA Website Points to consider on non clinical safety of homeopathic medicinal products of botanical, mineral and chemical origin for human use PD Dr. W. Knöss 11

12 Guidance Documents Bundesinstitut für Arzneimittel Common dossier template Draft Guidance on Module 3 CTD To be adopted on the next HMPWG meeting Modul 1: Administrative part for homeopathic medicinal products for human use Published in NTA December 2005 Guidance: Nice to publish or binding (or at least urgently recommended consense)? PD Dr. W. Knöss 12

13 Legislation on Homeopathic Medicinal Products - National legislation for Homeopathic medicinal products before Council Directive 92/73 EC - Review of the EU pharmaceutical legislation - Council Directive 2001/83/EC as amended by Directive 2004/27/EC PD Dr. W. Knöss 13

14 Network of organisations Bundesinstitut für Arzneimittel Industry NCA of MS HMPWG WHO Homeopathy Societies EDQM Health care prof. EMEA Patients PD Dr. W. Knöss 14

15 National Competent Authorities Application + Assessment Decision Requirements Regulatory Framework PD Dr. W. Knöss 15

16 National Competent Authorities - EU - RMS or CMS in the MRP/DCP - Support of the HMPWG - Organization of Meetings, sending Experts, supporting elaboration of guidance documents - Addressing regulatory and scientific issues for further harmonization resulting from the assessment of dossiers concerning homeopathic products PD Dr. W. Knöss 16

17 HMPWG Forum for exchange Elaboration of Guidance Documents Provide expertise and advice on request on procedural, regulatory and scientfic issues arising from the MR- /DC- Procedure Provide Guidance for Applicants on the assessment of quality and safety PD Dr. W. Knöss 17

18 EDQM General and specific homeopathic monographs Monographs on substances for homeopathic use Implementation of homeopathic manufacturing methods into the European Pharmacopoeia Quality assurance PD Dr. W. Knöss 18

19 WHO Homeopathic medicinal products: European origin, meanwhile worldwide usage Elaborating Guidelines on quality control for safety of traditional medicines (homeopathic products ) Exchange of information among the WHO Member States Clarify definitions PD Dr. W. Knöss 19

20 EMEA - legislation - support - contact network - communication -??? PD Dr. W. Knöss 20

21 Harmonisation - tasks Bundesinstitut für Arzneimittel Scientific Assessment Common interpretation of requirements Non-clinical safety (safe dilution grade) Safety of material of biological origin Labelling /Nomenclature requirements Interpretation of regulatory issues arising from the MR-DCProcedure Technical issues PD Dr. W. Knöss 21

22 Routes to Harmonisation - possibilities Road to nowhere Labyrinth One-way-ticket Best practice (hopefully) PD Dr. W. Knöss 22

23 Routes to Harmonisation - suggestions Exchange of Information between HMPWG European Commission, National Authorities, Interested Parties, Applicants, Manufacturers HMPWG Guidance MRP/DCP Procedure (ASAP tomorrow?) PD Dr. W. Knöss 23

24 Chances Developing Homeopathy Economical use of ressources Integrating (different ) traditions on the European level Improving transparency Creating a real European market PD Dr. W. Knöss 24

25 Problems Final decisions have to be found within a short period during the MR-Procedure Sufficient resources Different Schools /Tradition Defining the Homeopathic use Integrating Anthroposophic Medicines PD Dr. W. Knöss 25

26 Outlook Guidance is necessary Harmonisation is necessary Harmonised interpretation is necessary Time is limited European procedures should and will start in near future Existing network platforms must be used MS should be prepared to invest resources and to make compromises in establishing a European solution PD Dr. W. Knöss 26

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