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Pyxa Solu*ons, LLC Transi*oning from paper to eCTD for 2253 Submissions

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Pyxa  Solu*ons,  LLC  Transi*oning  from  paper  to  eCTD  for  2253  Submissions  

2  

The  Industry  is  shiAing..  

10/6/16  

M1  ini*a*

ve      

The  updated  2253  dra7  guidelines  for  AdPromo  submissions  is  an  example  of  the  FDA  encouraging  sponsors  to  adopt  prac*ces  that  will  benefit  industry  as  a  whole.     A  

step

 in  th

e  rig

ht  dire

c*on

 

SubmiJng  video,  audio  and  images  as  DVD  media  by  mail  in  an  age  of  such  impressive  compu*ng  power  at  low  cost  is  much  too  tedious  for  sponsor  and  Agency.  

Mod

erniza*o

n   By  upda*ng  the  specifica*on,  upda*ng  the  technology,  and  encouraging  a  rethinking  of  internal  processes,  the  FDA  is  moving  toward  a  more  modern  business  reality.  

A  “MORE  MODERN  BUSINESS”  REALITY  FOR  2253’S  

..are  you  shiAing  with  it?  

3  10/6/16  

Quan*fying  the  shi7  in  2253  submissions    from  paper  to  eCTD  

Since  the  Office  of  Prescrip*on  Drug  Promo*on  (OPDP)  started  accep*ng  electronic  submissions  in  June  2015  through  the  middle  of  February  2016  (in  the  first  8.5  months),  it  has  received  400  AdPromo  submissions  containing  more  than  1,000  promo*onal  pieces*.  

Since  then  (in  the  3  months  that  followed)  these  numbers  have  doubled**.    

As  of  now  (end  of  April  2016),  approximately  a  couple  dozen  companies  have  already  made  the  transi*on**.  

**Source: Confidential to Pyxa Solutions LLC ** NOTE: The “couple dozen companies” is inclusive of partnerships and subsidiaries.

*Source: presentation from Roberta Szydlo from the ODPD during the DIA Marketing Pharmaceuticals 2016 conference

4  10/6/16  

Why  some  Companies  are  deciding  to  shi7  to  eCTD  before  the  dra7  guidance  is  final  and  before  the  mandated  deadline  

Proac*vely  shiAing  from  paper  to  eCTD  for  2253  

Submissions    

Strategic    Considera*ons  

Opera*onal  Considera*ons  

FDA    Considera*ons  

Compliance    Considera*ons  

5  10/6/16  

Strategic  Considera*ons  Why  companies  are  shi7ing  now…    

Review

ers  like  it!    

An  overwhelming  #  of  reviewers  in  OPDP  that  review  2253’s  and  associated  promo*onal  materials  like  to  receive  it  in  eCTD  format  

Improves  m

anageability  

The  granular  format  of  eCTD  AdPromo  submissions  improves  manageability  and  helps  companies  more  clearly  and  succinctly  organize  their  informa*on  

Ope

n  Dialogue

 w/  A

gency      

The  agency  is  seeking  open  dialogue  and  is  providing  some  leeway  for  companies.  They  want  companies  to  no*fy  them  of  formats  that  fall  outside  the  guidance  

Influ

ence  Change    

Commen*ng  period  is  over,  however  FDA  is  s*ll  taking  comments  on  board  and  may  update  the  guidance  with  clearer  statements  to  remove  ambiguity   Save  *me  and  eff

ort   The  ability  to  submit  

grouped  submissions  will  save  *me  and  effort  by  allowing  one  submission  to  mul*ple  applica*ons  that  share  the  same  informa*on.  

Beher  insig

ht!  

With  AdPromo  being  eCTD,  companies  can  easily  link  to  the  various  applica*ons  in  order  to  have  beher  oversight  and  improved  decision  making.  

6  10/6/16  

Opera*onal  Considera*ons  Why  companies  are  shi7ing  now…    

Subm

it  high  volum

e  2253s   Opportunity  for  

companies  to  develop  streamlined  processes  to  submit  high  volume  2253s  electronically  over  the  electronic  submission  gateway  (ESG)  

Lifecycle  Ope

ra*o

ns  

Take  advantage  of  the  convenience  and  visibility  afforded  when  performing  Lifecycle  opera*ons  in  eCTD.  (e.g.  If  part  of  the  original  submission  is  rejected,  the  sponsor  may  file  an  amendment  with  only  the  missing  or  rejected  component,  instead  of  submiJng  the  en*re  2253)  

Redu

ced  Manual  Effo

rt  

Preparing  Ad  Promo  submissions  would  not  require  as  much  manual  effort.  There  would  be  no  coun*ng  of  hard  paper  copies  and  burning  media  to  discs.  

Faster  Pub

lishing-­‐Review    

Publishing  is  faster  and  cheaper.  Submission  through  the  gateway  allows  reviewers  to  assess  submission  rapidly.  This  process  is  faster  then  Paper.    

7  10/6/16  

FDA  Considera*ons  Why  companies  are  shi7ing  now…    

Alignment  with  

Submission  Process  

Alignment with submission process for other submissions in CDER

Improve  processing  efficiency  

Due to extensive metadata collection allows submission information to be automatically populated into tracking software to improve processing efficiency

BeVer  Insights  

Electronic search and filtering capabilities. FDA has more insight, the FDA can now do searches of the submission to extract the information they need.

Faster  and  More  

Efficient  

Faster and more efficient delivery to the reviewer - With the new Module 1, the ability to accept Form 2253 submissions in eCTD format via the ESG

Ability  to  receive  high  volume  2253’s  

Opportunity for streamlined processes and ability to receive high volume 2253s from companies electronically over the electronic submission gateway (ESG)

Availability  for  All  

Reviewers  

Submission is available for all staff to see, therefore secondary review and consultation of other offices is more efficient

Product  Applica*on  Info  Quickly  Available  

Product application information is in one location, will be quickly available for all reviewers as needed.

Ability to receive eCTD 2253 and non-2253 submissions over same electronic submission gateway (ESG)

Receive  all  Submissions  through  ESG    

8  10/6/16  

Compliance  Requirements:  FDA  Guidance  &  Landscape  Indicated  by  the  use  of  the  words  MUST  and  REQUIRED,  this  document  is  NOT  subject  to  the  usual  restricAons  in  FDA’s  good  guidance  pracAce  (GCP)  regulaAons  

FDA  is  not  including  this  standard  language  in  this  guidance  because  it  is  not  an  accurate  descrip*on  of  all  the  effects  of  this  guidance.  

This  guidance  contains  both  binding  and  non-­‐binding  provisions.  Insofar  as  this  guidance  specifies  the  format  for  electronic  submissions  pursuant  to  sec*on  745A  of  the  FD&C  Act  it  will  have  binding  effect.    

FDA  Guidance's  ordinarily  contain  standard  language  explaining  that  guidance's  should  be  reviewed  only  as  recommenda*ons  unless  specific  regulatory  or  statutory  requirements  are  cited.    

In  sec*on  745A  of  the  FD&C  Act,  congress  granted  explicit  statutory    authoriza*on  to  FDA  to  specify  in  guidance  the  format  for  the  electronic  submissions  required  under  that  sec*on.  

9  10/6/16  

Compliance  Requirements:  Upcoming  Requirements  In  OPDP’s  draL  guidance,  FDA  is  proposing  pharmaceuAcal  companies  submit  promoAonal  materials  for  human  prescripAon  drugs  to  OPDP  using  its  electronic  common  technical  document  (eCTD)  format.    

OPDP  has  tradi*onally  required  companies  to  submit  promo*onal  materials  to  it  for  review  using  Form  FDA  2253—a  paper-­‐based  form.      

FDA  explains  "As  of  that  date,  paper  hard  copies  will  no  longer  be  accepted  for  such  submissions”.  

In  the  mean*me,  firms  are  "strongly  encouraged"  by  FDA  to  begin  submigng  promo*onal  materials  using  the  eCTD  immediately.  

This  requirement  is  changing,  eCTD  submissions  for  2253  will  be  required  two  years  aAer  the  guidance  document  is  finalized.  

10  10/6/16  

Compliance  Requirements:  Risk  of  Non-­‐Compliance  FDA  explains  "As  of  that  date,  paper  hard  copies  will  no  longer  be  accepted  for  such  submissions”.  

Not  a  point  for  nego*a*on  with  the  FDA.      Companies  who  do  not  comply  with  the  upcoming  eCTD  requirements  for  submiJng  their  2253s  will  find  themselves  in  a  posi*on  where  their  submissions  will  be  rejected  or  returned  with  comments  (as  would  any  submission  made  to  the  FDA  that  does  not  follow  the  regula*ons).      This  will  result  in  delays  with  FDA  review  and  therefore  use  of  the  materials  in  the  field.        

11  10/6/16  

Value  Proposi*on  

Once  the  guidance  is  final,  there  will  be  NO  other  op*on  but  to  implement  the  eCTD  process  Advance  planning  

allows  all  risks  to  be  mi*gated  and  resources  to  be  addressed  prior  to  required  “go-­‐

live”  date  

Good  Standing:  Following  FDA’s    

strong  recommenda*on  to  begin  submiJng  

promo*onal  materials  using  the  eCTD  immediately  

Documents  available,  easily  accessible,  

traceable  and  reportable  

(throughout  the  lifecycle)    

Preparing for and implementing (pilot or full go-live) a 2253 eCTD process before it is mandated by FDA

Implemen*ng    the  eCTD  Process  in  advance  will  ensure  

the  process  is  implemented  effec*vely  and  

efficiently  prior  to  mandated    deadline  

12  10/6/16  

Risks  that  can  be  avoided  

Vendors  not  providing  

materials  in  the  correct  format  –  Regulatory  can  take  this  on  

Mis-­‐management  of  life  cycling  of  the  pieces  (and  maintenance  of  

lifecycle)  

Poor  *meline  management  to  ensure  pieces  are  ready  for  

use      

Under  es*ma*on  of  

resources  /  skills  when  managing  

electronic  submissions  

As  part  of  the  end-­‐to-­‐end  eCTD  process  ensure  measures  are  put  in  place  to  manage  revised  pieces  or  discon*nua*on  of  a  piece.        

As  part  of  the  end-­‐to-­‐end  eCTD  process  ensure  format  and  standards  for  promo*onal  pieces  are  established  and  communicated  to  vendors  –  HAVE  A  BACK  UP  -­‐  if  you  can  not  get  vendors  to  take  this  on  effec*vely  and  efficiently.    

As  part  of  the  end-­‐to-­‐end  eCTD  process  ensure  *melines  are  clearly  communicated  to  all  func*ons  involved  in  the  process  and  the  turn-­‐around  *me  for  “re-­‐work”  is  understood  so  that  submissions  are  not  delayed  .  

As  part  of  the  end-­‐to-­‐end  eCTD  process  ensure  resources  (people  and  tools)  are  in  place  to  accommodate  the  required  changes  from  paper  to  eCTD.    

ConsideraAon:  Eliminate  large  scale  risk  by  implemenAng  a  small  scale  pilot  (for  one  or  more  “not  so  acAve/criAcal”  products  to  ensure  the  process  is  streamlined  and  miAgaAon  plans  are  considered  prior  to  full  scale  implementaAon  

13  10/6/16  

Industry  Best  Prac*ce  –  How  Pyxa  Can  Support    

Establish  a  vendor  guide  to  ensure  all  Vendors  providing  promo*onal  materials  are  following  the  required  format  /  standards  (ONLY  if  Vendors  will  be  managing  this  for  you)  

Incorporate  language  in  Vendor  agreements  to  ensure  vendors  are  contractually  obligated  to    abide  by  the  templates  /  standards  guide  provided  to  them  (embed  in  the  process)  -­‐  (ONLY  if  Vendors  will  be  managing  this  for  you)    

✓ Ensure  Regulatory  QC  performed  on  materials  received  from  Commercial  is  inclusive  of  checks  for  submission  readiness  (built  within  a  checklist  to  ensure  consistency  with  each  review)  

✓ Establish  internal  standards  (e.g.  leaf  *tles  and  file  names;  placement  loca*on  etc.)  –  as  applicable  

✓ Establish  a  lifecycle  management  approach  to  maintaining  promo*onal  pieces  

Establish  an  end-­‐to-­‐end  cross-­‐funcAonal  2253  eCTD  process  to  ensure  consistent  and  efficient  transiAon  to  meet  the  upcoming  requirements  

✓ Implement  a  pilot  (Test  Submission)  to  fine-­‐tune  processes  before  full  implementa*on  

✓ Determine  if  Vendors  will  provide  promo*onal  materials  in  the  required  format  or  if  Regulatory  Opera*ons  will  re-­‐format  pieces  to  the  necessary  standards    

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