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THERAPEUTIC GOODS ADMINISTRATION
(TGA)
&
MEDICINES AND HEALTH CARE PRODUCTS
REGULATORY AGENCY
(MHRA)
1
List of contents:
TGA
 What is TGA ?
 Objective of TGA
 Role of TGA
 TGA structure
 Committees
 Australian register of therapeutic goods (ARTG)
 The guidelines of TGA for
 Listed Medicines
 Registered Medicines
 Complementary Medicines
 OTC Medicine
 Prescription Medicines
2
 Medical devices
 Blood and Tissues
 Chemicals
 Exempt or excluded medicines
UK-MHRA
 What is MHRA ?
 Aims of MHRA
 Objectives of MHRA
 Activities of MHRA
 Structure of MHRA
3
 What MHRA regulates ?
 Device
Medicine
 Advanced therapeutic medicinal
product
Nanotechnology
Blood
 References
4
What is TGA?
The TGA is responsible for conducting assessment and
monitoring activities to ensure that therapeutic goods
available in Australia are of acceptable standards.
Established on 15 February 1991.
5
THERAPEUTIC GOODS ADMINISTRATION(TGA)
Objective of TGA…
To provide a national framework for the regulation of
therapeutic goods in Australia to ensure the quality,
safety and efficacy of medicines and ensure the
quality, safety and performance of medical devices.
Essentially therapeutic goods must be entered on
the Australian Register of Therapeutic Goods
(ARTG) before they can be supplied in Australia.
6
Role of the TGA
The TGA carries out an overall control through five
main processes:
Pre-market evaluation and approval of registered
products intended for supply in Australia;
Development, maintenance and monitoring of the
systems for listing of medicines;
Licensing of manufacturers in accordance with
international standards of GMPs
7
Post-market monitoring, through sampling, adverse
event reporting, surveillance activities, and response
to public inquiries;
The assessment of medicines for export.
8
TGA structure
The TGA's offices are grouped into following
core groups
1. TGA Executives
2. Market Authorization Group (MAG )
3. Monitoring and Compliance Group (MCG)
4. Regulatory Support Group
5. Office of Regulatory Integrity (ORI)
9
1. TGA Executives
The TGA Executives has overall responsibility
for the management of the TGA's
regulatory functions and activities.
The TGA Executives comprises:
TGA National Manager
Principal Medical Adviser,
Principal Legal Adviser,
Chief Regulatory Officer,
Chief Operating Officer
10
2. Market Authorization Group (MAG)
 The Market Authorization Group is
responsible for undertaking evaluations of
applications to approve new therapeutic
products for supply in Australia. The MAG
makes decisions whether to approve or reject
market authorization of medicines, medical
devices and blood and tissues that are
imported, exported, manufactured and supplied
in Australia.
11
3. Monitoring and Compliance Group (MCG)
The Monitoring and Compliance Group is
responsible for ongoing monitoring of
therapeutic products approved for supply in
Australia to ensure they meet the necessary
standards throughout their lifecycle.
12
4. Regulatory Support Group
 Provides whole-of-agency regulatory support
services to the TGA, this includes the legal,
finance, information technology and information
management, communications, parliamentary
and human resource management services.
13
5. Office of Regulatory Integrity(ORI)
The Office of Regulatory Integrity (ORI)
provides an independent and
objective review and advisory service
to provide assurance to the National
Manager of the TGA that the TGA's
financial and operational controls are
operating in an efficient, effective and
appropriate manner and that its
regulatory controls are operating in an
efficient, effective and appropriate
manner and are consistent with
relevant legislative requirements.
14
Australian register of therapeutic
goods (ARTG)
A 'therapeutic good' is broadly defined as a
good which is represented in any way to be
taken, for therapeutic use.
15
Therapeutic use means use in connection with
Preventing, diagnosing, curing a disease,
ailment, defect or injury;
 Inhibiting or modifying a physiological process;
Testing for pregnancy;
Replacement or modification of parts of the
anatomy
16
The Australian Register of Therapeutic Goods (ARTG)
was established under the Therapeutic Goods Act 1989.
The ARTG is a computer database of therapeutic
goods. Therapeutic goods are divided broadly into two
classes: medicines and medical devices.
Unless exempt, medicines must be entered as either
'registered' or 'listed' medicines and medical devices
must be included before they may be supplied in or
exported from Australia.
AUST R medicines are assessed for safety,
quality and effectiveness and higher risk
medication.
They include all prescription medicines.
 Many over-the-counter products such as those
for pain relief, coughs and colds and antiseptic
creams.
17
AUST L medicines are much lower risk self-
medication products.
They are used for minor health problems and are
reviewed for safety and quality. They include
sunscreens and many vitamin, mineral, herbal and
homoeopathic products
Listed and Registered medicines are differentiated on
the product label by the designation, 'AUST L' or
'AUST R' respectively, followed by a unique number.
18
Assessment criteria
Whether a product is listed or registered in the
ARTG depends largely on three things:
The ingredients;
The dosage form of the product; and,
The promotional or therapeutic claims made for
the product.
19
In assessing the level of 'risk', factors such as
strength of a product
side effects,
toxicity, and
the seriousness of the medical condition for which the
product is intended to be used.
20
MEDICINES AND HEALTHCARE PRODUCTS
REGULATORY AGENCY (MHRA)
What is MHRA?
The MHRA was set up in April 2003 from a
merger of the Medicines Control Agency and
the Medical Devices Agency. The MHRA is the
government agency which is responsible for
ensuring that medicines and medical devices
work, and are acceptably safe.
21
Aims of MHRA
Protecting public health through regulation, with
acceptable benefit-risk profiles for medicines and
devices.
Promoting public health by helping people who use
these products to understand their risks and benefits.
Improving public health by encouraging and
facilitating developments in products that will benefit
people.
22
Objectives of MHRA
 Safeguard public health through MHRA’s primary role in
ensuring that the products MHRA regulate meet required
standards, that they work and are acceptably safe;
 Carry out communication role through the provision of
accurate, timely and authoritative information to healthcare
professionals, patients and the public;
 Support research, ensuring through the application of Better
Regulation principles that regulation does not stifle innovation;
 Influence the shape of the future regulatory framework through
use of our effective European and International relationships;
 Run an organisation with a skilled and equipped workforce that
is fit for the future
23
The MHRA's activities
 Assessing the safety, quality and efficacy of
medicines, and authorising their sale or supply in the
UK for human use.
 Overseeing the UK Notified Bodies that audit medical
device manufacturers.
 operating post-marketing surveillance and other
systems for reporting, investigating and monitoring
adverse reactions to medicines and adverse incidents
involving medical devices and taking any
necessary action to safeguard public health, for
example through safety warnings, removing or
restricting the availability of products or improving
designs.
 Operating a proactive compliance programme for
24
Operating a quality surveillance system to
sample and test medicines and to address quality
defects, monitoring the safety and quality
of imported unlicensed medicines and investigating
Internet sales and potential counterfeiting of
medicines.
Regulating clinical trials of medicines and
medical devices.
Monitoring and ensuring compliance with
statutory obligations relating to medicines and
medical devices through inspection, taking
enforcement action where necessary.
25
Promoting good practice in the safe use of
medicines and medical devices.
Managing the General Practice Research Database
(GPRD) and the British Pharmacopoeia (BP) and
contributing to the development of performance
standards for medical devices.
Offering scientific, technical and regulatory
advices on medicines and medical devices.
Providing the public and professions with
authoritative information to enable informed
dialogue on treatment choices.
26
MHRA’s structure:
Corporate governance
1. The Agency Board is made up of a non-executive
Chairman, six non-executive members and the Agency's
Chief Executive Officer who is responsible for service
delivery and resources.
2. The Executive Board consisting of the Agency's directors
takes overall responsibility for day-to-day management,
strategic decision-making, line management, and all
financial, policy, operational and resource management
issues.
3. The Risk and Audit Committee provides independent
feedback to the Chief Executive and the Management Board
on the effectiveness of risk management processe
27
What MHRA regulates?
Medicine
Licencing of medicines
Medicines for children
Inspection and standards
Importing and exporting medicines
Best practice guidance on labelling and packaging of
medicines
The safety of medicines
28
The role of MHRA
Assess applications for marketing medicinal products
Assess applications to undertaken clinical trials
Inspect the manufacturers and wholesalers of
medicines-licensing
Undertake post-marketing surveillance including:
Pharmacovigilance
Quality defect monitoring
Sampling and testing
Product recalls.
29
Issue certificates to companies wishing to
export their medicinal products to
countries outside the EU.
Enforce the statutory requirements
covering medicines control and good
clinical practice guidelines.
Publish quality standards for drug
substances through the "British
Pharmacopoeia
30
References:
http://www.tga.gov.au
http://www.mhra.gov.uk
31
32

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TGA & MHRA

  • 1. THERAPEUTIC GOODS ADMINISTRATION (TGA) & MEDICINES AND HEALTH CARE PRODUCTS REGULATORY AGENCY (MHRA) 1
  • 2. List of contents: TGA  What is TGA ?  Objective of TGA  Role of TGA  TGA structure  Committees  Australian register of therapeutic goods (ARTG)  The guidelines of TGA for  Listed Medicines  Registered Medicines  Complementary Medicines  OTC Medicine  Prescription Medicines 2
  • 3.  Medical devices  Blood and Tissues  Chemicals  Exempt or excluded medicines UK-MHRA  What is MHRA ?  Aims of MHRA  Objectives of MHRA  Activities of MHRA  Structure of MHRA 3
  • 4.  What MHRA regulates ?  Device Medicine  Advanced therapeutic medicinal product Nanotechnology Blood  References 4
  • 5. What is TGA? The TGA is responsible for conducting assessment and monitoring activities to ensure that therapeutic goods available in Australia are of acceptable standards. Established on 15 February 1991. 5 THERAPEUTIC GOODS ADMINISTRATION(TGA)
  • 6. Objective of TGA… To provide a national framework for the regulation of therapeutic goods in Australia to ensure the quality, safety and efficacy of medicines and ensure the quality, safety and performance of medical devices. Essentially therapeutic goods must be entered on the Australian Register of Therapeutic Goods (ARTG) before they can be supplied in Australia. 6
  • 7. Role of the TGA The TGA carries out an overall control through five main processes: Pre-market evaluation and approval of registered products intended for supply in Australia; Development, maintenance and monitoring of the systems for listing of medicines; Licensing of manufacturers in accordance with international standards of GMPs 7
  • 8. Post-market monitoring, through sampling, adverse event reporting, surveillance activities, and response to public inquiries; The assessment of medicines for export. 8
  • 9. TGA structure The TGA's offices are grouped into following core groups 1. TGA Executives 2. Market Authorization Group (MAG ) 3. Monitoring and Compliance Group (MCG) 4. Regulatory Support Group 5. Office of Regulatory Integrity (ORI) 9
  • 10. 1. TGA Executives The TGA Executives has overall responsibility for the management of the TGA's regulatory functions and activities. The TGA Executives comprises: TGA National Manager Principal Medical Adviser, Principal Legal Adviser, Chief Regulatory Officer, Chief Operating Officer 10
  • 11. 2. Market Authorization Group (MAG)  The Market Authorization Group is responsible for undertaking evaluations of applications to approve new therapeutic products for supply in Australia. The MAG makes decisions whether to approve or reject market authorization of medicines, medical devices and blood and tissues that are imported, exported, manufactured and supplied in Australia. 11
  • 12. 3. Monitoring and Compliance Group (MCG) The Monitoring and Compliance Group is responsible for ongoing monitoring of therapeutic products approved for supply in Australia to ensure they meet the necessary standards throughout their lifecycle. 12
  • 13. 4. Regulatory Support Group  Provides whole-of-agency regulatory support services to the TGA, this includes the legal, finance, information technology and information management, communications, parliamentary and human resource management services. 13
  • 14. 5. Office of Regulatory Integrity(ORI) The Office of Regulatory Integrity (ORI) provides an independent and objective review and advisory service to provide assurance to the National Manager of the TGA that the TGA's financial and operational controls are operating in an efficient, effective and appropriate manner and that its regulatory controls are operating in an efficient, effective and appropriate manner and are consistent with relevant legislative requirements. 14
  • 15. Australian register of therapeutic goods (ARTG) A 'therapeutic good' is broadly defined as a good which is represented in any way to be taken, for therapeutic use. 15 Therapeutic use means use in connection with Preventing, diagnosing, curing a disease, ailment, defect or injury;  Inhibiting or modifying a physiological process; Testing for pregnancy; Replacement or modification of parts of the anatomy
  • 16. 16 The Australian Register of Therapeutic Goods (ARTG) was established under the Therapeutic Goods Act 1989. The ARTG is a computer database of therapeutic goods. Therapeutic goods are divided broadly into two classes: medicines and medical devices. Unless exempt, medicines must be entered as either 'registered' or 'listed' medicines and medical devices must be included before they may be supplied in or exported from Australia.
  • 17. AUST R medicines are assessed for safety, quality and effectiveness and higher risk medication. They include all prescription medicines.  Many over-the-counter products such as those for pain relief, coughs and colds and antiseptic creams. 17
  • 18. AUST L medicines are much lower risk self- medication products. They are used for minor health problems and are reviewed for safety and quality. They include sunscreens and many vitamin, mineral, herbal and homoeopathic products Listed and Registered medicines are differentiated on the product label by the designation, 'AUST L' or 'AUST R' respectively, followed by a unique number. 18
  • 19. Assessment criteria Whether a product is listed or registered in the ARTG depends largely on three things: The ingredients; The dosage form of the product; and, The promotional or therapeutic claims made for the product. 19
  • 20. In assessing the level of 'risk', factors such as strength of a product side effects, toxicity, and the seriousness of the medical condition for which the product is intended to be used. 20
  • 21. MEDICINES AND HEALTHCARE PRODUCTS REGULATORY AGENCY (MHRA) What is MHRA? The MHRA was set up in April 2003 from a merger of the Medicines Control Agency and the Medical Devices Agency. The MHRA is the government agency which is responsible for ensuring that medicines and medical devices work, and are acceptably safe. 21
  • 22. Aims of MHRA Protecting public health through regulation, with acceptable benefit-risk profiles for medicines and devices. Promoting public health by helping people who use these products to understand their risks and benefits. Improving public health by encouraging and facilitating developments in products that will benefit people. 22
  • 23. Objectives of MHRA  Safeguard public health through MHRA’s primary role in ensuring that the products MHRA regulate meet required standards, that they work and are acceptably safe;  Carry out communication role through the provision of accurate, timely and authoritative information to healthcare professionals, patients and the public;  Support research, ensuring through the application of Better Regulation principles that regulation does not stifle innovation;  Influence the shape of the future regulatory framework through use of our effective European and International relationships;  Run an organisation with a skilled and equipped workforce that is fit for the future 23
  • 24. The MHRA's activities  Assessing the safety, quality and efficacy of medicines, and authorising their sale or supply in the UK for human use.  Overseeing the UK Notified Bodies that audit medical device manufacturers.  operating post-marketing surveillance and other systems for reporting, investigating and monitoring adverse reactions to medicines and adverse incidents involving medical devices and taking any necessary action to safeguard public health, for example through safety warnings, removing or restricting the availability of products or improving designs.  Operating a proactive compliance programme for 24
  • 25. Operating a quality surveillance system to sample and test medicines and to address quality defects, monitoring the safety and quality of imported unlicensed medicines and investigating Internet sales and potential counterfeiting of medicines. Regulating clinical trials of medicines and medical devices. Monitoring and ensuring compliance with statutory obligations relating to medicines and medical devices through inspection, taking enforcement action where necessary. 25
  • 26. Promoting good practice in the safe use of medicines and medical devices. Managing the General Practice Research Database (GPRD) and the British Pharmacopoeia (BP) and contributing to the development of performance standards for medical devices. Offering scientific, technical and regulatory advices on medicines and medical devices. Providing the public and professions with authoritative information to enable informed dialogue on treatment choices. 26
  • 27. MHRA’s structure: Corporate governance 1. The Agency Board is made up of a non-executive Chairman, six non-executive members and the Agency's Chief Executive Officer who is responsible for service delivery and resources. 2. The Executive Board consisting of the Agency's directors takes overall responsibility for day-to-day management, strategic decision-making, line management, and all financial, policy, operational and resource management issues. 3. The Risk and Audit Committee provides independent feedback to the Chief Executive and the Management Board on the effectiveness of risk management processe 27
  • 28. What MHRA regulates? Medicine Licencing of medicines Medicines for children Inspection and standards Importing and exporting medicines Best practice guidance on labelling and packaging of medicines The safety of medicines 28
  • 29. The role of MHRA Assess applications for marketing medicinal products Assess applications to undertaken clinical trials Inspect the manufacturers and wholesalers of medicines-licensing Undertake post-marketing surveillance including: Pharmacovigilance Quality defect monitoring Sampling and testing Product recalls. 29
  • 30. Issue certificates to companies wishing to export their medicinal products to countries outside the EU. Enforce the statutory requirements covering medicines control and good clinical practice guidelines. Publish quality standards for drug substances through the "British Pharmacopoeia 30
  • 32. 32