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  • 1.  Investigator Brochure: EU SmPC attached as RSI

    This message was posted by a user wishing to remain anonymous
    Posted 11 days ago
    This message was posted by a user wishing to remain anonymous

    Hello All,

    I'm updating the IB for a product which is approved in Europe, the US and other countries. My EU PV colleagues say the RSI table should be pulled from the IB and instead the EU SmPC be attached to the IB with a reference from the RSI section to the attached SmPC. They are citing a CTFG or CTCG guidance document from 2017. I can understand wanting to align the IB with commercial labeling (regarding AEs) but I can't see this being a viable option and cannot imagine submitting an IB to FDA with an EU SmPC attached. In addition, the indication in the ongoing clinical trial does not exactly match the EU SmPC indication. Does anyone have any ideas about this? Many thanks in advance!



  • 2.  RE: Investigator Brochure: EU SmPC attached as RSI

    Posted 10 days ago

    Hello,

    I was on a meeting last Friday with MHRA GCP inspector as one of the presenters. He mentioned that RSI not being up to date is one of the most frequent audit findings. He recommended that RSI should be up to date with the latest safety information from ongoing clinical trials and companies have to make sure they use the most up to date RSI in all their IBs submitted to different countries. If the RSI is not up to date then this will be seen as underreporting safety information.

    I suggest you make sure your RSI is up to date. I don't think using SmPC is good option but I will leave to my USA colleagues to comment on this.

    Have a great week,

    Olga



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    Olga Peycheva
    Regulatory and Study Start Up Specialist (Clinical trials)
    Solutions OP Ltd
    https://solutionsop.co.uk/
    United Kingdom
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  • 3.  RE: Investigator Brochure: EU SmPC attached as RSI

    Posted 10 days ago

    It could be problematic to use the SmPC as the source of RSI in an IB for a clinical study because related events might occur that supersede the information in the SmPC, particularly if the study indication and/or study population is different that approved. 



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    Glen Park PharmD
    Consultant
    Burien WA
    United States
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  • 4.  RE: Investigator Brochure: EU SmPC attached as RSI

    Posted 9 days ago

    They are referring to this document FAQ 2.1 and 2.2 2017_11_CTFG_Question_and_Answer_on_Reference_Safety_Information_2017.pdf (hma.eu)

    However, it clearly says that using the SmPC is acceptable if used within it's MA and it sounds like your isn't since the indication differs. In my experience it's uncommon to use the SmPC as RSI for an interventional clinical trial (even just for EU).



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    Francesca Dickins
    Eli Lilly & Company
    Bracknell
    United Kingdom
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