Id |
Subject |
Object |
Predicate |
Lexical cue |
T26 |
0-55 |
Sentence |
denotes |
TRANSFORM REGULATORY FRAMEWORKS TO STREAMLINE PROCESSES |
T27 |
56-242 |
Sentence |
denotes |
First, it is imperative to increase the use of existing electronic‐based tools and accelerate modern digital efforts to improve efficiency of operations for both regulators and industry. |
T28 |
243-415 |
Sentence |
denotes |
Outdated technical infrastructure and lack of contemporary digital capabilities present a challenge across many regulatory authorities, regardless of the level of maturity. |
T29 |
416-448 |
Sentence |
denotes |
COVID‐19 exposed this shortfall. |
T30 |
449-624 |
Sentence |
denotes |
Faster and better‐informed regulatory decisions, coupled with enhanced platforms to enable collaboration and reliance activities among regulators, 6 are critical for success. |
T31 |
625-759 |
Sentence |
denotes |
We discuss the following recommendations, recognizing that certain areas are more practiced, while others require further examination. |
T32 |
761-814 |
Sentence |
denotes |
Virtual clinical trials and digital health technology |
T33 |
815-959 |
Sentence |
denotes |
By far, the biggest innovation emerging from the COVID‐19 crisis is the virtualization of many aspects of clinical trials by digital enablement. |
T34 |
960-1140 |
Sentence |
denotes |
By utilizing various digital health technologies, patients can participate in one or more aspects of a trial without visiting a clinical site as part of “routine” drug development. |
T35 |
1141-1322 |
Sentence |
denotes |
We commend the regulators for developing much needed guidance during the pandemic, allowing for remote monitoring and other alternatives to help sponsors continue to conduct trials. |
T36 |
1323-1682 |
Sentence |
denotes |
While decentralized clinical trials and digital health technologies have been critical during the current pandemic, the increased use of telemedicine creates opportunities to reform the clinical trial paradigm by implementing digitally enabled tools in areas such as patient screening, informed consent, telemedicine‐facilitated visits, and remote monitoring. |
T37 |
1683-1952 |
Sentence |
denotes |
The International Council for Harmonization (ICH) is currently revising the E6 Guideline Good Clinical Practice, and we believe this is an ideal opportunity to support the development of a responsive guideline with stakeholders’ perspectives and advances in technology. |
T38 |
1953-1954 |
Sentence |
denotes |
7 |
T39 |
1956-2002 |
Sentence |
denotes |
Alternatives to on‐site regulatory inspections |
T40 |
2003-2131 |
Sentence |
denotes |
The idea of a virtual regulatory inspection seemed reserved for the next generation of regulatory professionals, until COVID‐19. |
T41 |
2132-2289 |
Sentence |
denotes |
Our experience with remote Good Clinical Practice and pharmacovigilance inspections by regulators during the pandemic has been both positive and encouraging. |
T42 |
2290-2430 |
Sentence |
denotes |
The challenges of COVID‐19 underscore the importance of achieving process efficiency while at the same time ensuring high‐quality standards. |
T43 |
2431-2637 |
Sentence |
denotes |
To date, the remote inspections have demonstrated efficiencies for regulators and sponsors by eliminating travel, enhancing document management systems, and fostering disciplined and focused communications. |
T44 |
2638-2969 |
Sentence |
denotes |
We recognize the broader practice of virtual inspections is untested, but it’s an area worth exploring, where regulatory inspections of investigator sites and sponsors are digitally enabled (e.g., secure video conferencing), allowing inspectors to interview personnel, review procedures, and validate data against source documents. |
T45 |
2971-3037 |
Sentence |
denotes |
A global platform to accelerate real‐time data and insight sharing |
T46 |
3038-3180 |
Sentence |
denotes |
The pandemic has galvanized a renewed call for knowledge and voluntary data sharing as researchers race to find solutions to end the pandemic. |
T47 |
3181-3369 |
Sentence |
denotes |
While stakeholders are committed to facilitating effective data sharing of COVID‐19 research findings, the types of data and the methods of sharing should be harmonized, where appropriate. |
T48 |
3370-3616 |
Sentence |
denotes |
Forums such as ICH and the International Coalition of Medicines Regulatory Authorities can play an important role in convening stakeholders to navigate the various challenges and avoid the emergence of fragmented, potentially conflicting systems. |
T49 |
3617-3839 |
Sentence |
denotes |
Beyond data sharing to accelerate development, cloud‐based systems have the potential to accelerate and streamline regulatory review and enhance regulatory decision making, encompassing parallel agency review and reliance. |
T50 |
3840-3841 |
Sentence |
denotes |
8 |
T51 |
3843-3900 |
Sentence |
denotes |
Universal acceptance of electronic regulatory submissions |
T52 |
3901-4037 |
Sentence |
denotes |
As noted above, we have seen a wide range of flexibility by regulators to avoid delays in patient access to new and existing treatments. |
T53 |
4038-4271 |
Sentence |
denotes |
Regulators around the world have permitted electronic files for Certificates of Pharmaceutical Products and Good Manufacturing Practices, and accepted all regulatory filings electronically (e.g., meeting packages and annual reports). |
T54 |
4272-4485 |
Sentence |
denotes |
This reduction in administrative burden—without reduction in quality of information being provided—has simplified regulatory processes while maintaining compliance, and facilitated more efficient use of resources. |
T55 |
4486-4604 |
Sentence |
denotes |
Moreover, COVID‐19 has revealed the advantages to having real‐time and accurate product information for all countries. |
T56 |
4605-4750 |
Sentence |
denotes |
Electronic labeling provides the opportunity to immediately share with patients and healthcare providers changes in approved product information. |
T57 |
4751-4960 |
Sentence |
denotes |
While we recognize many regulators have already taken steps toward implementing electronic labeling, it is important to do so in a consistently accessible manner, seeking standards and interoperable solutions. |
T58 |
4961-4962 |
Sentence |
denotes |
9 |