Updates on ISO 14155 and N=1 Therapeutics Discussed by TGA
Investigators need to modify trial protocols and safety reporting mechanisms in line with the latest ISO 14155 updates to ensure compliance for upcoming high-risk clinical trials.
Primary source: European Medicines Agency (EMA)
Adoption of draft clinical guidelines for thalassaemia and sickle cell disease for a 4-month public consultation, and adoption of PRAC recommendations regarding post-authorisation pharmacovigilance outcomes.
These guidelines will establish new safety data collection and reporting protocols important for the ongoing management and oversight of medicines marketed for these conditions, ensuring alignment with updated scientific and regulatory expectations.
Sponsors and MAHs must review and align safety data collection and reporting protocols with the newly adopted guidelines while preparing for implementation of PRAC recommendations stemming from this meeting.
Regulatory Intelligence Lead
Review in the next regulatory intelligence cycle.
Adoption of the Guideline on the clinical requirements for medicines intended for the treatment of thalassaemia for a 4-month public consultation; Adoption of the Guideline on the clinical requirements for medicines intended for the treatment of sickle cell disease for a 4-month public consultation; Adoption of PRAC recommendations and post-authorisation pharmacovigilance outcomes.
Sponsors and MAHs developing medicines for thalassaemia or sickle cell disease should review the draft guidelines to ensure safety data collection and reporting protocols align with the new clinical requirements. PV teams should also prepare to implement PRAC recommendations adopted during the meeting.
Sponsors and MAHs must review and align safety data collection and reporting protocols with the newly adopted guidelines while preparing for implementation of PRAC recommendations stemming from this meeting.
The EMA's CHMP has outlined significant updates for sponsors and marketing authorization holders (MAHs) regarding the treatment of thalassaemia and sickle cell disease. The new clinical guidelines will be open for public consultation for 4 months, and associated PRAC recommendations will affect pharmacovigilance protocols.
What changed: Adoption of draft clinical guidelines for thalassaemia and sickle cell disease for a 4-month public consultation, and adoption of PRAC recommendations regarding post-authorisation pharmacovigilance outcomes.
Why it matters: These guidelines will establish new safety data collection and reporting protocols important for the ongoing management and oversight of medicines marketed for these conditions, ensuring alignment with updated scientific and regulatory expectations.
Practical implication: Sponsors and MAHs must review and align safety data collection and reporting protocols with the newly adopted guidelines while preparing for implementation of PRAC recommendations stemming from this meeting.
Published from the Firecrawl policy change extraction pipeline.
Investigators need to modify trial protocols and safety reporting mechanisms in line with the latest ISO 14155 updates to ensure compliance for upcoming high-risk clinical trials.
Safety lead to: (1) perform a UK-clinical-trial safety reporting gap assessment against MHRA’s effective guidance sections (MedDRA coding; AE/SAE; RSI governance; SUSARs; annual safety reporting; USMs; serious breaches; temporary suspension), (2) update controlled SOPs/WIs and training records to reflect “effective” status as of 28 Apr 2026, and (3) document deviations/gaps and open CAPA where needed for ongoing UK trials and new submissions.
Healthcare facilities must utilize the new checklist during inspections to conduct gap analyses and ensure compliance with reporting requirements associated with their vigilance systems.
All electronic PV submissions must undergo new validation checks in accordance with the updated criteria to ensure compliance and accuracy.