PURPOSE
The scope of this SOP is routine surveillance of scientific and medical literature in accordance with applicable laws to detect adverse event case reports and other relevant drug safety information. This SOP begins with the establishment of search parameters and ends with the receipt of an article or abstract and finally reviewing for AE/PQC.
RESPONSIBILITY
The Qualified Person for Pharmacovigilance/Deputy QPPV shall be responsible for the surveillance of scientific and medical literature and further processing adverse events identified therein. As for any potential Safety Signal identified, the QPPV/Deputy QPPV shall process the event as per the SOP on Signal Detection and Risk Management.
No change in this SOP may be made without authority.
Introduction
Scientific and medical literature is a significant source of information for the monitoring of the safety profile and of the risk benefit balance of medicinal products, particularly in relation to the detection of new safety signal or emerging safety issue.
Medical literature include;
- Published abstracts or articles in medical/scientific journals
- Unpublished manuscript involving case reports.
- Important safety findings or clinical studies including posters, letters to the editors and associated communication from scientific meetings.
XYZ Industries the shall monitor scientific and medical literature and to report individual cases of suspected adverse reactions for medicinal products, for which it holds a Marketing Authorisation.
XYZ Industries Limited shall perform a:
- Global literature search, through a systematic literature review of widely used reference databases (e.g., East Africa Medical Journal, Journal of infectious diseases and immunity, International journal of medicine and medical sciences).
- Local literature search, in local journals in countries where the medicinal product has a Marketing Authorization.
The literature review includes literature on the benefit/risk profile of the product and not just individual cases of suspected adverse reactions (also referred to as individual case safety reports (ICSRs)). It shall also identify any emerging safety issues (ESI).
PROCEDURE
- Consideration in identifying inclusion or exclusion of relevant databases;
- The QPPV/Deputy QPPV shall on a monthly basis assess the available databases and the list of registered products plus those under registration for literature search. The following shall be used as a selection criterion to include a new data base or exclude an existing data base.
- Accessibility: The data base should be readily accessible.
- Coverage: The coverage of the database should be well defined i.e. global database or local database.
- Focus/therapeutic area: The data base should be oriented towards a particular discipline or therapeutic area that XYZ Industries has a marketing authorization.
- Overlap: The data base should not overlap with available databases being monitored by the QPPV/Deputy QPPV.
- Updated list of registered products and those undergoing registration.
- The results shall be reconciled as per annexure 1: Databases and Product List Reconciliation form.
- Database Literature Searches
ALSO READ: SOP for SAE Reconciliation
- The QPPV/Deputy QPPV shall on a monthly basis use an updated list of registered products and those undergoing registration from the regulatory affairs department as a reference to carry out literature search from the following global and local data bases-;
- East African Scholars Journal of Medical Sciences: https://www.easpublisher.com/journal/easjms/home
- Annals of African Surgery: https://www.annalsofafricansurgery.com/about-the-editors
- East African Medical Journal: https://www.ajol.info/index.php/eamj/index
- The East and Central African Journal of Pharmaceutical Sciences: http://uonjournals.uonbi.ac.ke/ojs/index.php/ecajps/issue/view/167
- Malawi Medical Journal: https://www.ajol.info/index.php/mmj
- East and Central African Journal of Pharmaceutical Sciences: https://www.ajol.info/index.php/ecajps
- East African Orthopaedic Journal: https://www.ajol.info/index.php/eaoj
- East African Medical Journal: https://www.ajol.info/index.php/eamj
- Annals of African Surgery: https://www.ajol.info/index.php/aas
- African Journal of Rheumatology: https://www.ajol.info/index.php/ajr
- African Journal of Health Sciences: https://www.ajol.info/index.php/ajhs/issue/view/21718
- African Health Sciences: https://www.ajol.info/index.php/ahs
- IMTU Medical Journal: https://www.ajol.info/index.php/imj
- East African Health Research Journal: https://www.ajol.info/index.php/eahrj
- Medical Journal of Zambia: https://www.ajol.info/index.php/mjz
- To carry out a comprehensive literature review, the QPPV/Deputy QPPV shall read the full articles/abstract to screen availability of any XYZ Industries product that may appear.
- The following shall also be applied by the QPPV/Deputy QPPV to identify XYZ Industries products during the literature review-;
- Medicinal product name
- Active substance name
- Pharmaceutical form
- Batch number or;
- Route of administration.
- The following shall also be captured when detected in the literature searches associated with XYZ Industry products-;
- New unexpected serious and non-serious ICSR reports with a reasonable causal association with the product
- Pregnancy outcome (including termination) with adverse outcome
- Use of paediatric populations
- Lack of efficacy
- Asymptomatic overdose, abuse or misuse
- Medication error where no adverse events occurred
- Important non-clinical safety results
- Counterfeit products
- Any Adverse event/product quality complaint identified shall be recorded as per Annexure for reporting adverse event /product quality complaint.
- For regulatory reporting purposes the clock starts (day zero) on the day when the journal is received by XYZ Industries. The ICSR timelines for Serious ADR are 15 calendar day. Non-serious case shall be submitted alongside the scheduled PSUR for a particular product.
ANNEXURE
Annexure I: New Employee Induction Form
ABBREVIATIONS
QPPV: Qualified Person for Pharmacovigilance
CAPA: Corrective And Preventive Action
PV: Pharmacovigilance
ICSR: Individual Case Safety Report
KPIs: Key Performance Indicators
PSUR: Periodic Safety Update Safety report
AEPQC: Adverse Events Product Quality Complaints
CCDS: Company Core Data Sheet
REVISION HISTORY
Nil
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