Classification of Recombinant Biologics in the EU: Divergence between National Pharmacovigilance Centers

Background and Objective: Biological medicinal products (biologics) are subject to specific pharmacovigilance requirements to ensure that biologics are identifiable by brand name and batch number in adverse drug reaction (ADR) reports. Since Member States collect ADR data at the national level before the data is aggregated at the European Union (EU) level, it is important that an unambiguous understanding of which medicinal products belong to the biological product category exists. This study aimed to identify the level of consistency between Member States regarding the classification of biolo... Mehr ...

Verfasser: Klein, Kevin
De Bruin, Marie L.
Broekmans, Andre W.
Stolk, Pieter
Dokumenttyp: Artikel
Erscheinungsdatum: 2015
Schlagwörter: biological product / blood clotting factor 8 / enzyme / filgrastim / follitropin / human growth hormone / hybrid protein / insulin derivative / interferon / monoclonal antibody / recombinant biologica agent / recombinant erythropoietin / unclassified drug / adverse drug reaction / article / Belgium / clinical practice / drug classification / drug marketing / drug surveillance program / European Medicines Agency / interrater reliability / Netherlands / priority journal / qualitative analysis / quantitative analysis / Spain / Sweden / United Kingdom
Sprache: Englisch
Permalink: https://search.fid-benelux.de/Record/base-29201551
Datenquelle: BASE; Originalkatalog
Powered By: BASE
Link(s) : https://dspace.library.uu.nl/handle/1874/327278

Background and Objective: Biological medicinal products (biologics) are subject to specific pharmacovigilance requirements to ensure that biologics are identifiable by brand name and batch number in adverse drug reaction (ADR) reports. Since Member States collect ADR data at the national level before the data is aggregated at the European Union (EU) level, it is important that an unambiguous understanding of which medicinal products belong to the biological product category exists. This study aimed to identify the level of consistency between Member States regarding the classification of biologics by national authorities responsible for ADR reporting. Methods: A sample list of recombinant biologics from the European Medicines Agency database of European Public Assessment Reports was created to analyze five Member States (Belgium, the Netherlands, Spain, Sweden, and the UK) according to which products were classified as biologics by each Member State. We calculated the Fleiss kappa value to analyze interrater reliability. Results: A considerable divergence was identified regarding the classification of the 146 recombinant biologics from the sample list: one Member State classified 100 % of the recombinant biologics from the sample list as biologics, whereas the classification rates in the remaining four Member States ranged between 70 and 88 % for products available on the national market. The interrater reliability for 87 products available on the market in all five Member States was considered poor. Conclusion: Discrepancies exist between Member States in the classification of biologics; less divergence exists for common well-known biologics. These findings highlight the need to think about the best approaches to translate EU legislation into national practices. Additionally, we recommend a publicly available and frequently updated list of centrally authorized biologics.