Abbreviated for functional
purposes to ICSRs, these documents are central to all Pharmacovigilance Service Provider and from a regulating point of
view they are completely non-negotiable. ICSRs must be compiled for every
medicine or medicinal product to be legally marketed. They must be submitted at
pre-defined intervals and coordinated by correct professionals.
ICSRs are vital to the ongoing process of
keeping track of each product's drug safety profile. From a regulatory
standpoint, they are there to ensure any and all known concerns are applied in
a timely and proportionate manner. They also help contribute to the knowledge
base of Pharmacovigilance Service Provider in the overall scheme of things.
ICSRs need to be gathered according to a very
precise format stipulated by the regulatory authorities. This not surprisingly
includes all appropriate practice guidelines and language. The rules themselves
are necessarily complex and in addition the number of other practice guidelines
they refer to is substantial to say the least. In many senses, one of the
challenges pharmaceutical companies face is simply to submit the details in the
correct format. If it does not meet the standard, regulators take various steps
to ensure the company either returns to concurrence or restrict the manner in
which the product can be sold. This can even include suspending it from sale
completely.
Some of the key conditions relate primarily to
the correct procedures for processing ICSRs. The policies address Electronic
Data Interchange (EDI) of Individual Case Safety Reports (ICSRs) and Medicinal
Product Reports (MPRs) at all stages of the product's lifespan. They stipulate
the language to be used when describing dosing. They provide instructions on
processing issues for Safety Messages. They also provide detailed help with the
management of any SUSARS - Suspected Unanticipated Serious Adverse reactions.
There are then a large number of further guidance on a variety of other drug
safety topics. Again, these are all necessary.
There is a requirement for Pharmacovigilance Service Provider
detailed case narratives within ICSRs in an accepted and acceptable manner.
There may be times when not all the information is actually available to
complete the file format of the case plot. Whilst there is some provision for
such instances, the range of allowable situations is narrow. In essence, each
ICSR is likely to be fully complete.
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