Copyright 2010 e-SubmissionsSolutions.com 1 Antoinette Azevedo, President e-SubmissionsSolutions.com 13 October 2010 Structured Product Labeling: Four Strategies to Comply with FDA’s SPL Mandate
Copyright 2010 e-SubmissionsSolutions.com 1
Antoinette Azevedo, Presidente-SubmissionsSolutions.com
13 October 2010
Structured Product Labeling: Four Strategies to Comply with FDA’s SPL Mandate
Agenda
Structured Product Labeling HistoryBenefits/Challenges of SPL10 “Musts” for SPL SuccessHow to Connect with Reputable Vendors & ResourcesHow to Factor the Future of SPL into Today’s Information Management DecisionsQuestions & Discussion
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SPL History
October 2005New Drug Applications to FDA CDER
Draft labeling with applicationApproved labeling following negotiation
sNDAs, prior approval supplements
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SPL History
October 2008Biologic License Applications to FDA CBER
Draft labeling with applicationApproved labeling following negotiation
sBLA or prior approval supplement
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SPL History
June 2009CBER, CDER, CVM
FDA 2656 Drug EstablishmentFDA 2657 Drug Product ListingNDC Labeler Code
SPL required To register establishmentsSubmit listing information for all drugs in commercial distribution
Annually by December 31Previously unlisted drugs in June and December
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What is Structured Product Labeling?
eXtensible Markup Language Standard structure and encoding of prescribing informationDeveloped by Health Level 7 (HL7) under direction of FDADeveloped with sponsor/vendor participation
Style sheets from multiple sources enable the same content to be repurposed for different audiences
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Traditional Prescribing Information
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SPL Encoding in XML
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SPL Via Style Sheet
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Benefits of SPL Format
Based on standardsCode setsXMLStyle sheets
Validation of compliance with the standardsRepurposing of the content based on style sheetsEnables FDA to efficiently perform regulatory due diligence
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Data Sharing Using SPL*
Industry FDA
NLM
HealthcareInfo
Suppliers
CMS
Drug Firms Annual
Registration Status
NDC Directory
Consumers
Physicians
*Lonnie Smith, FDA SPL Standards Coordinator
Challenges of SPL Format
Traditional authoring tools don’t automatically/easily translate into compliant SPLFailure to pass FDA validation process prevents review clock from startingTechnical infrastructure requirements generally out of scope of traditional regulatory affairs staff
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SPL Prescribing Information Workflow
1. Author
2. Convert
3. Validate4. “Publish”
5. Submit
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Word processoror XML editor
Inhouse or outsource
FDA or vendor
eCTD or waiver
FDA ESG or Media
SPL Location in eCTD
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SPL Drug Establishment – Drug Listing Workflow
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SPL NDC Labeler Code, Drug Establishment, Drug Listing Workflow
Low volume optionNo cost for softwarehttp://www.globalsubmit.com/XPortal/Requires FDA Electronic Submission Gateway (ESG) production account
1. Create Xform
2. Validate
3. Transmit via ESG
4. Monitor ESG account
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SPL NDC Labeler Code, Drug Establishment, Drug Listing Workflow
High volume optionPurchase dedicated system or outsourceRequires FDA ESG production account
1. Enter content
2. Validate
3. Transmit via ESG
4. Monitor ESG account
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Vendor system or spreadsheet
Sponsor accountOr thru vendor
Options for Meeting FDA’s SPL Mandate
Option Challenges
Find a service provider XML experience alone is not enough; must have FDA SPL experience with history of high volume & rapid turnaround
Use a hosted application “Free” software = little to no supportLabor-intensive & error-proneInsufficient for medium to high volume
Implement a new XML tool Few vendors with FDA SPL experienceFinding a tool that meets all format needs – MS Word, PDF, XML
Transform your in-house process Usually combined with one of options listed above
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Timeline for SPL Strategy
Initiate ESG Qualification
Process
Receive ESG Production
AccountSubmit
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Determine SPL
optionImplement
OptionTest
Option
3 to 6 months
1 to 3 months
SOPs, Digital Certificates,
Letter of Nonrepudiation,Sample submissions
SPL Differences
• Word, XML, PDF, JPEG• Submit in eCTD or waiver• Submit thru ESG or media• At FDA reviewer’s request
during review cycle
SPL Prescribing Information
• XML• Submit via folder• Submit thru ESG• Calendared events
NDC Labeler Code, Drug
Establishment, Drug Listing
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10 “Musts” for Success
1. Develop in-house skills in XML
2. Partnership between RA and IT
3. Solution 3 months before deadline
4. Minimum of 2 ESG accounts
5. Monitor ESG accounts regularly
6. Be aware of FDA’s internal SPL workflow
7. Take advantage of FDA’s SPL education process
8. “Continuous improvement” process
9. eCTD vs waiver10. SPL ≠ PIM
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How to Connect with Reputable Vendors & Resources
Assess your internal requirements & volumeCurrent/projected product portfolioLocations of manufacturing
Survey the vendor optionsIn-houseOutsource
Request for Information/Proposal (RFI/RFP)Plan for process reengineering
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Questions & Discussion
Antoinette Azevedo, President & CEOe-SubmissionsSolutions.com
[email protected]://www.e-SubmissionsSolutions.com/
Telephone (619) 220-7081Fax (619) 220-0831