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Vol 275 No 7366 p302
10 September 2005

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MHRA to extend pre-vetting of advertisements

Medicines and Healthcare products Regulatory Agency

MHRA is to keep its combined regulatory and monitoring roles

No advertisements for newly licensed medicines are to be allowed unless the Medicines and Healthcare products Regulatory Agency has approved them.

This extension to the pre-vetting procedures was announced by the Department of Health last week in its response (PDF 180K) to the House of Commons’ Health Committee report on the influence of the pharmaceutical industry (PJ, 9 April, p410). The change reflects the Government’s acceptance of a recommendation that all promotional material for new products be pre-vetted. It is expected to apply to about 20 products a year.

In the past financial year, the MHRA vetted advertisements for 30 products under an existing scheme, which applies to newly licensed products subject to intensive monitoring, products reclassified from POM to P and products where earlier promotion has breached advertising regulations.

The Government has also agreed with the Health Committee that a safer way of introducing new medicines needs to be found.

It said that a ministerial strategy group was looking at regulatory issues and would consider whether there could be better controls when new medicines come into clinical use and better ways of seeking safety data to avoid sudden scares.

Generally, the Government response indicates that it is satisfied with the workings of the relationships between the pharmaceutical industry, prescribers, patients, the NHS and medicines regulation. It rejects a recommendation that post-marketing surveillance and drug safety monitoring systems should operate independently of regulation by the MHRA because this would impede the continuous examination of the risk/benefit balance throughout a product’s life-cycle.

The Association of the British Pharmaceutical Industry said that it was important that pre-vetting of advertising should not delay the availability of innovative new medicines for patients.

“The welfare of patients has to be at the centre of actions of both Government and industry with regard to the Committee’s recommendations,” said Richard Barker, ABPI director-general. “We recognise that action has to be taken in some areas and endorse the majority of the Government’s proposals, but it is essential that they are implemented in such a way that they do not delay or, worse still, deny patients’ access to the benefits of modern, innovative medicines.”

Rob Darracott, director of corporate and strategic development at the Royal Pharmaceutical Society, said that the Society would have liked to see more explicit acceptance by the Government of the involvement of pharmacists in local drug and therapeutics committees, as the Health Committee had suggested. But he welcomed the Government’s rejection of an idea that regulatory bodies should hold registers of their members’ interests.

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