Brexit and pharma: what is to come for pharmaceutical companies once the UK leaves the EU

06/12/2017
The upcoming Brexit means a number of challenges for pharmaceutical companies that market their products in the United Kingdom and the European Union. We have summed up the key challenges for “pharma Brexit” from today’s perspective.

The United Kingdom has elected a new parliament, but the results will hardly be able to stop Brexit. The Conservative Party have reaffirmed their commitment to upholding the outcome of the June 2016 Brexit referendum. What is more, Prime Minister Theresa May already invoked Article 50 of the EU Treaty of Lisbon in March 2017, marking the start of the two-year time frame for exit negotiations. The Council of the European Union could extend the deadline in agreement with the British government. However, doing so would require a unanimous vote by all EU states.

Under the provisions of the treaty, the United Kingdom’s membership in the European Union will, in all likelihood, end on 29 March 2019.

Worst-case scenario

If all goes well, the UK and the EU will succeed in signing a free-trade agreement by 29 March 2019. Ideally, this agreement would contain far-reaching rules and regulations for the pharmaceutical industry, such as the continued application of the EU Medicinal Products Directive and Regulation in the UK in exchange for EU recognition of decisions by Britain’s Medicines & Healthcare products Regulatory Agency (MHRA). However, such an agreement currently appears far off.

A more-or-less disorderly Brexit seems likely, in keeping with Theresa May’s dictum that “no deal is better than a bad deal”. The UK would then join the ranks of states like Brazil as a third country in the eyes of the European Union – and vice versa. In this case, pharmaceutical companies looking to market medicinal products in Europe and the United Kingdom would be faced with various restrictions, some of them severe.

  • Brexit could necessitate separate marketing authorisation holders (MAH) with a registered office in the respective jurisdiction (UK and EU). MAHs should prepare proactively. In addition, CMDh already recommends changing the Reference Member State (RMS) from the UK to another EU country.
  • Separate qualified persons for batch release registered in the respective jurisdictions would be necessary.
  • Batches of medicinal products would have to be imported, exported and released separately in the UK and the EU. Corresponding import and manufacturing authorisations for batch release should be readily available.
  • Separate QPPVs would be responsible for pharmacovigilance in the EU and the UK, each equipped with an appropriate Pharmacovigilance System Master File (PSMF) and registered in the respective jurisdiction.
  • Two GMP inspections by the authorities would be necessary. Manufacturers in the UK would be subject to EU GMP inspection, whereas producers in the EU would also face UK GMP inspection.
  • Reference products from the UK will no longer be acceptable in the EU. This can pertain to existing marketing authorisations, e.g. in Repeat Use Procedures (RUP). It is expected, however, that already granted marketing authorisations based on UK reference products will not be affected.
  • All imports of active ingredients (APIs) from the UK to the EU and vice versa must be accompanied by a written confirmation from the competent authority of the exporting country.
  • Finally, developments in pharmaceutical regulation and legislation could diverge in both jurisdictions, resulting in additional time, effort and expense for pharmaceutical companies.

These and other changes will affect pharmaceutical companies on both sides of the English Channel. We support pharmaceutical companies in the EU and the UK in continuing to market their medicinal products on both sides of the border, even after Brexit. Get in touch with us!

EMA Q&A paper

On 29 May 2017 the European Medicines Agency (EMA) has released a Q&A regarding Brexit. Earlier, the EMA had already requested that pharmaceutical companies „proactively“ prepare for Brexit and that they submit transfer or variation requests „in due time“ considering the procedural timelines foreseen in the regulatory framework. In other words, pharmaceutical companies cannot expect the EMA to exhibit leniency regarding these timelines. The new Q&A paper now sheds a little more light on the challenges described above:

1. What if I am a marketing authorisation holder established in the UK?

According to Article 2 of Regulation (EC) No 726/2004 the marketing authorisation holder must be established in the Union. Through the EEA Agreement this is extended to include also Norway, Iceland and Liechtenstein. For centrally authorised medicinal products the marketing authorisation holder will therefore normally need to transfer its marketing authorisation to a holder established in the Union (EEA) (see Commission Regulation (EC) 2141/96 and EMA Q&A on transfer). This means that the addressee of the marketing authorisation decision changes to the new addressee.

2. What if I am an orphan designation holder established in the UK? (for medicines for human use)

According to Article 2 of Regulation (EC) No 141/2000 the sponsor of an orphan medicinal product designation must be established in the Union (EEA). For designated orphan medicinal products the holder will therefore need to transfer its designation to a holder established in the Union (EEA) (see Checklist for sponsors applying for the transfer of Orphan Medicinal Product (OMP) designation and the corresponding template) or it will need to change its place of establishment to a Member State of the Union (or EEA) and submit the corresponding documentation through a change of name and/or address of the orphan designation holder procedure provided the legal entity remains the same (see Guideline on the format and content of applications for designation as orphan medicinal products and on the transfer of designations from one sponsor to another, 27.03.2014).

3. What if I am a UK company with a MUMS (Minor Use Minor Species/limited market) status for my product? (for veterinary medicines)

If the sponsor/applicant is established in the UK, the MUMS incentives would no longer be applicable with effect from the date of the UK’s withdrawal from the Union, as a sponsor/applicant established within a third country cannot seek and receive MUMS/limited market classification in the Union (EEA). However, MUMS/limited market classification is connected to the product/indication and therefore transferable together with the product. To formally acknowledge the transfer, the EMA requires a letter from the original sponsor/applicant officially informing the EMA of the transfer of the classification product and the MUMS/limited market classification from the original sponsor/applicant to a sponsor/ applicant established in the Union (EEA). This letter should state the MUMS outcome letter document reference number. For already authorised MUMS/limited market veterinary medicinal products it is important to note that a transfer of marketing authorisation does not include a transfer of an MUMS/limited designation as this is subject to a different procedure. Therefore, for those authorised MUMS/limited market veterinary medicinal products the marketing authorisation holder needs to transfer the marketing authorisation (see: “What if I am a marketing authorisation holder established in the UK (H + V)?”) and separately the MUMS/ limited market classification (see above).

4. What if my Qualified Person for Pharmacovigilance (QPPV) resides and carries out his/her tasks in the UK?

According to Article 8 of Directive 2001/83/EC and Article 74 of Directive 2001/82/EC, the qualified person responsible for pharmacovigilance must reside and carry out his/her tasks in the Member State of the Union (EEA). The QPPV will therefore need to change his/her place of residence and carry out his/her tasks in the Union (EEA) or a new QPPV residing and carrying out his/her tasks in the Union (EEA) will need to be appointed. Changes in the QPPV, including contact details (telephone, and fax numbers, postal address and email address) may, for medicinal products for human use, be updated through the Article 57 database only (without the need for a variation) (see Variation Guideline C.I.8). Regarding medicinal products for veterinary use the changes should be updated through a variation (see Variation Guideline C.I.9).

5. What if my Pharmacovigilance System Master File is located in the UK (PSMF)? (for medicines for human use)

According to Commission Implementing Regulation (EU) No 520/2012, the PSMF must be located within the Union (EEA). The supervisory authority for pharmacovigilance is the competent authority of the Member State in which the pharmacovigilance system master file is located .The marketing authorisation holder will therefore need to change the location of the PSMF to a Member State within the Union (EEA). Changes to the location of the PSMF (street, city, postcode, country) may be updated through the Article 57 database only (without the need for a variation) (see Variation Guideline C.I.8).

6. What if my manufacturing site of the active substance is located in the UK?

As of the date of the withdrawal of the UK from the Union, active substances manufactured in the UK will be considered imported active substances.
Directive 2001/83/EC and Directive 2001/82/EC state that manufacturing authorisation holders are obliged to use, as starting materials, only active substances that have been manufactured in accordance with the detailed guidelines on GMP for starting materials.
In addition, pursuant to Article 46b(2) of Directive 2001/83/EC, active substances for medicinal products for human use shall only be imported in the Union (EEA) if, inter alia, the active substances are accompanied by a written confirmation from the competent authority of the exporting third country which, as regards the plant manufacturing the exported active substance, confirms that the standards of good manufacturing practice and control of the plant are equivalent to those in the Union (EEA).

7. What if my manufacturing site of the finished product is located in the UK?

As of the date of the withdrawal of the UK from the Union, medicinal products manufactured in the UK will be considered imported medicinal products.
The competent authorities of the Union (EEA) shall ensure that the import of medicinal products into their territory is subject to an authorisation in accordance with Article 40(3) of Directive 2001/83/EC and Article 44(3) Of Directive 2001/82/EC. The authorisation is granted when a number of conditions, as defined in Articles 41 and 42 of Directive 2001/83/EC and Articles 45 and 46 of Directive 2001/82/EC, are fulfilled (e.g. availability of a qualified person within the Union (EEA), GMP inspection).
For centrally authorised medicinal products the marketing authorisation holder will therefore need to specify an authorised importer established in the Union (EEA) and submit the corresponding variation (see Variation Guideline B.II.b.2).
In addition, in accordance with Article 51(1)(b) of Directive 2001/83 and Article 55(1)(b) of Directive 2001/82 the marketing authorisation holder will need to specify a site of batch control in the Union (EEA) where each production batch can undergo upon importation a full qualitative analysis, a quantitative analysis of at least all the active substances and all the other tests or checks necessary to ensure the quality of medicinal products in accordance with the requirements of the marketing authorisation.
For centrally authorised medicinal products the marketing authorisation holder will need to change the location of its current UK based site of batch control to a location established in the Union (EEA) and submit the corresponding variation (see Variation Guideline B.II.b.2).

8. What if my batch release site is located in the UK?

In accordance with Article 51(1) of Directive 2001/83/EC and Article 55(1) of Directive 2001/82/EC, the qualified person of the manufacturing and importation authorisation holder is responsible to certify that each batch of medicinal product intended to be placed on the EEA market was manufactured in accordance with EU GMP requirements and the marketing authorisation.
For centrally authorised medicinal products the marketing authorisation holder will therefore need to transfer its current UK based site of batch release to a location established in the Union (EEA) and submit the corresponding variation (see Variation Guideline B.II.b.2).

9. I am a UK based SME, would I still have access to financial and administrative assistance in accordance with Commission Regulation (EC) No 2049/2005 (the ‘SME Regulation’)?

In order to be eligible for financial and administrative assistance, companies must be established in the Union (EEA) and meet the definition of an SME.
As of the date of the withdrawal of the UK from the Union, the guidance for non-EEA based companies shall apply also to UK based companies:
• to apply for SME status once the company has established a legal entity in the Union (EEA). For proof of establishment, the SME office requires a copy of the certificate of incorporation in the company’s commercial register. In such cases, the SME declaration can be submitted in the name of the newly established subsidiary with details of the parent company to be declared.
• to indirectly benefit from the SME incentives through an Union (EEA) established SME regulatory consultancy. SME regulatory consultancies may seek to benefit from the provisions of the SME Regulation on behalf of non-EEA based clients, only if both they and the client meet the SME criteria (i.e. fall below headcount and financial thresholds). In this case, both the regulatory consultancy and the non-EEA based company should submit SME declarations. If successful, the regulatory consultancy would receive an SME notification and the non-EEA based company would be listed in an annex to that notification as an SME client company. It is not possible for an SME regulatory consultancy to be considered eligible if they are acting on behalf of non-SME clients, as this would be contrary to the objectives of the SME Regulation.

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