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42
Manufacture and Supply, Science and Reg ulation Towards High-Qua lity Medicinal Products
PIC/S assessment of Malaysia NPCB — 2001
ASEAN Harmonization on Pharmaceutical Inspection
closely for this highly important mission which involved another ASEAN Member State and a close neighbor of Singapore. I recall clearly that Bob Tribe would communicate with me in my oce during weekdays and even on Saturday mornings, via long-distance landline telephone calls, to discuss the application and supporting documents submitted by Malaysia.” There were no handphones, WhatsApp, Skype or Zoom way back in 2001 (the pre-Industry 4.0 era). Malaysia became the 2nd Asian member of PIC/S on 1 January
2002. With 2 ASEAN Member States acceding to PIC/S in a short
span of two years, interest in ASEAN harmonization on pharma­ceutical inspection with the PIC/S inspection system as the guid­ing framework started to gain momentum. Soon after, an ASEAN Mutual Recognition Arrangement (MRA) Taskforce on GMP Inspection was formed in 2005. Both Singapore and Malaysia were appointed the Chair and Co-Chair of this newly formed Taskforce. Singapore and Malaysia were handpicked to lead this ASEAN Task­force on GMP Inspection by virtue of the fact that both countries were the only ASEAN members of PIC/S at that point in time. The main deliverable of this ASEAN MRA Taskforce was a pan-ASEAN MRA on GMP inspection which is mutually acceptable by all the 10 ASEAN Member States. For the next four years, beginning from 2005, the ASEAN MRA Taskforce worked single-mindedly to deliver an ASEAN MRA on GMP Inspection. On 10 April 2009, the Eco­nomic Ministers of all the 10 ASEAN Member States signed a legally binding multilateral Sectoral MRA on GMP Inspection for Manu­facturers of Medicinal Products at the beach resort city of Pattaya in Thailand. With the signing of this MRA, all the 10 ASEAN Mem­ber States strived to work towards the recognition of one another’s GMP Certificates and inspection reports, and to avoid duplication of GMP inspections in each other’s territories. To implement this MRA, the Taskforce was dissolved, and an ASEAN Joint Sectoral Committee (JSC) on GMP Inspection established in 2012, retaining
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Manufacture and Supply, Science and Reg ulation Towards High-Qua lity Medicinal Products
Singapore and Malaysia as Chair and Co-Chair, to create a Register of ASEAN Listed Inspection Services (LIS). The ASEAN Sectoral MRA on GMP Inspection for Manufacturers of Medicinal Products was benchmarked to the international PIC/S framework. The estab­lishment of the ASEAN JSC on GMP Inspection and the creation of a Register of LIS is elaborated under Section 6 of this chapter.

2.2. Geographical Background of ASEAN vis-à-vis Asia and the Rest of the World

Many people, especially those from outside of the Asian continent, tend to view Asia as comprising only China, India and Japan — the Asian giants with huge economies and long histories of civili­zation. Perhaps, some are also familiar with the rapidly emerging
ASEAN Harmonization on Pharmaceutical Inspection
45
South Korea — a country which is increasingly being recognized for its excellence in science and technology, famous for its K-pop culture, music and movie industry as well as for its pharmaceutical and biopharmaceutical manufacturing. Unfortunately, Southeast Asia, which is tucked away in one corner of Asia, is still relatively unknown to many people outside of Asia.
So, let us elaborate more about Southeast Asia and ASEAN. ASEAN is the abbreviation for the Association of Southeast Asian Nations. It was founded in 1967, and ASEAN comprises 10 Southeast Asian Member States. The 10 ASEAN nations, in alphabetical order, are Brunei Darussalam, Cambodia, Indonesia, Laos, Malaysia, Myan­mar, Philippines, Singapore, Thailand and Vietnam.
The 10 ASEAN Member States have very diverse racial, religious, socio-cultural, political, economic and geographical backgrounds.
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Manufacture and Supply, Science and Reg ulation Towards High-Qua lity Medicinal Products
Individually, each of the 10 ASEAN Member States faces strong eco­nomic competition from its Asian neighbors, which have generally larger geographical size and bigger populations — e.g., South Korea: 51 million, Japan: 123 million, and the two Asian giants, India and China, with approximately 1.4 billion population each. Further away in the Western world, there is USA and the European Union (EU) with 340 million and 450 million population respectively. But, col­lectively, ASEAN as a 10-member group is not small. A key strength of ASEAN is its combined population (and, therefore, a potential collective market) of more than 650 million people. ASEAN also has a combined economy of more than 2.5 trillion US dollars, and ASEAN is set to become the 4th largest world economy by 2030. This collective strength of the 10-member ASEAN has been optimized through the creation of an ASEAN Economic Community in 2015.
2.3. Need for ASEAN Economic Integration and
Creation of ASEAN Economic Community
The creation of an ASEAN Economic Community (AEC) was set into motion as early as 2003. On 2 September 2003, ASEAN leaders agreed in principle at the 35th ASEAN Economic Ministers Meeting in Phnom Penh, Cambodia, to establish an AEC. Very soon after, on 7 October 2003 at the 9th ASEAN Summit in Bali, Indonesia, the ASEAN Economic Blueprint (also known as the Bali Concord II) was published, with ASEAN committed to the establishment of an AEC by 2020. The AEC is expected to develop ASEAN into a highly competitive region of equitable economic development, with a sin­gle market and production base, which is fully integrated into the global economy. The following year, on 30 November 2004, the AEC Framework Agreement was signed at the 10th ASEAN Summit in
ASEAN Harmonization on Pharmaceutical Inspection
Vientiane, Laos. This AEC Framework Agreement on Integration of Priority Sectors represented a first major step towards the real­ization of an AEC. Eleven priority sectors, including healthcare, of which pharmaceutical products are a component, were identified. An ASEAN Sectoral MRA on GMP Inspection for Manufacturers of Medicinal Products was one of the priority initiatives.
With global economic competition moving at a fast and furious pace, ASEAN also had to shift its gear in tandem. On 15 January 2007, the Cebu Declaration on the Acceleration of the Establishment of an AEC by 2015 was signed at the 12th ASEAN Summit, held in Cebu, Philippines. The Cebu Declaration accelerated the establish­ment of AEC from 2020 to 2015.
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2.4. Formation of an ASEAN MRA Taskforce on GMP Inspection

With AEC 2015 as the backdrop, and an ASEAN Sectoral MRA on GMP Inspection as one of the priority initiatives, the idea of an ASEAN MRA Taskforce on GMP Inspection was seriously mooted in 2005. This Taskforce was charged with the responsibility to deliver an ASEAN Sectoral MRA on GMP Inspection for Manufacturers of Medicinal Products as its main outcome. Singapore and Malaysia were appointed as the Chair and Co-Chair of this Taskforce respec­tively, as both countries were the only two ASEAN Member States of the Geneva-based PIC/S. Hence, they were considered to be the most appropriate ASEAN Member States to drive a “big, hairy, audacious goal (BHAG)”. This BHAG was the signing and implementation of a pan-ASEAN MRA or treaty on GMP Inspection, in tandem with the creation of the AEC 2015. This was how the story of the ASEAN
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Manufacture and Supply, Science and Reg ulation Towards High-Qua lity Medicinal Products
Sectoral MRA on GMP Inspection unfolded. The co-author remem­bered very clearly that sometime in 2005, there was a long-distance telephone call from his director in Manila — the capital city of the Philippines. His director was then attending an ASEAN senior reg­ulators’ meeting in Manila. “My director spoke to me in his usual composed manner that an ASEAN Taskforce on GMP Inspection was going to be formed, and I was considered the most suitable per­son to lead this Taskforce, and to drive the initiative to develop a pan-ASEAN MRA on GMP inspection. My director asked me point­edly (at that moment in time), if it was okay for me to assume the Chair of a soon-to-be-formed ASEAN MRA Taskforce. As I was mentally unprepared, my knee-jerk response then was to be non-committal, and to request for more time to think through this request. Over the next couple of days, I had to quickly digest this piece of breaking news. Meanwhile, the rationale was explained clearly to me: Singapore’s Health Sciences Authority (HSA) was the 1st Asian member of PIC/S, and the ASEAN pharmaceutical commu­nity was eagerly looking forward to the leadership and experience of Singapore HSA to drive this milestone initiative.” At that 2005 meeting in Manila, Singapore was deemed the most appropriate ASEAN Member State for this driver role. And the rest is history. Singapore was appointed Chair with Malaysia (the 2nd Asian mem­ber of PIC/S) as the Co-Chair of the ASEAN MRA Taskforce on GMP Inspection. “I remained as Chair of this ASEAN MRA Taskforce for seven consecutive years since its inception in 2005 until its dissolu­tion in 2012.” After 2012, a JSC on GMP Inspection was established to implement the provisions of the ASEAN Sectoral MRA, includ­ing the creation of an ASEAN Register of LIS and a training pro­gram for ASEAN pharmaceutical inspectors. “I continued to chair the ASEAN JSC for eight years from 2012 to 2020. All in all, I served
ASEAN Harmonization on Pharmaceutical Inspection
a combined total of 15 years as Chair of the ASEAN MRA Taskforce and Joint Sectoral Committee on GMP Inspection.”
ASEAN MRA Taskforce on GMP inspection
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2.5. Signing of ASEAN Sectoral MRA on GMP Inspection

As mentioned in the preceding section, the ASEAN MRA Taskforce on GMP Inspection was formed in 2005. After four years of dedi­cated and highly focused hard work by the ASEAN MRA Taskforce via face-to-face meetings twice a year, online discussions and telecon­ferences in between meetings, the ASEAN Sectoral MRA on GMP Inspection for Manufacturers of Medicinal Products was drafted and finalized. On 10 April 2009, the Economic Ministers of all the 10 ASEAN Member States signed this legally binding multilateral Sec­toral MRA on GMP Inspection for Manufacturers of Medicinal
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Manufacture and Supply, Science and Reg ulation Towards High-Qua lity Medicinal Products
Products at the beach resort of Pattaya in Thailand. The interna­tional PIC/S inspection framework was used as the benchmark for this landmark treaty. With the signing of this MRA, all 10 ASEAN Member States strived towards recognizing one another’s GMP Certificates and inspection reports, and avoided duplicating GMP inspection in each other’s territories. This ASEAN Sectoral MRA comprised 19 Articles, of which Articles 4 and 8 respectively covered the scope and obligations of ASEAN Member States. Under Article 4 on the scope, it is clearly stipulated that the ASEAN Sectoral MRA covers all medicinal products in finished dosage forms, both prescrip­tion medicines and over-the-counter products, as well as sterile and non-sterile medicinal products. It is also clearly stated that the MRA excludes Active Pharmaceutical Ingredients, biologics, clinical trial products and traditional and herbal medicines. Under Article 8 con­cerning the obligations, all 10 ASEAN Member States are obliged to operate a PIC/S-equivalent GMP inspection framework. In addition, all ASEAN Member States are also obliged to accept and recognize GMP Certificates and inspection reports issued by LIS, namely, the inspection services or inspectorates of ASEAN Member States that meet the technical requirements of the PIC/S framework. A grace period of three years from the year of the signing of the MRA (2009)
ASEAN Sectoral MRA on GMP inspection (consists of 19 articles)
ASEAN Harmonization on Pharmaceutical Inspection
was given to all ASEAN Member States to comply with all the legal obligations stipulated under Article 8. During this three-year grace period, all ASEAN Member States had to work towards leveling up their inspectorates to operate a PIC/S-equivalent GMP inspection framework by 2012.

2.6. Formation of ASEAN JSC on GMP Inspection and Establishing Register of ASEAN LIS

The ASEAN MRA Taskforce was dissolved in 2012, and in its place, a JSC on GMP Inspection was formed to implement the MRA,
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ASEAN Joint Sectoral Committee on GMP inspection
Jakarta, Indonesia: 6 November 2018