A Roadmap to Authorization: Using Science to Prepare a MAA
As you move from Phase 3 clinical trials towards your Marketing Authorization Application (MAA), there are a number of critical steps that must be taken regarding how you interpret your clinical trial results and then present that information to the European Medicines Agency (EMA).
In order to prepare for your Centralized MAA, it is critical to first understand the key procedural milestones that are involved in the development and submission of your application. From there, the priority is to understand the scientific importance of each of the steps.
- Eligibility request – 7-12 months prior to submission
- Notification of Intent to submit MAA – 7-9 months prior to submission
- Pre-submission meeting request – 7-9 months prior to submission
- Allocation of Rapporteurs – 7-9 months prior to submission
- Pre-submission meeting – 6-8 months prior to submission
- Paediatric Compliance Check – 6 months prior to submission
- Rapporteur Meetings – 3-4 months prior to submission
- Application submission and validation
Eligibility Request – should be made 7 – 12 months prior to MAA submission
The first step in the MAA process is for applicants to confirm eligibility to the Centralized Procedure (CP). This is required for all products regardless of whether they fall under the mandatory scope for products which must be assessed centrally. This is usually a relatively straightforward statement outlining the eligibility criteria for the product in question to access the CP. If the product does not fall under the mandatory scope for Centralized Procedure, then it is wise to include additional information support CP eligibility.
Notification of Intent to Submit MAA (7 – 9 months prior to MAA submission) and Pre-Submission Meetings (requested 7 – 9 months prior to MAA submission, conducted 6 – 8 months prior to MAA submission)
Once you have received confirmation that your product is eligible for the CP, around seven to nine months prior to your submission date, you should send a letter of intent to submit an MAA to the EMA. At this time, you should also submit your request for a pre-submission meeting. Although not required, we strongly recommend requesting and attending a pre-submission meeting as it affords Sponsors an opportunity to introduce their product to EMA and ask any procedural questions they may have. However, it is important to note that these meetings are not particularly focused on the scientific aspects of the dossier.
If the EMA grants your pre-submission meeting request, it should be conducted six to eight months before you plan to submit your application.
Pediatric Compliance Check (6 months prior to MAA submission)
In order to be able to file your MAA, it is required to have an agreed Pediatric Investigation Plan (PIP) with EMA. Furthermore, Sponsors must also demonstrate compliance with that PIP. The pediatric compliance check involves an assessment of the timelines and key binding elements in an applicant’s PIP to ensure that the criteria outlined in the PIP and agreed upon by the Agency have met. This step is absolutely critical, and a common area in which many applicants run into roadblocks, as if there are any areas of non-compliance – even something as simple as a clinical study report (CSR) being a month later than originally agreed – there is a risk you will fail the compliance check and may need to submit a PIP modification. This is an area in which delays to the MAA filing date are commonly introduced and should this fall onto the critical path for the submission. However, with careful planning and an experienced regulatory team managing this process, these delays can easily be avoided.
Allocation of Rapporteurs (7 – 9 months prior to MAA submission) and Rapporteur Meetings (3 – 4 months prior to MAA submission)
You will be notified by the Agency when the EMA has appointed the Rapporteurs for your MAA submission. Once this has been received, you should quickly arrange meetings with your Rapporteurs to discuss the proposed submission. Each Rapporteur will expect to receive a briefing book outlining the important chemistry, manufacturing, and controls (CMC), nonclinical, and clinical work completed in support of the MAA. The Rapporteurs will also expect a list of questions within the briefing book which provide a clear picture and complete justification of the applicants view on a particular topic, with a request for discussion with the Rapporteur to get their views. It is important to remember that the Rapporteurs will be your voice to the rest of EMA’s Committee for Medicinal Products for Human Use (CHMP) during the MAA process, so explaining your views clearly and listening to their feedback is critical for the success of your submission.
MAA Submission and Validation
Once your MAA is submitted, the validation stage begins. At this point, the EMA will assess the completeness of your MAA dossier – and will ask for any missing or incomplete documents. This isn’t an assessment of the scientific content of your dossier, but more of a check to ensure all of the relevant documents are complete.
Important Items to Consider Throughout the MAA Process
Regardless of where you are in the process of compiling your MAA or any other EMA submission, we have a few considerations to keep in the back of your mind:
- You can’t start too early; plan for your MAA at least 18 months in advance of your proposed filing date and get an experienced team together to drive the process
- Understand the procedural milestones and what is involved at each stage – if you aren’t certain, enlist the assistance of an expert
- Make sure your PIP compliance check is completed early and undertake a mock compliance check to ensure this doesn’t become a critical path activity
- Present your clinical and scientific data to the Rapporteurs in a clear and balanced way and listen carefully to their views and experiences. You are working together with them as a team to support your submission