Update on public hearing PCWP/ HCPWP joint meeting Presented by Juan Garcia Burgos on 20 September 2017 Head of Public Engagement Department An agency of the European Union
A public hearing provides An opportunity for the public to be heard by the PRAC leading to a more rounded understanding by PRAC of the issue An opportunity for stakeholders groups to listen and to be heard by others An opportunity to show a listening and engaged regulatory system 2
PRAC decision to hold public hearing Based on pre-defined criteria: A public hearing is possible within the assessment timelines A known high risk of neurodevelopmental disorders in children exposed in utero (30-40% ) and ongoing regulatory efforts to reduce this risk Outcome expected to result in changes to existing RMMs Input from patients/ carers and healthcare professionals will add value to the PRAC assessment High level of public interest; seen in previous PhV referral, continued media reporting and patient organisations expressing concerns 3
1 Date & time Summary of issues & specific questions Application form Guidance & video Announcement on EMA website & twitter 4
1 st EMA Public Hearing: Valproate To be held during the October PRAC meeting Tuesday, 2 6 Septem ber 2 0 1 7
Susac & LoQ adopted by PRAC Question 1 Summary of What is your view of the risks of taking valproate safety during pregnancy, including its potential effect on the child? concerns Question 2 (Susac) & List What are your views on the measures currently in of questions place to reduce the risks of using valproate during pregnancy ? (LoQ) Question 3 What other measures should be taken to reduce the risks of using valproate during pregnancy? 6
Application form 7
Guidance for participants 8
Video 9
Announcement website & twitter 10
Dissemination W ide dissem ination to stakeholder groups: Relevant patient, healthcare professional organisations and academia Affected families and individuals previously in contact with the EMA Organisations identified through the NUI Twitter and media outreach Early Notification System (ENS) 11
EMA website
2 Review applications Draw up list of speakers/ observers according to group & relevance Allocate time slots 13
Preparation Applications review : Decide on speakers and observers Ensure appropriate representation across all groups Num bers attending: Ideally between 12-16 speakers 100 observers maximum Depends on level of interest and relevant applications 14
Criteria for selection Very focused contributions Selection based on the relevance to the PRAC questions Balanced representation based on: 3 4 1 2 Cont ntent nt Affilia liation Discip iplin ine Geo eogr graph phical di distr tributi bution 15
Participants United Denmark Kingdom 3 84 Sweden 1 46 Ireland 4 Germany 2 The Netherlands 2 Switzerland 2 Belgium 6 I srael United 1 States France Italy 5 4 7 Greece 1 16
Speakers United 32 Kingdom Sweden 1 8 / 17 speaker Ireland 2 requests 25 Belgium contributions 2 selected, grouped in France 2 1 6 General public (patient representatives, carers, families) speaker slots Healthcare professionals and academia Italy Pharmaceutical companies 1 17
Observers United Denmark 59 3 Kingdom 30 Ireland 2 Germany 2 The Netherlands 2 Switzerland 2 Belgium 4 I srael 1 United States Italy France 2 5 5 Greece 1 18
3 Chaired by PRAC chair Rapporteurs overview Speakers interventions Summary & wrap-up Broadcast live & recorded 19
Agenda Hearing duration: from 1 2 :4 5 to 1 8 :0 0 We Welcome & & Referral over erview ew, Speak akers rs Speak akers rs Wrap rap-up, s , summary ary Introdu duction public h hearing r g rules es inter in terven enti tions (7 min in inter terven enti tions (7 min of interven entions & and b background per intervention): per intervention): nex ext s t step teps information on - Patien ents, c carer ers & - Pharmaceu eutical Valpr proate e families es compa panies procedu edure - He Healthcare Coffee break professionals & & Academ demia 20
4 Broadcast available online Public summary to be published Outcome to be integrated into the assessment report Acknowledgement of the value of the contributions made by the public 21
Conclusion A milestone in EU medicines regulation A major step towards openness and transparency Need to make it valuable: ─ For the assessment ─ For the public Measure impact – ‘lessons learned’ exercise in 2017 22
Any questions? Further information Juan.Garcia@ema.europa.eu European Medicines Agency 30 Churchill Place • Canary Wharf • London E14 5EU • United Kingdom Telephone + 44 (0)20 3660 6000 Facsim ile + 44 (0)20 3660 5555 Send a question via our w ebsite www.ema.europa.eu/ contact Follow us on @EMA_ New s
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