ABBREVIATED SUBMISSION FORM AND GUIDANCE Introduction 1. The abbreviated submission process allows SMC to honour its published remit and track all products. SMC will issue advice on all new chemical entities (or new active substances) and all new indications for established products through the full submission process. 2. An abbreviated submission may be appropriate for new formulations of established products. 3. An abbreviated submission may be appropriate for some medicines indicated for use in children or adolescents, where SMC/Health Improvement Scotland (HIS) has previously accepted the medicine for use in adults for the same indication or the indication in adults predates SMC establishment (31 January 2002). Manufacturers should seek confirmation from the SMC secretariat that an abbreviated submission is appropriate in these circumstances, 4. An abbreviated submission should be made when a manufacturer considers that a full submission is not required. 5. The abbreviated process requires manufacturers to complete and submit an Abbreviated Submission Form. The form and Guidance Notes are on the SMC website. If the manufacturer is in doubt about the submission process to be followed, guidance should be sought from the SMC Secretariat (contact details below). 6. Examples of products that may be suitable for an abbreviated submission are given below. A key consideration is the product’s likely impact on budgets and resource allocation across NHS Scotland. If a product could potentially have a significant budget impact, a full submission should be made. Guidance can be sought from the SMC Secretariat (contact details below). 7. SMC reserves the right to request a full submission in relation to any product in the event that it is anticipated to have an impact on NHS Scotland resources which has not been fully taken into account by the submitting company. The decision of the SMC in this respect is final and binding. Product marketing authorisation for : Type of submission required: 1. New active substance – even if the number of potential patients is small and the expected budget impact is low Full 2. Additional indication / licence extension approved by the MHRA/EMA - even if the number of potential patients is small and the expected budget impact is low Full 3. Biosimilar medicine where the reference product is not recommended by SMC/HIS for the same indication(s) and in the same population Full 4. New formulation (e.g. slow release presentation, liquid) at more than pro rata cost relative to existing therapy Please consult the SMC secretariat for advice on submission requirements once final details of product pricing are available. 5. New formulation (e.g. slow release presentation, liquid) at pro rata cost or less relative to existing therapy – similar clinical effectiveness must be capable of being demonstrated briefly, in simple terms Abbreviated 6. Combination products of established medicines 7. Licensed preparation of an established unlicensed preparation 8. Marketing authorisation for medicine has been extended for use in children or adolescents, where product has previously been accepted by SMC in the same indication for use in adults or indication in adults predates SMC establishment (31 January 2002) Please consult the SMC secretariat for advice on submission requirements once final details of product pricing are available. Please consult the SMC secretariat for advice on submission requirements once final details of product pricing are available. Abbreviated submission may be appropriate. Seek guidance from secretariat. 2 ABBREVIATED SUBMISSION FORM Company name and address Company contact name and contact details Date submitted 1. Registration details Drug (generic and trade name) Formulation, strength(s), route of administration Full licensed indication as described in the summary of product characteristics If the submission is not for the full licensed indication please state clearly any positioning you wish SMC to consider Dose Regulatory authority and status Launch or product availability date in UK Licensing / anticipated date of marketing authorisation in UK (including web links where available) 3 2. Product and background information to support an abbreviated submission 1. Provide the basis for the submission and justification for applying via the abbreviated route. First branded generic a new formulation of an existing medicine which costs the same or less a new formulation of an existing medicine with small cost premium and limited budget impact new combination preparation of existing medicines which costs the same or less new combination preparation of existing medicines with small cost premium but limited budget impact licensed preparation of an established unlicensed preparation which costs the same or less or has a small cost premium and limited budget impact new licence extension for children or adolescents other please state............................................................................... 2. Provide background details for the product plus web links where appropriate in relation to regulatory information (eg product or reference/parent product). 3. Provide details of existing therapy in particular what therapy(ies) may be replaced in Scottish practice, if this differs from the reference/parent product. 4. Provide details of previous SMC advice for any parent/reference product, alternative formulation or existing therapy if applicable. 5. Provide a brief demonstration of similar clinical effectiveness or where appropriate bioequivalence to a reference product/parent preparation or non inferiority to existing therapy. 4 6. Please supply the acquisition cost for the medicine and existing therapy in the cost table below. Other associated costs should not be included. Medicine Formulation Dose Cost per unit/course/ month/year* *Complete as appropriate 7. If you consider that this product may be appropriate for an abbreviated submission but the acquisition cost of the product, as detailed in the table above, is more than the reference/parent compound or existing therapy: Describe any additional benefits in simple terms that might justify this cost premium eg preservative-free, liquid formulation. A cost premium that requires analysis of benefit is likely to require a full submission. Please estimate any net budget impact with reference to medicine costs only eg small or medium impact [<£100,000 or ≥£100,000 per annum]. 8. Has this medicine previously been associated with a Patient Access Scheme (PAS) for a different formulation or indication? Will this same PAS be available for this new formulation/indication? 9. Please provide any information specific to this product and relevant to the review that may not be covered by other sections of this form. Please supply the most recent updated or draft Summary of Product Characteristics Signature Print Name 5 Date GUIDANCE ON COMPLETION OF ABBREVIATED SUBMISSION FORM Company name and address Including postal address Company contact name and contact details Name of person to contact in the event of questions with telephone and e-mail details Drug (generic and trade name) Full approved name and brand name of product Formulation, strength If relevant, details of new formulation including strength Full licensed indication(s) Details of approved indications from the product licence as detailed in the Summary of Product Characteristics Positioning Detail any proposed positioning within the licensed indication that SMC is requested to consider e.g. subpopulation of the licensed indication, only part of the licensed indication. Does the new product have a marketing authorisation? If yes, specify date approved, including regulatory authority. If no, specify anticipated date of approval. Regulatory authority and status Launch or product availability date Actual date if launched (or the date the product became available to the market), otherwise anticipated launch date. Branded generic Refer to SMC statement on branded generics [www.scottishmedicines.org.uk/About_SMC/Policy_Statements/Generic _Medicines] Combination preparation A preparation that includes two or more active ingredients combined in a single dosage form. Previous SMC advice Provide relevant SMC advice for any previous licensed indications for the medicine, for any relevant reference or existing medicines. Brief demonstration of similar clinical effectiveness. This should include the following: the basis of assumption for similar effectiveness should be stated. a comparison of price per treatment, or per day, or per equivalent dose should be stated. Cost table Costs supplied in the cost table should be list price of the relevant medicine(s). All relevant compounds should be included. Costs should be medicine acquisition costs only and should not include any other associated costs. Budget impact If the product is to be considered for an abbreviated submission but it has a cost premium compared with existing therapy then section 7 should be completed. The costs should only include the acquisition cost of the product and should not include any other associated costs. Patient Access Scheme (PAS) A PAS is a scheme proposed by a pharmaceutical company in order to improve the cost-effectiveness of a medicine and enable patients to receive access to cost-effective innovative medicines. Signature, name, date Of person submitting the form, and date of submission 6 Notes 1. In order that SMC can meet its remit of advising on new products as close as possible to the product being available for use in NHS Scotland, abbreviated submission forms should be sent to the SMC Secretariat ideally 3-4 months before the product is anticipated to become available. An electronic submission, in the form of a word document, is the preferred route accompanied by a Summary of Product Characteristics (SPC). Please email the completed form to [email protected] and [email protected] 2. SMC reserves the right to request a full submission in relation to any product in the event that it is anticipated to have an impact on NHS Scotland resources which has not been fully taken into account by the submitting company. The decision of the SMC in this respect is final and binding. 3. Abbreviated submissions will be considered by the New Drugs Committee (NDC) and the Scottish Medicines Consortium (SMC), in the same timeframe as a full submission. SMC advice in relation to abbreviated submissions will be published on the SMC website. 7
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