FDA - IDMP Webinar 2019
FDA - IDMP Webinar 2019
FDA Webinar
June 13, 2019
Identification of Medicinal Products (IDMP) Update:
FDA Webinar
June 13, 2019
What is IDMP?
• IDMP is a suite of five standards developed (2012) within the International
Organization for Standardization (ISO) which will create an internationally-
accepted framework to uniquely identify and describe medicinal products.
• FDA is a member of ISO and has participated in the development of these
five standards.
• The 5 Standards include data elements and structures for identification for
– ISO 11615 - medicinal product information (MPID)
– ISO 11616 - pharmaceutical product information (PhPID)
– ISO 11238 - substances (Substance ID)
– ISO 11239 - pharmaceutical dose forms, units of presentation and routes of
administration
– ISO 11240 - unique identification and exchange of units of measurement
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Potential Benefits of IDMP
Safety Surveillance
• Unambiguous global identification will improve pharmacovigilance by uniquely
identifying specific medicinal products in ICSRs.
• Globally detect safety signals from medicinal products referenced in adverse events.
Transparency
• Communicate medicinal product data globally.
• Opportunity to communicate and build trust with the public and other stakeholders
about medicinal product quality and safety.
Mitigation of Drug Shortages
• Standard allows us to identify pharmaceutically equivalent products across regions,
to support mitigation of drug shortages.
Interoperability
• Harmonized source for product information based on globally controlled vocabularies and
standards
• Support the exchange of medicinal product information between companies and regulators.
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FDA’s Approach to ISO IDMP Standards
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FDA IDMP Roadmap (1)
ISO 11615 ISO 11238 ISO 11240 ISO 11239 ISO 11616
Dosage Form & Pharmaceutical
Medicinal Product ID Substance ID Units of Measure
Route of Administration Product ID
• ISO publishes Standard • ISO publishes Standard • ISO publishes Standard • ISO publishes Standard • ISO publishes Standard
2012 • GSRS Project Initiated • UCUM conforms to
• UNII conforms to
ISO 11240
ISO 11238
2016 • EMA-FDA Collaboration
• Initiate evaluation of • GSRS in production • Initiate evaluation of FDA • Test FDA / Regional PhPIDs
NDC conformance Terminology for SPL
• Collaborate on FHIR
conformance
• NDC Conforms to Exchange Standard
2017 ISO 11615
• ISO: International Organization Standardization • GSRS: Global Substance Registration System • NDC: National Drug Code • EDQM: European Directorate for
Quality of Medicines
9 June • UNII: Unique Ingredient Identifier • UCUM: Unified Code for Units of Measure • FHIR: Fast Healthcare Interoperability Resources
2019
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FDA IDMP Roadmap (2)
ISO 11615 ISO 11238 ISO 11240 ISO 11239 ISO 11616
Dosage Form & Pharmaceutical
Medicinal Product ID Substance ID Units of Measure
Route of Administration Product ID
• ISO publishes Standard • ISO publishes Standard • ISO publishes Standard • ISO publishes Standard • ISO publishes Standard
2012
• Continue collaboration • Periodic GSRS updates • Develop / identify central
with EMA on MPID FHIR terminology
• Continue collaboration
2020 (expect balloted in Jan) with EMA on GSRS & FHIR
• ISO: International Organization Standardization • GSRS: Global Substance Registration System • NDC: National Drug Code • EDQM: European Directorate for
Quality of Medicines
9 June • UNII: Unique Ingredient Identifier • UCUM: Unified Code for Units of Measure • FHIR: Fast Healthcare Interoperability Resources
2019
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Identification of Medicinal Products (IDMP):
Update on
MPID, PhPID, SubID & Units
FDA Webinar
June 13, 2019
ISO
11615 Medicinal Product Identification (MPID)
• MPID Description
– Data elements and structures for unique identification and exchange of regulated
medicinal product information
• U.S. National Drug Code (NDC) is FDA’s regional MPID
– First two segments of the NDC code will be used to represent MPID
– The full NDC will be used to represent the medicinal product at the package level
(known as the PCID)
–Example: National Drug Code (NDC)
ISO 11615:2017
8.2.1 General considerations
For each authorized Medicinal Product, a unique MPID shall be assigned. The MPID … supplementary to
any existing authorization number as ascribed by a Medicines Regulatory Agency in a region. This is … and
to contribute to improving patient safety by allowing for the unique identification of Medicinal Products
worldwide.
The MPID shall use a common segment pattern … define a specific MPID concept. The pattern is:
a) country code segment (ISO 3166-1 alpha-2 code elements);
b) marketing authorization holder (organization identifier) code segment; Labeler Code
c) Medicinal Product code segment. Product Code
Any change of the values related to these three code segments shall result in the assignment of a
new MPID.
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ISO
11615 Medicinal Product Identification (MPID)
• ISO 11615:2017
3.1.41 marketing authorisation holder
– organisation that holds the authorisation for marketing a Medicinal Product (3.1.50)
in a region (3.1.73)
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ISO
11615 Medicinal Product Identification (MPID)
ISO 11615:2017
8.2.2.4 Medicinal Product code segment
This code segment shall reflect a Medicinal Product code assigned to the Medicinal Product. It utilises defining
attributes to determine a single Medicinal Product to which a code is assigned. A different Medicinal Product code
segment shall be assigned, leading to a unique MPID, (subject also to the notes below) whenever any of the following
items of information for a Medicinal Product are modified, as applicable, per a Medicines Regulatory Agency
process(es):
– FDA is collaborating with EMA to develop and test HL7 Fast Healthcare
Interoperability Resource (FHIR) for information exchange
• Test will ensure adherence to the ISO (TS20443) technical specification, *and*
• FDA will evaluate and determine steps necessary to accept FHIR messages as well as SPL
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ISO
11616 Pharmaceutical Product Identification (PhPID)
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ISO
11238 Substance Identification (SubID)
• SubID Description
– Data elements and structures for unique identification and exchange of regulated
information on substances
• Unique Ingredient Identifier (UNII), ISO 11238 compatible, used by FDA for many
years to uniquely and unambiguously identify substances
• The Open Source Global Substance Registration System (GSRS) has been
developed and is available at https://tripod.nih.gov/ginas/#/
– FDA-GSRS is in production (approx. 180,000 entries)
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IDMP on FHIR
• In January 2018, the EU endorsed* using FHIR as the basis for the API for
the Product Management Service
– Makes FHIR the data standard that supports the exchange of information about
medicinal products, substances, and related reference data in the EU
• HL7’s BR&R workgroup presently sponsors the development of ISO IDMP
11238 (Substance Specification) and IDMP 11615 (Medicinal Product)
resources
– Medicinal Product resource development takes place in collaboration with HL7’s
Pharmacy work group
– IDMP resources are expected to be balloted by January 2020 meeting
* https://www.ema.europa.eu/en/human-regulatory/research-development/data-medicines-iso-idmp-standards/spor-master-
data/substance-product-data-management-services
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ISO
11240 Units of Measurement
• The Unified Code for Units of Measure (UCUM) was selected as the ISO 11240
compliant standard
– UCUM is a system intended to include all units of measures being contemporarily used in
international science, engineering, and business
– Currently, FDA receives submissions that use the UCUM syntax standard for dosage strength
in both content of product labeling and drug establishment registration and drug listing.
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Identification of Medicinal Products (IDMP):
Update on
Dosage Form and Route of Administration
FDA Webinar
June 13, 2019
ISO
11239 Dosage Form (DF) & Route of Administration (RoA)
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ISO
11239 Dosage Form (DF) & Route of Administration (RoA)
• FDA Terminology for SPL is used in
– Content of drug and biologics labeling
– https://www.fda.gov/ForIndustry/DataStandards/StructuredProductLabeling/ucm162038.htm
– Drug establishment registration and listing
– https://www.fda.gov/ForIndustry/DataStandards/StructuredProductLabeling/ucm162038.htm
– CDISC controlled terminology for SDTM used in clinical trials
– https://www.cancer.gov/research/resources/terminology/cdisc
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ISO
11239 Dosage Form (DF) & Route of Administration (RoA)
• For FDA, using EDQM, an international PhPID may not be possible for the
highlighted levels below:
1. PhPID_Substance Level_L1 → Substance(s) Term
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Examples of EMA - FDA IDMP Collaboration
• Implementation of the EU Substance
EU National Registration System and Integration
Authorities
of GSRS and data exchange between
regions to support EMA and FDA
• Related to IDMP activities:
ICH applications.
• EWG E2B, ICH M2/M8 ISO
• eCTD • Implementation of the ISO IDMP suite
• CTD M2.3, 3 /PQ/CMC IDMP and information exchange between
the regions.
Collaboration
• Develop & disseminate
• Enhance, review and maintenance of
IPRP the ISO IDMP standards & technical
information on conformance to specifications via ISO/TC 215,
IDMP standards CEN/TC 251.
WHO
HL7
• Proposed maintenance of IDMP
• ISO IDMP underlying messaging global identifiers and terminology
infrastructure. FHIR resources for substance (substance IDs, PhPIDs, Org IDs,
and medicinal product via HL7 Biomedical etc.).
Research & Regulation workgroup (BR&R).
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Resources
https://www.fda.gov/industry/fda-resources-data-standards/identification-medicinal-products-idmp 27
http://www.iprp.global/home 28
Overview of Global Substance Registration System
(GSRS), Identification of Medicinal Products (IDMP)
www.fda.gov 2
Organizing Information
• FDA has the most important/valuable repository of human biological and product data but
limited integration.
– Submission process
• Paper
• PDF’s
– Organizational
• Different Centers
• Different Contractors
• Business Process
• The amount of information is increasing
– Rapid Screening Methods
– Enzyme and Receptor Profiling
• Cyp , Transporter and Receptor
– Genomics
– Epigenomics
– Electronic Health Records
– Many CMC changes
• Substances
– A key lynchpin for organizing scientific and regulatory information
– GSRS attempts to define substances consistently and unambiguously based on scientific principles
– UNII permanently assigned ties an identifier to actual entities independently of nomenclature
www.fda.gov 3
Organizing Information
• Identification of Medicinal Products (IDMP)
– ISO project; 5 standards
• Approach of the IDMP to organizing information
– Goal is to get data organized prior to submission
– Fielded data is better than non-fielded Data
– Controlled vocabulary is better that non-controlled
vocabulary
– Codes are better than names in electronic systems
particularly relevant to substances
– Substance terminology on definitions (truth) not hierarchy
– All substances in medicinal products should be defined and
assigned a permanent unique ID
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Goals of IDMP Project
• Develop a common data structure and terminology for
the description of medicinal products
– Facilitate data exchange
• Pharmacovigilance
• Quality of pharmaceutics/detect/prevent counterfeiting
• Predict/prevent drug-drug food-drug interactions
• Incorporation of diverse data into databases
• Prevent drug shortages
• Promote Drug Development
– Consistent review
– Enter once use many (substances, organizations)
– Assist in mining of EHRs (Effectiveness. Safety, Better Dosing)
– Global ID for substances and pharmaceutical products (ie 200
mg ibuprofen tablets)
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• Improve Pharmacovigilance
• Globally detect safety signals from medicinal
products referenced in adverse events
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What is a Substance: ISO 11238
• ARISTOTLE (Metaphysics)...the generally recognizable substances... are
the sensible substances, and sensible substances all have matter..., and
in another sense the formula or form..., and thirdly the complex of
matter and form, which alone is generated and destroyed, and is,
without qualification, capable of separate existence
• A unit of matter that can be quantitatively measured
• Five types of substances
– Chemicals, Proteins, Nucleic Acids, Polymers, and Structurally Diverse Material
– Mixtures
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Substances (ISO IDMP)
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Substances (ISO IDMP)
• Polydisperse
• Polymers (Synthetic or biopolymers)
– Structural repeating units, type, geometry, type of copolymer
(block or random), ratio of monomers, modifications, molecular
weight or properties related to molecular weight, biological
source for many biopolymers
• Structurally Diverse Substances (viruses, cells, tissues, complex
materials)
– Taxonomic, anatomical, fractionation, physical properties,
modifications
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Why Register Substances
Need to tie substances to regulatory submissions
– Quality perspective
• Change in substance can lead to a change in product
• Find all products that could contain a “bad” ingredient (heparin, diethylene glycol)
• Consistent specifications
– Safety perspective
• Track adverse events based on substances
• Tie substances to targets and pathways
– Drug Utilization
• Predict and prevent shortages
• Global marketplace need a global systems substances to manufacturer
– Quality
• Who makes it
• Where they make it
• How they make it
• Coordinate Inspections and testing
www.fda.gov 11
Tie Substances to other Information
Need to tie substances to other information
www.fda.gov 12
Need for Specified Substance
• Organize additional information on ingredients
(SSG1).
– Need to describe multiple substance ingredients
(Simethicone, Colorants, Flavors)
– Need to describe extracts (allergenic and herbal
extracts, tinctures)
– Need to distinguish materials that differ by physical form
or critical properties (Polymorphs, Flowability,
Compressibility)
– Just starting to implement this at FDA
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Need for Specified Substance
– Need to tie material to a manufacturer and a
process (SSG2 and SSG4)
– Need to tie material to a specific grade (SSG3)
– Need to obtain specification information (SSG4)
– Need to obtain information about processing
materials (SSG4)
– Need to establish and monitor the supply chain
(SSG2)
– Manufacturing and specifications were separated
out in ISO version 2
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Specified Substance
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UNIIs, SPL, Orange Book, Purple Book,
Green Book, INDs
• GSRS currently implemented at FDA at the
substance level
• UNIIs are required for all ingredients listed in SPL
• Nearly all drug targets have UNII codes
• UNII codes assigned when INDs come in (CDER)
• Companies will eventually preregister or obtain
UNII shortly after submission
• UNIIs not explicitly listed in Orange Book, Purple
Book or Green Book
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What is the GSRS?
Assigns permanent UNII code to each substance
GSR
S Global Substance Registration System
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GSRS is a Software Application
❑ Freely distributable (NCATS version, substance only)
www.fda.gov 19
How it’s used at FDA
• FDA has adapted GSRS to integrate with
existing internal databases and systems.
– Adverse events
– Products
– Applications (INDs, NDAs)
– Clinical Trials
• Industry uses the data from GSRS to find the
UNII codes for their substances, which are
submitted to the FDA.
– In the future, they will be able to create Active
Ingredient
a JSON message defining their substance
to the FDA
– Change submission process and eCTD
“Inactive”
Ingredients
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GSR
S GSRS Software Current Status
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Where we are going?
Jan 2021
Oct 2019
Develop and deploy
R applications for
Dec 2018 Deploy portal for direct substance based
Begin entering
substance registration for analysis
SSG1 data
industry and other regulators
Nov 2020
Jan 2020 – Nov 2020
Communication Procedures
UI development angular 6
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