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Pharmacovigilance services in Italy

The Italian Ministry of Health and the Italian Medicines Agency (Agenzia Italiana del Farmaco, AIFA) is responsible for overseeing all regulatory and pharmacovigilance services. for pharmaceutical products that are in circulation in the country. The AIFA is the national authority responsible for drug regulation in Italy. AIFA collaborates with other organizations and committees i.e., the National Institute of Health, research institutes, patient’s associations, healthcare professionals, scientific societies, the pharmaceutical industry and distributors. The mission of the AIFA in pharmacovigilance is to ensure a positive risk/benefits ratio for all authorized drugs through the continuous monitoring of all safety information and ADRs. Marketing Authorization Holders (MAHs) must appoint a qualified person responsible for pharmacovigilance (QPPV) for ADRs reports management. All the reports of adverse reactions will merge into the European database EudraVigilance, and this activity is aimed at the identification of changes in risk or new risks through signal analysis. Although Italy has a good system and robust structure, it could be improved as too many differences exist between regional and local activities. Physicians and healthcare professionals are required to report all suspected serious/ or unexpected ADRs which they learn from their activity to improve the system.

As a leading global contender, DDReg understands the significance of patient safety right from spontaneous to post-marketing surveillance of medicinal products. As part of our safety services portfolio, we provide end-to-end pharmacovigilance services in Italy that include adverse drug reaction reporting, signal detection & management, aggregate report writing, development of customized pharmacovigilance plans/risk management plans in accordance with the local requirements and good pharmacovigilance practices.

DDReg pharmacovigilance Services portfolio include:

ICSR Processing and Submission

  • Triage of initial and follow-up ICSRs, SUSARs,
  • Case Processing through E2B(R3) compliant databases and other relevant databases integrated with Drug dictionary (WHO DD) and MedDRA
  • Quality Check, Medical reviews
  • Submission of cases as per agency timelines
  • Maintaining ICSR monitoring & tracking sheets
  • Reconciliation process with customers

Risk Management Plan

  • Drafting, reviewing, and maintaining REMS while providing support through submission methods
  • Preparing customized procedures to classify safety risks and deliver tailored risk management strategies
  • Assessment of potential risks and missing information and prepare reports that recommend risk management methods
  • Implementation of supplementary measures, including Post-Authorization Safety Studies (PASS), such as developing academic materials, observational examinations, and targeted follow-up questionnaires
  • Effectively convey risks through labelling means such as Summary of Product Characteristics (SmPC) and patient information leaflet (PIL)

Aggregate Reports

  • Periodic Safety Update Report (PSURs)
  • Development Safety Update Reports (DSURs)
  • Annual Safety Reports (ASRs)

Signal Management

  • Identification new safety signals and/or changes in risks concerning a pharmaceutical product from ICSR database, literature, aggregate reports as well as regulatory agency website monitoring.
  • Utilizes a variety of in-house tools and databases for signal detection and tracking safety signal monitoring
  • Reviews safety signals for ICSRs, aggregate reports and recommendations by Pharmacovigilance Risk Assessment Committee (PRAC)
  • Performs label update analysis
  • Provide recommendations from signal assessments which include risk minimization approaches
  • Preparation of Signal Management Tracker, Annual Signal Reports.

Responsible Person for Pharmacovigilance (RPPV)/QPPV Services

  • Review of PSMF, SDEA agreements, agreements with commercial partners, PV SOPs etc
  • Review & sign off of Aggregate reports, Signal Reports and RMPs
  • Retainer services for QPPV Services and Deputy
  • Local Safety Responsible
  • PV Quality Management System Oversight
  • Local Safety Responsible
  • Monthly reconciliation
  • Medical review of Signal detection; Signal Surveillance Meetings (Quarterly)
  • Monthly Communication report/provision of compliance metrics

PV Audit & Compliance

  • Review compliance audit to applicable PV guidelines, regulations, Safety Data Exchange Agreements (SDEAs), SOPs (standard operating procedures) and work instructions
  • Optimize well-constructed audit plans as well as mock audits to prepare customer organizations for PV inspections conducted by respective competent authority.
  • Conduct regular gap assessments of PV staff at site location
  • Provide organizational training on safety audits and inspections
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