Page 156 - CW E-Magazine (9-7-2024)
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Pharmaceuticals


       IMPROVED PERFORMANCE
       India pharma units fare better in US regulatory

       checks in 2023


          Indian drug manufacturing sites  inspections, while everyone out of  around lab controls and core manu-
       exporting to the US have fared better  four inspections in India was OAI in  facturing processes in 2023, versus
       on regulatory inspection outcomes  the same year.                  2018. USFDA conveys its concerns
       compared to global average in 2023.                                on manufacturing practices through
                                           USFDA classifi es its inspection as  Form 483 observations at the end of
          The drug regulator, United States  OAI for plants found in an unaccep-  a facility inspection. Companies that
       Food and Drug Administration (USF-  table state of compliance with  receive its observations must respond
       DA), has classifi ed 13%, or 19 out of  current good  manufacturing practices  in writing with a corrective action
       145 inspections it carried out against  (cGMP).  The agency will intimate  plan and implement it quickly.
       Indian  facilities,  as  Offi cial  Action  the company about the classifi cation
       Indication (OAI) in 2023, which is  within 90 days of the inspection.  “While the industry has addressed
       lower than the global average of 15%  While  an  OAI  classifi cation  doesn’t  several critical areas over the last few
       OAIs, according to a report by Indian  impact existing supplies and reve-  years, quality expectations continue
       Pharmaceutical  Alliance and McK-  nues from operations of the facilities,  to evolve where some areas remain
       insey & Company. USFDA inspected  it blocks new product approvals fi led  to  be  addressed,”  said  Mr.  Sathya
       906 facilities globally, out of which it  from the site. In addition, it may even  Prathipati, senior partner, McKinsey &
       classifi ed 133 facilities as OAIs. OAI  trigger a warning letter or import ban,  Company.
       means  regulatory  and/or  administra-  if companies fail to satisfactorily
       tive actions will be recommended.  address the concerns raised by the   He pointed to some areas where
                                         USFDA. The OAI also increases the  there has been an increase in observa-
          The report titled ‘Quality & manu-  spend on remediation.       tions in recent years. “There is 35%
       facturing excellence charting the                                  increase in observations around ‘Faci-
       next  decade  of  Indian  pharma’  said   A  fi ve-year  analysis  of  USFDA  lities and Ancillary infrastructure’ in
       inspection outcomes also improved  inspection data pointed to 20% reduc-  2023, versus 2018, 25% increase in
       signifi cantly from 26% OAIs in 2014  tion in observations around essential  observations around ‘Investigations and
       to 13% in 2023. In 2014, the global  cGMP training and capabilities and  Root Cause Analysis’ (same period),”
       average for OAIs was 7% out of 1839  around 45% reduction in observations  Mr. Prathipati said.

       AIMING FOR SELF-SUFFICIENCY
       ‘India to make drugs for diabetes, obesity under PLI

       by 2026’

          India is planning to offer incen-  Danish drugmaker Novo Nordisk’s patent  after patent expiries, we will give
       tives to promote local manufacturing of  on semaglutide – a GLP-1 agonist and  them the incentive,” said Mr. Chawla,
       GLP-1 drugs used to treat diabetes and  the key ingredient in its wildly popular  without disclosing the names of these
       obesity, in 2026, a Reuters report said  obesity drug  ‘Wegovy’ and diabetes  companies.
       quoting Mr. Arunish Chawla, Secretary  drug ‘Ozempic’ – is set to expire in
       of Department of Pharmaceuticals.  India in 2026.                     The anti-obesity medication market
                                                                          could reach $100-bn by 2030, according
          GLP-1  (Glucagon-like peptide-1)   “The (Indian) companies (plan-  to a report by Goldman Sachs Research.
       drugs, originally approved to treat  ning) manufacturing GLP-1 drugs have  As of 2022, India ranked third globally
       diabetes, are also widely being used  applied  for the  government’s produc-  in the number of obese individuals, trail-
       to treat obesity  as they slow  diges-  tion-linked incentive (PLI)  scheme.  ing only China and the US, according to
       tion, helping patients feel full longer.  Once they start manufacturing in 2026  a study published in The Lancet.

       156                                                                       Chemical Weekly  July 9, 2024


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