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Special Report


       mulation and clinical drug-product manu-  tive substances of medicines considered  Given the global nature of the supply
       facturing and will be completed in 2026.  critical for healthcare systems across the  chain, these new  partnerships could
                                         EU/European Economic Area, for which  bring  the  diversifi cation  of  the  sup-
          Vetter, a CDMO of aseptic fi lling and  continuity of supply is a priority and for  ply chain of critical  medicines.  The
       packaging, is investing EUR 230-mn  which shortages should be avoided. The  European Chemical  Industry Council
       ($252-mn) in a new production build-  list contains active substances of innova-  (Cefi c), which represents EU chemical
       ing, which is currently under construc-  tor and generic drugs covering a wide  manufacturers, is a member of the Criti-
       tion at its global corporate headquarters  range of therapeutic areas and includes  cal Medicines  Alliances, and through
       site in Ravensburg, Germany.      vaccines and medicines for rare diseases.  its sector group, the  European Fine
                                         It refl ects the outcome of a review of 600  Chemicals  Group (EFCG), supports
       Small-molecule drugs              active substances taken from six national  potential policy moves to advance fi ne
          A key issue potentially  impacting  lists of critical medicines.  The goal is  chemical manufacturing in the EU.
       fi ne chemical producers and CDMOs in  update that list on an annual basis.
       the Europe Union (EU) relates to policy                               “The more dependent Europe is on
       moves to increase manufacturing in the   The European Commission carried  other regions, the more vulnerable its
       EU and reduce dependence  on other  out an analysis of supply-chain vulner-  people are on products as fundamental
       countries for active pharmaceutical in-  abilities for a fi rst tranche of 11 critical  as medicines,” said Maggie Saykali,
       gredients (APIs) and related inputs for  medicines on the Union list, set to be  Director, Specialty Chemicals, Cefi c, in an
       critical  medicines. In  April 2024, the  published in April 2024. The outcome  April 24, 2024, statement in commenting
       European Commission launched  the  of this work will inform the scope of the  on the launch of the Critical Medicines
       Critical  Medicines  Alliance. First an-  mandate of the Critical Medicines Alli-  Alliance. “Through our Sector Group,
       nounced by the European Commission  ance. In addition, the European Com-  we  represent  around  350 API  and  fi ne
       in October 2023, the Alliance will focus  mission will proceed with evaluating  chemical sites in Europe, and we can
       on  industrial policy and complements  the remaining medicines in the Union  provide important insights on the key
       the reform of the EU’s pharmaceutical  list. It will  then recommend  priority  value chain players, capacities in Europe,
       legislation as proposed by the European  actions for the near future and propose  technologies involved in the manufactur-
       Commission. Set up as a consultative  new tools to address the challenges it  ing process, among others. Our goal is to
       mechanism to policy-makers, the  Al-  has identifi ed. In particular, the recom-  strengthen Europe’s strategic autonomy
       liance seeks to work to enhance secu-  mendations  will focus on mitigating  and re-establish Europe as a major player
       rity of supply, strengthen availability  structural risks,  reinforcing supply  by  in API manufacturing.”
       of medicines, and reduce EU supply-  making demand more predictable, en-
       chain dependencies. The recommenda-  couraging diversifi cation, and boosting   Cefi c’s EFCG issued a set of recom-
       tions made by the Alliance will serve as  manufacturing in the EU.  mendations last November, which
       a basis for a multi-year strategic  plan                           included fostering supportive legisla-
       containing milestones and correspond-  Those efforts will also be part of  tive policies for EU  API manufactu-
       ing deadlines for their implementation.  discussions  in the  Alliance, which  rers that emphasized sustainable growth
                                         will help the European Commission to  and reshoring initiatives while investing
          Key factors being analysed include  identify what it terms as “pipeline in-  in innovation and shifting procurement
       an over-dependency on a limited number  vestment projects,” which could bene-  focus on supply security and social-en-
       of  external  suppliers,  limited  diversifi -  fi t  from  EU  and  national  funding  to  vironmental standards. In making those
       cation possibilities, and limited produc-  strengthen manufacturing  in the EU.  recommendations, EFCG pointed to the
       tion capacities.  This will build on the  The Alliance will also look at how mar-  continued decline of European-based API
       European Commission’s vulnerability  ket incentives, such as capacity reser-  production with respect to the supply of
       analysis of supply-chain bottlenecks of  vation contracts and joint procurement,  critical medicines. From a global produc-
       critical medicines on the Union list of  can be used to enhance security of sup-  tion share of 53% in 2000, the EU’s share
       critical medicines.  The Union list of  ply of critical  medicines.  In addition,  of API production in 2020 fell to 25% due
       critical medicines, which was published  the Alliance is taking a holistic  view  to increased competition from lower-cost
       by the European Medicines Agency last  of the supply chain, and its members  countries and EU pricing and procure-
       December, refers to a list of critical medi-  will seek to identify new synergies to  ment policies not favourable to EU-based
       cines for the EU/European Economic  work with each other more effectively,  domestic manufacturing, according to
       Area, which contains more than 200 ac-  including creating new  partnerships.  information from EFCG.


       Chemical Weekly  June 4, 2024                                                                   175


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