Medical Literature Monitoring (MLM) and Entering Negative Reaction Reports | Pepgra

In Brief

  •     A novel process where European Medical Agency offers a new service.
  •     The service is focused around medical literature monitoring.
  •     This service is also a vital step to ensure that there is no duplication of negative reaction reports.
  •    This service came into effect from 1st September, 2015.



Service Insights:

The European Medicines Agency (EMA) on 12th May, 2015 presented a politician intimation of medical literature monitoring services  and also proclaimed that adverse reaction reports would be not be required to be entered within the EudraVigilance. the whole thing came into effect from 1st September, 2015 onwards.

Following the announcement, the EMA has published an inventory of active substances and also provided a regard to the journals which will encompass this novel service. Initially, the service was poised to be initiated by taking around a restricted number (50 active molecules) of active substances from 1st July, 2015 and was alleged to be full-fledgedly implemented by September, 2015. As per the EMA, a preset array of journals and reference databases would be utilized for this service (Joshi, 2015). These journals / databases would include:-

     ·         EMBASE
·         EBSCO which would encompass a range of resources, wherein the primary focus would rest on the usage of;
·         Medline Plus
·         International Pharmaceutical Abstracts (IPA)
·         The Allied and the Complementary Medicine Database (AMED)

  PMS: What it involves
Considering that the method of drug approval comprises of phase I clinical trial , II and III trials, post marketing trials are often mentioned as phase IV clinical trials trials. PMS comprises of a scientific monitoring of medicine and medical devices as they're utilized in actual real-world scenarios. this is often in contrast to controlled clinical settings during pre-marketing Clinical trials wherein the conditions of the study are strictly controlled (David & Kim, 2019).

Avoiding Duplication

No doubt, medical also as scientific literature is meant to be a serious source that gives information in terms of recognizing any suspected incidence of negative drug reactions for drugs that had been authorized within the European Economic Area (EEA).

Expected Outcomes

The European Medical Agency executes the task of monitoring medical literature and entering pertinent information into EudraVigilance with a view to;-
·         Improve the overall efficiency in terms of reporting negative reactions.
·         Present the pharmaceutical sector with a simplification.
·         Enhance the overall quality of data by lowering the scope for duplication.
·         Undertake efforts to ensure savings in resource for the pharmaceutical industry.

Legal Antecedents

Article 27 of Regulation (EC) No 726/2004 forms the background for the tasks of the EMA. As per regulations, it has been stated that;

·         Selected medical literature will be monitored by the Agency for reports pertaining to suspected negative reactions to medicinal products that are inclusive of some specific active ingredients. The Agency will also publish the list of active substances that are presently being monitored and the relevant medical literature that falls under their purview.
·         Pertinent information derived from the chosen medical literature will be entered into the EudraVigilance database by the Agency.
·         An in-depth guide will be created by the Agency following due discussions with Member States, Commission and concerned parties, with regards to monitoring medical and scientific literature and entering the required information into the database of EudraVigilance.

Active Substances Included

An extensive array of active substances which also comprises of herbals, have been chosen on the basis of the medicinal product information that has been provided to the EMA in tandem with Article 57(2), in the second paragraph of Regulation (EC) No 726/2004. 

Mainly a large number of active substances that are known to exist in medicines and those for which a large number of marketing authorizations which were provided to diverse marketing authorization holders within the EEA fell under this service (European Medicines Agency, 2020).


Advantage Marketing Authorization Holders

The introduction of this new service by the EMA is bound to make a humungous positive impact mainly on marketing authorization holders who exist and operate in the EEA. As per estimates, around more than 3,500 marketing authorization holders for substance groups stand to gain from this service. 

In addition, marketing authorization holders in excess of 640 under the herbal substance group would also stand to gain an advantage through this move by the EMA (Joshi, 2015; European Medicines Agency, 2020). 


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