TGA Advances GVP Module Adoption
- Quality system documentation aligned with Module I principles
- SOP coverage matching Module VI adverse reaction handling requirements
- Clear reconciliation where Australian requirements differ from EU references
Medical Device Adverse Event Reporting Framework
Hospital Medical Device Adverse Event Reporting – Implementation Phases
| Phase | Effective dates | Reporting requirements |
|---|---|---|
| Phase 1 | 21 March 2025 – 20 March 2026 | Voluntary reporting period allowing hospitals to establish internal incident identification, documentation, and reporting systems ahead of mandatory requirements. |
| Phase 2 | From 21 March 2026 | Mandatory reporting for all hospitals. Serious adverse events must be reported within 10 calendar days, while near misses must be reported within 45 calendar days. |
TGA Inspection Trends Show Improvement
EU Regulation 2025/1466: The Most Significant EU Change Since 2012
- EudraVigilance monitoring obligation: All EEA Marketing Authorisation Holders must now monitor EudraVigilance data for signals as a mandatory source alongside other databases
- Signal validation shift: EMA and national competent authorities now validate EudraVigilance signals—MAHs identify but no longer validate
- Third-party oversight: Subcontracted PV activities require comprehensive contracts covering roles, audit rights, and a prohibition on further subcontracting without written consent
- PSMF streamlining: Only major or critical deviations require documentation until resolved
- Enhanced PSURs: Reports must include risk minimisation measure implementation and effectiveness updates
EMA Compliance Notifications and GVP Publications
FDA Real-Time FAERS Publication
FDA AI Guidance: Credibility Assessment Framework
FDA REMS Program Eliminations
- Clozapine REMS (13 June 2025): Removed mandatory registry requirements while maintaining blood monitoring
- CAR T Cell Therapy REMS (26 June 2025): Eliminated certification requirements based on accumulated safety data
MHRA Windsor Framework Implementation
- From 1 January 2025, MHRA restructured UK medicines regulation into two categories with different PV obligations:
- Category 1 (Former EU Centralised products): UK-wide licences following UK PV requirements only
- Category 2 (Non-centralised products): Dual compliance with UK and EU requirements
- Category 2 products create significant operational complexity—parallel PSUR submissions with different data lock points, separate RMPs requiring version control, and dual regulatory engagement. Sponsors with products previously authorised only in Great Britain may face retrospective remediation if EU reporting capabilities were not previously established.
Health Canada Risk Management Plan Guidance
China GVP Enforcement Intensification
AI in Pharmacovigilance: Regulatory Reality Assessment
Key AI and Pharmacovigilance Regulatory Instruments
| Instrument | Legal status | Relevance to pharmacovigilance & AI |
|---|---|---|
| FDA AI Guidance (Jan 2025) | Draft, non-binding | General AI credibility framework addressing transparency, performance, and human oversight, with applicability where AI supports pharmacovigilance decision-making. |
| EU Regulation 2025/1466 | Binding | Strengthens pharmacovigilance system governance and third-party oversight obligations but does not introduce AI-specific requirements. |
| EU Artificial Intelligence Act | Binding | Horizontal AI legislation; many pharmacovigilance-related AI tools are likely to be classified as high-risk, triggering governance, validation, and human oversight obligations. |
| CIOMS Working Group XIV (2025) | Advisory | Pharmacovigilance-focused guidance defining human-in-the-loop, human-on-the-loop, and human-in-command oversight models for AI-enabled safety activities. |
| EudraLex Annex 22 (Draft) | Guidance | Emerging GxP AI principles with a manufacturing and quality-system focus, influencing validation, lifecycle control, and governance of AI-enabled systems. |
Implementation Checklist: Priority Actions
- Review EU PV service provider contracts against Regulation 2025/1466 third-party requirements.
- Establish EudraVigilance monitoring procedures if not already integrated into signal detection.
- Assess Category 2 UK product exposure and dual compliance capability.
- Update SOPs referencing newly adopted TGA GVP modules.
- Prepare hospital liaison arrangements for mandatory device-adverse-event reporting.
- Document an AI governance framework for any ML/AI tools in PV operations.
- Adjust FAERS review intervals for a real-time publication environment.
Why This Matters for Your Organisation
Practical Next Steps
- Regulatory change requires a systematic response. Start with gap analysis: compare current procedures against the specific requirements outlined above. Prioritise by implementation timeline—EU Regulation 2025/1466 provisions requiring February 2026 compliance warrant immediate attention, while Health Canada’s 2027 RMP deadline allows longer planning horizons.
- For multi-jurisdictional operations, map products to their regulatory category combinations. UK Category 2 products with EU and Australian registrations are the most complex, requiring coordinated updates to procedures across regions.
- Finally, document your AI approach now. Whether you use AI tools in case processing, literature surveillance, or signal detection, create governance documentation addressing validation, human oversight, and performance monitoring. When regulators issue more specific guidance, you’ll adapt existing frameworks rather than building from scratch.
- The 2025 regulatory developments reward proactive preparation. Sponsors demonstrating mature, documented systems—whether in traditional PV processes or AI-enabled workflows—face inspections with confidence rather than concern.
FAQ Section
| Question | Answer |
|---|---|
1. Which 2025 regulatory change has the most immediate operational impact for Australian sponsors? | EU Regulation 2025/1466 requires compliance by February 2026 and mandates contract reviews with any third-party PV providers. Australian sponsors with EU-authorised products should prioritise these contract amendments and establish mandatory EudraVigilance monitoring procedures. |
2. Does the TGA’s adoption of GVP Modules I and VI make these legally mandatory in Australia? | No, adopted international guidelines provide guidance rather than legal mandates. However, TGA inspectors increasingly reference these modules when assessing system adequacy. Sponsors should document any justified deviations from adopted guidelines and ensure Australian-specific requirements from the Privacy Act and TGA pharmacovigilance guidance take precedence where they differ. |
3. How should Australian sponsors respond to FDA’s daily FAERS publication? | Review and adjust signal detection intervals to account for more frequent data availability. Update communication procedures to address faster public awareness of emerging signals. Consider whether current FAERS monitoring frequency remains appropriate given real-time publication. |
4. What evidence demonstrates adequate AI governance for pharmacovigilance tools? | Documentation should cover defined context of use, data quality validation, performance metrics with uncertainty quantification, human oversight protocols specifying where human review is mandatory, version control, and ongoing monitoring procedures. Reference both FDA’s credibility framework and EU AI Act high-risk requirements. |
5. How does the UK Windsor Framework affect Australian sponsors with UK-registered products? | Check whether your UK products fall under Category 1 (UK requirements only) or Category 2 (dual UK and EU compliance). Category 2 products require parallel PSUR submissions, potentially separate RMPs, and coordinated safety reporting to both MHRA and EMA. Products previously authorised only in Great Britain may require retrospective EU reporting capability establishment. |
6. When does mandatory hospital device adverse event reporting begin in Australia? | Phase 2 mandatory reporting begins 21 March 2026. Phase 1 (voluntary) runs from 21 March 2025 through 20 March 2026, providing time for healthcare facilities to establish reporting systems. Device sponsors should establish hospital liaison arrangements and case reconciliation procedures during Phase 1. |
7. What are the key third-party oversight requirements under EU Regulation 2025/1466? | Contracts with PV service providers must include clearly defined roles, safety data exchange obligations, audit rights for the MAH, arrangements for regulatory inspection of the third party, and written consent requirements before any further subcontracting. Regular risk-based audits covering all subcontracted PV activities are required. |
References:
- TGA Guideline on Good Pharmacovigilance Practices (GVP) Module VI – Collection, Management, and Submission of Reports of Suspected Adverse Reactions to Medicinal Products (Rev 2) https://www.tga.gov.au/resources/resources/international-scientific-guidelines-adopted-australia/guideline-good-pharmacovigilance-practices-gvp-module-vi-collection-management-and-submission-reports-suspected-adverse-reactions-medicinal-products-rev-2
- TGA Guideline on Good Pharmacovigilance Practices (GVP) Module I – Pharmacovigilance Systems and Their Quality Systems https://www.tga.gov.au/resources/resources/international-scientific-guidelines-adopted-australia/guideline-good-pharmacovigilance-practices-gvp-module-i-pharmacovigilance-systems-and-their-quality-systems
- TGA Obligations to Report Adverse Events for Medical Devices https://www.tga.gov.au/safety/adverse-events/medical-device-adverse-events/obligations-report-adverse-event-medical-devices
- TGA Update from Pharmacovigilance Branch – ARCS 2025 Presentation https://www.tga.gov.au/sites/default/files/2025-06/b13-update-from-pharmacovigilance-branch-arcs-2025-presentation.pdf
- EUR-Lex Commission Implementing Regulation (EU) 2025/1466 https://eur-lex.europa.eu/eli/reg_impl/2025/1466/oj/eng
- EMA Compliance Notifications Explanation Q&A https://www.ema.europa.eu/en/documents/other/compliance-notifications-explanation-qa_en.pdf
- EMA Good Pharmacovigilance Practices (GVP) Guidelines https://www.ema.europa.eu/en/human-regulatory-overview/post-authorisation/pharmacovigilance-post-authorisation/good-pharmacovigilance-practices-gvp
- EMA Highlights of 20th EMA-Industry Platform Meeting https://www.ema.europa.eu/en/documents/report/highlights-20th-ema-industry-platform-meeting-operation-eu-pharmacovigilance-legislation-meeting_en.pdf
- EMA Q&A on Implementing Regulation (EU) 2025/1466 – Signal Detection and EudraVigilance https://www.ema.europa.eu/en/documents/other/questions-answers-implementing-regulation-eu-2025-1466-amendment-regulation-eu-no-520-2012-conclusion-signal-detection-eudravigilance-pilot-marketing-authorisation-holders_en.pdf
- FDA Press Announcement – FDA Begins Real-Time Reporting of Adverse Event Data https://www.fda.gov/news-events/press-announcements/fda-begins-real-time-reporting-adverse-event-data
- FDA Draft Guidance – Considerations for the Use of Artificial Intelligence to Support Regulatory Decision-Making for Drug and Biological Products https://www.fda.gov/regulatory-information/search-fda-guidance-documents/considerations-use-artificial-intelligence-support-regulatory-decision-making-drug-and-biological
- FDA Information on Clozapine (REMS Elimination) https://www.fda.gov/drugs/postmarket-drug-safety-information-patients-and-providers/information-clozapine
- FDA Eliminates REMS for Autologous CAR T Cell Therapies https://www.fda.gov/vaccines-blood-biologics/safety-availability-biologics/fda-eliminates-risk-evaluation-and-mitigation-strategies-rems-autologous-chimeric-antigen-receptor
- FDA Press Announcement – FDA Launches Crackdown on Deceptive Drug Advertising https://www.fda.gov/news-events/press-announcements/fda-launches-crackdown-deceptive-drug-advertising
- FDA Draft Guidance – Postapproval Methods to Capture Safety and Efficacy Data for Cell and Gene Therapy Products https://www.fda.gov/regulatory-information/search-fda-guidance-documents/postapproval-methods-capture-safety-and-efficacy-data-cell-and-gene-therapy-products
- MHRA Windsor Framework and Medicines Regulation Guidance https://www.gov.uk/government/collections/mhra-windsor-framework#full-publication-update-history
- Health Canada – New Agile Regulatory Provisions and Updated Guidance Document for Submitting Risk Management Plans https://www.canada.ca/en/health-canada/services/drugs-health-products/drug-products/announcements/new-agile-regulatory-provisions-updated-guidance-document-submitting-risk-management-plans-notice.html
- Health Canada – Consultation on Guidance Document Updates for Good Pharmacovigilance Practices (GVP) Inspections https://www.canada.ca/en/health-canada/programs/consultation-guidance-document-updates-good-pharmacovigilance-practices-gvp-inspections.html
- EUR-Lex – EU Artificial Intelligence Act (Regulation 2024/1689) https://eur-lex.europa.eu/eli/reg/2024/1689/oj
- EMA News – EMA Welcomes Political Agreement on New EU Pharmaceutical Legislation https://www.ema.europa.eu/en/news/ema-welcomes-political-agreement-new-eu-pharmaceutical-legislation
- TGA Pharmacovigilance Responsibilities of Medicine Sponsors https://www.tga.gov.au/resources/guidance/pharmacovigilance-responsibilities-medicine-sponsors
- EMA Third Annual Report on Real-World Evidence (RWE) Use https://www.ema.europa.eu/en/about-us/how-we-work/data-regulation-big-data-other-sources/real-world-evidence
Disclaimer
This article is provided for educational and informational purposes only. It is intended to support general understanding of regulatory concepts and good practice and does not constitute legal, regulatory, or professional advice.
Regulatory requirements, inspection expectations, and system obligations may vary based on jurisdiction, study design, technology, and organisational context. As such, the information presented here should not be relied upon as a substitute for project-specific assessment, validation, or regulatory decision-making.
For guidance tailored to your organisation, systems, or clinical programme, we recommend speaking directly with us or engaging another suitably qualified subject matter expert (SME) to assess your specific needs and risk profile.
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