Processing and approval times are defined as the number of working days from the acceptance of the application until formal notification of decision, unless otherwise specified. These exclude times where we were unable to progress the application until the sponsor provides additional information or payment of fees, unless otherwise specified. Under the Therapeutic Goods Act 1989 (the Act), TGA working days exclude public holidays and weekends.
1. Prescription medicines
The framework for prescription medicines includes the following categories which are subject to legislated timeframes:
- Category 1 application: an application to register a new prescription medicine or to make a variation to an existing medicine that involves the evaluation of clinical, pre-clinical or bio-equivalence data. For example, new chemical entities, extensions of indication and new routes of administration.
- Category 2 application: an application accompanied by two independent evaluation reports from comparable overseas regulators in whose jurisdiction the product is approved for the same indication.
- Category 3 application: an application to register or to vary the registration of a prescription medicine where the application does not require the support of clinical, pre-clinical or bio-equivalence data. For example, a change in the site of manufacture, a change to the synthetic route, a change in the product specifications, a change in the steps of manufacture or a change in trade name.
Prescription medicine submissions may include a number of applications submitted at the one time. The data presented below relates to the number of submissions as this best reflects the evaluation and decision-making processes.
Table 1 Prescription medicine application approval time for July to December 2017
|
Approval time (TGA working days) |
---|
Application type |
Submissions approved |
Legislated timeframe |
Mean |
Median |
Range |
---|
A: New chemical entity/New biological entity/biosimilar |
---|
Category 1 |
22 |
255 |
209 |
212 |
152-245 |
B: New fixed-dose combination |
---|
Category 1 |
1 |
255 |
178 |
178 |
178-178 |
C: Extension of indication |
---|
Category 1 |
21 |
255 |
183 |
189 |
85-223 |
D: New generic medicine |
---|
Category 1 |
55 |
255 |
190 |
185 |
123-254 |
E: Additional trade name (ATN) |
---|
ATN |
41 |
45 |
25 |
27 |
Apr-43 |
F: Major variation |
---|
Category 1 |
21 |
255 |
195 |
196 |
155-254 |
G: Minor variationa |
---|
Category 1 |
1 |
255 |
250 |
250 |
250-250 |
Category 3 |
51 |
45 |
37 |
40 |
Mar-45 |
H: Minor variationb |
---|
Category 1 |
4 |
255 |
167 |
168 |
161-171 |
Category 3 |
644 |
45 |
32 |
33 |
Apr-59 |
J: Changes to product information requiring the evaluation of data |
---|
Category 1 |
41 |
255 |
130 |
129 |
7-242 |
Table 2 Priority review determinations granted for July to December 2017
Priority Review Applications
Application Type |
Approved |
---|
A: New chemical entity/New biological entity |
2 |
C: Extension of Indications |
6 |
Table 3 Orphan Drug Designations granted for July to December 2017 under the new eligibility criteria
A prescription medicine must have a valid orphan drug designation to be eligible for the benefit of designation, and a waiver of application and evaluation fees. Since the introduction of the new regulations, five orphan drug designations have been granted. Reporting on orphan drugs reflects only those submitted through the new scheme.
Orphan Drug Applications
Application Type |
Approved |
---|
A: New chemical entity/New biological entity/Fixed dose combination |
3 |
C: Extension of Indications |
1 |
F: Major Variation |
1 |
2. Over-the-Counter medicines
Over-the-Counter (OTC) medicine applications are categorised as new medicine (N) or change (C) applications and are further categorised by risk (N1 and C1 are lowest risk, N5 and C4 are highest risk).
Application category |
Definition |
---|
N1 |
An application submitted as a 'Clone'. |
N2 |
An application which complies with an OTC medicine monograph. |
N3 |
New application for a 'generic' medicine other than those 'generic' applications in levels N1, N2 or N4. |
N4 |
An application for a 'generic' medicine where the medicine:
- requires supporting safety and/or efficacy (clinical/toxicological) data or a justification for not providing such data; and/or
- requires a higher level of assessment due to the umbrella branding segment of the product name; and/or
- has not been previously registered as an OTC medicine following down-scheduling.
|
N5 |
An application for a new product that is an extension to a 'generic category' product or an application for a product containing a new chemical entity as an active ingredient. |
CN |
'Notification' changes, where their implementation would not impact the quality, safety or efficacy of a medicine. Includes quality and non-quality changes classified as 'negligible risk'. |
C1 |
Quality and non-quality changes classified as 'negligible risk'. |
C2 |
Quality and non-quality changes classified as 'low risk' - no safety and/or efficacy data required; quality data may be required. |
C3 |
Quality and non-quality changes classified as 'low risk' - safety and/or efficacy data required unless justified; quality data may be required.
Umbrella branding segment of new name requires a higher level of assessment.
|
C4 |
Non-quality changes classified as 'moderate risk' - safety and/or efficacy data required unless justified. |
Requests for consent under section 14/14A of the Act |
Request for consent by the Secretary under sections 14 and 14A of the Act to the import, export or supply of therapeutic goods that do not comply with an applicable standard. |
Table 4 Over-the-Counter medicine application processing time for approved applications for July to December 2017
|
Total approved |
Target approval time (days) |
Mean |
Median |
Range |
Percentage within target |
---|
New medicine applications |
---|
N1 |
Lower risk |
89 |
45 |
20 |
20 |
0-40 |
100 |
---|
N2 |
 |
3 |
55 |
38 |
39 |
35-39 |
100 |
---|
N3 |
16 |
150 |
74 |
74 |
0-129 |
100 |
---|
N4 |
14 |
170 |
81 |
52 |
0-204 |
93 |
---|
N5 |
Higher risk |
4 |
210 |
156 |
154 |
152-162 |
100 |
---|
Change applications |
---|
C1 |
Lower risk |
110 |
20 |
4 |
3 |
0-18 |
100 |
---|
C2 |
 |
167 |
64 |
24 |
23 |
0-61 |
100 |
---|
C3 |
3 |
120 |
35 |
20 |
12-72 |
100 |
---|
C4 |
Higher risk |
4 |
170 |
99 |
95 |
46-159 |
100 |
---|
Table 5 Other over-the-counter medicine applications
Application type |
Approved |
Rejected |
Total |
---|
Change Notifications (CN) |
83 |
N/Aa |
83 |
Requests for consent under section 14/14A of the Act |
5 |
0 |
5 |
3. Complementary medicines
3.1. Registered complementary medicines
Table 6 Number of approved registered complementary medicine applications
|
Jul – Dec 2016 |
Jul – Dec 2017 |
---|
New registered medicines |
4 |
1 |
---|
Variation to registered medicines |
11 |
7 |
---|
3.2. Listed complementary medicines
Table 7 Number of new ingredients permitted for use in listed medicines
|
Jul – Dec 2016 |
Jul – Dec 2017 |
---|
New permitted ingredients |
50 |
42 |
---|
Table 8 Number of new listed medicines
|
Jul – Dec 2016 |
Jul – Dec 2017 |
---|
New listed medicines |
754 |
916 |
---|
Table 9 Number of listed medicine reviews by type
|
Jul - Dec 2016 |
Jul - Dec 2017 |
---|
Reviews initiated |
---|
Random reviews |
0 |
90 |
Targeted reviews |
235 |
29 |
Total |
235 |
119 |
Reviews completed |
---|
Random reviews |
83 |
32 |
Targeted reviews |
168 |
86 |
Total |
251 |
118 |
Table 10 Number of completed listed medicine reviews by outcome
|
Jul - Dec 2016 |
Jul - Dec 2017 |
---|
Compliance status determined |
---|
Medicines with no compliance breaches |
43 |
37 |
Medicines with verified compliance breaches |
167 |
45a |
Sub-total |
210 |
82 |
Compliance status unable to be determined |
---|
Medicines cancelled by sponsors after request for information |
8 |
24 |
Medicines not yet manufactured or information unavailable |
33 |
6 |
Other |
0 |
3 |
Sub-total |
41 |
33 |
Product not a therapeutic good |
0 |
3 |
---|
Total completed |
251 |
118 |
4. Biologicals
Table 11 Number of completed biological applications
Blood, blood components, plasma derivatives, tissue and cellular products, tissue and cell based derivatives, and other emerging biological therapies are regulated under the Therapeutic Goods Act 1989.
|
Jul - Dec 2016 |
Jul - Dec 2017 |
---|
Technical Master File (TMF) new |
1 |
0 |
---|
TMF annual updates |
5 |
1 |
---|
TMF variations |
7 |
6 |
---|
TMF notifications |
7 |
4 |
---|
Plasma Master File annual updates |
8 |
7 |
---|
Biological Class 2 - new applications |
0 |
0 |
---|
Biological Class 3 - new applications |
1 |
2 |
---|
Biological Class 2 - variations |
10 |
1 |
---|
Biological Class 3 - variations |
0 |
1 |
---|
Total completed |
39 |
22 |
---|
5. Medical devices
The regulatory framework for medical devices spans the life cycle of these products, including conformity assessment, inclusion on the ARTG and post-market monitoring.
Table 12 Number of completed applications and processing time for conformity assessments of medical devices (including in vitro diagnostic medical devices (IVDs))
|
Jul - Dec 2016 |
Jul - Dec 2017 |
---|
New devices |
---|
Total completed |
29 |
44 |
Percentage processed within target processing timeframes |
100% |
100% |
Mean TGA processing time (working days) |
118 |
128 |
Median TGA processing time (working days) |
133 |
183 |
Changes to recertification |
---|
Total completed |
63 |
88 |
Percentage processed within target processing timeframes |
100% |
100% |
Mean TGA processing time (working days) |
100 |
115 |
Median TGA processing time (working days) |
76 |
115 |
Note: The TGA is required to complete conformity assessment applications within 255 working days.
Table 13 Number of completed applications for inclusion of medical devices and IVDs on the ARTG
|
Jul - Dec 2016 |
Jul - Dec 2017 |
---|
Class I medical devices |
1,209 |
1,545 |
---|
Class I measuring medical devices |
25 |
22 |
---|
Class I sterile medical devices |
136 |
127 |
---|
Class IIa medical devices |
642 |
607 |
---|
Class IIb medical devices |
345 |
328 |
---|
Class III medical devices |
228 |
189 |
---|
Class III Joint Reclassification medical devices |
114 |
63 |
---|
Active Implantable Medical Devices (AIMD) |
56 |
28 |
---|
Class 1 IVDs |
41 |
45 |
---|
Class 2 IVDs |
38 |
47 |
---|
Class 3 IVDs |
21 |
19 |
---|
Class 4 IVDs |
6 |
10 |
---|
Table 14 Number of application audits completed and processing time for medical devices and IVDs for July to December 2017
|
Total completed |
Processing times |
---|
Mean |
Median |
---|
Medical devices |
---|
Auto-included applicationsa |
1,545 |
|
|
Applications completed without auditb |
1,049 |
4 |
3 |
Non-compulsory auditsc |
116 |
59 |
23 |
Level 1 compulsory audits |
9 |
37 |
18 |
Level 2 compulsory audits |
190 |
94 |
56 |
IVDs
|
---|
Auto-included applications a |
40 |
|
|
Applications completed without audit b |
59 |
4 |
2 |
IVD non-compulsory audit |
3 |
14 |
17 |
IVD compulsory audit |
19 |
50 |
52 |
6. Exports
Table 15 Number of approved applications for export-only medicines and export certifications and relevant processing time for July to December 2017
|
Total Approved |
Target processing time (days) |
Processing Time |
---|
Mean |
Median |
---|
Export-only medicines |
---|
New application |
70 |
30 |
20 |
20 |
Variation |
49 |
30 |
19 |
21 |
Export certificates |
---|
Medicine applications |
928 |
15 |
12 |
12 |
Medical device assessments |
354 |
10 |
6 |
6 |
7. Access to unapproved therapeutic goods
7.1. Special Access Scheme
Table 16 Number of completed applications and notifications for the Special Access Scheme
|
Jul - Dec 2016 |
Jul - Dec 2017 |
---|
Medicines |
---|
Category A |
20,194 |
16,824 |
Category B |
10,377 |
5,968 |
Category C |
N/Aa |
4,732 |
Medical devices |
---|
Category A |
2,832 |
2,014 |
Category B |
979 |
1,692 |
Category C |
N/Aa |
1 |
Biologicals |
---|
Category A |
6 |
22 |
Category B |
1,091 |
371 |
Category C |
N/Aa |
242 |
7.2. Authorised prescribers
Table 17 Number of authorised prescriber approvals for medicines and medical devices
|
Jul – Dec 2016 |
Jul – Dec 2017 |
---|
Medicines |
391 |
355 |
---|
Medical devices |
177 |
114 |
---|
7.3. Clinical trials
Table 18 Number of notifications for new clinical trials received by therapeutic good type for July to December 2017
|
Jul - Dec 2016 |
Jul - Dec 2017 |
---|
Medicine only |
197 |
223 |
---|
Medical device only |
71 |
77 |
---|
Biological only |
3 |
4 |
---|
Medicine and medical device |
127 |
171 |
---|
Medical device and biological |
1 |
1 |
---|
Medicine and biological |
11 |
2 |
---|
Medicine, medical device and biological |
7 |
3 |
---|
Total |
417 |
481 |
---|
Table 19 Number of notifications for new clinical trials received by phases for July to December 2017
|
Jul - Dec 2016 |
Jul - Dec 2017 |
---|
Phase 1 |
72 |
120 |
---|
Phase 1 and 2 in combination |
11 |
24 |
---|
Phase 2 |
82 |
89 |
---|
Phase 2 and 3 in combination |
4 |
6 |
---|
Phase 3 |
113 |
126 |
---|
Phase 4 |
41 |
32 |
---|
Bioavailability / equivalence |
13 |
5 |
---|
Other phases in combination |
25 |
5 |
---|
Device only |
56 |
74 |
---|
8. Licensing and manufacturing
Number of manufacturing inspections by outcome
Table 20A Medicines and Blood, Tissue and Cellular Therapies
|
Jul - Dec 2016 |
Jul - Dec 2017 |
---|
Outcomes of inspections of Australian manufacturers |
---|
Number of inspections conducted |
74 |
96 |
Satisfactory compliance (of completed inspections)a |
82% |
89% |
Marginal compliance (of completed inspections)a |
16% |
10% |
Unacceptable (of completed inspections)a |
2% |
1% |
Close-out in progress |
16% |
11% |
Processing time |
---|
Initial inspections conducted within 3 months of application |
75% |
92% |
Re-inspections conducted within 6 months of due date |
70% |
68% |
Outcomes of inspections of overseas manufacturers
|
---|
Number of inspections conducted |
30 |
49 |
Satisfactory compliance (of completed inspections)a |
96% |
83% |
Marginal compliance (of completed inspections)a |
4% |
13% |
Unacceptable (of completed inspections)a |
0% |
4% |
Close-out in progress |
17% |
6% |
Processing time |
---|
Initial certification inspections conducted within 6 months of application |
50% |
53% |
Certification re-inspections conducted within 6 months of due date |
58% |
60% |
Applicants often submit applications for GMP licences and certifications before finalising all of their systems and processes. TGA works with the applicant to ensure an inspection is not conducted before the manufacturing facility is ready. It is therefore not uncommon for inspections to be conducted later than the target dates.
Table 20B Medical Devices
|
Jul - Dec 2016 |
Jul - Dec 2017 |
---|
Quality Management System (QMS) Audits (domestic manufacturers) |
---|
Number of audits conducted |
18 |
22 |
Satisfactory compliance (of completed audits) |
39% |
17% |
Marginal compliance (of completed audits) |
22% |
33% |
Unacceptable (of completed audits) |
0% |
0% |
Close-out in progress |
39% |
50% |
Processing time |
---|
Initial audits conducted within 3 months of application |
33% |
66% |
Re-audits conducted within 6 months of due date |
27% |
56% |
QMS Audits (overseas manufacturers) |
---|
Number of audits conducted |
13 |
12 |
Satisfactory compliance (of completed audits) |
69% |
17% |
Marginal compliance (of completed audits) |
0% |
33% |
Unacceptable (of completed audits) |
0% |
0% |
Close-out in progress |
31% |
|
Processing time |
---|
Initial certification audits conducted within 6 months of application |
43% |
38% |
Certification re-audits conducted within 6 months of due date |
84% |
50% |
TGA receives applications for Conformity Assessment Certification and conducts assessment of these applications. It may be determined that an audit of one or more manufacturers included in the Conformity Assessment Application is required. The timeframes used below for calculation of conducted audits are from the date of notification of this requirement.
The implementation of the Medical Device Single Audit Program (MDSAP) has enabled a reduction in the overall number of internal on-site audits required, substituted by a desktop assessment based on the MDSAP audit report. For medical devices we completed:
- 42 desktop assessments for 2015-16 financial year
- 74 desktop assessments for 2016-17 financial year
- 34 desktop assessments were completed, and 31 remained in progress at 31 December 2018.
Table 21 Number of GMP clearance applications
GMP clearance is required for all medicines (unless exempt) supplied in Australia, including for products supplied to sponsors by overseas manufacturers.
|
Jul - Dec 2016 |
Jul - Dec 2017 |
---|
Applications received |
2,458 |
2,909 |
---|
Applications completed |
---|
Approved |
2,619 |
2,780 |
Rejected |
166 |
167 |
Total completed |
2,785 |
2947 |
9. Laboratories
Table 22 Number of samples tested by type of therapeutic good and percentage which failed for July to December 2017
|
Jul - Dec 2016 |
Jul - Dec 2017 |
---|
Product type |
Total |
% fail |
Total |
% fail |
---|
Prescription medicines |
603 |
1% |
482 |
1.00% |
OTC medicines |
30 |
23% |
9 |
0.0 |
Complementary medicines |
41 |
22% |
123 |
16% |
Medical devices |
112 |
30% |
42 |
38% |
Contracta |
14 |
86% |
31 |
16% |
Unregisteredb |
97 |
64% |
109 |
51% |
Total samples (excluding AHQ samples)c |
897 |
15% |
796 |
13% |
Total samples (including AHQ samples)c |
1,229 |
11% |
915 |
11% |
Total number of products testedd |
325 |
- |
415 |
- |
10. Medicine and Vaccine Adverse Event Reporting
Table 23 Source of notifications of medicine and vaccine adverse reaction
|
Jul - Dec 2016 |
Jul - Dec 2017 |
---|
Reports with clear causality, by reporter |
---|
Hospitals |
919 |
808 |
Companies |
4,952 |
4,916 |
General practitioners |
270 |
262 |
Specialists |
178 |
89 |
Pharmacists |
489 |
544 |
Members of the public (consumers) |
493 |
508 |
Nurses, dentists, complementary healthcare practitioners |
74 |
94 |
State/Territory Health departments |
1,264 |
1,485 |
Unregistered online reporters |
64 |
10 |
Reports rejected or without clear causality |
---|
|
1,165 |
1,072 |
Total received |
9,868 |
9,788 |
---|
Mean number of reports received weekly |
379 |
376 |
---|
Vaccine reports included in this table |
1,637 |
1,779 |
---|
11. Medical device incident reports
Table 24 Number of completed medical device incident reports and processing time
Processing time is defined as the number of working days from receipt of the notification until the incident has been investigated and resolved.
The target timeframe for processing of medical device incident reports is 90 working days.
|
Jul – Dec 2016 |
Jul – Dec 2017 |
---|
Reports completed |
2,100 |
2,771 |
Mean TGA processing time |
7 |
15 |
Percentage processed within target timeframe |
94% |
95% |
12. Regulatory compliance
Data in relation to an investigation may appear in multiple tables as a compliance matter may be captured under several categories.
Table 25 Number of products investigated for compliance issues by product type
|
Jul - Dec 2016 |
Jul - Dec 2017 |
---|
Complementary and homeopathic medicines |
247 |
335 |
---|
Prescription medicines |
1,748 |
1,528 |
---|
Medical devices |
46 |
108 |
---|
OTC medicines |
12 |
56 |
---|
Biological products |
14 |
12 |
---|
Other |
26 |
47 |
---|
Total |
2,093 |
2,086 |
---|
Table 26 Number of completed regulatory compliance investigations by final action taken
|
Jul - Dec 2016 |
Jul - Dec 2017 |
---|
Warneda |
449 |
1,101 |
---|
No offence detected |
20 |
61 |
---|
Goods released under the Personal Importation Scheme |
293 |
309 |
---|
Referred to another agency or department outside Health |
4 |
11 |
---|
Referred to another Branch within the TGA |
4 |
N/Ab |
---|
Filed for intelligence purposes |
12 |
41 |
---|
Finalised in a linked file |
6 |
3 |
---|
Import treated as abandoned goods |
0 |
1 |
---|
Recall of goods |
1 |
0 |
---|
Matters referred to the Commonwealth Director of Public Prosecutions |
0 |
3 |
---|
Total completed |
789 |
1,530 |
---|
Table 27 Number of regulatory compliance investigations by offence category
|
Jul - Dec 2016 |
Jul - Dec 2017 |
---|
Import
| 1,434 |
1,669 |
---|
Supply
| 66 |
178 |
---|
Claims
| 5 |
10 |
---|
Manufacture
| 5 |
4 |
---|
Export
| 2 |
2 |
---|
Forgery
| 1 |
0 |
---|
Total completed
| 1,513 |
1,863 |
---|
13. Recalls
Table 28 Number of therapeutic goods recalls
|
Jul - Dec 2016 |
Jul - Dec 2017 |
---|
Medicines |
16 |
21 |
---|
Medical devices (including IVDs) |
301 |
284 |
---|
Biologicals |
2 |
0 |
---|
Bloods |
55 |
38 |
---|
Total recalls |
374 |
343 |
---|