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Prescription medicines determination and designation notices

14 October 2021

What is determination?

Determination is a formal process that allows the TGA to make a decision regarding whether a medicine is eligible for registration via the provisional approval pathway or the priority review pathway.

The sponsor of the medicine must submit an application for determination to allow the TGA to make a decision on whether the medicine meets the eligibility criteria. These eligibility criteria are designed to ensure that only products providing the most benefit to patients are eligible. Eligibility criteria for provisional determination and priority review determination are published on our website.

Designation is similar to determination, but in this case, it allows the TGA to make a decision regarding whether a medicine is eligible for Orphan drug status. More information on our orphan drug program is available at the Orphan drug program reforms webpage.

Amendments to the Therapeutic Goods Regulations 1990 which came into effect on 1 July 2017 changed the eligibility criteria for orphan drug designation. A transition period applies to orphan drugs designated under the previous orphan drug program. A list of orphan drugs designated under the previous program is available.

A determination or designation does not mean that the medicine has been approved and registered in the Australian Register of Therapeutic Goods (ARTG).

To register a medicine after obtaining a designation or determination, the sponsor must lodge an application for registration. These applications are subject to a rigorous evaluation process resulting in a TGA decision on whether the medicine should be registered on the ARTG. Details of registered products approved for supply in Australia can be obtained by searching the ARTG

Orphan designations, priority review and provisional determinations remain in force for a period of 6 months from the initial effective date.

Provisional determinations and orphan drug designations may be extended for a further six months on application by the sponsor. We will grant one extension if all eligibility criteria for the relevant extension are met. A priority review determination cannot be extended.

Details of prescription medicines that have an approved provisional determination, priority review determination or orphan drug designation are listed below.

Approved determinations and designations for prescription medicines

Displaying 91 - 100 of 206

Merck Sharp & Dohme (Australia) Pty Ltd

Designation/determination: Provisional approval

Effective Date: 30/06/2020

Lapse Date: 30/12/2020

Medicine Name: pembrolizumab

Therapeutic area: Oncology

Merck Sharp & Dohme (Australia) Pty Ltd

Designation/determination: Priority review

Effective Date: 18/06/2020

Lapse Date: 18/12/2020

Medicine Name: pembrolizumab

Therapeutic area: Oncology

As first-line treatment of patients with unresectable or metastatic mirosatellite instability high (MSI-H) or mismatch repair deficient (dMMR) cancer

BeiGene Aus Pty Ltd

Designation/determination: Provisional approval

Effective Date: 17/06/2020

Lapse Date: 17/12/2020

Medicine Name: zanubrutinib

Therapeutic area: Haematology

Merck Sharp & Dohme (Australia) Pty Ltd

Designation/determination: Provisional approval

Effective Date: 02/06/2020

Lapse Date: 02/12/2020

Medicine Name: pembrolizumab

Therapeutic area: Oncology

Merck Sharp & Dohme (Australia) Pty Ltd

Designation/determination: Orphan drug

Effective Date: 02/06/2020

Lapse Date: 02/12/2020

Medicine Name: pembrolizumab

Dosage Form(s): Powder for Injection and concentrated injection

Therapeutic area: Oncology

For the treatment of hepatocellular carcinoma (HCC)

Merck Sharp & Dohme (Australia) Pty Ltd

Designation/determination: Provisional approval

Effective Date: 02/06/2020

Lapse Date: 02/12/2020

Medicine Name: pembrolizumab

Therapeutic area: Oncology

Eisai Australia Pty Ltd

Designation/determination: Provisional approval

Effective Date: 02/06/2020

Lapse Date: 02/12/2020

Medicine Name: lenvatinib (as mesilate)

Therapeutic area: Oncology

Eisai Australia Pty Ltd

Designation/determination: Orphan drug

Effective Date: 02/06/2020

Lapse Date: 02/12/2020

Medicine Name: lenvatinib (as mesilate)

Dosage Form(s): Hard capsule

Therapeutic area: Oncology

For the treatment of hepatocellular carcinoma (HCC)

Recordati Rare Diseases Australia Pty Ltd

Designation/determination: Orphan drug

Effective Date: 13/05/2020

Lapse Date: 12/05/2021

Medicine Name: hemin

Dosage Form(s): Powder for injection

Therapeutic area: Haematology

For the treatment of acute attacks of hepatic porphyria (acute intermittent porphyria, porphyria variegata, hereditary corproporphyria and delta-aminolevulinic acid dehydratase porphyria)

Specialised Therapeutics Pharma Pty Ltd

Designation/determination: Provisional approval

Effective Date: 29/04/2020

Lapse Date: 29/10/2020

Medicine Name: lurbinectedin

Therapeutic area: Oncology

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