A New Regime: On the Emergency Use Authorization Regime and Clinical Trials in India

Last week, the Drug Controller General of India approved under the provisions of ‘Emergency Use Authorization’ New mRNA Vaccine for COVID-19 Developed by Pune-based Genova Biopharmaceuticals, a pioneer in developing mRNA vaccines in India. This vaccine is known to be particularly effective against the dominant Omicron variant. With the World Health Organization officially declaring the end of the COVID-19 pandemic, there is no longer obsessive public interest in new variants. In new vaccines it is even less. The data shows that the consumption of boosters, or ‘precautionary doses’, of the Covid vaccines available in India has been declining for several months. Therefore, the significance of the new vaccine, GEMCOVAC-OM, is that it shows that an Indian company has the capability to make an mRNA vaccine, which is believed to be amenable to rapid production and scale-up, which may be effective against any virus in the future. may be useful against ,

Typically, vaccines undergo progressive stages of testing from petri dishes to an expanded group of animals and human test subjects. Doing more harm than good, or being unable to do better than the alternative at any of these stages, is grounds for disqualification. This is why vaccine development and approval is a decades-long enterprise. During COVID-19, this risk-averse strategy was deemed inappropriate for the current crisis, leading drug regulators globally to allow vaccine manufacturers to combine multiple steps when evaluating efficacy, allowing experimental formulations to be tested. Got more discount. It outlines the ‘Emergency Use Authorization (EUA)’ basic framework adopted by regulators globally. Unlike the US Food and Drug Administration (FDA), which has been evaluating new drug and vaccine candidates for several years, India’s regulatory system is largely designed to evaluate formulations that have been approved overseas and their suitability for India has been assessed. Mistrust, arbitrary orders and lax regulations have historically plagued clinical trials in India. More than evidence-based assessment, it was a technicality in India’s ‘New Drugs and Clinical Trial Rules, 2019’ that allowed EUA for COVID-19 vaccines in India. A credible system of phased in, clinical trials and independent regulation for new drugs in India is still in its infancy. The FDA still authorizes updated COVID-19 vaccines under emergency use provisions because while the pandemic is over, COVID-19 is not and thousands of people are dying globally. However, this alone cannot be the basis for continuation of EUA regime in India. While the flexibility to accelerate should always exist, India should specify a streamlined regulatory process that eliminates unnecessary steps but monitors the safety and adverse reactions of new drugs and vaccines.