Signal Management (Module IX) you need to know

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Signal Management (Module IX) EMEA guidance

Q: What is Signal?

A: Information arising from one or multiple sources, including observations and experiments, which suggests a new potentially causal association, or a new aspect of a known association between an intervention and an event or set of related events, either adverse or beneficial, that is judged to be Signal.  

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Q: What is signal management process?

A: Signal Management process is a set of activities performed to determine the signals based on an examination of information from various data sources.

The signal management process includes the activities as signal detection, signal validation, signal confirmation, signal analysis and prioritisation, signal assessment and recommendation for action.

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Q: What is signal detection?

A: The process of looking for and/or identifying signals using data from any source is called as signal detection.

Q: What are the sources of signals?

A: Signal sources can be from

  • spontaneous reporting,
  • active monitoring systems
  • interventional studies (clinical trials)
  • non-interventional studies (pharmacoepidemiology studies)
  • non-clinical studies (e.g. animal toxicology studies)
  • systematic reviews (i.e. thorough review of the published literature)
  • meta-analyses (i.e. mathematical pooling of all the clinical trial data)
  • other relevant sources

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Q: What is Signal validation?

A: The process of evaluating the data supporting the detected signal in order to verify that the available documentation contains sufficient evidence demonstrating the existence of a new potentially causal association, or a new aspect of a known association.

This evaluation should take into account the strength of the evidence, the clinical relevance and the previous awareness of the association.

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Q: What is Validated signal?

A: A signal for which the signal validation process has verified that the available documentation contains sufficient evidence demonstrating the existence of a new potentially causal association, or a new aspect of a known association. Therefore further analysis of the signal is required. Those signals are called as validated signals.

Q: What is Non-validated signal?

A: A signal for which the signal validation process has led to the conclusion that the available documentation at that point in time does not contain sufficient evidence demonstrating the existence of a new potentially causal association, or a new aspect of a known association. Therefore further analysis of the signal is not warranted. Those signals are called as Non-validated signals.

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Q: What is Signal assessment?

A: The process of further evaluating a validated signal taking into account all available evidence, to determine whether there are new risks causally associated with the active substance or medicinal product or whether known risks have changed.

This review may include non-clinical and clinical data and should be as comprehensive as possible regarding the sources of information.

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Q: What is Refuted signal?

A: A validated signal which, following further assessment has been determined to be “false” i.e. a causal association cannot be established at that point in time. That is called as refuted signal.

Q: What is Emerging safety issue?

A: A safety issue considered by a marketing authorisation holder to require urgent attention by the competent authority because of the potential major impact on the risk-benefit balance of the medicinal product and/or on patients’ or public health, and the potential need for prompt regulatory action and communication to patients and healthcare professionals. This is called as emerging safety issue.

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Q: What is Confirmed signal?

A: A validated signal entered in EPITT that requires further analysis and prioritisation by the PRAC is called as confirmed signal.

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Q: What is Non-confirmed signal?

A: A validated signal entered in EPITT that does not require further analysis and prioritisation by the PRAC at that point in time is called as Non confirmed signal.

Q: What is Signal analysis and prioritisation by the PRAC?

A: The process by which the PRAC determines whether a confirmed signal requires further assessment, and if required, to what timeframe and in which procedural framework.

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Q: What is Signal assessment by the PRAC?

A: Following PRAC initial signal analysis and prioritisation, the process of evaluating all available data relevant to a signal to determine the need for any regulatory action.

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