Understanding the Periodic Benefit-Risk Evaluation Report (PBRER)
The Periodic Benefit-Risk Evaluation Report (PBRER) is a crucial pharmacovigilance document used in regulatory compliance for marketed products in International Council for Harmonisation (ICH) regions. It is an evolution of the traditional Periodic Safety Update Report (PSUR), focusing on a comprehensive assessment of a drug's overall benefit-risk profile rather than just individual adverse events. Marketing Authorization Holders (MAHs) are required to submit these reports to regulatory authorities to ensure medicines remain safe and effective. The frequency of these submissions is a key part of post-market surveillance.
The Lifecycle Approach to PBRER Submission
The frequency of PBRER submission changes throughout a medicinal product's lifecycle. This ensures closer monitoring of newer products and adjusts as their safety profile becomes more established.
The Initial Phase: High-Frequency Reporting
Newly marketed products typically require more frequent reporting. In many ICH regions, the schedule is:
- First Two Years: Submissions are required every six months from the International Birth Date (IBD), the date of the first marketing authorization globally.
- Submission Deadline: PBRERs for these six-month periods must be submitted within 70 days of the Data Lock Point (DLP), the data cut-off date.
The Intermediate Phase: Annual Reporting
After the initial two years, reporting often moves to an annual cycle:
- Years 3 and 4: Annual submissions are generally required. The submission deadline for intervals longer than 12 months is 90 days after the DLP.
The Mature Phase: Less Frequent Reporting
For products with an established safety profile, reporting frequency may decrease further:
- After Year 4: Reporting might become triennial in regions like the EU. The EMA's EURD list provides specific schedules for EU-authorized products, which can vary.
Influences on Reporting Frequency
Factors other than the standard lifecycle can affect submission frequency:
- Regional Regulations: Submission frequency can vary between regulatory bodies globally. Local rules and implementation of guidelines like ICH E2C(R2) may differ.
- Ad-Hoc Requests: Regulatory authorities can request a PBRER submission at any time if safety concerns arise.
- Significant Changes: Changes in a product's use or safety profile can lead to altered reporting frequency.
- Product Type: Requirements may differ for certain products like generics unless specific safety issues are found.
Comparing PBRER Submission Schedules
The table below shows typical PBRER submission frequencies and contrasts them with the historical US PADER format, which had different requirements before the FDA adopted the PBRER format.
Feature | PBRER (Typical ICH/EU Schedule) | PADER (Historical US Schedule) |
---|---|---|
Initial Phase (0-2 years) | Every 6 months | Quarterly for the first 3 years |
Intermediate Phase (2-4 years) | Annually | Annually after 3 years |
Mature Phase (After 4 years) | Every 3 years or longer (as per EURD list) | Annually |
Submission Window | 70 or 90 days after DLP | 30 or 60 days after DLP |
Content Focus | Comprehensive benefit-risk evaluation | Detailed individual case reports |
Regulatory Basis | ICH E2C(R2), EMA Module VII | US 21 CFR 314.80 |
The Role of the International Birth Date (IBD)
The International Birth Date (IBD) is crucial for PBRER scheduling. It is the date of the first marketing authorization globally for an active substance. This date serves as the reference for the DLP and helps harmonize reporting schedules across different regions, though local regulations can introduce variations.
Conclusion: A Dynamic and Crucial Process
To answer how often is PBRer submitted, it's clear the process is dynamic and dependent on a product's lifecycle, regulatory requirements, and emerging safety data. From frequent initial reports to less frequent submissions for established medicines, the PBRER schedule ensures continuous monitoring of a drug's benefit-risk profile. Adhering to these varied schedules is essential for pharmaceutical companies to provide regulators with the data needed to make informed decisions about product safety throughout its market life.