HIV TREATMENT
2020
Action 27. Mobilize their networks and work with communities to help build treatment literacy, generate demand, and expand access to ARVs among children.
Action 34. Increase efforts to share information on the roll-out of new paediatric formulations, including lessons learned.
Paediatric HIV & TB : Rome Action Plan
36. Continue to apply priority review of all HIV therapies in alignment to the national strategy of accelerated access.
37. Conduct priority review for priority HIV paediatric medicines (as defined in the PADO List), for example for paediatric DTG formulations.
Commitment 36
March 2022
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SAHPRA continues to prioritise the review of all HIV and TB therapies (including paediatric formulations) in line with the national strategy of accelerated access.
Commitment 37
March 2022
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SAHPRA continues to prioritise the review of the HIV paediatric medicines- eg paediatric dolutegravir formulations. The aim is to finalise the review of these applications before or end of April 2022.
54. Expand use of the Collaborative Registration Procedure based on PQ or SRA approval to expedite national review of paediatric TB drugs and formulations.
55. Use the Paediatric Regulatory Network for advocacy of use of the Collaborative Registration Procedure and to explore models of regulatory reliance to promote equitable access to paediatric TB formulations.
56. Expedite and simplify the review of priority paediatric formulations including by:
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Making better use of sub-regional collaborative regulatory approval processes and the WHO Collaborative Registration Procedure for accelerated registration;
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Increasing reliance on evaluations and opinions of SRAs and the WHO PQ programme.
57. End requirements for local clinical trials when sufficient PK and safety data exists, even when no equivalent innovator product exists.
58. Minimize/remove country-specific packaging and labelling requirements for paediatric formulations.
60. Continue to apply priority review of all TB drugs in alignment with the national strategy
61. Conduct priority review for priority TB paediatric medicines (as defined in the TB PADO List).
62. Use reliance approaches and collaborative regulatory review processes, including WHO Prequalification and “Zazibona,” a sub-regional collaborative platform that allows joint review to expedite the review of TB drugs.
March 2022
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Action 60 & 61: SAHPRA continues to prioritise the review of all HIV and TB therapies (including paediatric formulations) in line with the national strategy of accelerated access.
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Action 54,55,56 & 62: SAHPRA continues to apply the reliance pathway (WHO CRP based on PQ or SRA approval or SADC Zazibona CRP) to expedite reviews of TB and HIV medicines including the paediatric formulations.