title: Comparison of the new Japanese legislation for expedited approval of regenerative medicine products with the existing systems in the USA and European Union.
abstract: Legislation for expedited-approval pathways and programmes for drugs, biologics or medical devices has been enacted for rapid commercialization of innovative products in the United States of America (USA) and the European Union (EU). However, less innovative products are increasingly benefitting from these expedited-approval pathways, and obligations to collect and report post-marketing data on approved products are being bypassed frequently. The Japanese government recently enacted legislation for a new conditional and time-limited approval pathway dedicated to regenerative medicine products. The current study examines this new legislation and compares it with existing US and EU regulatory frameworks, with a particular focus on how it addresses the limitations of existing systems. Regulations, guidance documents and approval information were gathered from the websites of the respective authorities in the USA, the EU and Japan, and the systems were categorized through qualitative analysis. The pathways and programmes from each region were categorized into four groups, based on the requirement of pre- or post-marketing clinical data. Expedited-approval pathways in the USA and the EU provide similar qualification criteria, such as severity of target disease; however, such criteria are not specified for the new pathway in Japan. Only the Japanese pathway stipulates a time limitation on exceptional approval, requiring post-marketing study for conditional and time-limited products. Continuous improvement is necessary to solve previously addressed issues within the expedited-approval pathways and programmes and to ensure that innovative medical products are rigourously screened, but also readily available to patients in need. The time limitation of conditional approval could be a potential solution to some of these problems. Copyright © 2017 The Authors. Tissue Engineering Regenerative Medicine published by John Wiley & Sons, Ltd.
authors.affiliation: Joint Graduate School of Tokyo Women's Medical University and Waseda University, Tokyo, Japan.
authors.forename: Yoji
authors.initials: Y
authors.lastname: Jokura
authors.affiliation: Joint Graduate School of Tokyo Women's Medical University and Waseda University, Tokyo, Japan.|Institute of Advanced Biomedical Engineering and Science, Tokyo Women's Medical University, Tokyo, Japan.|Research Institute for Science and Engineering, Waseda University, Tokyo, Japan.
authors.forename: Kazuo
authors.initials: K
authors.lastname: Yano
authors.affiliation: Joint Graduate School of Tokyo Women's Medical University and Waseda University, Tokyo, Japan.|Institute of Advanced Biomedical Engineering and Science, Tokyo Women's Medical University, Tokyo, Japan.
authors.forename: Masayuki
authors.identifier: 0000-0002-4130-1382
authors.initials: M
authors.lastname: Yamato
mesh_terms: D017277:Drug Approval / Q000331:legislation & jurisprudence*; D005062:European Union; D006801:Humans; D007564:Japan; D007878:Legislation as Topic; D011358:Product Surveillance, Postmarketing; D044968:Regenerative Medicine / Q000331:legislation & jurisprudence*; D014481:United States
keywords: expedited-approval pathway; post-marketing; pre-marketing; regenerative medicine product; regulatory approval; unmet medical need