risk management plan (rmp)

Companies are required to submit a Risk Management Plan (RMP) along with any request for marketing authorisation for a new medicinal product. This plan provides safety specifications. This is a summary of knowns and unknowns regarding the medicinal product’s risk profile gathered during the development phase. The Guideline on risk management systems for medicinal Products for human use contains all required information regarding the structure and contents of Risk Management Plans.

Risk Management Plans offer an opportunity to pursue a pro-active approach alongside a reactive approach (reacting to reports of adverse events). The Risk Management Plan contains agreements about the best way to deal with the risks associated with medicinal product use. Companies must submit proposals for further research to complete any gaps in information, along with a timetable.

Once a marketing authorisation has been granted, RMP progress reports must be submitted, ideally simultaneously with the PSURs.
If the authorities become aware of a safety problem with a product that has been granted marketing authorisation, they can ask the marketing authorisation holder to draft and implement an RMP.

Risk Minimisation Plan

The Risk Minimisation Plan is an important part of a Risk Management Plan. Risk Minimisation Plans describe which actions manufacturers have planned to minimise risks.

Measures can be divided into routine risk minimisation measures and additional risk minimisation measures:

  • Routine risk minimisation measures are, for example, contraindications or warnings in the Summary of Product Characteristics (SmPC) and the legal status of a product.
  • Examples of additional risk minimisation measures are:
    • Additional educational materials for doctors, pharmacists and/or patients
    • Informed consent and other patient aspects
    • Limiting availability (use only if patients take part in a special monitoring programme, for example)
    • Pregnancy Prevention Programme (PPP)

It should be emphasised that an assessment of the Risk Minimisation Measures (RMM) by the MEB is required. Only products with approved RMM are allowed to be marketed.

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