Project Plan TISP Pilot -pharmaceuticals

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Project plan TISP pilot -pharmaceuticalsUpdated: 01.03.2019Developed by Work Package 4 Joint production of Health technology assessments WP4Lead Partner: NIPHNODisclaimer: EUnetHTA is supported by a grant from the European Commission. The sole responsibility forthe content of this document lies with the authors and neither the European Commission nor EUnetHTAare responsible for any use that may be made of the information contained therein.

TISP Pilot Project planT1 Pilot project plan version numberVersionnumberDateFinalisedbyType ofdocument/ModificationShared with1.04.09.2018NIPHNODraft project plan2.15.01.2018NIPHNORevised draft project plan3.01.03.2019NIPHNOFinal project planTISP workinggroupTISP authorspharmaTISP workinggroup/PublicAimsThis document provides details for a pilot for Topic Identification, Selection and Prioritisation (TISP)process for pharmaceuticals within the EUnetHTA Joint Action 3 (JA3) work package (WP4) framework.The aim of the pilot is to explore a workflow for voluntary collaboration on TISP for joint relativeeffectiveness assessment (REA)1 of new pharmaceuticals2. The piloted workflow should be as simpleas possible to assure that it can be continued throughout the EUnetHTA JA3 period, and beyond thisperiod. Results of the pilot will also be used to inform the final recommendations on TISP for Europeancollaboration on HTA beyond 2020.IdentificationTopics will be identified (-step1) by EUnetHTA partners using existing local horizon scanning systems(HSS) and other national or regional lists of topics selected or prioritised for HTA and collaborationwith the European Medicinal Agency (EMA). In addition stakeholders will be encouraged to suggesttopics. All identified topics will be presented in a minimal data-set (MDS).SelectionThe selection3 process (step-2) from all identified products will be according to a set of pre-specifiedcriteria (timelines to fit within JA3, new products including line extensions). The updated MDS will beused for prioritisation by EUnetHTA partners (call for collaboration) using a call for collaboration list(CCL).PrioritisationPrioritisation4 will solely be based on EUnetHTA partners interest in the topic. No other prioritisation11Joint assessments:EUnetHTA Joint Assessments(JA) are health technology assessments jointly produced by atleast four EUnetHTA partners in different European countries. EUnetHTA processes, guidelines and the HTA Core Model are usedfor the production of assessments that are subject to extensive review procedures in order to ensure high quality. JAs are centrallycoordinated by the WP4 Co-Leads and comprise a broad stakeholder involvement, including the use of a EUnetHTA submission filein addition to a scoping (e-)meeting with industry (1).22In line with the EU proposal for a regulation in HTA were new medicines will be defined as:medicinal products anticipated to undergo the central marketing authorisation (MA) procedure, new active substances and existingproducts for which the marketing authorisation is anticipated to be extended to a new therapeutic indication (line extensions)334Prioritisation: Application of specific criteria to the selected/filtered technologies with the purpose of retaining for assessmentSelection/filtration: Application of a set of pre-defined criteria to the identifies technologies, in order to retain thetechnologies2 EUnetHTA, 2017. Reproduction is not authorized unless permission is provided by EUnetHTA. For internal use only.

TISP Pilot Project plancriteria will be applied.The EunetHTA prioritisation list (EPL) is the final list (step-3) with topics were EUnetHTA WP4 partnershave expressed interest in the ult: minimal dataset (MDS)Call for callaboration listEUnetHTA PrioritasitionList (EPL)(CCL)PrioritasitionThe MDS and CCL will be considered as internal EUnetHTA documents. The EPL will be published.The following endpoints will be ity of data from different sources and barriers for information sharingNumber of identified topicsNumber of times the same topic has been identified by different sourcesDevelopmental status of topic when entering the MDSRegulatory status of topic when entering the MDSInformation gaps of the MDSNumber of topics in the final MDS and CCLNumber of topics excluded from the MDS/CCL and reasons for exclusionLevel of EunetHTA partners with expressed interest in a topic for national settingLevel of EUnetHTA partners with expressed interest to participate in assessment as author/co-author or dedicated reviewerLevel of EUnetHTA partners with expressed interest in national uptake of a EUnetHTA REA onthe topicInformation on topics in the EPL and not in the EPL (number of topics, Application type EMA,Therapeutic area, Developmental status, Regulatory status)Response from pMAH one month after first pro-active contactWorkload connected with each stepthe technologies with greater impact according to the system's/network's capacity for assessment.3 EUnetHTA, 2017. Reproduction is not authorized unless permission is provided by EUnetHTA. For internal use only.

TISP Pilot Project planBackgroundThe background for the pilot is described is the ongoing EUnetHTA EP4 work on providingrecommendations for Horizon Scanning (HS) and TISP for European cooperation on HTA beyond 2020(not yet public available) and in the recommendations for a EUnetHTA WP4 TISP pilot5. Drafts of thesedocuments were prepared by the EUnetHTA WP4 TISP working group in June 2018. The documentswere revised after stakeholder consultation, input from EUnetHTA partners, discussions with theEuropean Medicines Agency (EMA), the EUnetHTA WP4 lead partner, and the EUnetHTA Secretariat.The version of the draft recommendations for the pilot used to inform this project plan, are datedFebruary 2019. The final recommendations for HS and TISP for European cooperation on HTA beyond2020 are planned to be public available by November 2019.The present proposal for the pilot is a simplified version of the original recommendations for the pilot.Most importantly, we decided to not pilot the use of prioritisation groups. This was to ensure that thepilot explores a process that is as simple as possible, and that may be continued on a voluntary basisalso beyond Joint Action 3.5Final recommendations for a pilot on a TISP workflow for Joint and collaborative assessments within the EUnetHTA WP4 JA3 framework4 EUnetHTA, 2017. Reproduction is not authorized unless permission is provided by EUnetHTA. For internal use only.

TISP Pilot Project planTasks and workloadThe team for the pilot constitues of TISP working group authors on pharmaceuticals.Tasks and anticipated workload related to the pilot is revealed in table 2. The EUnetHTA WP4 leadpartner NIPHNO will coordinate the pilot.T2 Pilot A) Pharmaceuticals, team membersName and affiliationTasksAnticipated workload*Vigdis Lauvrak,WP4 leadNIPHNO, NorwayOverall coordination of pilot;Preparation of project plan;Template preparation MDS;Coordination of identificationPreparation of endpoint evaluation reportTechnical support15 daysTove Ringerike, WP4 leadNIPHNOIdentification;Preparing a draft of the MDS;Updating the MDS with relevant content for items ofthe list;Checking the MDS against EMA timeline;Preparation of endpoint evaluation report15 daysKrystyna Hviding, EUnetHTAWP4 co-leadpharmaceuticals, NOMA,NorwayInput to the project plan;Selection;Updating and checking the MDS draft;Preparing the CCL template;Preparing the draft CCL;Preparing the EPL together with ZINInput to the endpoint evaluation report;Input to the project plan;Contributing to identification and selection based onnational data;Coordination of prioritization (calls for collaborationbased on the minimal data-set);Preparing the EPL together with NOMA;Input to the endpoint evaluation report;Input to the project plan;Input to endpoint evaluation reportInput to the project plan;Contributing to identification and selection based onnational data;Input to endpoint evaluation reportInput to the project plan;Contributing to identification and selection based onnational data;Input to endpoint evaluation reportInput to the project plan;Contributing to identification and selection based onnational data;Input to endpoint evaluation report15 daysAnna Lien Espeland WP4lead NIPHNOAnne Willemsen, EUnetHTAWP4 co-leadpharmaceuticals, ZIN,NetherlandsCara Usher, EUnetHTA WP4partner, NCPE, Ireland;ChantalGuilhaume, EUnetHTA WP4partner, HAS, France;Rossella DiBidino, EUnetHTA WP4partner, UCSC, Italy;Lori Farrar/ZoeGarrett EUnetHTA WP7,NICE, UK;5 days15 days1 day2-5 days2-5 days2-5 days*Maximum anticipated workload. One work day is equivalent to 8 hours. The workload will depend onavailability of national data to be shared. Information on workload spent for the TISP process will becollected as part of the endpoint evaluation. MDS Minimal dataset, CCL Call for collaboration list;5 EUnetHTA, 2017. Reproduction is not authorized unless permission is provided by EUnetHTA. For internal use only.

TISP Pilot Project planEPL EUnetHTA prioritisation listAdditional supportEach author may seek support from their own organisation to fulfil their tasks. this will not necessarilyinfluence the total anticipated workload for the pilot.All EUnetHTA partners will be invited to contribute to identification, all EUnetHTA WP4 members willcontribute to prioritisation (answering to the call for collaboration). Reviewers and authors of theEUnetHTA WP4 TISP group with main interest in pharmaceuticals (see table 3) are in particularanticipated to contribute to identification based on national data. Information on workload for thevarious steps will be collected as part of the pilot. Reviewers are anticipated to review the endpointevaluation report.T3 Pilot A) Pharmaceuticals, reviewer teamName and affiliationSimona Mencej BedraČ JAZMP, Slovenia;Sónia Calderia and Sara CoutoINFARMED, Portugal;Vasiliki Koutrafori, EOF, Greece;Mark Finlayson SFOPH/SNHTA,Switzerland;Matthias Menig SFOPH/SNHTA,SwitzerlandAgnese Cangini, AIFA, Italy;Anelia Koteva, NCPHA, BulgariaAnna Cavazzana, Region Veneto, Italy;Claudia Dima, NIPHB, Romania;Emilia Mavrokordatou, MoH, Cyprus;Heidi Stürzlinger, GOG, Austria;Sylvana Magrin Sammut, DPA/MEH, Malta;TasksContribute to identification andselection process and reviewthe endpoint evaluation reporton pharmaceuticalsAnticipated work load*2 days each* Maximum anticipated workload, the workload will depend on availability of national data to beshared6 EUnetHTA, 2017. Reproduction is not authorized unless permission is provided by EUnetHTA. For internal use only.

TISP Pilot Project planDetails of the pilotOne cycles of the TISP process (see figure 1) will be performed. The cycle will be composed of thefollowing steps:1. Identification, output MDS2. Selection, output CCL3. Prioritisation (call for collaboration), output EPLDetails for the steps are provided below.The EPL list will be used to contact prospective Marked Authorisation Holders (pMAH).Identification and preparation of the MDSResponsibility: NIPHNO and NOMA.All TISP work group members including reviewers should contribute by at least answer questions (seeAppendix 1 HS questionnaire) to whether information from national or regional HSS or TISP list isavailable and may be shared.Three sources of identification will be explored:1) EUnetHTA partners and existing European HSSNIPHNO will contact all EUnetHTA partners by e-mail to answer questions (Appendix 1 HSquestionnaire) on whether they are able to share data from a regional or national HSS or a TISP list.Information shared by EUnetHTA partners should be new active substances and line extensions, thathave been identified, selected or prioritised for HTA since June 2018 (the latest update of theEUnetHTA EPL for pharmaceuticals).2) EMA (Regulatory authorities)NIPHNO/NOMA will contact The European Medicines Agency (EMA) to receive an updated list ofmedicinal products under EMA evaluation. This contact is based on an agreement made with EMA inDecember 2018. The lists received from EMA will assure completeness of the data and inform theselection process. Updates of the EMA lists will be available at several timepoints3) Input from stakeholdersThe WP4 lead partner will make an announcement using the EUnetHTA home page and the EUnetHTAstakeholder e-mail to inform their members about the possibility to suggest topics for TISP.Data to be shared should be in English and at least contain a name of the technology, the anticipatedindication and the name of the pMAH as revealed in appendix 2.No confidentiality agreements can be made by the EUnetHTA TISP work group. Information on topicsprovided to a EUnetHTA partner, EMA or a stakeholder in confidentiality should not besubmitted/shared with the EUnetHTA TISP work group as part of the pilot.NIPHNO will collect and merge the data, exclude duplicates and populate a draft of the MDS using aspecific template (see Appendix 3, Minimal data-set Template). NIPHNO will ensure that at least aname of the technology, the indication and the name of the manufacturer is provided in this draft.NIPHNO will share the draft MDS with NOMA.NOMA/NIPHNO will check the draft MDS and update the MDS with missing information. It might not be7 EUnetHTA, 2017. Reproduction is not authorized unless permission is provided by EUnetHTA. For internal use only.

TISP Pilot Project planpossible or necesarry to fill in all information of the MDS for all topics.The aim is to explore availability of data to be shared and how often the process should be repeated.Selection, updating the MDS and preparation of the CCLResponsibility: NOMAThe timeframe for REA for pharmaceuticals is restricted to initial assessment (joint REA). Topics to beincluded should fulfil the following selection criteria: medicinal products recently entering, within the next 12-24 months or anticipated to undergo,the central marketing authorisation (MA) procedure. This includes both new active substancesand existing products for which the marketing authorisation is anticipated to be extended to anew therapeutic indication (line extensions)Products already launched and products that have been in the EMA system for 3 months or longer atthe time updating the MDS, will be excluded from the updated MDS.NOMA/ZIN will be responsible for updating the MDS and to create a CCL that will be sent to EUnetHTApartners in a call for collaboration. The format of the CCL will be decided as part of the pilot.The MDS will be considered a EUnetHTA internal document to be shared with WP4 TISP group on theEUnetHTA WP4 TISP workroom. The CCL will be considered a EUnetHTA internal document to beshared with EUnetHTA WP4 partners by mail and access to the file in the EUnetHTA WP4 TISPworkroom.Prioritisation (call for collaboration), preparation and updating of the EPLResponsibility: NOMA/ZINNOMA or ZIN will use the CCL to contact EUnetHTA WP4 partners by a call for collaboration for joint orcollaborative assessment to select topics of interest for REA.Prioritisation will be based on EUnetHTA partners interest in the topic, to secure national uptake ofjoint assessment. No other prioritisation criteria will be applied. Identified topics will be sorted basedon the following answers from the call for collaboration- expressed interest in the topic as relevant for national setting- expressed interest in national/regional uptake of a EUnetHTA conducted REA- expressed interest to participate in assessment as author, co-authors or reviewers- no expressed interestTopics will be given a score depending on number of partners interested in the topic as relevant fornational setting, interest in national uptake of REA, and interest to participate in assessment (score 1per partner with expressed interest). Topics of no interest score 0. Topics of interest to EUnethTApartners will be collected and entered to the EPL (see Appendix 4).The EPL will be made public by the EUnetHTA home page. The EPL will be used to contact pMAHs.Prioritisation of assessment will not be part of the pilot for pharmaceuticals.The EPL will be updated with data from EMA (part of the pilot) and new cycles of identification (notpart of the pilot).Status of topics will be marked, launched products and products were assessment is initiated will notbe updated any more.The workflow for each cycle is presented in figure 1. Topics not prioritised, may go through a number8 EUnetHTA, 2017. Reproduction is not authorized unless permission is provided by EUnetHTA. For internal use only.

TISP Pilot Project planF1of cycles before they are excluded from the MDS and EPL. How many cycles and how this will behandled is still under discussion and needs to be agreed on as part of the final recommendations.Flow chart pilot pharmaceuticalsIdentificationIdentification listEUnetHTApartners/existing HSSList from EMATopicssuggested bystakeholdersMDSNot within scope:- Not a medicinalproduct- Already launched- Three months orlonger within theEMA process- Already identified(duplicate)Updating theMDS (and EPL)SelectionCCLPrioritisation(call forcollaboration)Not (yet)prioritisedEPL -PPublication ofEPL -PContactingpMAHEnd of TISPP cycle Pharma:1. Topics on the EPL –May be assessed(final decision not part of the pilot)2. Topics not on the EPL -No assessment (yet)9 EUnetHTA, 2017. Reproduction is not authorized unless permission is provided by EUnetHTA. For internal use only.

TISP Pilot Project planMDS Minimal data-set, CCL Call for collaboration list, EPL -P EunetHTA prioritisation list pharma,pMAH prospective Marked Authorisation Holder,Endpoint evaluationResponsibility for endpoint evaluation is presented in table 4.Endpoint1. Availability of data from different sources,barriers for sharing2. Number of identified topics3. Number of times the same topic has beenidentified by different sources4. Developmental status of topic when enteringthe MDS5. Regulatory status of topic when entering theMDS6. Information gaps of the MDS7. Number of selected topics in the final MDS andCCL8. Number of identified topics excluded from theMDS/CCL and reasons for exclusion9. Number of EunetHTA partners with expressedinterest in a topic for national setting10. Number of EUnetHTA partners with expressedinterest to participate in assessment as author/co-author or dedicated reviewer11. Number of EUnetHTA partners with expressedinterest in national uptake of a EUnetHTA JA orCA on the topic12. Information on topics in the EPL and not in theEPL (number of topics, Application type EMA,Therapeutic area, Developmental status,Regulatory status)13. Response from pMAH one month after first proactive contact14. Workload connected with each stepResponsibilityNIPHNO/ checked by NOMA or ZINNOMA and or ZIN/ checked byNIPHNOIdentification: NOMA checked byNOMA or ZINSelection and updating the MDS:NOMA or ZIN checked by NIPHNOPrioritisation: NOMA or ZIN checkedby NIPHNOMDS Minimal dataset, CCL Call for collaboration list; EPL EUnetHTA prioritisation list10 EUnetHTA, 2017. Reproduction is not authorized unless permission is provided by EUnetHTA. For internal use only.

TISP Pilot Project planDeliverables and Time frameT4 Time frame and milestonesMilestones and deliverablesPilot plan finalised-Planned date01.02.2013Revised01.03.2019 detailsrevisedPilot start01.02.2019Identification: Start01.02.2019Identification: Reminder sent15.02.201905.03.2019Identification: Deadline for input01.03.201920.03.2019Identification: Draft MDS prepared15.03.201908.04.2019Selection: MDS updated, CCL 01915.04.2019Start (Call for collaboration)Prioritastion: Reminder sent15.04.201924.04.2019Prioritisation: Deadline Call : Publication of EPL/update of01.06.2019 (no later than)01.06.2019 (noAugust 2018 EPL*later than)End

The present proposal for the pilot is a simplified version of the original recommendations for the pilot. Most importantly, we decided to not pilot the use of prioritisation groups. This was to ensure that the pilot explores a process that is as simple as possible, and that may be continued on a voluntary basis also beyond Joint Action 3. 5

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