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Special Report                                                                                                                                                                 Special Report



       President Trump signs Executive Order to increase                                                             program in India and China. While FDA  agency and with other relevant agen-  of  relocating  or  building  pharmaceuti-
                                                                                                                     inspections of domestic manufacturing  cies to expedite the review and approval  cal manufacturing capacity in the US.
       US-based pharma manufacturing                                                                                 facilities are not announced, inspection  of relevant permits.         Dating back to 2020 and since then,
                                                                                                                     of foreign drug manufacturing facilities
                                                                                                                     are announced, a diff erential in inspec-  Streamlining review of domestic   policy makers and industry stakehol-
       Seeking to streamline regulatory   tive Order outlined several measures to   PATRICIA VAN ARNUM               tion practices  that FDA is seeking to  pharmaceutical manufacturing by   ders have sought to address vulner-
       processes                         be taken by the federal government to   Editorial Director, (DCAT)          change. FDA conducts approximately  Army Corps of Engineers         abilities in the supply of critical medi-
             n May 5, 2025, President  facilitate domestic pharmaceutical manu-                                      12,000 domestic inspections and 3,000   By November 5, 2025, the Execu-  cines to the US that surfaced during the
             Trump issued an Executive  facturing in the US as outlined below.    Improving enforcement  of data    foreign inspections each year in more  tive Order directs the Secretary of the  COVID-19 pandemic. In 2020, the Associ-
       OOrder to streamline the regulatory                                   reporting, including publicly display-  than 90 countries, according to the  Army, acting through the Assistant Secre-  ation for Accessible Medicines (AAM),
       review by the US Food and Administra-  Streamlining FDA review of     ing the list of  facilities,  including   agency.                         tary of the Army for Civil  Works, to  which represents US-based  generic
       tion of pharmaceutical  manufacturing  domestic manufacturing         foreign facilities,  that are not in                                      review the nationwide permits issued  drug companies and  manufacturers,
       facilities in the US, enhance the inspec-  By November 1, 2025, the Execu-  regulatory compliance;            Streamlining review of domestic   under the Clean  Water  Act and the  issued a Blueprint for Enhancing the
       tion process of foreign drug-manufac-  tive Order directs the US Secretary of    Providing clearer guidance regard-  pharmaceutical manufacturing   Rivers and Harbors  Appropriation  Security of the US Pharmaceutical Supply
       turing facilities, and streamline  per-  Health and Human Services, through   ing the requirements or recommen-  by the Environmental Protection   Act to determine whether  an activity-  Chain, a six-element policy framework
       mitting of  manufacturing facilities by  the FDA Commissioner, to review exis-  dations for  site changes, including   Agency (EPA)             specifi c nationwide permit is needed to  for the federal government that would
       the Environmental Protection  Agency  ting regulations and  guidance that   moving production from a foreign to   By November 5, 2025, the Execu-  facilitate the effi  cient permitting of pharma-  support  the  fi nancial  feasibility  of
       (EPA).                            pertain to the development of domestic   domestic facility, and validation of   tive Order directs the EPA Administra-  ceutical manufacturing facilities.  increasing US domestic manufacturing
                                         pharmaceutical manufacturing and  to   new or updated components neces-     tor to update regulations and guidance                              of generic drugs.  The blueprint laid
          “One key area of concern is the  take steps to eliminate any duplicative   sary in manufacturing; and      that apply to the inspection and appro-  What’s next                out actions that the federal government
       length of time it takes to build pharma-  or unnecessary requirements,  maxi-    Updating any other relevant compli-  val of new and expanded manufacturing   The Executive  Order lacks details  could take to ensure a consistent supply
       ceutical manufacturing facilities in the  mize  the timeliness and predictability   ance policies, guidance documents,   capacity of pharmaceutical products,  on  specifi c  measures  that  would  be  of critical pharmaceuticals, which built
       United States today,” said the Exe-  of agency review, and streamline  and   and regulations.                 APIs, key starting materials, and associa-  taken to realize the goal of streamlining  upon the existing generics pharma-
       cutive Order issued on May 5, 2025,  accelerate the development of domestic                                   ted raw materials in the US to eliminate  the regulatory review process to facili-  ceutical supply chain in the US, which in-
       which cited estimates of 5 to 10 years  pharmaceutical manufacturing. This in-  Enhancing inspection of foreign   any duplicative or unnecessary require-  tate new and expanded pharmaceutical  cluded among other measures, fi nancial
       to build new manufacturing  capa-  cludes reviewing regulations and guid-  manufacturing facilities           ments and maximize the timeliness and  manufacturing capacity in the US. Key  incentives to increase domestic manu-
       city in the US for pharmaceuticals and  ance that apply  to the inspection and   By August 3, 2025, the Executive   predictability of agency review.  items to watch for in the coming months  facturing capacity as well as  product
       critical inputs. “New construction must  approval of new and expanded manu-  Order directs the FDA Commissioner                                 are further executive or Congressional  volume guarantees. In addition,  in
       navigate myriad  Federal, State, and  facturing capacity and emerging tech-  to develop and advance improvements   Centralized coordination of environ-  action to realize the goals to facilitate  2023, AAM released a white paper to
       local requirements ranging from build-  nologies that enable the manufactur-  to the  risk-based inspection  regime   mental permits            domestic manufacturing in the US.  outline policy recommendations to
       ing standards and zoning restrictions to  ing of pharmaceutical products, active  that ensures routine reviews of over-  The Executive Order identifi es EPA                       mitigate generic drug shortages in the
       environmental  protocols that together  pharmaceutical ingredients (APIs), key  seas manufacturing facilities  involved   as the lead agency for the permitting of   One  issue  not  yet  specifi cally  ad-  US, which included policy  proposals
       diminish the certainty needed to gene-  starting materials, and  associated raw  in the supply of medicines to the US.   pharmaceutical manufacturing  facili-  dressed is the cost of increasing or relo-  to increase generic-drug manufacturing
       rate investment for large manufactur-  materials in the US.        This will be funded by increased fees      ties that require environmental impact  cating pharmaceutical manufacturing to  capacity in the US, including providing
       ing projects…Even expanding existing                               on foreign manufacturing facilities and    assessments unless that role is assumed  the US and fi nancial incentives to do so.  targeted federal grants or contracts, or
       capacity or modifying existing produc-  To achieve those goals, the Execu-  would require the FDA Commissioner   by another agency. The lead agency is  While  proposed  tariff s  under  conside-  other direct assistance, to generic manu-
       tion  lines  to  produce  new  or  diff erent  tive Order directs the FDA Commis-  to publicly disclose the annual number   directed to designate a single point of  ration by the Administration create addi-  facturers with excess manufacturing
       products  requires extensive  permit-  sioner to evaluate the current risk-based  of inspections that the FDA conducts   contact within the agency to coordinate  tional costs for importing products into  capacity to upgrade and update existing
       ting  and regulatory approval,  making  approach to prior approval of licensure  on foreign facilities, with specifi c detail   with permit applicants.  Additionally,  the US with a policy goal of increasing  manufacturing lines, build new lines in
       it  more  diffi  cult  to  repurpose  existing  inspections, including  when such ins-  by country and by manufacturer.  the Offi  ce of Management and Budget  domestic manufacturing, they do not  existing  facilities, or build new faci-
       underutilized pharmaceutical manufac-  pections are necessary, and improve the                                is directed to coordinate with the lead  address the practical issues of the cost  lities to provide additional capacity.
       turing capacity available domestically.”  inspection process to ensure that ins-  In a separate action announced by
                                         pections are prompt and effi  cient.  FDA on May 5, 2025, the agency an-
          The Executive Order also pointed to                             nounced its intent to expand the use
       a diff erential in the inspection process   In addition, the FDA Commissio-  of unannounced inspections at foreign                                       Missed a copy !!!
       of  domestic  pharmaceutical manufac-  ners is directed to take action on other  manufacturing  facilities  that produce                   For Digital Edition of this month’s issue & all other past issues
       turing facilities and foreign drug-manu-  measures relating to the inspection pro-  foods, essential medicines,  and other                             Visit www.hpicindia.com
       facturing  that creates  barriers for  cess and data reporting. These include:   medical  products for the  US market.                              PDF copies available for download
       domestic pharmaceutical manufacturing.    Expanding existing programs that  This change builds upon the agency’s                                          Register Now
                                           provide early technical  advice  Offi  ce of Inspection and Investigations             Contact: For Subscription   : Mrs. Usha S. - usha@hpicindia.com
          To address those issues, the Execu-  before a facility is operational;  Foreign Unannounced Inspection Pilot                          For Advertising   : Mr. Vijay Raghavan - vijay@hpicindia.com

       184                                                                      Chemical Weekly  May 20, 2025        Chemical Weekly  May 20, 2025                                                                   185


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