OnCo
ideasIdea

90-day reliance approval for cancer drugs cleared by two stringent regulators

If the FDA and EMA have both approved a cancer drug, a smaller country should be able to approve it in three months using their reports rather than starting over.

WHO's Good Reliance Practices and the WHO-Listed Authority framework already permit national regulators to rely on the assessments of stringent agencies. The proposal is a statutory 90-day abridged pathway in low- and middle-income countries for oncology medicines approved by at least two WHO-listed authorities, with the national review limited to labelling, local supply and pharmacovigilance arrangements. Swissmedic's MAGHP and the EU-M4all procedure are partial precedents.

Hypothesis
Countries adopting the 90-day reliance pathway cut the median registration lag for new oncology medicines from more than two years to under one year, with no excess of safety signals relative to the originating regions.
Rationale
The scientific review has been done; the delay is administrative. Reliance is already how most vaccines reach LMICs through WHO prequalification, and the East African Community joint assessment has shown that pooled reliance shortens registration by years.
What would test it
Work with five countries (for example Kenya, Ghana, Nigeria, Peru and the Philippines) to adopt the pathway for oncology and measure registration lag against the WHO essential medicines list oncology section before and after.
Maturity
early clinical
Who has to act
regulator
Cost to try
Small (under $1M)
Years to first evidence
3
Bottlenecks it attacks

Connected

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