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AI Governance: Are You in Control?

Here at LS Law, we continue to be immersed in looking at the impact of AI on our life sciences sector and we recently held a lively discussion forum with our consultants to explore the key risk factors of AI in life sciences organisations and the practical steps needed to manage those risks. What came out of that discussion was both illuminating and daunting, as we were left wondering whether AI governance and risk management is really being given sufficient priority at this time. As one of our consultants put it:

“It is really quite scary. I know there will be focus on compliance with the EU AI Act, as deadlines loom, much like with GDPR, but that isn’t the point. The reality is that the risks of AI exist now and pervade right across and to the heart of the business and responses to risk management are not joined up. There needs to be holistic governance on this issue. It isn’t enough just to be concerned about compliance with the legislation or regulatory guidance, or to believe the use of technical controls alone to address security risks will suffice, or to determine there are no issues with using AI in medicines research simply because an exemption in the AI Act for scientific research and development applies to medicines development. There needs to be an overriding understanding of how AI works and is being used right across the organisation and full consideration given to its impact now and in the future: the indirect, sometimes hidden risks that using AI can create, so that a coordinated approach and overarching framework can be created to fully manage those risks and protect the organisation. I really worry about how we are currently protecting our confidential information and intellectual property rights and the impact on privacy for instance.”

Much has been made of the AI Act, which aims to ensure that AI systems in the EU are safe and respect fundamental rights, whilst supporting innovation and investment in AI. The Act takes a risk-based approach, defining four categories of risk for AI systems and imposing a range of obligations on different operators depending on the level of risk, to ensure protection of fundamental rights. At societal level therefore, the AI Act provides a set of harmonised rules to protect safety and fundamental rights, but what it very much does not do is provide a one-stop-shop for legal compliance and risk management around the deployment of AI.

Similarly, the UK ‘s sector focused principles-based approach, whilst flexible and allowing regulators to develop specific tools and guidance, risks regulatory overlaps, gaps and complexity, with guidance only really focusing on the implementation of the five regulatory principles of (i) safety, security & robustness; (ii) appropriate transparency and explainability; (iii) fairness; (iv) accountability and governance; and (v) contestability and redress.

In our discussion forum we therefore looked beyond legislative and regulatory compliance and considered key risk factors of AI deployment in life sciences organisations and the practical steps needed to manage those risks. Some key points from our discussion (primarily those related to life sciences R&D) are highlighted immediately below, but we will be covering other issues in greater detail, as well as providing practical next steps in future articles. Here are a few key points related to life science R&D:

  • In April EFPIA issued a statement setting out that it considers the scientific research and development exemption in the AI Act applies to AI-based drug development tools used in the research and development (R&D) of medicines. The statement received wide publicity and was welcomed by many, but it really misses the point, since there remain very considerable risks of using AI in medicines research, which require detailed consideration. These include questions of who owns the output of generative AI, an issue which is not straightforward to answer and depends on the jurisdiction (and legal position in the relevant jurisdiction), roles played by humans and terms and conditions of the relevant AI platform. If using AI to create or within R&D processes it may in fact be essential to ensure that AI is used only as a supplementary tool and is not contributing to invention conception in order to retain ownership of intellectual property (IP) rights.

 

  • Protection of confidential information is another significant area of concern. Terms and conditions of use of AI platforms may seek to prohibit IP protections and even allow the creator of the AI platform to use your data and confidential information to better improve their offerings. For this reason, it is important to review the terms and conditions of use and to implement contractual protections and safeguards with AI vendors to minimize the risk of disclosure and use of confidential company information. Some companies may be minded to go even further and restrict the use of generative AI altogether, given the difficulties of protecting data, IP and confidential information.

 

  • Ensuring the quality and relevance of data generated by AI is a challenge and rigorous testing and monitoring measures need to be implemented to guarantee data integrity. We envisage this will be an area where regulators may wish to become actively engaged to ensure medicines meet applicable standards for safety, quality and efficacy.

 

  • The EU is proposing to implement an AI liability Directive alongside the AI Act, which aims to modernise the current EU liability framework to make it easier for individuals to bring claims for harms caused by AI. Whilst companies will clearly need to implement measures to manage their AI liability risk, it is important to consider other potential liability risks associated with AI use, including IP infringement and breach of confidentiality. In the context of R&D for instance, it is worth remembering that large AI data models use considerable amounts of data from a wide number of sources. It is essential therefore for life sciences organisations to understand the origin of data used in large AI data models and ensure they get contractual assurances (and indemnities where appropriate) as to its origin and lawfulness of its collection/processing.

We have also been looking at some interesting questions affecting life science lawyers and compliance professionals and how they can best prepare themselves to address and manage legal and compliance risks arising from use of AI. Here are some interesting questions we posed in our discussion forum. What are your views?

  • Do lawyers need to become technical experts? How do we ensure lawyers/compliance professionals know enough about the potential risks of AI to be able to discuss key issues with staff?

 

  • The challenges of AI governance and risk management are considerable. What should the lawyer’s/compliance professional’s role be in the governance process? How is it possible to ensure that complex legal issues and legal risk are appropriately managed?

Next month we will be looking in detail at what the right approach to governance of AI risk should be, as one of our senior compliance professionals answers questions and provides her thought leadership on the issue.

We are continuously monitoring the developments in the governance of Artificial Intelligence, and what this means for our sector.  Please do not hesitate to contact us if you require any assistance in preparing for the implementation of the AI Act or developing and implementing AI governance and risk management procedures.

8th May 2024 Update

Artificial Intelligence

EU 

  • EFPIA has issued a statement on the use of artificial intelligence (AI) in the medicinal product lifecycle in the context of the AI Act and has stated that it considers the exemption (under Recital 25, Articles 2.6 and 2.8 of the AI Act) applies to AI-based drug development tools used in the research and development of medicines because the sole use of these tools is in the R&D of medicines development.  See full statement here. 

UK 

Clinical Trials 

EU 

  • The European Medicines Agency (EMA) has issued its latest news on the Clinical Trial Information System (CTIS) transparency rules, which will become effective on 18 June 2024. See ctis newsflash for further information. 

Competition Law 

EU 

  • The European Commission is seeking feedback on commitments offered by Vifor Pharma over possible anticompetitive disparagement of competing iron medicine treatments.  For further information see European Commission press release.  

UK 

  • The Competition Appeal Tribunal (CAT) has unanimously upheld the level of penalty imposed by the Competition and Markets Authority (CMA) for a market sharing agreement relating to 20mg hydrocortisone tablets. See CMA press release for further information. 

Confidential Information 

EU 

  • EMA and the European Commission’s Directorate-General for Health and Food Safety (DG SANTE) have signed a working arrangement with the Ministry of Food and Drug Safety (MFDS) of the Republic of Korea for the exchange of confidential information on medical and medicinal products. For further information on the arrangement see here. 

 

  • The Heads of Medicines Agencies/EMA draft guidance document on the identification of personal data and commercially confidential information within the structure of the marketing authorisation application (MAA) dossier, has been published. The draft guidance document is published for public consultation and is available here . The consultation is open until 28 June 2024.  

Data Privacy 

EU 

  • The European Data Protection Board (EDPB) has published its annual report for 2023 on safeguarding individuals’ digital rights. See here 

 

  • The Council of the European Union has adopted a data transfer framework with Japan, allowing for free data flows between the EU and Japan. See press release for further information. 

France 

  • The French data protection authority, the Commission nationale de l’informatique et des libertés, will begin a consultation toward “updating and creating new standards” for health data processing. The consultation will begin on 16 May 2024. See press release  for further information. 

UK 

  • The U.K. Information Commissioner’s Office (ICO) has urged health care organizations to improve data protection efforts after individuals’ HIV statuses were targeted in data breaches. See ICO statement for further information. 

Health Data 

EU 

  • On 24th April, the European Parliament approved the provisional agreement to create the European Health Data Space. See press release for further information. 
  • The European Commission has released a Q&A on the European Health Data Space proposal to advance digital health care, while allowing patients to access their health data. For further information see Q&A document 

Marketing Authorisations 

EU 

  • EMA’s human medicines committee (CHMP) recommended eight medicines for approval at its April 2024 meeting. For further information see here.

UK 

  • For information published by the MHRA on UK marketing authorisations granted in 2024 see here. 

Medical Devices 

EU 

  • The European Commission has launched an investigation into Chinese public procurement of medical devices. See European Commission press release for further information. 

UK 

  • The MHRA has updated its Guidance on Software and Artificial Intelligence (AI) as a Medical Device to include updates to the digital mental health technology section. The update follows funding by the Wellcome Trust into a project focusing on effective regulation and evaluation of digital mental health technology. See here and here for further information. 

Pricing 

UK 

  • The Association of the British Pharmaceutical Industry (ABPI) has responded to UK government proposals to change the statutory pricing scheme for branded medicines and has published an executive summary of its consultation response. For further information see here 

Supply Chain 

EU 

  • The European Medicines Agency (EMA) has published several recommendations to strengthen the supply chain of medicines included in the list of critical medicines. See EMA press release and recommendations for further information. 

Sustainability 

EU 

  • EFPIA has published its view on the circular economy. See EFPIA comment and White Paper on the Circular Economy here.

 

For further information on these developments and how it could affect business, please contact us, we are always happy to provide our insights.

You can also stay informed and ahead of the curve by subscribing to our newsletter and following us on LinkedIn.

24th April 2024 Update

Artificial Intelligence

 

EU

  • The Corrigendum of the EU AI Act has now been released. The document corrects and clarifies the text and is required before the Act comes into effect. See the corrected text here

France

  • The French data protection authority, CNIL, has issued its recommendations for using artificial intelligence technologies whilst protecting personal data. See CNIL recommendations

UK

  • The UK Information Commissioner’s Office (ICO) has launched a further instalment of its consultation series examining how data protection law applies to the development and use of generative AI. The third consultation seeks views on the accuracy of generative AI models. The consultation is open until 5 pm on 10th May 2024. Further information is available here

Clinical Trials

 

UK

  • The UK Health Research Authority (HRA) is consulting on a new Model Investigator-Initiated Study Agreement and has published a model agreement for comment. The HRA is calling for comments on the draft agreement by 13 May 2024. For further information on the consultation and draft agreement see here

Collaborative Working

 

UK

  • The NHS Confederation, ABPI and health industry and charity leaders have produced a report setting out insights on how to maximise the potential for collaboration between the NHS, health charities and the life sciences industry to boost research and innovation. See report for further information.

Data Privacy

 

EU

  • The European Data Protection Board (EDPB) has set out its strategy and priorities for 2024-2027. For further information and details of the strategy see EDPB press release

UK

  • The UK ICO has published guidance to help health and social care organisations ensure they are being transparent with people about how their personal data is used. See press release and guidance for further information.

Health Data

 

EU

  • The European Medicines Agency (EMA) has issued guidance setting out how its real-world evidence generation services can be used. See guidance for further information.

Health Technology Assessments

 

EU

  • The life sciences industry has expressed concerns over the workability of the new EU HTA procedure. See EFPIA statement and information on the implementation of the Regulation on health technology assessment here

Importation

 

UK

  • The UK Medicines and Healthcare products Regulatory Agency (MHRA) has published guidance on UK parallel import licences following agreement of the Windsor Framework. See guidance and further information

Marketing Authorisations

 

EU

  • The EMA April issue of human medicine highlights which contains information on CHMP opinions and new medicine approvals can be accessed here

Pharmaceutical Law Reforms

 

EU

  • The European Parliament has adopted its position on the Commission proposal to reform EU pharmaceutical legislation following political disagreement. For further information on the texts adopted see here and here.

 

  • EFPIA has responded to the European Parliament plenary vote on the EU pharmaceutical legislation reform proposal, noting improvement to the Commission proposal, but remaining concerned about European competitiveness. See EFPIA statement

Regulatory

 

EU

  • The European pharmaceutical industry has come together with a view to improving the content of medicinal product patient information leaflets, prioritising patient needs. For further information see recommendations and EFPIA statement

UK

  • The MHRA has launched a service (RegulatoryConnect) that provides the capability to track applications and view live authorisation details. See MHRA press release for further information.

 

For further information on these developments and how it could affect business, please contact us, we are always happy to provide our insights.

You can also stay informed and ahead of the curve by subscribing to our newsletter and following us on LinkedIn.

5th April 2024 Update

Artificial Intelligence

EU

  • On 13th March the European Parliament approved the text of the EU AI Act. Once the Council has signed off the text (expected later this month), it will be published in the Official Journal and will enter into force 20 days after publication. Please see adopted text of the AI Act here

 

Code of Practice

United Kingdom

  • On 27th March the PMCPA published rulings in three cases: i) Teva – Case AUTH/3656/6/22 concerning failure to include prescribing information, a black triangle and failure to include a prominent adverse event reporting statement. The PMCPA ruled breaches of clauses, 2, 3.2, 4.1, 4.9, 4.10, 7.11, 9.1 and 14.1; ii) Daiichi Sankyo – Case AUTH/3673/7/22 concerning provision of misleading information which could have prejudiced patient safety. The PMCPA ruled breaches of clauses 2, 5.1 and 6.1; and iii)  Daiichi Sankyo – Case AUTH/3677/7/22  concerning provision of misleading information and misleading impression incapable of substantiation, which was particularly serious and could have prejudiced patient safety. The PMCPA ruled breaches of clauses 2, 5.1, 6.1 and 6.2.

 

Competition Law

EU

  • On 26th March the European Commission opened a formal antitrust investigation into possible anticompetitive conduct by Zoetis. The investigation will assess whether Zoetis may have breached EU competition law rules by preventing the market launch of a competing novel biologic medicine for treatment of chronic pain in dogs. See European Commission press release here

United Kingdom

  • The Competition and Markets Authority (CMA) has opened a consultation on whether to launch a Market Investigation Reference (MIR) into the veterinary services market for household pets. The consultation is open until 5pm on 11th April 2024 and follows the CMA’s review of veterinary services for household pets in the UK in September 2023. For further information see here

 

Clinical Trials

Malaysia

  • On 13th March the Malaysian Drug Control Authority agreed to update the Malaysian Guideline for Application of Clinical Trial Import License (CTlL) and Clinical Trial Exemption (CTX) Edition 8.0 which will published on 30 April 2024

 

Criminal Enforcement

United Kingdom

  • A company director and his pharmaceutical manufacturing company have been successfully prosecuted for knowingly providing falsified data to the MHRA in order to obtain a marketing authorisation. The MHRA Deputy Director (Criminal Enforcement) commented, “This is a shocking case of a pharmaceutical company that thought it was above the law and was not required to uphold our stringent standards for safety, quality and effectiveness.” For further information on the case see the MHRA press release

 

Data Privacy

United Kingdom

  • The Information Commissioner’s Office has published new data protection fining guidance, setting out how it decides to issue penalties and calculate fines. See here for further information.

 

Pharmaceutical Law Reforms

EU

  • The European Parliament’s ENVI Committee met on 19th March to discuss the new pharmaceutical framework and vote on the compromise text regarding the draft Regulation and revised Directive. The final text will be voted on in the plenary scheduled for 10th April 2024. EFPIA expressed ongoing concerns with the proposed text in response to the ENVI Committee adoption of the amendments to the EU pharmaceutical legislation. The EFPIA response is available here

 

Health Data

EU

  • A provisional agreement has been reached on the European Health Data Space (EHDS) after difficult negotiations. See the European Council press release here . Prior to the negotiations EFPIA had issued a press release setting out its concerns. See its 13th March press release here

Germany

  • The German Ministry of Health has announced that the German Health Data Use Act has been enacted on 25th March. The Act aims to advance health data research by allowing pharmaceutical companies to access health data for research purposes. See the text of the new law (in German) here

 

Health Technology Assessments

EU

  • The EU public consultation on implementing the EU Health Technology Assessment Regulation closed on 2nd April. For more information on this initiative see here . EFPIA has separately commented that guidance is needed to ensure that EU Joint Clinical Assessments can improve patient access to innovative cancer treatments. See EFPIA press release

 

Intellectual Property

EU

  • In a recent EPO Board of Appeal decision in  T 1437/21 about the validity of a patent, for the second medical use of a known drug in a sub-population of patients, The Board of Appeal held the claimed invention was novel and involved inventive step. The patent claims had been challenged on the basis of prior art in summaries and press releases about the success of earlier phase III clinical trials in the broader population. However, the patent was found novel and inventive on the grounds that the efficacy of the drug in the claimed subpopulation could not be derived, or be reasonably expected, in view of the press releases.

 

  • On 13th March MEPs voted to allow compulsory licensing of patented drugs in emergency situations. The Regulation on compulsory licensing for crisis management was proposed by the EU Commission in April 2023 (see proposal ). The proposal has met with considerable criticism, including from EFPIA , which previously stated that “the introduction of compulsory licensing at the EU level would promulgate the perception of companies and investors that Europe’s intellectual property framework is not predictable or stable.”

 

Marketing Authorisations

EU

  • The CHMP recommended twelve medicines for approval at its March 2024 meeting. See here for further information.

 

Medical Devices

United Kingdom

  • On 11th March the UK government published its response to an independent review of equity in medical devices. See Government Response and MHRA Response to the independent review.

 

Pricing and Reimbursement

United Kingdom

  • The UK government has opened a consultation to seek views on a proposal to update the statutory scheme to control the cost of branded health service medicines. The government is proposing to update the statutory scheme to maintain broad commercial equivalence with VPAG, the voluntary scheme for branded medicines pricing. The consultation is open until 26th April 2024. For further information on the consultation and proposed updates to the statutory scheme, see here

 

For further information on these developments and how it could affect business, please contact us, we are always happy to provide our insights.

You can also stay informed and ahead of the curve by subscribing to our newsletter and following us on LinkedIn.

2021 Code of Practice Changes: Key Takeaways

 

 

In setting out its proposed update, the ABPI is aiming to ensure the Code remains fit for purpose and supports clear and robust standards. Whilst many of the proposed amendments are relatively minor or clarificatory in nature, there are a number of proposed changes which are clearly aimed at tightening governance and addressing potential problems in high-risk areas. Other changes seek to address practical issues both in terms of future proofing, as well as perhaps seeking to make processes more flexible and risk appropriate.

So, what are the most significant changes which have been included?

Clause 5 – proposed changes to this clause separate out the expectations and obligations on the company and its employees to maintain high standards and the changes detail the requirements companies must put in place to deliver an appropriate compliance programme to ensure these high standards. New wording is also included making clear that companies are responsible for the actions of their personnel, including those retained by way of contract. These proposals are clearly aimed at tightening responsibilities for maintaining high standards on both companies and their personnel and removing potential loopholes.

Clause 8 – several changes have been proposed to this clause, including that representative briefing materials require certification, as they are associated with promotion. There is also an extension to the categories of materials which can be certified by a non-medical signatory. This change will certainly be welcome from a practical perspective but may not be as flexible as it first appears, since the proposed change to the supplementary information requires (unsurprisingly), non-medical signatories to have the same level of training as their medical signatory counterparts. The supplementary information goes on to clarify that whilst a non-medical signatory (e.g. a compliance officer or lawyer) may be able to certify certain materials, the decision to approve the activity must remain with the appropriate function, which inevitably will lead to further internal process to document such approval.

Clause 10 – the changes being proposed here are aimed at assisting companies better assess the appropriateness of meetings and distinguish between what is promotional and non-promotional education. This is often a high-risk area, and these changes suggest a desire to improve governance in this area, not least because the notes make clear that a guidance document is to be developed on non-promotional medical education in future.

Further changes to clause 10 include the requirement to have a written agreement in place when support is provided to healthcare professionals attending events/meetings, as well as a requirement to complete an educational needs assessment for every event/meeting.

Clause 12 – one of the most significant changes proposed is a complete update to this clause to include the use of QR codes to access prescribing information and describe how prescribing information may be appropriately presented in different formats. This is helpful clarification, especially as the supplementary information goes on to address certain problem scenarios (i.e. offline working/the use of multiple screens/use of links) and what may/may not be appropriate in these situations. It should also be noted that the provisions of the new clause 12 are not intended to be retroactive and only come into effect for material certified after the new 2024 Code comes into operation.

Other proposed changes to the Code worth mentioning are those to clause 27, regarding the different arrangements in place with patient organisations and proposed changes to clauses 28, 29 and 30 covering disclosures of transfers of value.

In addition to the changes to the Code highlighted, there are a few changes being proposed to the Constitution and Procedure which are also worth mentioning:

  •  The introduction of an abridged complaints procedure to deal with less serious infringements in a proportionate manner;
  •  An extension of the time permitted for companies to provide a response to a complaint, from ten to fifteen working days. This recognises an increase in the complexity of complaints and the time required to provide a suitable response;
  •  It should be noted that the issue of anonymous complaints has also been reviewed, but with no changes being proposed. For further information on the consultation and how to provide feedback, please see information on the consultation and table of proposed changes .

Please do not hesitate to contact us should you require assistance in addressing issues arising from this consultation or in preparation for the implementation of the proposed 2024 Code.