The approval process for the roll out of potential Covid-19 treatment Remdesivir will be expedited, but the antiviral drug is unlikely to be available in the Indian market this month despite skyrocketing coronavirus cases.
According to sources in the health ministry, Hetero Labs Ltd, one of the four Indian drugmakers that signed a licence agreement with United States-based Gilead Sciences to manufacture and supply generic versions of Remdesivir, will submit its test report and first point stability data in the last week of June.
Officials said that based on these results, restricted emergency use approvals will then be given on “rapid response basis”, as was given to Gilead. This data, they said, is essential to ensure quality of these products.
The Central Drugs Standard Control Organisation had granted the conditional approval to Gilead Sciences to market the investigational drug after an accelerated review process, but Indian firms are still awaiting the nod.
The government had approved Remdesivir for emergency use in treating Covid-19 patients on June 2, but hospitals have been unable to procure it because of the absence of regulatory clearances for local manufacturers.
Apart from Hetero, Jubilant Life Sciences Ltd, Cipla Ltd and Mylan NV have also signed the pact with Gilead to expand the supply of Remdesivir in the country.
After the non-exclusive agreement was signed in the third week of May, officials said these firms started producing developmental batches of bulk drugs and injection formulation, and applied to Central Drugs Standard Control Organisation (CDSCO) for approval.
Their proposals, they said, were considered on a fast-track basis by the subject-expert committee. Inspection of bulk drug and injection manufacturing was also carried out.
“The next stage of the process would be to produce batches of the antiviral drug, get the samples tested at the CDSCO lab, and also submit data of stability studies,” an official said.
While Hetero is expected to submit their test report by the last week of this month, officials did not give a timeline for the other companies. They said the government is following up with the drugmakers on a daily basis.
Remdesivir is the first drug to show improvement in COVID-19 patients in formal clinical trials. It was granted emergency use authorization by the US Food and Drug Administration last month and has received approval by Japanese health regulators.
In India, Gilead has given voluntary license for production of remdesivir to the four companies under a royalty-free arrangement till an alternative drug is found. Reports also suggest that the firms have not yet approached the National Pharmaceutical Pricing Regulator (NPPA) formally to discuss pricing of the drug, which will be used on hospitalised patients.
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