The COVID-19 pandemic has greatly impacted the IVD industry, including travel and social distancing restrictions, creating hassles and stalling NB designation processes.
Recently, the European Commission (EC) announced the designation of a fifth notified body (NB), TÜV Rheinland, for the European Union In Vitro Diagnostic Regulation (IVDR). This is exciting news for manufacturers hoping to comply with the new regulation, which goes into effect on May 26, 2022. The IVDR brings significant changes to the IVD industry with CE certification by an NB now becoming the rule rather than the exception.
The COVID-19 pandemic has greatly impacted the IVD industry, including travel and social distancing restrictions, creating hassles — such as the pause of on-site assessments between mid-March and mid-July — stalling NB designation processes. With less than two years to the date of application, only five IVDR NBs — compared to 21 under the IVDR’s predecessor, the In Vitro Diagnostic Directive (IVDD) — are operating. Further, the number of NBs will decrease by one, as BSI UK will lose its EU designation at the end of this year.
With TÜV SÜD Product Service being the first, and only (as of Dec 3), EU NB to issue an IVDR certificate to a medical device, the IVD industry as a whole is lagging behind to meet quickly approaching deadlines. Other ongoing disruptions continue to affect the medical device industry regarding device design timelines, manufacturing capabilities and distribution logistics.
Understanding the recent guidelines, alternative solutions and best practices in selecting and managing NBs, as well as navigating the lack of on-site audits, can allow continued availability of safe medical devices and assist in preventing medical device shortages.
Rising IVDR bottlenecks amid travel restrictions
The IVDR introduced a new classification system resulting in IVDs now being categorised into one of four groups, from class A (low risk) to class D (high risk). The broadening scope of the rules means that approximately 90 percent of IVDs will now be required to be reviewed by an NB, further adding burdens on and creating a bottleneck for NBs. In one example, under the previous directive, companion diagnostics, classified as low-risk, were self-declared without assessment by an NB. Under the IVDR, companion diagnostics are classified as a higher-risk, Class C device, requiring submission of clinical evidence and a greater scrutiny of data.
These additional challenges to the NB reviewing process magnify the need for companies to start the certification process early. Given the length of time needed for products under the new regulation — even more so for high risk diagnostics — to be certified by an NB, companies should act as soon as possible before risking the possibility of being too late to achieve compliance.
Further adding to bottlenecks include the decline in the IVDR designation of NBs, which may have been caused by the rise in expectations and responsibilities, the need for more experts to achieve designation and the investment required to train new staff. Even though only five NBs have been designated for IVDR, a total of 15 applications have been received by the EC (at the end of October 2020).
Moving forward, debates over other changes continue, such as loosening on-site audit restrictions. Allowing NBs the freedom and flexibility to conduct virtual audits, for example, has the potential to ease the bottlenecks the industry is experiencing due to social distancing and travel ban hurdles that often prevent on-site visits. However, while the industry is pushing for such changes, regulatory authorities have resisted the idea of approving virtual audits or even extending the 2022 IVDR deadline.
Complicating matters is the fact that — coupled with the IVDR — the Brexit transition period ends in December 2020, and the Medicines and Healthcare products Regulatory Agency (MHRA) has recently issued post-Brexit guidance on IVD in the UK. This is expected to further impact IVD developers. Therefore, they should anticipate more guidance documents and delegating acts to be published, which may cause additional changes.
Building a strategic plan for 2021
While challenges remain, IVD manufacturers should not anticipate the implementation of the IVDR will be delayed. Under the circumstances, they must start prioritising product portfolios and conducting their assessments now to ensure compliance. Moreover, to maintain market share, manufacturers will need to address new clinical data and technical file requirements to ensure compliance in time for the approaching 2022 deadlines.
For more information, read our IVDR white paper: “The IVDR Journey: A roadmap to meet 2022 deadlines, while navigating pandemic disruptions.”
In this section
-
Digital Disruption
-
Clinical strategies to optimise SaMD for treating mental health
-
Digital Disruption: Surveying the industry's evolving landscape
- AI and clinical trials
-
Clinical trial data anonymisation and data sharing
-
Clinical Trial Tokenisation
-
Closing the evidence gap: The value of digital health technologies in supporting drug reimbursement decisions
-
Digital disruption in biopharma
-
Disruptive Innovation
- Remote Patient Monitoring
-
Personalising Digital Health
- Real World Data
-
The triad of trust: Navigating real-world healthcare data integration
-
Clinical strategies to optimise SaMD for treating mental health
-
Patient Centricity
-
Agile Clinical Monitoring
-
Capturing the voice of the patient in clinical trials
-
Charting the Managed Access Program Landscape
-
Developing Nurse-Centric Medical Communications
- Diversity and inclusion in clinical trials
-
Exploring the patient perspective from different angles
-
Patient safety and pharmacovigilance
-
A guide to safety data migrations
-
Taking safety reporting to the next level with automation
-
Outsourced Pharmacovigilance Affiliate Solution
-
The evolution of the Pharmacovigilance System Master File: Benefits, challenges, and opportunities
-
Sponsor and CRO pharmacovigilance and safety alliances
-
Understanding the Periodic Benefit-Risk Evaluation Report
-
A guide to safety data migrations
-
Patient voice survey
-
Patient Voice Survey - Decentralised and Hybrid Trials
-
Reimagining Patient-Centricity with the Internet of Medical Things (IoMT)
-
Using longitudinal qualitative research to capture the patient voice
-
Agile Clinical Monitoring
-
Regulatory Intelligence
-
An innovative approach to rare disease clinical development
- EU Clinical Trials Regulation
-
Using innovative tools and lean writing processes to accelerate regulatory document writing
-
Current overview of data sharing within clinical trial transparency
-
Global Agency Meetings: A collaborative approach to drug development
-
Keeping the end in mind: key considerations for creating plain language summaries
-
Navigating orphan drug development from early phase to marketing authorisation
-
Procedural and regulatory know-how for China biotechs in the EU
-
RACE for Children Act
-
Early engagement and regulatory considerations for biotech
-
Regulatory Intelligence Newsletter
-
Requirements & strategy considerations within clinical trial transparency
-
Spotlight on regulatory reforms in China
-
Demystifying EU CTR, MDR and IVDR
-
Transfer of marketing authorisation
-
An innovative approach to rare disease clinical development
-
Therapeutics insights
- Endocrine and Metabolic Disorders
- Cardiovascular
- Cell and Gene Therapies
- Central Nervous System
-
Glycomics
- Infectious Diseases
- NASH
- Oncology
- Paediatrics
-
Respiratory
-
Rare and orphan diseases
-
Advanced therapies for rare diseases
-
Cross-border enrollment of rare disease patients
-
Crossing the finish line: Why effective participation support strategy is critical to trial efficiency and success in rare diseases
-
Diversity, equity and inclusion in rare disease clinical trials
-
Identify and mitigate risks to rare disease clinical programmes
-
Leveraging historical data for use in rare disease trials
-
Natural history studies to improve drug development in rare diseases
-
Patient Centricity in Orphan Drug Development
-
The key to remarkable rare disease registries
-
Therapeutic spotlight: Precision medicine considerations in rare diseases
-
Advanced therapies for rare diseases
-
Transforming Trials
-
Accelerating biotech innovation from discovery to commercialisation
-
Ensuring the validity of clinical outcomes assessment (COA) data: The value of rater training
-
Linguistic validation of Clinical Outcomes Assessments
-
Optimising biotech funding
- Adaptive clinical trials
-
Best practices to increase engagement with medical and scientific poster content
-
Decentralised clinical trials
-
Biopharma perspective: the promise of decentralised models and diversity in clinical trials
-
Decentralised and Hybrid clinical trials
-
Practical considerations in transitioning to hybrid or decentralised clinical trials
-
Navigating the regulatory labyrinth of technology in decentralised clinical trials
-
Biopharma perspective: the promise of decentralised models and diversity in clinical trials
-
eCOA implementation
- Blended solutions insights
-
Implications of COVID-19 on statistical design and analyses of clinical studies
-
Improving pharma R&D efficiency
-
Increasing Complexity and Declining ROI in Drug Development
-
Innovation in Clinical Trial Methodologies
- Partnership insights
-
Risk Based Quality Management
-
Transforming the R&D Model to Sustain Growth
-
Accelerating biotech innovation from discovery to commercialisation
-
Value Based Healthcare
-
Strategies for commercialising oncology treatments for young adults
-
US payers and PROs
-
Accelerated early clinical manufacturing
-
Cardiovascular Medical Devices
-
CMS Part D Price Negotiations: Is your drug on the list?
-
COVID-19 navigating global market access
-
Ensuring scientific rigor in external control arms
-
Evidence Synthesis: A solution to sparse evidence, heterogeneous studies, and disconnected networks
-
Global Outcomes Benchmarking
-
Health technology assessment
-
Perspectives from US payers
-
ICER’s impact on payer decision making
-
Making Sense of the Biosimilars Market
-
Medical communications in early phase product development
-
Navigating the Challenges and Opportunities of Value Based Healthcare
-
Payer Reliance on ICER and Perceptions on Value Based Pricing
-
Payers Perspectives on Digital Therapeutics
-
Precision Medicine
-
RWE Generation Cross Sectional Studies and Medical Chart Review
-
Survey results: How to engage healthcare decision-makers
-
The affordability hurdle for gene therapies
-
The Role of ICER as an HTA Organisation
-
Strategies for commercialising oncology treatments for young adults
-
Blog
-
Videos
-
Webinar Channel