  {"id":79924,"date":"2024-01-22T13:20:18","date_gmt":"2024-01-22T12:20:18","guid":{"rendered":"https:\/\/www.veeva.com\/eu\/?post_type=resources&#038;p=79924"},"modified":"2025-08-04T16:01:42","modified_gmt":"2025-08-04T14:01:42","slug":"mitigate-drug-shortage-risks-by-improving-internal-and-external-collaboration","status":"publish","type":"resources","link":"https:\/\/www.veeva.com\/eu\/resources\/mitigate-drug-shortage-risks-by-improving-internal-and-external-collaboration\/","title":{"rendered":"Mitigate Drug Shortage Risks by <br class=\"hidden-xs\">Improving Internal and External Collaboration"},"content":{"rendered":"<h2>Real-time access to unified data \u2014 shared across<br \/>\nquality, regulatory, and production teams and with<br \/>\nexternal contract partners \u2014 is key to reducing drug<br \/>\nshortage risks.<\/h2>\n<p>Over the past decades, pharmaceutical manufacturing has become increasingly complex, and global<br \/>\nsupply chains more fragmented. Traditional approaches to data management have created silos that<br \/>\nseparate quality, regulatory, and manufacturing, preventing a more agile approach to manufacturing<br \/>\nchange control and batch release, and slowing data exchange<br \/>\nand communication between sponsors<br \/>\nand contract partners.<\/p>\n<p>As a result, drug shortages have become more frequent<sup>1<\/sup><br \/>\nand are now reaching <a href=\"https:\/\/www.nytimes.com\/2023\/05\/17\/health\/drug-shortages-cancer.html\" target=\"_blank\" rel=\"noopener noreferrer\">record highs<sup>2<\/sup> around the world<\/a>. Currently,<br \/>\nin the U.S., several oncology drugs are being rationed, while<br \/>\nmany workhorse antibiotics and analgesics are not available.<br \/>\nAccording to a recent EU report<sup>3<\/sup>, three-quarters of EU member<br \/>\ncountries experienced inadequate supplies of key therapies.<br \/>\nMeanwhile, the American Society for Hospital Pharmacists\u2019<br \/>\nlatest report found that 301 shortages occurred during the<br \/>\nfirst quarter of 2023 alone, twice the number that had been<br \/>\nseen in 2018<sup>4<\/sup>.<\/p>\n<p>For the past decade, as shortages have intensified, regulators and industry organizations have<br \/>\nproposed risk-based measures to ensure adequate drug supplies. In 2018, during a national drug<br \/>\nshortage crisis, the U.S. Food and Drug Administration (FDA) set up a task force that recommended<br \/>\nincentives to spur investment in Quality Management Maturity (QMM), while the International Society<br \/>\nfor Pharmaceutical Engineering (ISPE) has studied best organizational practices for preventing<br \/>\nshortages (<strong>Figure 1<\/strong>).<\/p>\n<p><img decoding=\"async\" class=\"img-responsive mw-700\" alt=\"\" src=\"\/eu\/wp-content\/uploads\/2024\/10\/Mitigate-Drug-Shortage-Risks-by-Improving-Internal-and-External-Collaboration-graphic-1.png\"> <\/p>\n<p>European regulators launched similar efforts in 2016 and issued guidance<sup>6<\/sup><br \/>\nin 2023. Its goal is to help<br \/>\nmarketing authorization holders, wholesalers, distributors, and manufacturers optimize their response<br \/>\nto drug shortages resulting from GMP noncompliance. It also includes best practices learned during<br \/>\nthe COVID-19 pandemic.<\/p>\n<p>Evolving initiatives such as Identification of Medicinal ³Ô¹Ï±¬ÁÏ (IDMP)<sup>7<\/sup>,<br \/>\nPharmaceutical Quality, Chemistry, Manufacturing &#038; Controls (PQ\/CMC)<sup>8<\/sup>,<br \/>\nand ICH Q12<sup>9<\/sup> continue to address the need to<br \/>\nstandardize data and the exchange of information between stakeholders, to speed up communication<br \/>\nand decision making to improve drug availability. They aim to enable FDA and the European Medicine<br \/>\nAgency (EMA) to coordinate supply monitoring and management efforts. The European Community<br \/>\nhas also proposed regulatory reforms10 that would speed the commercialization of some generics<br \/>\nand biosimilar products to bolster supplies.<\/p>\n<h2>Unifying data to reduce the risk of drug shortages<\/h2>\n<p>As drug supply gaps have worsened, the industry continues to increase its reliance on outsourcing,<br \/>\nassigning strategic functions to outside partners to reduce risk, speed time to market, and gain<br \/>\naccess to specialized expertise and resources11. Successful partnerships demand clear<br \/>\ncommunications and oversight to ensure process control, quality, and ultimately, trust.<\/p>\n<p>The industry\u2019s continued reliance on traditional legacy software has only intensified these challenges.<br \/>\nDisconnected information silos require that quality, regulatory, and manufacturing teams use<br \/>\nmanual efforts and communication methods such as email to connect and manage processes<br \/>\nand extend them to external partners. Relying on email to share documents and manage regulatory<br \/>\nsubmissions, deviations, audit findings, and complaints with contract partners creates risks and<br \/>\nhinders operational efficiency.<\/p>\n<p>One way to avoid these problems is by investing in technology that enhances collaboration and the<br \/>\nsharing of relevant data \u2014 both internally, across functions, and between sponsors and contract<br \/>\npartners such as CDMOs and CROs. Cloud-based solutions gather information in one system and<br \/>\nprovide access to real-time quality, regulatory, and manufacturing data for all collaborators within<br \/>\nand outside of a company\u2019s boundaries (see <strong>Figure 2<\/strong>).<\/p>\n<p><img decoding=\"async\" class=\"img-responsive mw-700\" alt=\"\" src=\"\/eu\/wp-content\/uploads\/2024\/10\/Mitigate-Drug-Shortage-Risks-by-Improving-Internal-and-External-Collaboration-graphic-2.png\"> <\/p>\n<p>When configuring these applications, each company decides what data and documentation each<br \/>\nof its external partners should have access to, in what form, and with what frequency. This ability to<br \/>\ntailor how partners receive information guarantees security while giving contract partners access to<br \/>\nthe most relevant, up-to-date quality information directly from the sponsor\u2019s quality management or<br \/>\ndocument management system (QMS or DMS). It also allows companies to configure solutions so<br \/>\nthat external partners can add information directly into their digital systems, eliminating the need for<br \/>\nemailing and rounds of verification, and reducing secondhand data-entry errors.<\/p>\n<p>This approach is streamlining processes for sponsors and contract partners alike. Karyopharm<br \/>\nTherapeutics is taking this approach with Vault QualityDocs to <a href=\"\/customer-stories\/collaborating-with-partners-in-vault-qualitydocs-at-karyopharm-therapeutics\/\">handle documentation with its<br \/>\nsuppliers<\/a>. Using the application, vendors can upload relevant quality and regulatory documents<br \/>\ndirectly into the sponsor\u2019s DMS, eliminating manual data entry, verification, and rounds of emailing.<br \/>\n\u201cVendor access is limited to what they can see, we don\u00b4t have to email documents, and we can find<br \/>\nthe documentation very easily,\u201d says Maria Conklin, associate director of QC.<\/p>\n<p>Meanwhile, a diversified pharma company has configured Vault QMS so that customers and suppliers<br \/>\nalike can key information directly into the system for audit findings and corrective and preventive<br \/>\nactions (CAPAs). Extending its QMS to partners has led to significant improvements in efficiency<br \/>\nand decreased costs. The company is already working on extending this collaborative approach to<br \/>\ncomplaints and deviations.<\/p>\n<h2>Expediting post-approval changes<\/h2>\n<p>Connected, cloud-based systems can also streamline the management of post-approval<br \/>\nmanufacturing changes, one of many root causes of drug shortages. Traditional approaches to<br \/>\nchange control use disconnected data, resulting in manual processes that delay batch release and<br \/>\nproduct availability. They require frequent communication and the close coordination of efforts<br \/>\namong production, quality, and regulatory teams.<\/p>\n<p>Each of these manual processes can entail hundreds of different steps and detailed interactions<br \/>\namongst cross-functional teams as they work to track down historical data and documents. For<br \/>\ninstance, if a manufacturing process or specification has changed, regulatory teams must see which<br \/>\ncountries and internal documents will be affected, while supply chain teams would need to look at<br \/>\ndata for individual product information. Using legacy approaches, it is difficult and time-consuming<br \/>\nfor teams to find and verify the information and documentation required.<\/p>\n<p>Today, the typical large biopharma company contends with thousands of these changes globally<br \/>\neach year \u2014 as many as 200 per product. Processing each change can take between six months<br \/>\nand two years to complete, due to lack of visibility into separate data and limited integration between<br \/>\nsystems that include QMS, RIM, LIMS, and ERP.<\/p>\n<p>The result is a significant amount of manual work, as well as redundant data and work steps,<br \/>\nincluding meetings, phone calls, and emails. Connecting quality to RIM systems eliminates data<br \/>\ndisconnects and enables process automation, reducing the time and effort required for change<br \/>\nmanagement. <strong>Figure 3<\/strong> shows how an integrated system works, including DMS and learning<br \/>\nmanagement systems.<\/p>\n<p><img decoding=\"async\" class=\"img-responsive mw-700\" alt=\"\" src=\"\/eu\/wp-content\/uploads\/2024\/10\/Mitigate-Drug-Shortage-Risks-by-Improving-Internal-and-External-Collaboration-graphic-3.png\"> <\/p>\n<p>Among the companies adopting this approach is Moderna Therapeutics. Linking its regulatory<br \/>\nand quality applications has led to <a href=\"\/resources\/white-paper-streamline-change-control-for-generics-organizations\/\">significant reductions<\/a> in the time needed for regional impact<br \/>\nassessments and last-minute coordination with supply chain and regulatory departments. \u201cNow, the<br \/>\ndata and information needn\u2019t be requested or sit in someone\u2019s inbox for two days,\u201d notes Juhi Saxena,<br \/>\nassociate director of regulatory and clinical platforms.<\/p>\n<h3>Conclusion<\/h3>\n<p>There is no single remedy for drug shortages, but a growing number of companies are reducing risks<br \/>\nand increasing agility by modernizing the way they approach quality and regulatory management,<br \/>\nunifying across people, partners, and systems. Some are going one step further by connecting<br \/>\nquality with regulatory data and documentation to eliminate manual processes. The result is better<br \/>\ncollaboration \u2014 both internally, across functions, and with external partners \u2014<br \/>\nto speed availability of treatments to<br \/>\nthe patients who need them.<\/p>\n<p>To learn more about how your peers are using these approaches to improve operational excellence<br \/>\nand minimize supply disruptions, and how ³Ô¹Ï±¬ÁÏ is optimizing its quality and regulatory platform to<br \/>\nmeet these needs, please contact <a href=\"mailto:sofia.lange@veeva.com\">Sofia Lange<\/a>, director of strategy for quality and manufacturing,<br \/>\nor <a href=\"mailto:vicki.cookson@veeva.com\">Vicki Cookson<\/a>, enterprise strategy lead for regulatory affairs, at ³Ô¹Ï±¬ÁÏ Systems.<\/p>\n<p>See how <a href=\"\/resources\/white-paper-streamline-change-control-for-generics-organizations\/\">³Ô¹Ï±¬ÁÏ streamlines change control<\/a>.<\/p>\n<p><footnotes><\/p>\n<hr>\n<p><sup>1<\/sup> U.S. Senate Committee on Homeland Security, \u201cShort Supply: The Health and National Security Risks of Drug Shortages,\u201d Final Report,<br \/>\nJune 6, 2023. <br \/>\n<sup>2<\/sup> Lovelace, B. <a href=\"https:\/\/www.nbcnews.com\/health\/health-news\/drug-shortages-causing-hospitals-skip-delay-ration-care-survey-finds-rcna99007\" target=\"_blank\" rel=\"noopener noreferrer\">\u201cOne in Three US Hospitals Severely Affected by Drug Shortages, Survey Finds,\u201d<\/a> NBC News, August 10, 2023. <br \/>\n<sup>3<\/sup> PGEU, <a href=\"https:\/\/www.pgeu.eu\/wp-content\/uploads\/2023\/01\/Medicine-Shortages-PGEU-Survey-2022-Results-1.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">\u201cMedicine Shortages Survey Results,\u201d<\/a> 2022. <br \/>\n<sup>4<\/sup> <a href=\"https:\/\/www.ashp.org\/drug-shortages?loginreturnUrl=SSOCheckOnly\" target=\"_blank\" rel=\"noopener noreferrer\">American Society of Hospital Pharmacists Webpage on Drug Shortages<\/a>, 2022. <br \/>\n<sup>5<\/sup> FDA, <a href=\"https:\/\/wayback.archive-it.org\/7993\/20191216101654\/https:\/www.fda.gov\/media\/132059\/download\" target=\"_blank\" rel=\"noopener noreferrer\">\u201cDrug Shortages: Root Causes and Potential Solutions,\u201d<\/a> 2019.<br \/>\n<sup>6<\/sup> EMA, <a href=\"https:\/\/www.ema.europa.eu\/en\/documents\/regulatory-procedural-guideline\/good-practices-industry-prevention-human-medicinal-product-shortages_en.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">\u201cRegulatory Procedural Guidelines for the Prevention of Drug Shortages,\u201d<\/a> 2023.<br \/>\n<sup>7<\/sup> EMA, <a href=\"https:\/\/www.ema.europa.eu\/en\/human-regulatory-overview\/research-development\/data-medicines-iso-idmp-standards-overview\" target=\"_blank\" rel=\"noopener noreferrer\">\u201cData on Medicines (ISO IDMP Standards) Overview,\u201d<\/a> 2016.<br \/>\n<sup>8<\/sup> FDA, <a href=\"https:\/\/www.fda.gov\/industry\/fda-data-standards-advisory-board\/pharmaceutical-quality-chemistry-manufacturing-controls-pqcmc\" target=\"_blank\" rel=\"noopener noreferrer\">\u201cPharmaceutical Quality \u2013 Chemistry, Manufacturing &#038; Controls (PQ\/CMC),\u201d<\/a> 2023.<br \/>\n<sup>9<\/sup> EMA, ICH Q12 <a href=\"https:\/\/www.ema.europa.eu\/en\/documents\/scientific-guideline\/ich-guideline-q12-technical-and-regulatory-considerations-pharmaceutical-product-lifecycle-management-step-5_en.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">\u201cGuidelines for Considerations of Pharmaceutical Product Lifecycle Management,\u201d<\/a> 2023.<br \/>\n<sup>10<\/sup> EC, <a href=\"https:\/\/eur-lex.europa.eu\/legal-content\/EN\/TXT\/?uri=CELEX%3A52023PC0193\" target=\"_blank\" rel=\"noopener noreferrer\">\u201cAmendment to the Proposal for Regulation of Medical ³Ô¹Ï±¬ÁÏ to be Authorized by the Union,\u201d<\/a> 2023.<br \/>\n<sup>11<\/sup> \u201cPredicted Growth in the Outsourcing R&#038;D Sector\u201d, TechTeamz.io, March 28, 2023.<br \/>\n<\/footnotes><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Global drug shortages are at record levels. Real-time unified data access is crucial for mitigating shortages in collaboration with external partners.<\/p>\n","protected":false},"featured_media":75676,"parent":0,"template":"","class_list":["post-79924","resources","type-resources","status-publish","has-post-thumbnail","hentry","resource-html-content-yes","resource-area-20-quality","resource-product-20-qms","resource-product-20-qualitydocs","resource-type-white-papers"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.veeva.com\/eu\/wp-json\/wp\/v2\/resources\/79924"}],"collection":[{"href":"https:\/\/www.veeva.com\/eu\/wp-json\/wp\/v2\/resources"}],"about":[{"href":"https:\/\/www.veeva.com\/eu\/wp-json\/wp\/v2\/types\/resources"}],"version-history":[{"count":1,"href":"https:\/\/www.veeva.com\/eu\/wp-json\/wp\/v2\/resources\/79924\/revisions"}],"predecessor-version":[{"id":79925,"href":"https:\/\/www.veeva.com\/eu\/wp-json\/wp\/v2\/resources\/79924\/revisions\/79925"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.veeva.com\/eu\/wp-json\/wp\/v2\/media\/75676"}],"wp:attachment":[{"href":"https:\/\/www.veeva.com\/eu\/wp-json\/wp\/v2\/media?parent=79924"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}