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2025 Pharmacovigilance Reform: Shifting Toward a Risk Management-Centric FrameworkㅣSummary of Regulatory Changes and Strategic Responses for PV Professionals

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Insight
2026-05-08
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▶ Background Summary

As of February 2025, major pharmacovigilance (PV) laws and regulations have been amended, shifting the focus of "Post-Marketing Safety Management" entirely toward the Risk Management Plan (RMP). While operational procedures may not change abruptly in the short term, the management of RWD-based proactive surveillance and RMP implementation levels is expected to become the new practical standard for the industry in the mid-to-long term.


▶ Key Legislative & Regulatory Amendments

① Amendment to the Pharmaceutical Affairs Act (Effective Feb 20, 2025)

- The Post-Marketing Safety Management system has been integrated into the Risk Management Plan (RMP) framework.

- The conventional Re-examination System has been officially abolished.

- The industry is expected to move away from traditional PMS (Post-Marketing Surveillance) toward safety evaluations utilizing Real-World Data (RWD) and Real-World Evidence (RWE).

◎ Understanding RWD & RWE ◎

 · RWD (Real-World Data): Data relating to patient health status and/or the delivery of health care routinely collected from a variety of sources other than traditional clinical trials.

 · RWE (Real-World Evidence): Clinical evidence regarding the usage, potential benefits, and risks of a drug derived from the analysis of RWD.

 

② Amendment to the Regulation on Safety of Pharmaceuticals, etc. (Effective Feb 21, 2025)

- The scope of RMP submission and its components have been codified at the Prime Ministerial Decree level.

- Requirements previously based on non-binding guidelines (Industry Manuals) have been elevated to statutory standards.

- Submission requirements for clinical trial data and RMPs have been significantly strengthened.


③ Enactment of the Regulation on the Operation of Risk Management Plans (Effective Feb 28, 2025)

- Detailed requirements for RMP implementation duties, data submission/retention, and the role of the Qualified Person for Pharmacovigilance (QPPV).

- By formalizing these as official regulations, the intensity of compliance enforcement is likely to increase.


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▶ Strategic Responses for PV Professionals

Although these changes may not immediately disrupt daily workflows, they signal a fundamental transformation in PV practices. Professionals should prepare in the following areas:


✅ 1. Understanding the RMP-Centric Safety Management System 

The focal point is shifting from PMS-based surveillance to how thoroughly an RMP is designed and executed.

 Familiarize yourself with the legally mandated submission targets, components, and reporting cycles.


✅ 2. Addressing the Shift from "Guidelines" to "Legal Mandates" Materials previously submitted as 'recommendations' are now 'legal requirements' under the Prime Ministerial Decree.

 Enhance the precision of documentation and evidentiary support, as the bar for compliance has been raised.


✅ 3. Preparing for RWD-Based Evaluation and Signal Management Post-marketing safety evaluation now demands proactive strategies, including RWD/RWE analysis, going beyond reactive reporting.

 Establish systems and cross-functional collaborations to collect, analyze, and utilize data effectively beyond existing PMS structures.