Risk Evaluation and Mitigation Strategies (REMS)

Maximize access. Manage risk. Plan for success.

Risk management is crucial to the value of your brand – and creating a Risk Evaluation and Mitigation Strategy (REMS) can be a challenging and complex process. Covance Market Access Services has the risk management expertise and REMS experience you need to succeed.

Whatever stage your product is in – from development to managing REMS requirements – we can help you design, implement, and manage a customized risk management program of any scope. Our history of REMS success is built on assured excellence, innovation, and on-time delivery.

What is a REMS?

The Food and Drug Administration Amendments Act of 2007 (FDAAA) included authorization to require the implementation of a REMS in order to ensure that the benefits of a drug outweigh its risks (positive benefit-risk balance). Evaluation of the need for a REMS should begin early in the drug development process and continue through approval and commercialization.

Covance offers a full spectrum of REMS services:

REMS/Regulatory Consulting

  • Attendance at pre-NDA meetings
  • Advisory Committee preparation (subject matter expertise consulting)
  • Assessment of likelihood of REMS requirements
  • Recommendations for REMS elements/design
  • REMS consulting in combination with reimbursement and patient assistance support, call center services, and post-marketing requirements

REMS Submissions

  • Preparation of proposed REMS, REMS supporting documents, and associated attachments

Medication Guides

  • Development of Medication Guides
  • Survey and protocol development, pre-testing, and operations
  • Data analysis and FDA reporting

Communication Plans

  • Materials design and development

Elements to Assure Safe Use (ETASU)

  • Database design and development for multiple stakeholders
  • Design and development of implementation systems
  • Analysis of data from external surveillance data systems (e.g., National Poison Data System)
  • Tracking of stakeholder training
  • Data analysis and FDA reporting
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