MHRA Largest Seizure of Unlicensed Weight Loss Medicines
Review adverse event reports for potential links to counterfeit weight loss medicines; check product supply chain for unlicensed sources.
2 SOPs may need review
MHRA updated Windsor Framework PV guidance, clarifying where PSURs should be submitted for Category 1 vs Category 2 products and NI MAs, with related MHRA PV procedure updates to review.
1) Map portfolio to MHRA’s Category 1 vs Category 2/NI MA status referenced in the Windsor Framework PV guidance; 2) Update PSUR submission SOPs/work-instructions and submission trackers to ensure Category 1 PSURs route via the MHRA PSUR portal and Category 2/NI MA PSURs route via the EU PSUR Repository (and confirm when no separate MHRA submission is needed); 3) Re-check related MHRA PV procedure guidance for any additional submission/documentation expectations impacting signals, RMPs and PASS.
Regulatory Intelligence Lead (coordination) with Aggregate Reports Lead and QPPV oversight
Complete an internal routing/SOP check promptly; then monitor MHRA PV guidance pages for updates on a monthly cadence (or when MHRA update alerts are received).
MHRA’s “Pharmacovigilance following agreement of the Windsor Framework” guidance (updated 9 February 2026) clarifies PSUR submission routing: Category 1 PSURs should be submitted via the MHRA PSUR portal, while Category 2 PSURs (and NI MAs) should be submitted via the EU PSUR Repository and generally do not require a separate MHRA submission. Separately, MHRA’s “Guidance on pharmacovigilance procedures” (last updated 8 January 2025) describes MHRA’s PV approach and notes updates adding further detail on submission requirements (including for signals, RMPs and PASS), new PSUR submission requirements for products authorised in Northern Ireland, and added sections on MHRA Safety Reviews and Safety Communications.
PSUR submission routing is an operational compliance control: misclassification of a UK/NI product or use of the wrong submission channel (MHRA PSUR portal vs EU PSUR Repository) can create a risk of missed submissions or duplicate submissions under the post-Windsor Framework operating model described by MHRA. In addition, MHRA’s PV procedures guidance indicates evolving expectations around submissions and documentation—particularly for signals, RMPs and PASS—so PV and regulatory teams need to ensure their UK/NI processes, trackers, and handoffs align with MHRA’s current guidance and the NI-specific PSUR expectations referenced on the MHRA PV procedures page.
1) Map portfolio to MHRA’s Category 1 vs Category 2/NI MA status referenced in the Windsor Framework PV guidance; 2) Update PSUR submission SOPs/work-instructions and submission trackers to ensure Category 1 PSURs route via the MHRA PSUR portal and Category 2/NI MA PSURs route via the EU PSUR Repository (and confirm when no separate MHRA submission is needed); 3) Re-check related MHRA PV procedure guidance for any additional submission/documentation expectations impacting signals, RMPs and PASS.
Review adverse event reports for potential links to counterfeit weight loss medicines; check product supply chain for unlicensed sources.
2 SOPs may need review
Review product inventory for Tawon Liar; report any adverse events to FDA MedWatch; consider adding product to signal monitoring list; ensure labeling compliance checks for similar products.
2 SOPs may need review
Immediately quarantine and return unused MonaTherm probes from affected lots; review patient records for potential exposure and adverse events.
2 SOPs may need review
Marketing authorisation holders should prepare to update their COVID-19 vaccines to target the XFG variant for the upcoming campaign; monitor for further regulatory guidance and prepare for potential strain change submissions.
2 SOPs may need review