Updates on ISO 14155 and N=1 Therapeutics Discussed by TGA
Investigators need to modify trial protocols and safety reporting mechanisms in line with the latest ISO 14155 updates to ensure compliance for upcoming high-risk clinical trials.
TGA issued a safety update alerting health professionals to FluMist administration errors in children under 2 years and reinforcing the indicated age range (≥24 months to <18 years).
Off-label use in younger children carries risks of hospitalisation and wheezing; errors are widespread (116 of 161 reports).
Confirm child is 24 months or older before administering FluMist; review Product Information; verify patient age against indication.
Regulatory Intelligence Lead
single-event
Confirm child is 24 months or older before administration. Review Product Information including indication and contraindications.
Confirm child is 24 months or older before administering FluMist; review Product Information; verify patient age against indication.
TGA reports 116 administration errors of FluMist in children under 2 years, based on 161 adverse event reports from May 2026 database search. Early clinical data showed increased hospitalisation (6-11 months) and wheezing (6-23 months). Health professionals must confirm age ≥24 months before administration.
What changed: TGA issued a safety update alerting health professionals to FluMist administration errors in children under 2 years and reinforcing the indicated age range (≥24 months to <18 years).
Why it matters: Off-label use in younger children carries risks of hospitalisation and wheezing; errors are widespread (116 of 161 reports).
Practical implication: Confirm child is 24 months or older before administering FluMist; review Product Information; verify patient age against indication.
Published from the Firecrawl agent regulatory extraction pipeline.
Investigators need to modify trial protocols and safety reporting mechanisms in line with the latest ISO 14155 updates to ensure compliance for upcoming high-risk clinical trials.
Safety lead to: (1) perform a UK-clinical-trial safety reporting gap assessment against MHRA’s effective guidance sections (MedDRA coding; AE/SAE; RSI governance; SUSARs; annual safety reporting; USMs; serious breaches; temporary suspension), (2) update controlled SOPs/WIs and training records to reflect “effective” status as of 28 Apr 2026, and (3) document deviations/gaps and open CAPA where needed for ongoing UK trials and new submissions.
Sponsors and MAHs must review and align safety data collection and reporting protocols with the newly adopted guidelines while preparing for implementation of PRAC recommendations stemming from this meeting.
Healthcare facilities must utilize the new checklist during inspections to conduct gap analyses and ensure compliance with reporting requirements associated with their vigilance systems.