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WHO Guideline for the prequalification assessment of insecticide-treated nets

WHO Guideline for the prequalification assessment of insecticide-treated nets


The purpose of the guideline is to provide information to stakeholders on the necessary requirements for a complete prequalification dossier for insecticide-treated nets (ITNs). Its aim is to establish the baseline for dossier requirements which are necessary to assess ITN products for the purposes of prequalification, describe the data requirements for fulfilling each dossier module, and to provide standardized information for applicants and testing facilities generating data for ITN prequalification dossiers. The document is supported by implementation guidance documents which provide specific information and considerations for how applicants may approach the generation of supporting information and compilation of a complete product dossier.

WHO Guideline for the prequalification assessment of insecticide-treated nets


 

Implementation of the WHO Guideline for the prequalification assessment of insecticide-treated nets

The WHO Guideline for the prequalification assessment of ITNs includes requirements for additional studies and more detailed information pertaining to the formulation, manufacturing, and physical chemical characteristics of ITNs.

To ensure that all prequalified products comply with the full requirements of the updated ITN guideline, updated product dossiers are required. It is imperative that the updated information submitted, including any previously submitted and/or reviewed studies are relevant to the current manufacturing process and formulation.  

All products are required to meet the requirements of the updated guideline.

The deadlines and requirements for submission of updated product dossiers are summarized below. Full details can be found here: Implementation PlanFor those products that are already prequalified, the deadlines and requirements differ depending on whether the product was prequalified based on a claim of equivalence. For those products that are currently under assessment or that are nearing submission with a planned submission date prior to 30 June, 2025, the applications will be screened based on the previous requirements, and a timeline for completing any outstanding information that is necessary to meet the new guideline requirements will be required as part of the assessment process or as a post-PQ commitment. For any ITN product submitted after the 30 June, 2025, product dossiers are expected to satisfy the updated guideline requirements. 

Prequalified products and products that are under assessment or nearing submission:

  •  Prequalified products
    • Not based on a claim of equivalence Submit Module 3, 4, 5 requirements for assessment by 31 December 2024
    • Based on a claim of equivalence - Submit a complete product dossier for assessment by 31 December 2025
  • Full requirements for each module here: Implementation Plan (slides 4-7)

Products that are under assessment or nearing submission:

  • Proposed products currently under assessment or submitted before 30 June 2025:
    •  Applications will be screened based on the previous requirements.
    • Updated forms and templates providing all of the required information that does not require the generation of new data must be submitted as part of the product dossier.
    • During application assessment, any data gaps in the dossier that are linked to the new guidelines will be identified. All data gaps must be filled. The timeline for filling the data gaps depends on the nature of the gap, and may be required as either part of the application assessment or included as Post-PQ commitments. 
  • Full details here: Implementation Plan (slide 8)

Proposed products submitted after 30 June 2025:

  • Submitted product dossiers are expected to comply with the new guideline 
  • Full details here: Implementation Plan (slide 9)

 

The full implementation plan can be found here: Implementation Plan

Related to:

Document title:

Current version

Publication Date

Identification of changes

Parent guideline

Glossary of terms

November 2023

15/12/2023

 

1. Module 1

1.1 Module 1 Data Requirements Table

November 2023

15/12/2023

 

1.2 Module 1 Index

November 2023

15/12/2023

 

2. Module 2

2.1 Module 2 Data Requirements Table

November 2023

15/12/2023

 

2.2 Module 2 Index

November 2023

15/12/2023

 

2.3 IG - Module 2 Summary of Quality Dossier Template

November 2023

15/12/2023

 

3. Module 3

3.1   Module 3 Data Requirements Table

November 2023

15/12/2023

 

3.2   Module 3 Index

November 2023

15/12/2023

 

3.3   IG - Declaration of product formulation

November 2023

15/12/2023

 

3.3.1 IG – Template DPF for incorporated ITN Fabric

November 2023

15/12/2023

 

3.3.1.1 Example DPF for Single AI incorporated fabric

November 2023

15/12/2023

 

3.3.1.2 Example DPF for Dual AI incorporated fabric

November 2023

15/12/2023

 

3.3.2 IG – Template DPF for coated ITN fabric

November 2023

15/12/2023

 

3.3.2.1 Example DPF for Single AI coated fabric

November 2023

15/12/2023

 

3.4   IG – Product Manufacturing Details – ITN

April 2024

19/04/2024

Clarification on the declaration of the batch size

3.4.1 IG – Template DMS

November 2023

15/12/2023

 

3.5   IG – Declaration of ITN construction and sampling procedure

April 2024

02/04/2024

Clarification on the number of samples for the accelerated and real time storage stability attribute in Table 1

3.5.1 IG – Declaration of ITN construction and sampling - Template November 2023 15/12/2023  

3.6.1 IG – Verification of denier and tensile strength

November 2023 15/12/2023  

3.7   IG – Determination of Mesh size

November 2023

15/12/2023

 

3.8 IG – Flammability

November 2023

15/12/2023

 

3.9   IG – Snag strength

November 2023

19/12/2023

 

3.10   IG – Abrasion

November 2023

19/12/2023

 

3.11 IG – Resistance to hole formation

November 2023

19/12/2023

 

3.12 IG – Regeneration study for ITN fabric

November 2023

15/12/2023

 

3.13 IG – Cone test

November 2023

15/12/2023

 

3.14 IG – Tunnel test

November 2023

15/12/2023

 

3.15 IG – IACT

November 2023

15/12/2023

 

3.16 IG – Considerations for the selection of controls

November 2023

15/12/2023

 

3.17 IG - Thresholds

November 2023

15/12/2023

 

3.18 IG - Supporting data considerations for the use of novel bioassays

November 2023

15/12/2023

 

3.19 IG – Wash resistance study for ITN fabric

January 2024

24/01/2024

Section 12.2.1.3 - Corrected title and formula

3.20 IG – Determination of wash resistance index test for ITN fabric

February 2024

23/2/2024

Clarification of the test difference with respect to the CIPAC MT195 method

3.21 IG – Strain selection

November 2023

15/12/2023

 

3.21.1 IG –MSMS

November 2023

15/12/2023

 

3.21.1.1 IG – Template MSMS

November 2023

15/12/2023

 

3.22 IG – Storage stability

December 2023

 

 

 

April 2024

19/12/2023

 

 

 

02/04/2024

Deletion of reference to seam testing for abrasion, hole formation and snag strength tests

Clarification on the presentation and interpretation of the results (section 4) and number of samples (section 3.4)

3.23 IG – Manufacturing release specifications

November 2023

15/12/2023

 

3.24 IG - Post-storage and in use tolerances in relation to the manufacturing release specifications

 

Future requirements/ in progress for consultation in 2024

 

3.25 Storage stability (future)

 

Future requirements/ in progress for consultation in 2024

 

4. Module 4

4.1 Module 4 Data requirements table

November 2023

15/12/2023

 

4.2   Module 4 Index

November 2023

15/12/2023

 

5. Module 5

 

5.1 Module 5 Data requirements table

November 2023

15/12/2023

 

5.2   Module 5 Index

November 2023

15/12/2023

 

5.3   IG – Semi-field studies

November 2023

15/12/2023

 

5.4   IG – Experimental hut

November 2023

15/12/2023

 

5.5   IG – IACT

November 2023

15/12/2023

 

5.6   IG – Cone test

November 2023

15/12/2023

 

5.7   IG – Tunnel test

November 2023

15/12/2023

 

5.8   IG – Considerations for the selection of controls

November 2023

15/12/2023

 

5.9   IG – Thresholds

November 2023

15/12/2023

 

5.10   IG – Supporting data considerations for the use of novel bioassays

November 2023

15/12/2023

 

5.11   IG – Strain selection

November 2023

15/12/2023

 

5.11.1 IG – MSMS

November 2023

15/12/2023

 

5.11.2 IG – Template MSMS

November 2023

15/12/2023

 

5.12 IG – Wire ball test

November 2023

15/12/2023

 

5.13 IG - Community Studies

 

 

In progress for consultation in 2024

 

6. Module 6

6.1   Module 6 Data requirements table

November 2023

15/12/2023

 

6.2   Module 6 Index

November 2023

15/12/2023

 

7. Module 7

7.1   Module 7 Data requirements table

 

In progress for consultation in 2024

 

7.2   Module 7 Index

 

In progress for consultation in 2024

 

The following assessments were conducted to present human health hazard and risk assessments for insecticide-treated nets (ITNs). This includes factory-coated or incorporated ITNs. These assessments may be used by applicants, regulatory authorities and other stakeholders as examples of the implementation of the Generic risk assessment model for insecticide-treated nets, 2nd edition (WHO, 2018).

The product characteristics utilized in the assessments, including the fabric weight (g/m2) and concentration of formulants (g active ingredient/kg net), were selected as representative values which exemplify currently prequalified ITN products.

The assessments are not intended to place a limit on the possible concentration of insecticide or synergist formulants in an ITN, nor are the selected values intended to represent the maximum concentration of formulants at which the assessed risks may become unacceptable.

In support of new product applications or change applications submitted to PQT/VCP, applicants may include reference to these documents as part of the product dossier; however, applicants must determine if the design of their product or certain characteristics would require altering the presented risk assessment to properly reflect and assess the proposed product.

Generic Risk Assessment-Human Health: ITNs formulated with Alpha-cypermethrin

Generic Risk Assessment-Human Health: ITNs formulated with Deltamethrin

Generic Risk Assessment-Human Health: ITNs formulated with Permethrin

Generic Risk Assessment-Human Health: ITNs formulated with Piperonyl-Butoxide