Essentials of European Medical Device Regulatory Affairs

AIMD – Active implantable medical device AITS – Adverse Incident Tracking System (medical devices sector) AKP – Alkaline phosphatase ALARP – As low as reasonably practical ALATF – As low as technically feasible (terminology superseded by “ALARP” – see above) ALIMS – Medicines and Medical Devices Agency (Serbia) ALL – Acute lymphocytic leukaemia ALT – Alanine aminotransferase (ALT = SGPT)

AM – Agence du Medicament (France) AMA – American Medical Association AMEG – AntiMicrobial advice ad hoc Expert Group

AMI – Acute myocardial infarct AML – Acute myeloid leukemia AMM – Autorisation de mise sur le marché (France) = Product licence AMP – Authorised medicinal product – but also: AMP – Auxiliary medicinal product AMR – Antimicrobial resistance

AMRH – African Medicines Regulatory Harmonisation ANADA – Abbreviated New Animal Drug Application (US) ANDA – Abbreviated new drug application ANDS – Abbreviated new drug submission (Canada) ANMV – Agence nationale du médicament vétérinaire (French vet medicines agency) ANOVA – Analysis of Variance ANPR – Advanced notice of proposed rulemaking (US)

ANSES – Agence Francaise de Securite Sanitaire des Aliments Agence nationale due medicament veterinaire ANSM – French regulatory agency ( Agence nationale de sécurité du médicament et des produits de santé) [formerly Afssaps ] ANZTPA – Australia New Zealand Therapeutic Products Agency (scheduled to come into force in 2016 – replacing Australia’s TGA and New Zealand’s Medsafe) AO – Auditing organisation AOAC – Association of Official Analytical Chemists (US) AP – Accredited person – but also: AP – Adaptive pathway APEC – Asia-Pacific Economic Cooperation APHIS – Animal and Plant Health Inspection Service (US) API – Active pharmaceutical ingredient

APLB – Advertising and Promotional Labeling Branch (FDA’s CBER) APMA – Australian Pharmaceutical Manufacturers Association APVA – Additional pharmacovigilance activities APVMA – Australian Pesticides and Veterinary Medicines Authority (Australia) AQL – Acceptable quality level AR – Adverse reaction – but also: AR – Assessment Report (EU)

ARMAs – Additional risk minimisation activities ARMMs – Additional risk minimisation measures ASAP – Accelerated Stability Assessment Program ASCII – American Standard Code for Information Interchange Quality Assurance ASDI– Acceptable single-dose intake ASEAN – Association of Southeast Asian Nations ASMF – Active Substance Master File ASPR – Anonymised single patient report (formerly ASPP – anonymised single patient printout) ASR – Annual safety report AST – Aspartate aminotransaminase (AST = SGOT) ATC – Anatomical – therapeutic – chemical (WHO) – but also:

ATC – Animal Test Certificate (UK) – and also: ATC Code – Anatomical Therapeutic Chemical Code ATC Vet Code – Anatomical Therapeutic Chemical Veterinary Code ATD – Access to documents (EMA policy ) – and also: ATD – Anti-tampering device ATECT – Advanced T-cell Engineering for Cancer Therapy ATF – Alcohol – Tobacco and Firearms (Bureau of) (US) ATMPs – Advanced therapy medicinal products (aka “advanced therapies”) ATU – Authorisation for temporary use AUC  – Area under the concentration time curve between zero and infinity AUCx – Area under the curve during a given time