Until
1998, the pharmaceutical industry could apply for a national approval. The
product can then only be sold in that particular EU country. A marketing
authorisation (MA) is valid for five years and after the first renewal, the MA
is valid for an unlimited period. In order to obtain an approval the product
must be submitted with an SPC (Summary of Products Characteristics) which is
the basis for the marketing of the product. For some products, i.e. products
intended for national use in one Member State only, it will be possible to use
the national procedure also after 1998.
The Mutual Recognition Procedure
Mutual
recognition means that EU countries may approve the decision made about a
medicinal product by another EU country. The pharmaceutical company submits
their application to the country chosen to carry out the assessment work, which
then approves or rejects the application. The other countries have to decide
within 90 days whether they approve or reject the decision made by the original
country. Two groups are working for the facilitation of the Mutual Recognition
Procedure : for human medicinal products, the CMD(h) ( Coordination Group for
mutual recognition and Decentralised procedures (human)), and for veterinary
medicinal products, the CMD(v)(Coordination Group for mutual recognition and Decentralised procedures
(veterinary)). If a member state cannot approve the assessment report, the
summary of product characteristics, the labelling and the package leaflet on
grounds of potential serious risk to human and animal health or to the
environment, a pre-referral procedure should be issued by the relevant
Co-ordination Group. If the Member State(s) fail to reach an agreement during
the 60-day procedure of the pre-referral, a referral to the CPMP/CVMP for
arbitration may be made through its secretariat at the EMEA.
The
decentralised procedure should be used for products that have not yet received
authorisation in an EU country. The applicant may request one or more concerned
Member State(s) to approve a draft assessment report, summary of product
characteristics, labelling and package leaflet as proposed by the chosen
reference Member State in 210 days. The two groups, CMD(h) and CMD(v), also
work for the facilitation of the decentralised procedures. If a member state
cannot approve the assessment report, the summary of product characteristics,
the labelling and the package leaflet on grounds of potential serious risk to
human and animal health or to the environment, a pre-referral procedure should
be issued by the relevant Co-ordination Group. If the Member State(s) fail to
reach an agreement during the 60-day procedure of the pre-referral, a referral
to the CPMP/CVMP for arbitration may be made through its secretariat at the EMEA.
An
approval for a medicinal product intended for use in all EU countries may be
obtained by applying to the EMEA (European Medicines Agency) in London. Within
the EMEA two scientific committees have been established : for human medicinal
products, the CPMP (Committee for Proprietary Medicinal Products) and for
veterinary medicinal products, the CVMP (Committee for Veterinary Medicinal
Products). These committees prepare an opinion preceeding the formal approval
by the Commission. The member states have one representative in each committee.
The assessment work of the application is done by any of the EU countries. When
EMEA has received a centralised application the responsible committee appoints
a rapporteur/co-rapporteur. On the basis of the opinion from the scientific
committees the Commission (or the Council) issues the formal decision to
authorise a product in the centralised procedure. The Commission is assisted in
the decision-making procedure by a Standing Committee with representatives from
each Member State.