Marketing Authorisation Routes in the EU · Marketing Authorisation Routes in the EU The EU...
Transcript of Marketing Authorisation Routes in the EU · Marketing Authorisation Routes in the EU The EU...
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An agency of the European Union
Marketing Authorisation Routes in the EU The EU medicines regulatory system and the European Medicines Agency: an introduction for international regulators and non-governmental organisations 18 September 2017
Presented by Maria Nieto-Gutierrez Procedure Management Department
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International Regulators – Awareness Session 1
Contents
Who grants MA in the EU
National procedures
Mutual recognition and decentralised procedures
Centralised procedures
Pricing and reimbursement
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International Regulators – Awareness Session 2
Contents
Who grants MA in the EU
National procedures
Mutual recognition and decentralised procedures
Centralised procedures
Pricing and reimbursement
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Who grants a MA in the EU?
• To protect public health and ensure the availability of high quality, safe and effective medicines for European citizens, all medicines must be authorised before they can be placed on the market in the EU.
• 50 years of EU pharmaceutical legislation
In 1965 the first EU law on medicinal products was adopted
Progressive harmonisation of requirements for the granting of marketing authorisations and post-marketing monitoring has been implemented across the entire EU
• The data requirements and standards governing the authorisation of medicines are the same in the EU.
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4 4 International Regulators – Awareness Session
Who grants a MA in the EU?
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Authorisation by a single MS
Authorisation by several MSs, based on assessment by
Reference MS
Authorisation by European
Commission, based on assessment by
EMA, valid in all MSs
Who grants a MA in the EU?
International Regulators – Awareness Session
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Who grants a MA in the EU?
Depending on:
• Type of product
• Authorisation history in EU
• Regulatory & marketing strategy
Different authorisation routes: one set of
common rules
International Regulators – Awareness Session
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International Regulators – Awareness Session 7
Contents
Who grants MA in the EU
National procedures
Mutual recognition and decentralised procedures
Centralised procedures
Pricing and reimbursement
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• The majority of medicines available in the EU are authorised at national level:
Authorised before EMA creation Not in the scope of the centralised procedure
• Each EU Member State has its own national authorisation procedures
National procedures
International Regulators – Awareness Session
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International Regulators – Awareness Session 9
Contents
Who grants MA in the EU
National procedures
Mutual recognition and decentralised procedures
Centralised procedures
Pricing and reimbursement
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Mutual recognition procedures (MRP)
• Principle of recognition of an already existing national MA by one or more EU Member States
Allows Member States to rely on each other’s scientific assessments.
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• No existing MA in the EU
Decentralised procedure (DCP)
Simultaneous authorisation in more that one Member State
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International Regulators – Awareness Session 12
Contents
Who grants MA in the EU
National procedures
Mutual recognition and decentralised procedures
Centralised procedures
Pricing and reimbursement
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• One single MA application to EMA
• Compulsory for most innovative medicines, including rare diseases.
• One assessment procedure (scientific committee’s opinion) based on individual assessments by Member States
• Common decision making process (one European Commission decision)
• One MA valid in all EU member states and EEA
• Transparent evaluation
Centralised procedures
International Regulators – Awareness Session
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What is the benefit of the centralised procedure for EU citizens?
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•Wider/quicker access to medicines for patients
•Safer medicines for humans and animals
•Better and equal information for EU citizens
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International Regulators – Awareness Session 15
Contents
Who grants MA in the EU
National procedures
Mutual recognition and decentralised procedures
Centralised procedures
Pricing and reimbursement
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Pricing and reimbursement • Health technology assessment (HTA) bodies provide recommendations on medicines that can
be financed or reimbursed by the healthcare system in a particular EU Member State or region.
• The assessment criteria used by HTA bodies differ between EU Member States, in accordance with
regional and national legislation.
• The EMA has been working closely with HTA bodies since 2008.
EMA offers consultations in parallel with European Network for Health Technology Assessment
(EUnetHTA) as of July 2017. The procedure is a single gateway for parallel consultations with EMA,
EUnetHTA and HTA bodies on their evidence-generation plans.
• A close interaction between regulators, HTA bodies and other relevant bodies is critical to enable
patients’ access to important new medicines.
International Regulators – Awareness Session
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Any questions?
[email protected] European Medicines Agency 30 Churchill Place • Canary Wharf • London E14 5EU • United Kingdom Telephone +44 (0)20 3660 6000 Facsimile +44 (0)20 3660 5555 Send a question via our website www.ema.europa.eu/contact
Further information
Follow us on @EMA_News
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An agency of the European Union
The role of EMA The EU medicines regulatory system and the European Medicines Agency: an introduction for international regulators and non-governmental organisations 18 September 2017
Presented by Maria Nieto-Gutierrez and Helena Matos Procedure Management Department
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International Regulators – Awareness Session 1
Contents
The role of EMA
Evaluation of medicines
Safety monitoring of medicines
Development and access to medicines
Transparency
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International Regulators – Awareness Session 2
Contents
The role of EMA
Evaluation of Medicines
Safety Monitoring of Medicines
Development and Access to Medicines
Transparency
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• Decentralised agency of the EU
• Founded in 1995
• Located in London until March 2019
• Reg. (EC) No 726/2004 [previously Reg. (EEC) No 2309/93/EC]
• Scientific secretariat responsible for coordinating the existing scientific resources put at its disposal by Member States for the evaluation, supervision and pharmacovigilance of medicinal products*
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* Art. 55 of Reg. (EC) No 726/2004
The role of EMA
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4 International Regulators – Awareness Session
The role of EMA Who do we work for?
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• Centralised procedure, via EMA;
• National licence, Mutual recognition procedure, Decentralised procedure, via NCAs.
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Who do we work with?
The role of EMA
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Evaluate marketing
authorisation applications
Monitor the safety of medicines
throughout their life cycle
Provide information
on medicines to healthcare
professionals and patients
Facilitate development and access to
medicines
International Regulators – Awareness Session
The role of EMA What do we do?
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International Regulators – Awareness Session 7
Contents
The role of EMA
Evaluation of medicines
Safety monitoring of medicines
Development and access to medicines
Transparency
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• The EMA’s scientific committees provide independent recommendations on medicines for human and veterinary use, based on a comprehensive scientific evaluation of data.
• EU experts participate in the work of EMA as members of its scientific committees, working parties, scientific advisory groups, or as members of the national assessments teams that evaluate medicines.
• Increasingly, patients and healthcare professionals (HCP) are involved in the work of the Agency including evaluation of medicines.
• By working together, Member States reduce duplication, share the workload and ensure an efficient and effective regulation of medicines across the EU.
8 International Regulators – Awareness Session
Evaluation of medicines
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EMA
Committee for
Veterinary Medicinal Products CVMP
Committee for Advanced
Therapies CAT
Committee for Human
Medicinal Products CHMP
Committee for Herbal
HMPC
Paediatric Committee
PDCO
Committee for Orphan Medicinal Products COMP
PhV Risk Assessment Committee
PRAC Industry Organisations
Patients and HCP Representatives Working Parties
PCWP & HCPWP
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The EMA’s scientific committees
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Composition of scientific committees: • 1 member + 1 alternate nominated by each of the 28 EU MS
• 1 member + 1 alternate from NO and IS (observers)
• Co-opted members for specific expertise on scientific or technical matters
• Elected Chair and Vice-Chair
• 3 years renewable mandate
Diversity: Exchange of knowledge, ideas and best practise striving the highest scientific standards.
Impartiality: EMA policy on Handling Conflicts of Interest. Public Declaration of Interest.
10 International Regulators – Awareness Session
The EU experts
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International Regulators – Awareness Session 11
Contents
The role of EMA
Evaluation of medicines
Safety monitoring of medicines
Development and access to medicines
Transparency
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• EMA continuously monitors and supervises the safety of medicines that have been authorised in the EU, to ensure that their benefits outweigh their risks.
• The Pharmacovigilance Risk Assessment Committee (PRAC) of EMA is dedicated to the safety of medicines.
• EMA coordinates the EU pharmacovigilance system and operates services and processes to support pharmacovigilance in the EU.
• EMA operates Eudravigilance, an EU web-based information system that collects, manages and analyses report of suspected side effects of medicines.
• Public hearings are now a tool available during EU safety reviews of medicines.
International Regulators – Awareness Session
Safety monitoring of medicines
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International Regulators – Awareness Session 13
Contents
The role of EMA
Evaluation of medicines
Safety monitoring of medicines
Development and access to medicines
Transparency
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• EMA is committed to enabling timely patient access to new medicines, and plays a vital role in supporting medicine development for the benefit of patients.
• EMA prepares scientific guidelines on requirements for the quality, safety and efficacy testing of medicines, reflecting the latest thinking on developments in biomedical science.
• EMA provides product-specific scientific advice through the Scientific Advice Working Party (SAWP).
• EMA supports research and innovation in the pharmaceutical sector, and promotes innovation and development of new medicines by European micro-, small- and medium-sized-enterprises.
International Regulators – Awareness Session
Development and access to medicines
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International Regulators – Awareness Session 15
Contents
The role of EMA
Evaluation of medicines
Safety monitoring of medicines
Development and access to medicines
Transparency
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• EMA strives towards being as open as possible about how it works and how it comes to its decisions.
• EMA publishes clear and impartial information about medicines and their approved uses. This includes transparency of agenda and minutes of committees, public versions of scientific assessment reports and summaries written in lay language.
• The public has the right to request information and documents from EMA in accordance with its rules on access to documents and on access to information.
• Since October 2016, EMA publishes clinical data submitted by pharmaceutical companies to support their regulatory applications for human medicines under the centralised procedure.
International Regulators – Awareness Session
Transparency
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Any questions?
[email protected]; [email protected] European Medicines Agency 30 Churchill Place • Canary Wharf • London E14 5EU • United Kingdom Telephone +44 (0)20 3660 6000 Facsimile +44 (0)20 3660 5555 Send a question via our website www.ema.europa.eu/contact
Further information
Follow us on @EMA_News
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An agency of the European Union
The EU Marketing Authorisation The EU medicines regulatory system and the European Medicines Agency: an introduction for international regulators and non-governmental organisations 18 September 2017
Presented by Rocio Gonzalo Ruiz Procedure Management Department
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International Regulators – Awareness Session 1
Contents
The Marketing Authorisation
The Centralized Procedure
Pre-Submission
Evaluation
Post Opinion
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International Regulators – Awareness Session 2
Contents
The Marketing Authorisation
The Centralized Procedure
Pre-Submission
Evaluation
Post Opinion
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Marketing authorisation EU law requires all medicinal products to obtain a Marketing Authorisation (MA) before they can be placed on the market.
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• Directive 2001/83/EC - The core
legislation governing the regulation of
drugs in EU
• National Law, implementing Directive
2001/83/EC at national level
• Regulation (EC) No 726/2004 – sets out
the centralised procedure
International Regulators – Awareness Session
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Choice of the authorisation route
Eligibility for centralised procedure has to be confirmed in advance of submission of the MA application
International Regulators – Awareness Session 4
Some products can now be authorised only via centralised
procedure (“mandatory CP
scope”)
For some the applicant can choose
either centralised procedure or
national/ MRP/ DCP procedure
(“optional CP scope”)
Some products are excluded from
centralised procedure (outside
of any CP scope)
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http://www.ich.org/products/ctd.html
Requirements for Marketing Authorisation
Dossier based on an internationally agreed CTD format.
International Regulators – Awareness Session 5
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International Regulators – Awareness Session 6
Contents
The EU Marketing Authorisation
The Centralized Procedure
Pre-Submission
Evaluation
Post Authorisation
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International Regulators – Awareness Session 7
A system based on Trust & Reliance
Benefit/Risk Evaluation
Individual Evaluation
Common Review
Connected Expertise
Transparent
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International Regulators – Awareness Session 8
Contents
The EU Marketing Authorisation
The Centralized Procedure
Pre-Submission
Evaluation
Post Authorisation
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Scientific Advice / protocol assistance Pipeline information
Request Eligibility for Centralised Procedure Request Invented name review
Letter of intent to submit Appointment of Rapporteurs
Innovation task force Orphan designation ATMP classification
Pre-submission for centralised procedure Request for accelerated assessment
SME designation
Presubmission meeting
Paediatric requirements
Mandatory steps
ATMP certification CHMP Opinion on compassionate use (triggered by MSs)
Priority medicines (PRIME) scheme launched in March
2016
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International Regulators – Awareness Session 10
Contents
The EU Marketing Authorisation
The Centralized Procedure
Pre-Submission
Evaluation
Post Authorisation
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Assessment process in centralised procedure
International Regulators – Awareness Session 11
Primary Evaluation
Clock Stop
Secondary Evaluation
Post Authorisation
D.1 D.120 D.121 D.210 D.277
List of Questions
Responses
-Pharmacovigilance -Variations -Extensions -Renewal
Validation
D.180
D. 180 Hearing?
Clock Stop
List of Outstanding
Issues
Final Ev.
D.181
Responses
Opinion EC decision
The system is collaborative, connected, and transparent
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Adoption of CHMP Opinion
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• The CHMP assessment and Opinion: based on scientific criteria
determine whether or not the products meet the quality, safety and efficacy requirements
ensure that medicinal products have a positive risk-benefit balance in favour of patients/users
• CHMP Opinion adopted by consensus or majority vote
• In case of majority vote – divergent opinions of minority included in the final documents.
Benefit
Risk
International Regulators – Awareness Session
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Types of marketing authorisations
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Am
oun
t of
Ev
iden
ce
Normal or Full
Conditional
Exceptional Circumstances
Type of Marketing Authorisation
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International Regulators – Awareness Session 14
Contents
The Marketing Authorisation
The Centralized Procedure
Pre-Submission
Evaluation
Post Opinion
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Centralised procedure (post-opinion)
• European Commission (EC) prepares draft decision
• Standing Committee on Medicinal Products for Human Use (representatives from
Member States) gives Opinion on the draft decision
• EC adopts the decision on granting (or refusing) Marketing Authorisation, which takes
effect from the data of notification
• Outcome is published by EC and EMA (including assessment reports and clinical data
The outcome of the decision is published in a transparent way! International Regulators – Awareness Session 15
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Any questions?
[email protected] European Medicines Agency 30 Churchill Place • Canary Wharf • London E14 5EU • United Kingdom Telephone +44 (0)20 3660 6000 Facsimile +44 (0)20 3660 5555 Send a question via our website www.ema.europa.eu/contact
Further information
Follow us on @EMA_News
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An agency of the European Union
Lifecycle Product Management The EU medicines regulatory system and the European Medicines Agency: an introduction for international regulators and non-governmental organisations 18 September 2017
Presented by Helena Matos Procedure Management Department
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International Regulators – Awareness Session 1
Contents
Post-Authorisation Activities
Renewal
Variations
PSUSA & RMP
PASS, PAES & PAMs
Other activities post authorisation
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International Regulators – Awareness Session 2
Contents
Post Authorisation Activities
Renewal
Variations
PSUSA & RMP
PASS, PAES & PAMs
Other activities post authorisation
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3
EU law requires the holder of the marketing authorisation (MA) to take account of scientific and technical progress and to keep the MA up to date with regards to its Quality,
Safety and Efficacy
PSUR/PSUSA
Variations
Sunset clause
Referral Urgent Safety Restrictions Withdrawal, Suspension
International Regulators – Awareness Session
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International Regulators – Awareness Session 4
Contents
Post Authorisation Activities
Renewal
Variations
PSUSA & RMP
PASS, PAES & PAMs
Other activities Post Authorisation
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5
Renewal of MA
Mar
keti
ng
Au
thor
isat
ion
V
alid
ity
Normal or Full 5 years
1 year
Conditional
Exceptional Circumstances
Type of Marketing Authorisation
1 year
Re-evaluation of risk/benefit
International Regulators – Awareness Session
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International Regulators – Awareness Session 6
Contents
Post Authorisation Activities
Renewal
Variations
PSUSA & RMP
PASS, PAES & PAMs
Other activities Post Authorisation
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7
An evaluation procedure adapted to the level of risk
Variations Do and tell
Changes requiring prior approval
Extension Type II Type IB Type IA Design space
Changes not requiring prior approval
Variations
International Regulators – Awareness Session
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International Regulators – Awareness Session 8
Contents
Post Authorisation Activities
Renewal
Variations
PSUSA & RMP
PASS, PAES & PAMs
Other activities Post Authorisation
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Period Safety Update Reports (PSURs)
9 International Regulators – Awareness Session
Periodic benefit risk evaluation
6 m
12 m
3 years
Cumulative safety data
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10
Risk Management Plan (RMPs)
International Regulators – Awareness Session
•Prospective planning based on the knowledge on the product
•Risk minimisation measures
•Ensuring effectiveness of RMM
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International Regulators – Awareness Session 11
Contents
Post Authorisation Activities
Renewal
Variations
PSUSA & RMP
PASS, PAES & PAMs
Other activities Post Authorisation
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12
Post-authorisation studies (PASS / PAES) & Post Authorisation Measures (PAMs)
• Regulators can require studies to be conducted at first authorisation / post-authorisation
• Study is a condition of the authorisation and is legally binding
• Protocol and final study results are submitted to the EMA (e.g. PAM)
International Regulators – Awareness Session
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International Regulators – Awareness Session 13
Contents
Post Authorisation Activities
Renewal
Variations
PSUSA & PAMs
RMP, PASS & PAES
Other activities Post Authorisation
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Other activities Post Authorisation
Overview of the European Regulatory System for Medicinal Products 14
Sunset clause
Urgent Safety Restriction
Referrals
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Referrals
15
• Triggered by issues on Q, S or E
• EU assessment of the impact on the benefit risk
• Harmonised outcome across the EU International Regulators – Awareness Session
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Any questions?
[email protected] European Medicines Agency 30 Churchill Place • Canary Wharf • London E14 5EU • United Kingdom Telephone +44 (0)20 3660 6000 Facsimile +44 (0)20 3660 5555 Send a question via our website www.ema.europa.eu/contact
Further information
Follow us on @EMA_News