marketing authorisation via decentralised and mutual recognition procedures

The Decentralised and Mutual Recognition procedures are European authorisation procedures based on the principle of recognition of the assessment by the Reference Member State (RMS).

Mutual Recognition Procedure
In the case of the Mutual Recognition procedure, the RMS has already issued a marketing authorisation. The RMS's assessment report forms the basis for requesting the other Member States' mutual recognition of the marketing authorisation (including the Summary of Product Characteristics (SPC), package leaflet and labelling text), unless they have objections on the grounds of a potentially serious risk to public health. In such situations, further discussions will be held in the Coordination group for Mutual recognition and Decentralised procedures (CMD(h)).

Decentralised procedure
The Decentralised procedure may be used to obtain a marketing authorisation in several Member States when the applicant does not yet have a marketing authorisation in any country.

The applicant requests one country to be the Reference Member State (RMS) in the procedure. After 70 days the RMS circulates the first Draft assessment report. The Concerned Member States (CMS) and the applicant can then make their comments. On the 120th day of the assessment procedure, the RMS circulates another Draft assessment report, including comments on the SPC, package leaflet and labelling texts. There is also a Mutual Recognition Procedure during the next 90 days, in which other Member States generally adopt the RMS's assessment, unless they have important objections on the grounds of a potentially serious risk to public health. In such situations, further discussions will also be held in the Coordination group for Mutual recognition and Decentralised procedures (CMD(h)).

Once a positive opinion on products has been taken in the Mutual Recognition and Decentralised procedure, Dutch translations of the SPC, package leaflet and labelling texts are submitted and a national marketing authorisation is issued.

A summary of all the products that have been accepted through the Decentralised and Mutual recognition procedure is published in the European Product Index on the website of the Heads of Medicines Agencies (HMA) (www.hma.eu/mri.html)

CMD(h)
The Coordination group for Mutual Recognition and Decentralised procedures (CMD(h)) is the European consultative body with responsibility for the proper functioning of the Mutual Recognition and Decentralised procedures. CMD(h) is a group composed of the Heads of Medicines Agencies (HMA). They can discuss any procedural or scientific questions in the procedure. Each Member State has one representative in the group. These representatives may be accompanied by experts if necessary. Any products that have been referred for discussion on the grounds of a potentially serious risk to public health are also discussed in the CMD(h).

The HMA website www.hma.eu/cmdh.html provides further information on CMD(h) meetings, as well as on SOPs and Guidance Documents that have been drafted for the Decentralised and Mutual recognition procedure.

In the case of medicinal products authorised after 30 October 2005, a public assessment report, including the approved SPC and package leaflet, will be published on the European Product Index.

Information on how to contact MEB or CMD(h) representatives can be found via Contact.

Requests for the MEB to act as a Reference Member State (RMS)
Formal requests for the MEB to act as RMS in the Decentralised and Mutual Recognition procedure must be submitted to the MEB in writing. You can use the RMS request form to send the request to the head of the relevant Pharmaco-Therapeutic group or to the Botanicals & Novel Foods unit. A possible time frame will then be determined in mutual consultation.

An intention to submit a request for the MEB to act as a Reference Member State in the Mutual Recognition procedure should preferably be announced upon submitting the national application.

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