No. Provided the product was withdrawn on purely commercial grounds, there is no longer any requirement to notify Swissmedic. However, if sale of the product has been restricted or stopped in other countries because of safety signals, these signals are subject to the mandatory notification requirement under Art. 59 TPA and Arts. 61 and 62 TPO. In such cases, Swissmedic has to be notified of the withdrawal. Consequently, a medicinal product may be withdrawn in another country for entirely market-related reasons without the withdrawal affecting its authorisation status in Switzerland.
Yes, the requirements are identical.
Yes, the documentation submitted to Swissmedic has to be identical to that on which the reference authority based its authorisation of the medicinal product (see also Chapter 5.1 of guidance document Authorisation of human medicinal products under Art. 13 TPA HMV4).
The documentation submitted to Swissmedic must be identical to that on which the reference authority based its authorisation of the medicinal product or a variation to the product (final version). In parallel with the application, the variations and/or additions approved since the reference authority granted authorisation must also be submitted to Swissmedic. This additional or replacement documentation can either be integrated within the application documentation or the module in question, or it can be submitted separately. The variations must be referred to in the cover letter, and a comparison showing the changes (old/new) must be appended to the corresponding final assessment report (see also Chapter 5.1 of guidance document Authorisation of human medicinal products under Art. 13 TPA).
Any application for a medicinal product under Art. 13 TPA that is based on an EU DCP only needs to include the assessment results and authorisation decision of the Reference Member State (RMS). The decisions and authorisation certificates of the Concerned Member States (CMS) no longer have to be submitted to Swissmedic.
No, once a medicinal product has been authorised under Art. 13 TPA, applications for variations can be submitted either with or without a request for application of Art. 13 TPA.
Yes, Art. 13 TPA can also be applied to applications for the authorisation of herbal and complementary medicinal products.
We are planning to submit an application for rapid authorisation in Switzerland of a chemical NAS. The substance has Orphan Drug Designation for the indication in question in Switzerland, the EU and the USA. The EMA has issued a positive opinion recommending authorisation, and the EU Commission is expected to approve the medicinal product soon. This raises the following questions:
a) Is it possible to have the product authorised under Art. 13 TPA using the EU dossier as the reference dossier?
Yes, a medicinal product with a new active substance or an indication extension of that product is eligible for a reduced assessment under Art. 13 TPA if the product has been classified and authorised as an orphan drug by the EMA Committee for Orphan Medicinal Products (COMP) or under the FDA Orphan Drug Act (see also Chapter 7.1 of guidance document Authorisation of human medicinal products under Art. 13 TPA).
b) How much time does submitting under Art. 13 TPA save?
The processing times for authorisation procedures under Art. 13 TPA are those set out in guidance document Time limits for authorisation applications for the relevant application type. The procedure for applications under Art. 13 TPA will be shorter if no List of Questions has to be issued and the preliminary decision can be issued straight away.
Yes, the reference country for the status (ODS) and that for the authorisation (in the procedure according to Art. 13 TPA) do not have to be the same.
What is important is that the medicinal product notified in Switzerland under Art. 13 TPA is the same product (or the same active substance) as that recognised or authorised abroad (in this case, in the USA and EU).
No. Art. 13 TPA can only be applied to an application for authorisation of a medicinal product with a new active substance if the product in question has been granted orphan drug status by the EMA or FDA. In addition, the medicinal product must have been authorised by the EMA or FDA and an application for orphan drug status in Switzerland must already have been approved before the application for authorisation is submitted.
Swissmedic does not “approve” assessments under Art. 13 TPA. Article 13 TPA states that Swissmedic will factor the results of foreign authorities’ assessments into its own review. Arts. 16–20 TPO specify which documents have to be submitted to Swissmedic to ensure that the Agency considers the results of assessments carried out abroad in its authorisation decision. Swissmedic examines whether the criteria set out in Arts. 16–20 TPO for the application of Art. 13 TPA have been fulfilled. If they have not, the applicant will be notified accordingly by means of a preliminary decision Rejection of application to apply Art. 13 TPA. The applicant then has the option of responding to the preliminary decision or of withdrawing its application. Swissmedic will examine the applicant’s response and decide if Art. 13 TPA can be applied. Unless informed otherwise, and assuming the application is not withdrawn, the Agency will review the documents under the regular procedure.
No. When completing the form New authorisation of human medicinal products or the form Variations and authorisation extensions, applicants should instead answer “yes” to the question of whether they want to request consideration of the results of foreign authorities’ assessments in accordance with Art. 13 TPA. The appropriate additional forms (e.g. form Information for application Art.13 TPA) should then be completed in full and returned to Swissmedic in accordance with guidance document Authorisation of human medicinal products under Art. 13 TPA.
Yes, provided the product has been granted orphan drug status by the EMA COMP or by the US FDA under the Orphan Drug Act and the product has been authorised by the EMA or FDA. In addition, an application for orphan drug status in Switzerland must already have been approved.
The criteria for applying Art. 13 TPA to applications for the authorisation of biosimilars are geared to the requirements in Chapter 6 of guidance document Authorisation of human medicinal products under Art. 13 TPA HMV4. If the criteria for applying Art. 13 TPA are not fulfilled, an interim decision to refuse application of Art. 13 TPA will be issued and the application for authorisation of the biosimilar will be reviewed in a normal authorisation procedure.
Yes. Since Swissmedic has rejected the indication in question, however, the reference authority’s Assessment Report will have to be evaluated. If this evaluation does not resolve the concerns that led to Swissmedic rejecting the indication, the Agency will inspect the basic documentation, but limit this inspection to its major concerns.
The CxMP / HMPC opinion can be submitted to Swissmedic for first submissions that are based on the EMA's Centralised Procedure.
If there are parallel procedures, and Swissmedic permits the application of Art. 13 TPA, and the results of the foreign reference authority’s assessment provide a suitable basis, the flat-rate fees applicable to individual cases under Art. 10 FeeO-Swissmedic are reduced by 60%.
If the foreign authority has authorised the medicinal product, it can be assumed that the case made by the applicant and/or the data it has supplied have been sufficient to resolve the major objections.
The assessment of the reference authority must be plausible for Swissmedic. This requires the medicinal product, on which the EU hybrid authorisation is based, to also be authorised in Switzerland. Otherwise, a medicinal product would be authorised without Swissmedic having full documentation (in particular also concerning certain aspects regarding safety and efficacy in the indication applied for (incl. clinical trials)) to which it could refer as necessary (see Chapter 5.3 of guidance document Authorisation of human medicinal products under Art. 13 TPA).
No, referencing of the Information for healthcare professionals is not required because Swissmedic bases its review on the decision of the foreign authority and the approved foreign information for healthcare professionals.
No. Authorisation of a medicinal product according to Art. 13 TPA based on an EMA decision with “marketing authorisation under exceptional circumstances” is not possible, as there is no comparable authorisation procedure in Switzerland.
No, Switzerland is aligned with the requirements of the European Union’s (EU) conformity and certification system for the assessment of medical devices and medical device components in combination products. The authorisation/certification systems for medical devices outside of the EU differ from the currently valid certification system applied in the EU and Switzerland. Other authorisations (e.g. FDA) are currently not valid in respect of the current legislation in Switzerland.