EMA Procedural Advice on Combination Advanced Therapy Medicinal Products (ATMPs)
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Advanced Therapy Medicinal Products (ATMPs) are medicinal products for human use, including gene therapy, somatic cell therapy and tissue engineered products.ATMPs may incorporate, as an integral part of the product, one or more medical devices, in which case they are referred to as “Combined ATMPs” as defined in Article 2 of the Regulation (EC) No 1394/2007 on Advanced Therapy Medicinal Products .
ATMPs offer new treatment opportunities for diseases and injuries of the human body. The regulatory framework established by the new legislation on ATMPs is designed to ensure the free movement of these medicines within the European Union (EU), to facilitate their access to the EU market, and to foster the competitiveness of European pharmaceutical and medical technology companies in the field, while guaranteeing the highest level of health protection for patients.
All ATMPs are evaluated via the centralised procedure as defined in Article 8 of Regulation (EC) No 1394/2007, thus ensuring that they benefit from a single evaluation and authorisation procedure applicable across the EU. This makes it easier for companies to market their products and for patients in the different Member States to gain access to these products.
The Committee for Advanced Therapies (CAT) following its evaluation, drafts an opinion on the quality, safety and efficacy of each ATMP subject to marketing authorisation application (MAA). This opinion is then sent to the Committee for Medicinal Products for Human Use (CHMP), the committee responsible for human medicines at the European Medicines Agency (EMA). Based on the CAT opinion, the CHMP adopts a recommendation on the granting, variation, suspension or revocation of a marketing authorisation. The recommendation is then sent to the European Commission for a decision binding in all Member States. Such evaluation is done in line with the “Procedural Advice on the Evaluation of Advanced Therapy Medicinal Product in accordance with Article 8 of Regulation (EC) No 1394/2007” (EMEA/630043/2008) published in EMA website:
http://www.ema.europa.eu/docs/en_GB/document_library/Regulatory_and_procedural_guideline/2010/02/WC500070340.pdf
Regulation (EC) No 1394/2007 states that ATMPs may incorporate medical devices or active implantable medical devices as defined in Directive 93/42/EEC and 90/385/EEC respectively. In order to ensure an appropriate level of quality and safety, those devices should meet the essential requirements laid down in the relevant Directive. A Notified Body (NB) for medical devices may be or may have been involved in the assessment of the medical device part of a combined ATMP. As the CAT prepares the draft opinion on a combined ATMP, it will therefore be this Committee who primarily interacts with a NB in the context of the procedure described in this document.
Further information on various scenarios for the provision of NB assessments is provided in section 4 of this document.
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