All EU agencies are equal and should recognise each other’s approvals. One agency can review for the whole EU.



Selection of MRP
- Flexibility
- Can choose RMS for an existing MA
- Possibility to withdraw before day 90
- Early dialogue with the RMS
- Speed of first launch
- Business flexibility
- 1st approval may allow registration process to begin in some export markets
Criteria for Selecting a RMS
- Importance/size of market within EU
- Credibility of RMS, resolving issues with CMS
- Long-term partnership
- Open to dialogue
- Consideration of future variations
- Expertise in respective medial field
- Respecing time tables
Role of RMS in MRP
- Acts as scientific assessor – write AR objectively
- Acts as regulatory advisor to applicant
- Planning MR phase
- Setting timelines
- Acts as moderator in between applicant and CMS
- Supports and represents applcants to CMS
- Input to common “European” – SmPC
- Update of Assessment Report
Role of Applicant in MRP
- Set start date for MRP
- Submission
- Dossier and SmPC must be identical to the MA in the RMS
- Responding to questions
- Negotiating SmPC
- Updating the dossier
Role of CMS in MRP
- CMS should recognise approval in RMS
- Unless “public health” concerns are raised
- Give final opinions at latest day 85
- CMS concerns
- Notification to RMS, other CMSs and applicant within first 50 days
- Discussion of SmPC
- Concentrate on Indications, Administration, Contra-Indications, Warnings, and Shelf-life storage