Part C
Legal Framework for Special Drug Products
    • C 1 Blood and Blood Products - Special Requirements
      • C 1.1 Definition of “Medicinal Product Derived from Human Blood or Human Plasma” and Applicable Provisions
      • C 1.2 Development of Special Provisions
        • C 1.2.1 Directive 89/381/EC
        • C 1.2.2 Directive 2002/98/EC and Implementing Directives
      • C 1.3 Details of Directive 2002/98/EC
        • C 1.3.1 Scope and Definitions
        • C 1.3.2 Provisions Relating to Blood Establishments
          • C 1.3.2.1 Principle of Prior Authorisation - Requirement of Designation, Authorisation, Accreditation or Licensing – Member States’ Obligations, Chapter II
          • C 1.3.2.2 Designation of a "Responsible Person", Art. 9
          • C 1.3.2.3 Quality System, Arts. 11 - 24; Directive 2005/62
          • C 1.3.2.4 Documentation
          • C 1.3.2.5 Haemovigilance: Traceability and Notification of Serious Adverse Events and Reactions, Arts. 14 and 14; Directive 2005/61/EC
            • C 1.3.2.5.1 Principle of Traceability
            • C 1.3.2.5.2 Notification of Serious Adverse Events and Serious Adverse Reactions
        • C 1.3.3 Provisions to ensure the Quality and Safety of Blood and Blood Components
          • C 1.3.3.1 Donors - Arts. 16 - 29; Directive 2004/33/EC
          • C 1.3.3.2 Testing of Donations, Art. 21
        • C 1.3.4 Provisions for Importation of Blood and Blood Components
        • C 1.3.5 Inspections, Suspension and Revocation, Penalties
        • C 1.3.6 Hospital Blood Banks
        • C 1.3.7 Plasma Master File
    • C 2 Advanced Therapy Medicinal Products
      • C 2.1 Actual Legal Provisions for Advanced Therapy Medicinal Products
        • C 2.1.1 Part IV of the Annex of Dir. 2001/83/EC
          • C 2.1.1.1 Gene Therapy Medicinal Product
          • C 2.1.1.2 Somatic Cell Therapy Medicinal Products
          • C 2.1.1.3 Safety and Efficacy Issues
        • C 2.1.2 Standards of Quality and Safety for the Donation, Procurement, Testing, Processing, Preservation, Storage and Distribution of Human Tissues and Cells, Directive 2004/23/EC
          • C 2.1.2.1 Accreditation, Designation, Authorisation or Licensing of Tissue Establishments and Tissue and cell Preparation Processes – Supervision and Inspections
          • C 2.1.2.2. Traceability
          • C 2.1.2.3 Obligations of Data Storage and Reporting – Serious Adverse Events and Reactions
          • C 2.1.2.4 Quality Management and Handling of Tissues and Cells
          • C 2.1.2.5 Donor Selection and Evaluation
          • C 2.1.2.6 Import and Export of Human Tissue and Cells
          • C 2.1.2.7 Transposition into National Law
      • C 2.2 Commission´s Approach to Harmonise Legislation on Advanced Therapy Medicinal Products
        • C 2.2.1 Committee for Advanced Therapies (CAT)
        • C 2.2.2 Definition of "Advanced Therapy Medicinal Product"
        • C 2.2.3 Essential Principles
    • C 3 Radioactive Medicinal Products - Radiopharmaceuticals
      • C 3.1 Council Directive 89/343/EEC
        • C 3.1.1 Definitions
        • C 3.1.2 Scope of Application
        • C 3.1.3 Principle of Prior Authorisation
        • C 3.1.4 Additional Requirements for Applications, SPC, Labelling and Package Leaflet
      • C 3.2 Additional Requirements for Applications, SPC, Labelling and Package Leaflet
        • C 3.2.1 Definitions, Scope of Application and Principle of Prior Authorisation
        • C 3.2.2 Additional Documentation to be Included in the Application for Radionuclide Generators, Art. 9 of the Community Code
        • C 3.2.3 Additional Information Contained in the SPC, Art. 11 no. 11 and 12 of the Community Code
        • C 3.2.4 Additional Requirements for Labelling and Package Leaflet
          • C 3.2.4.1 Labelling
          • C 3.2.4.2 Package Leaflet
        • C 3.2.5 Provisions of the Annex to the Community Code
      • C 3.3 Euratom Requirements
        • C 3.3.1 Council Directive 97/43/Euratom on Health Protection in Relation to Medical Exposure
          • C 3.3.1.1 Scope of the Directive
          • C 3.3.1.2 Principles and Definitions
        • C 3.3.2 Council Directive 96/29/Euratom on Basic Safety Standards for the Protection of the Health of Workers and the General Public against the Dangers arising from Ionizing Radiation
        • C 3.3.3 Council Regulation (Euratom) No 1493/93 of 8 June 1993 on Shipments of Radioactive Substances between Member States
    • C 4 Orphan Medicinal Products
      • C 4.1 Texts Governing Orphan Medicinal Products
        • C 4.1.1 European Parliament and Council Regulation No. 141/2000 of 16 December 1999
        • C 4.1.2 Commission Regulation No. 847/2000 of 27 April 2000
        • C 4.1.3 Guidance Documents
        • C 4.1.4 Commission Communication 2003/C 178/02
      • C 4.2 Orphan Designation and Orphan Status – Applicable Marketing Authorisation Procedure
        • C 4.2.1 Orphan Designation and Orphan Status as a Two-Step Procedure
        • C 4.2.2 Application of the Centralised Procedure
      • C 4.3 Provisions for Orphan Medicinal Products – Definitions
        • C 4.3.1 Definition of “Orphan Medicinal Product”
        • C 4.3.2 "Sponsor"
        • C 4.3.3 Similar Medicinal Products
      • C 4.4 Criteria for Designation
        • C 4.4.1 Treatment of a an Orphan Condition
          • C 4.4.1.1 Medical Plausibility
          • C 4.4.1.2 Life-Threatening or Debilitating Nature or Seriously Debilitating or Serious and Chronic Nature of the Condition
          • C 4.4.1.3 Prevalence of the Condition
          • C 4.4.1.4 Potential Return of Investment
        • C 4.4.2 Existence of Other Methods
          • C 4.4.2.1 No Satisfactory Method Authorised in the Community
          • C 4.4.2.2 Significant Benefit
      • C 4.5 Designation Procedure
        • C 4.5.1 Time of Application – Submission before a MA has been applied for
        • C 4.5.2 Different Stages of Procedure
          • C 4.5.2.1 Planning of the ODDA
            • C 4.5.2.1.1 Deadlines for Submission
            • C 4.5.2.1.2 Pre-Submission Activities
            • C 4.5.2.1.3 Preparation of the Application
          • C 4.5.2.2 Submission of the Application
          • C 4.5.2.3 Validation and Evaluation Phase
          • C 4.5.2.4 COMP Opinion
          • C 4.5.2.5 Adoption of the Decision on Orphan Designation
          • C 4.5.2.6 Negative COMP Opinion
      • C 4.6 Annual Report
      • C 4.7 Removal from the Register
      • C 4.8 Market Exclusivity and Further Incentives
        • C 4.8.1 Scope of the Market Exclusivity
          • C 4.8.1.1 "Similarity"
          • C 4.8.1.2 Same Therapeutic Indication
        • C 4.8.2 No Marketing Authorisation for a Similar Product
        • C 4.8.3 Procedural Aspects
          • C 4.8.3.1 Application for a Community Authorisation for the 2nd Medicinal Product
          • C 4.8.3.2 Application for a National MA for the 2nd Medicinal Product
          • C 4.8.3.3 Time for Submission of the respective Documentation
        • C 4.8.4 Reduction of Market Exclusivity to 6 Years
          • C 4.8.4.1 Draft Guideline on Aspects of the Application of Article 8 (2) of Reg. 141/2000
          • C 4.8.4.2 Review Procedure of Art. 8 (2) of the Orphan Regulation
        • C 4.8.5 Challenge of Market Exclusivity for "Clinical Superiority"
        • C 4.8.6 Other Incentives
        • C 4.8.7 Transfer of a Designation
    • C 5 Traditional Herbal Medicinal Products - Principles
      • C 5.1 Simplified Procedure – The Traditional-Use Registration (TUR) – Characteristics and Scope
        • C 5.1.1 Subsidiary Character of the TUR
        • C 5.1.2 Restriction to Herbal Medicinal Products
      • C 5.2 Committee for Herbal Medicinal Products (HMPC) – Community Monographs – Community List of Herbal Substances, Preparations and Combinations
        • C 5.2.1 Committee for Herbal Medicinal Products (HMPC)
        • C 5.2.2 Community Herbal Monographs
        • C 5.2.3 Community List of Herbal Substances, Preparations and Combinations
          • C 5.2.3.1 Structure
          • C 5.2.3.2 Documentation to be Submitted
          • C 5.2.3.3 Procedure
      • C 5.3 General Principles
        • C 5.3.1 Establishment within the EEA
        • C 5.3.2 TUR as Requirement for Marketing of Traditional Herbal Medicinal Products
        • C 5.3.3 Application of further Principles by Analogy
        • C 5.3.4 National Procedure, Mutual Recognition and “Due Account”
        • C 5.3.5 Additional Requirements in Relation to Labelling, Package Leaflet and Advertising
      • C 5.4 Criteria for the Eligibility for Traditional-Use Registration (TUR), Art. 16a (1) of the Community Code
        • C 5.4.1 Non-Applicability of Art. 6 or Art. 14 of the Community Code
        • C 5.4.2 Plausibility of Efficacy and Proof of Lack of Harmfulness
        • C 5.4.3 Indications Designed for Use without Supervision of a Medical Practitioner
        • C 5.4.4 Administration Exclusively in Accordance with a Specified Strength and Posology
        • C 5.4.5 Oral, External and/ or Inhalation Preparation
        • C 5.4.6 Period of Traditional Use has Elapsed
      • C 5.5 Definition of Traditional Use
        • C 5.5.1 Period of 30 Years in Medicinal Use, Including at Least 15 Years in the Community
        • C 5.5.2 Requirements for Evidence of Traditional Use
          • C 5.5.2.1 “Medicinal Product in Question”
          • C 5.5.2.2 “Corresponding Product”
          • C 5.5.2.3 Medicinal Use in the Community
          • C 5.5.2.4 Referral to the HMPC
      • C 5.6 Documentation and CTD for Traditional Herbal Medicinal Products
        • C 5.6.1 Catalogue of Documents
        • C 5.6.2 Exceptions
      • C 5.7 Grounds for Refusal – Suspension, Revocation and Withdrawal of a Traditional-Use Registration (TUR)
      • C 5.8 Mutual Recognition