The substantial modifications referred to in Article L. 1123-9 are those which occur after the authorisation of the research by the competent authority and the favourable opinion of the Committee for the Protection of Individuals and have a significant impact on any aspect of the research, in particular on the protection of individuals, including with regard to their safety, on the conditions for the validity of the research, where applicable on the quality and safety of the products tested, on the interpretation of the scientific documents supporting the conduct of the research or on the procedures for conducting the research.
The competent authority and the Committee for the Protection of Individuals that issued an opinion on the initial research project give their opinion on the substantial modifications made to the elements of the dossier that were initially submitted to them.
The sponsor informs the Committee for the Protection of Individuals and, where appropriate, the competent authority of any non-substantial changes made to the elements of the dossier initially submitted to them.
The requests provided for in Article L. 1123-9 must be accompanied by appropriate justifications, the content and presentation of which are laid down by order of the Minister for Health, issued on a proposal from the Director General of the National Agency for the Safety of Medicines and Health Products for the research mentioned in 1° of Article L. 1121-1. The sponsor informs the competent authority and the Committee of any substantial changes made to the elements of the dossier which have not been previously submitted to them.