The marketing authorisation holder may, by written reasoned request, refer the matter to the Committee for Medicinal Products for Human Use referred to in Article 56 of Regulation (EC) No 726/2004 of the European Parliament and of the Council or to the coordination group referred to in Article 27 of Directive 2001/83/EC of the European Parliament and of the Council in order to request the setting of European Union reference dates or a change in the frequency of submission of periodic safety update reports, for reasons of public health, in order to avoid duplication of assessments or for the purposes of international harmonisation.
Changes to the European Union reference dates and to the frequency of submission of periodic safety update reports are made public by the European Medicines Agency and take effect six months after the date of publication.
The marketing authorisation holder concerned submits to the Director General of the Agence nationale de sécurité du médicament et des produits de santé an application to amend its authorisation accordingly.