By way of derogation from the provisions of Article R. 5121-168, any company or organisation exploiting an authorised or registered medicinal product or product, in accordance with the procedure laid down in 1° of Articles R. 5121-26 and R. 5121-28 and in Article R. 5121-97 is required to submit a periodic safety update report:
1° Under the conditions determined by the marketing authorisation or registration;
2° At the request of the Director General of the Agence nationale de sécurité du médicament et des produits de santé:
a) When the Director General has concerns regarding pharmacovigilance data;
b) Or when there is no periodic safety update report for an active substance after the marketing authorisation has been granted.