After a marketing authorisation has been granted, the Director General of the Agence nationale de sécurité du médicament et des produits de santé may require the marketing authorisation holder to carry out one or more post-authorisation safety or efficacy studies, or specific monitoring of the risk, its complications and its medico-social management, as provided for in Article L. 5121-8-1.
The Director General of the Agency may request that these studies or this specific monitoring be carried out jointly by several marketing authorisation holders.
The Director General shall inform the marketing authorisation holder(s) of his intention, specifying the objectives and timescales of the studies and specific monitoring envisaged. He will invite the marketing authorisation holder(s) to submit their observations within thirty days.
In the light of the comments provided by the licensee(s), the Director General of the Agency will give the reasons for his decision and notify it in writing.
If he confirms the obligation, the marketing authorisation is amended to mention this obligation and the risk management system is adapted accordingly.
On completion of a safety or efficacy study as provided for in Article L. 5121-8-1, the marketing authorisation holder assesses whether the results of the study have an impact on the said authorisation. Where necessary, the marketing authorisation holder submits an appropriate application for a variation to the marketing authorisation to the Director General of the Agency, in accordance with the timetable for its implementation.