Article R4211-58 of the French Public Health Code
I.-Substantial changes to the activities authorised under this section relating to … are subject to authorisation by the Director General of the Agence nationale de sécurité du médicament et des produits de santé: 1° A new activity, among those mentioned in article L. 4211-9-2 ; 2° The manufacture or import of a new category of investigational advanced therapy medicinal product; 3° The manufacture or import of a new pharmaceutical form…