OnCo
termsTerm

Conditional marketing authorisation (EU)

aka conditional approval, conditional marketing authorisation, conditional marketing authorization, CMA, conditional authorisation, conditionally approved, approval under exceptional circumstances, exceptional circumstances, conditional NMPA approval, conditional approval in China, specific obligations

The European (and Chinese) counterpart of accelerated approval: a drug for an unmet need is authorised on less complete data with specific obligations to deliver confirmatory results, renewed yearly until converted to standard approval.

The EMA grants conditional marketing authorisation when benefit to public health outweighs the risk of incomplete data, typically on phase 2 or interim phase 3 results; it is valid for one year, renewable, and converts to standard authorisation once obligations are met (median about 4 years). Around 30 oncology drugs hold or held CMAs, including CAR-T products and several ADCs. China's NMPA grants conditional approvals extensively for domestic PD-1 antibodies and other drugs, often on single-arm data, with confirmatory trials required. Approval under exceptional circumstances is for diseases where full data can never be collected.

Category
Trials & regulation

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