New Version of the EMA Q&A Guide on Combination Products Released

The European Medicines Agency (EMA) has published the latest edition of its "Questions & Answers for applicants, marketing authorisation holders of medicinal products and notified bodies with respect to the implementation of the Regulations on medical devices and in vitro diagnostic medical devices (Regulations (EU) 2017/745 and (EU) 2017/746)." Now in its fifth revision, this guide provides updated insights and clarifications crucial to stakeholders navigating the regulatory landscape of combination products.

The European Medicines Agency (EMA) has published the latest edition of its "Questions & Answers for applicants, marketing authorisation holders of medicinal products and notified bodies with respect to the implementation of the Regulations on medical devices and in vitro diagnostic medical devices (Regulations (EU) 2017/745 and (EU) 2017/746)." Now in its fifth revision, this guide provides updated insights and clarifications crucial to stakeholders navigating the regulatory landscape of combination products.
February 17, 2025

Key Update: MAH’s GSPR Compliance Statement

For the first time, this revision introduces the concept of the Marketing Authorisation Holder’s (MAH) General Safety and Performance Requirements (GSPR) compliance statement. This new approach offers an alternative means to demonstrate compliance with Regulation (EU) 2017/745 on medical devices (MDR) for the device constituent part of integral combination products that are classified as Class I medical devices. This applies specifically to those products that do not possess an EU Declaration of Conformity (DoC) under Annex IV of the MDR.

Addressing Regulatory Uncertainty

Previously, there was considerable ambiguity surrounding the regulatory treatment of Class I medical devices within integral Drug-Device Combinations (DDCs) that are primarily regulated as medicines. The challenge stemmed from the requirement for a DoC, which serves as a self-declaration of compliance with MDR safety and performance standards. However, for integral combination products, the MAH—who is not a medical device manufacturer—would have had to issue this declaration.

Such a requirement posed significant challenges, as issuing a DoC would entail the MAH assuming the legal responsibilities of a medical device manufacturer, a role that is not appropriate for companies whose primary focus is pharmaceuticals. The new compliance statement approach provides a more suitable regulatory pathway for these products, preventing unnecessary regulatory burdens while ensuring compliance with safety and performance requirements.

Why This Update Matters

The revision is particularly important as the industry has long sought clarification on this issue. The Association of the European Self-Medication Industry (AESGP) and other stakeholders had previously raised concerns regarding the lack of clear regulatory guidance for integral combination products incorporating Class I medical devices. This update provides the much-needed clarity and regulatory predictability for companies developing and marketing these products.

Accessing the Updated EMA Guide

The revised Q&A guide, which includes tracked changes for ease of reference, can be accessed via the EMA’s official website. This document serves as an essential reference for pharmaceutical companies, regulatory professionals, and notified bodies involved in the development and approval of combination products within the EU.

Stay informed about ongoing regulatory developments to ensure compliance and facilitate smoother market access for innovative medicinal products incorporating medical devices.

Link to the document with tracked changes: EMA GUIDE

Need help for your DDCs or other #MedicalDevices? Contact us! [email protected]

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The EHDS Regulation has three main parts, each with different addressees:

Chapter II on primary use provides additional rights to patients and establishes the technical infrastructure necessary for their implementation.

Chapter III on Electronic Health Record (EHR) systems is addressed to manufacturers and other economic operators who make EHR systems available on the market.

Chapter IV on secondary use is addressed to health data holders and users.

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