Dear Colleague,
I guess the main point is the following, does the medicinal component have marketing authorisation (MA) in the EU in any presentation?
In case it has, the clinical investigation (CI) will target therapeutic equivalency (dosing accuracy, usability, safety). In this case I would consider the planned investigation to be a clinical investigation of an authorised medicinal product administered by
new medical device, in line with MDR 2017/745. The CI targets the approval of a variation of an authoriosed medicinal product's new presentation.
In case the medicinal component does not have MA in the EU, this investigation would be a pharmaceutical
clinical investigation targeting the marketing authorisation approval of a new medicinal product applied by a certain medical device.regards
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Peter Mikó M.D
ArtPharm Ltd.
Gyermely
Hungary
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Original Message:
Sent: 13-Jul-2021 16:10
From: Anonymous Member
Subject: Clinical trials of combination products-EU requirements
This message was posted by a user wishing to remain anonymous
Hi Everyone,
Would welcome feedback from people with experience in clinical trials involving combination products in the EU (eg. products like insulin pens).
The primary mechanism of action of our product is achieved by the medicinal product rather than the device. Based on this, we are submitting a clinical trial under the current clinical trial Directive.
During the trial, we intend to introduce a new pen system to replace the syringes and needles. The new pen system is a non-integral drug-device combination product that includes BWFI cartridges and a single-use reconstitution device to be used together with the multidose vials of our IMP. Commercially available needles for the pen injector and a reusable injection pen are used for the administration of the reconstituted drug.
The medicinal product, the reconstitution device and the BWFI cartridge will be packaged together in the same pack. However, the reusable pen injector will be packaged separately.
The injection pen and the reconstitution device are both class IIb, non-invasive devices; however, both device components are not currently commercialized in Europe and therefore do not have a CE mark.
Uncertainties:
- Is it possible to introduce a new injection pen system during the clinical trial via a substantial amendment to the study protocol, IMPD and IB?
- Would Member State competent authorities expect a separate clinical investigation of the device components to have been completed prior to including them in the proposed clinical trial?
- It is my understanding that the requirement for a CE mark for a device is strictly for commercial purposes and therefore the device/device components in the context of a clinical trial do not require a CE mark. Is this interpretation correct?
Would welcome any feedback from folks with medical device expertise.
Thank you in advance