Skip to main content
. 2016 Nov;5(4):244–254. doi: 10.5582/irdr.2016.01054

Table 5. Compassionate use programs in Southern European countries (Ref. 12,31,5968).

Items Croatia Greece Malta Portugal Slovenia
Authority involved Ministarstvo zdravlja (Ministry of Health) and The Agency for Medicinal Products and Medical Devices of Croatia (HALMED) National Organization for Medicines Malta Medicines Authority Instituto Nacional da Farmacia e do Medicamento (INFARMED) Javna agencija RS za zdravila in medicinske pripomočke - Public Agency of the Republic of Slovenia for Medicinal Products and Medical Devices (JAZMP)
Laws and regulations Pursuant to Article 73 of the Medicinal Products Act (Official Gazette 71/07 and 45/09) ordinance on pharmacovigilance Information unavailable (may be in progress)
  • Though there is a pharmaceutical regulatory procedure, no official national legislation exists

  • Unlicensed medicinal products as directed in DH Circular 137/2004 (updated version DH Circular 270/06 - Health concerning the “Guidelines Governing the Use of Medicinal Products for Human Use without a Marketing Authorization” is different from CUP

  • Further information unavailable

  • Articles 92–93 of the Decreto Lei no. 176 of 30th August 2006

  • INFARMED'S Decision 105/CA/2007, of 1 March 2007

  • Nominative

83 Article 6 Medicines Act (Official Gazette of RS, no. 17/14)
Overview
  • It is possible to adopt compassionate use from diagnosis to the approval to use the drug

  • Compassionate use facilitates access to unauthorized medicinal products for chronic, serious, or a life-threatening diseases which cannot be treated satisfactorily by an authorized medicinal product

  • Compassionate use of medicines for individual patients exists. However, information on access for a group of patients is unavailable

  • Literature shows that there are high implementation barriers such as lack of infrastructure to support early access programs in the country

  • There is a regulatory procedure for CUP to use medicinal products consistent with EU regulations

  • The product applied for under CUP must be under evaluation in the centralized authorization procedure at the EMA

Medicines, including the ones for compassionate use without a marketing authorization, under special and exceptional circumstances, can be used to treat patients in always under an authorization granted with a temporary and transitory nature by the INFARMED In Slovenia, in line with the EU regulation, CUP is:
  • The administration of a new active ingredient, constituting a significant therapeutic, scientific and technical innovation

  • For drugs obtaining marketing authorization or clinical testing of medicines

  • For a group of patients with a chronically or seriously debilitating disease that cannot be satisfactorily treated with medicines that have marketing authorization

  • The sponsor/manufacturer of a CUP must provide the product free of charge, which includes the costs of supply and wholesale distribution.