HMA, EMA and the European Commission developed a guidance for clinical-trial sponsors on how they should adjust the management of clinical trials and participants during the COVID-19 pandemic which was published on the EMA website.

• Good clinical practice: Guidance on clinical trial management during the COVID-19 pandemic

HMA welcomes the launch of large clinical trials to test promising treatments and to generate conclusive evidence.

Guidance is also available on the actions that sponsors of affected clinical trials should take to help ensure the integrity of their studies and the interpretation of the study results while safeguarding the safety of trial participants as a first priority:

• Implications of coronavirus disease (COVID-19) on methodological aspects of ongoing clinical trials

Related HMA contents on clinical trials

• Clinical Trial Facilitation Group
• CTFG Recommendation Paper on the Initiation and Conduct of Complex Clinical Trials

HMA strongly supports compassionate use programmes across Europe when treating COVID-19 patients who are not eligible for inclusion in clinical trials. On 2nd April 2020, EMA’s human medicines committee (CHMP) gave recommendations on how the investigational antiviral medicine remdesivir should be used. These recommendations aimed to ensure a harmonised approach across EU Member States. They also explained which group of patients could benefit from treatment and provide preliminary information on the medicine’s safety.

• CHMP recommendation on compassionate use of remdesivir for COVID-19

NB: In July 2020 remdesivir received a conditonal marketing authorisation as the first treatment against COVID-19 in the EU.

Related HMA contents on compassionate use

• Compassionate Use Programmes (from the HMA subgroup on Timely Access)
  The document gives an overview of the situation in the different Member States and makes references to the information published on the websites of the NCAs regarding compassionate use programmes and named patient programmes.

Together with the partners in the European medicines regulatory network, such as the European Medicines Agency and the European Commission, HMA has organized the first meeting of the “EU Executive Steering Group on shortages of medicines caused by major events” to discuss measures aimed at addressing the impact of the outbreak of COVID-19 on the supply of medicines in the EU.

• EMA press release on measures taken to address the potential impact of novel coronavirus disease (COVID-19) on medicines supply in the EU

Related HMA contents on shortages

• Availability of Medicines for Human Use
  The page includes links to the latest information on shortages for each Member State (where applicable).

The COVID-19 pandemic is having a significant impact on European regulatory activity. The European Commission, the European Medicines Agency and the Heads of Medicines Agencies network (EC, EMA and HMA, respectively) have assessed the situation and agreed on a number of measures to facilitate the management of marketing authorisations for human and veterinary medicinal products considered crucial during the pandemic period.

The European Commission, in collaboration with the network of Agencies, published questions and answers on regulatory expectations for medicinal products for human and veterinary use during the COVID-19 pandemic:

• Questions and answers on regulatory expectations for medicinal products for human use during the COVID-19 pandemic
• Questions and answers on regulatory expectations for medicinal products for veterinary use during the COVID-19 Pandemic

Further guidance, especially on the handling of MR/DC procedures can be found on CMDh and CMDv websites.