European medicines policy: state the priorities
of medicines agencies and provide them with the necessary means
The Commission
once again confirms its pro-industry stance by rejecting the first
amendment voted by European parlementarians stating that "drugs
are not just another consumer product". It considers that this
statement is unnecessary and irrelevant to the purposes of the Directive.
Yet this recital was simply intended as a baseline, to counter excessive
support for purely industrial interests.
Recital 1 (new amendment 1) must be upheld, as a sign that European
citizens' best interests are taken into account in the Directive.
The Commission
opposes several key amendments concerning the implementation of
European medicines policy. It rejects the notion that national medicines
authorities be obliged to respect principles of independence and
transparency (such as obligatory declaration of conflicts of interest
by all high-level administrators and experts), on the grounds that
this is a matter for the individual national authorities. However,
the Forum considers that the Directive should set the example the
key issues of independence and transparency, and that each member
state should adopt the underlying principles within their own regulatory
framework.
Article 1 point 68a (amendment 129) must be upheld.
As regards relationships
between national agencies and the European Medicines Evaluation
Agency, one amendment requires that the European Committee for Proprietary
Medicinal Products (CPMP) be systematically informed when member
states' opinions diverge on marketing authorisation, or market suspension
or withdrawal of drugs authorised through the mutual recognition
procedure (amendments 64 and 65, article 1 point 24). The Commission
rejects this obligation that, in its opinion, would overload the
European agency. But the Forum does not see this as a valid argument:
all medicines agencies, both national and European, must be provided
with the means required to fulfil their tasks if a harmonised European
medicines policy is to become a reality.
Article 1 point 24 (amendments 64 and 65) must be upheld.
©La revue Prescrire, for
the Medicines in Europe Forum 7 April 2003
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