Medicines in Europe Forum leaflets |
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Why is it important to have access to documents of
the European Medicines Evaluation Agency (EMEA)? |
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Leaflet
N°10 |
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09 September
2002 |
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Medicines in Europe Forum believe transparency is a prerequisite
for a responsible and ambitious European medicines policy. The
EU regulation must stress the need for access to complete, clear
and correct information, to study protocols and results, not
only from the European medicines agency but also from pharmaceutical
firms.
French
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A
medicine is nothing without the minimum scientific and regulatory
information allowing one to get to know the clinical usage and dosage,
as well as contraindications. To obtain marketing authorisation for
a medicine, pharmaceutical firms must provide data allowing for the
benefits and limitations of the medicine to be defined. The medicines
agencies therefore have at their disposal, lots of information, some
of which is vital for health professionals and patients, to use the
medicine to its best effect. A minimum of transparency of the functioning
of agencies is also necessary so that the public and health professionals
can understand and assess the rationale behind their decisions.
In
practice, most of the medicines agencies in Europe, including the
EMEA tend to be secretive rather than transparent.
Currently, only medicines authorised via the centralised procedure,
a minority of medicines licensed in Europe, are described in evaluation
reports that are made available to the public after being supervised
and expurgated. Unfortunately, the quality of these reports is mediocre
and varies widely, which means it is difficult to make good use of
the information.
The EMEA gives hardly any access to data on the side effects that
are reported to the agency. In addition, no (or very little) information
is made available for medicines that are approved through the mutual
recognition procedure, also called decentralised.
The
information on medicines published in Europe is therefore the very
small tip of the documentary iceberg. Without access to this "iceberg",
health professionals and users lack crucial information on the benefits
or disadvantages of the medicine compared to others. They are also
deprived of a great deal of scientific work carried out by the experts.
In
such a very sensitive domain, transparency in the working of institutions
is the only way to gain the confidence of health professionals and
patients with a view to involving them in the correct use of medicines.
Secrecy brings with it suspicion and distrust. It hinders the participation
to public health actions.
Now the Charter of Fundamental Rights of the EU citizen, together
with Regulation 1049/2001 of December 2001 on public access to documents
of the Commission and its agencies, provide for the setting up of
registers of "public documents". |
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