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Table 1 Summary of the three application procedures in the European Union

From: Unrealized potential of drug repositioning in Europe during COVID-19 and beyond: a physician's perspective

 

Central procedure

Decentral procedure

Mutual recognition procedure

Authorization authority

European commission

National

National

Registration location

All 27 EU member states

One or more EU member state(s)

Multiple EU member states

Application

Simultaneous in all states

Separately in each individual member state

Simultaneous at one or more concerned member states

Existing approval

No existing approval in EU member state

No existing approval in EU member state

Existing approval by EU member state national market authority (Reference Member State)

Compulsory

Yes, for innovative medicines (incl. orphan disease)

No

No

Data exclusivity and market protection

8 years data exclusivity + 2 years market protection (+ 1 year market protection for new indication)