Pricing, reimbursement and imports

Commercialisation of medicinal products and medical devices

Medicinal products cannot be placed on the market without having first obtained an approval known as a marketing authorisation (MA) and medical devices require a declaration of conformity and should be affixed with a CE mark before being placed on the market.

However, even when the regulatory requirements for marketing medicinal products and medical devices have been met, commercialisation requires consideration of issues regarding their manufacture, naming, packaging, pricing, distribution and sale.

For an overview of the typical lifecycle of a medicinal product, which sets out the key research, development, manufacture, marketing, sale and post-market steps, see: Lifecycle of a pharmaceutical product—flowchart.

For an overview of the typical lifecycle of a medical device, see: Lifecycle of a medical device—flowchart, which sets out key regulatory stages from concept and prototype design through its manufacture and placing on the market for patient use and post-market surveillance.

Commercial arrangement

The life sciences sector uses a variety of different commercial arrangements to govern the mechanics of manufacturing, selling and distributing products. These arrangements will, typically, also deal with the intellectual property (IP) in

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MDCG Guidance on Performance Studies for In Vitro Diagnostic Medical Devices

The Medical Device Coordination Group (MDCG) has issued a comprehensive guidance document, endorsed in June 2025, addressing performance studies of in vitro diagnostic medical devices under Regulation (EU) 2017/746. The document, developed by representatives from all Member States and chaired by a representative of the European Commission, delineates the applicable regulatory framework and procedures. It clarifies the definitions and distinctions between analytical and clinical performance studies, stipulates when a device is deemed an in vitro diagnostic medical device (IVD) and consequently subject to the Regulation, and sets out responsibilities regarding the assignment of intended purpose and conduct of performance studies. The guidance details the requirements for application or notification to competent authorities, including specific scenarios such as studies involving surgically invasive sample-taking, companion diagnostics, and left-over samples, alongside the relevant articles of the Regulation. It further provides practical instructions on documentation, submission requirements, safety reporting, and the handling of substantial modifications. The document serves as a harmonised reference for sponsors of performance studies, clinical investigators, and manufacturers, ensuring compliance with the IVDR, while underscoring the importance of adhering to both European and national legislative requirements in the conduct of performance studies.

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