Ordinance
on Clinical Trials
with the exception of
Clinical Trials of Medical Devices1
(Clinical Trials Ordinance, ClinO)

of 20 September 2013 (Status as of 26 May 2022)

1 Amended by Annex 2 No 2 of the O of 1 July 2020 on Clinical Trials with Medical Devices, in force since 26 May 2021 (AS 2020 3033).


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Art. 41 Suspected unexpected serious adverse reactions (SUSAR) in clinical trials of medicinal products

1 If, in the course of a clin­ic­al tri­al, a sus­pec­ted un­ex­pec­ted ser­i­ous ad­verse re­ac­tion oc­curs in par­ti­cipants, the in­vest­ig­at­or must doc­u­ment this in a stand­ard­ised man­ner and no­ti­fy the spon­sor with­in 24 hours after it be­comes known.

2 The in­vest­ig­at­or shall no­ti­fy the re­spons­ible eth­ics com­mit­tee of a fatal sus­pec­ted un­ex­pec­ted ser­i­ous ad­verse re­ac­tion oc­cur­ring in Switzer­land with­in 7 days, and of any oth­er sus­pec­ted un­ex­pec­ted ser­i­ous ad­verse re­ac­tion with­in 15 days.

3 If, in the case of a mul­ti­centre clin­ic­al tri­al, a sus­pec­ted un­ex­pec­ted ser­i­ous ad­verse re­ac­tion oc­curs at one of the tri­al sites, the co­ordin­at­ing in­vest­ig­at­or shall also no­ti­fy the re­spons­ible eth­ics com­mit­tee con­cerned in ac­cord­ance with para­graph 2, with­in the same peri­od.

4 For Cat­egory B and C clin­ic­al tri­als, the no­ti­fic­a­tions spe­cified in para­graph 2 shall also be made to the Agency. This ob­lig­a­tion rests on the spon­sor. For Cat­egory A clin­ic­al tri­als, the spon­sor is sub­ject to the no­ti­fic­a­tion re­quire­ments spe­cified in Art­icle 59 para­graphs 1 and 2 TPA.

5 The defin­i­tion of a sus­pec­ted un­ex­pec­ted ser­i­ous ad­verse re­ac­tion is gov­erned by the rules of Good Clin­ic­al Prac­tice as spe­cified in An­nex 1 num­ber 2.

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