1 Clinical trials of medicinal products come under Category A if:
- a.
- the investigational medicinal product is a medicinal product authorised in Switzerland;
- b.
- the investigational medicinal product has not been modified; and
- c.
- the use of the investigational medicinal product:
- 1.
- is in accordance with the prescribing information,
- 2.
- is in an indication or dosage different from that specified in the prescribing information, but in accordance with the following criteria:
- –
- the indication is within the same disease group of the International Classification of Diseases (ICD), as specified in Annex 1 number 3,
- –
- the disease in question is self-limiting and the dosage of the medicinal product is lower than that specified in the prescribing information; or
- 3.
- is recognised as standard in guidelines prepared in accordance with internationally accepted quality criteria.
2 They come under Category B if the investigational medicinal product:
- a.
- is a medicinal product authorised in Switzerland, which:
- 1.
- is not used as specified in paragraph 1 letter c, or
- 2.
- has undergone a low-risk modification, as specified in Annex 2bis;
- b.
- is a medicinal product authorised in a country that has equivalent medicinal product control in accordance with Article 13 TPA and has either not been modified or has undergone a low-risk modification, as specified in Annex 2bis; or
- c.
- is a placebo specifically manufactured for clinical trials.
3 They come under Category C if the investigational medicinal product contains an active substance and:
- a.
- is a medicinal product authorised in Switzerland or in a country that has equivalent medicinal product control in accordance with Article 13 TPA and has undergone more than a low-risk modification, as specified in Annex 2bis; or
- b.
- is a medicinal product authorised neither in Switzerland nor in a country that has equivalent medicinal product control in accordance with Article 13 TPA.
4 If a clinical trial comes under more than one category, it is assigned to the highest of these categories; the categories are arranged in ascending order from A to C.
52 Amended by No I of the O of 7 June 2024, in force since 1 Nov. 2024 (AS 2024 322).