Committee for Medicinal Products for Human Use
The Committee for Medicinal Products for Human Use (CHMP), formerly known as the Committee for Proprietary Medicinal Products (CPMP), is the European Medicines Agency's committee responsible for elaborating the agency's opinions on all issues regarding medicinal products for human use.
History
editEstablishment of the CPMP (1975)
editThe committee was established under its original name, the Committee for Proprietary Medicinal Products (CPMP) by the Second Council Directive 75/319/EEC, adopted on 20 May 1975 and enacted on 20 November 1977.[1]
Directive 75/319/EEC created a multi-state procedure based on the mutual recognition of national marketing authorisations. Under this procedure, a company that had obtained authorisation in one member state could apply for that authorisation to be recognised in at least two further member states.[2] The CPMP was given an arbitration function: when a member state declined to recognise another state's licensing decision, the matter could be referred to the CPMP for an opinion. In this initial form, that opinion was non-binding and advisory.[2]
The original 'CPMP procedure' (operational from 1976 to 1985) was simplified into the 'multi-state licensing procedure' (operational from 1986 to 1995) before being replaced by the mutual recognition procedure in 1995.[3]
Integration into the EMA (1995)
editThe European Medicines Agency (initially named the European Agency for the Evaluation of Medicinal Products, EMEA) was established by Regulation (EEC) No. 2309/93, and began operations in 1995. The regulation introduced the centralised procedure, under which a single application to the EMA resulted in a marketing authorisation valid across all EU member states.[4] The CPMP was incorporated into the agency's structure and became responsible for conducting scientific assessments under the centralised procedure and issuing opinions to the European Commission.
Regulation (EC) No 726/2004, adopted on 31 March 2004, restructured the EU pharmaceutical legislative framework and formally established the Committee for Medicinal Products for Human Use (CHMP) as the successor to the CPMP.[5]
Role and functions
editMarketing authorisation
editUnder the centralised procedure, the CHMP conducts the initial scientific assessment of EU-wide marketing authorisation applications, evaluating whether a medicine meets the required standards of quality, safety, and efficacy, and whether it has a positive risk–benefit balance. Following its evaluation, the CHMP issues an opinion that serves as the basis for a decision by the European Commission, which grants, refuses, suspends, or revokes a marketing authorisation valid across the EU. The Commission has 67 days following a CHMP opinion to adopt its decision. Where an applicant disagrees with a negative CHMP opinion, a re-examination may be requested, which may take up to a further 120 days.[6]
The standard active assessment timeline under the centralised procedure is 210 days, excluding clock stops during which the applicant provides additional data in response to questions from the committee.[6]
The centralised procedure is mandatory for products derived from biotechnology, orphan medicinal products, and medicines for the treatment of AIDS, cancer, neurodegenerative disorders, and diabetes that contain an active substance authorised in the EU after 20 May 2004. It is available optionally to other products that contain a new active substance, represent a significant therapeutic or scientific innovation, or for which an EU-wide authorisation is in the interest of patients.[7]
The CHMP also assesses modifications and extensions (known as variations) to existing marketing authorisations, and evaluates medicines authorised at national level that are referred to the EMA for a harmonised EU-wide position through referral procedures.[8]
Pharmacovigilance
editThe CHMP considers recommendations from the Pharmacovigilance Risk Assessment Committee (PRAC) on the safety of medicines already on the market since 2012. Where necessary, it recommends to the European Commission changes to a medicine's marketing authorisation, including its suspension or withdrawal from the market.[8]
Membership
editThe CHMP is composed of one member and one alternate appointed by each EU member state after consulting EMA's Management Board, and one member and one alternate appointed by each of the three EEA–EFTA states: Iceland, Norway, and Liechtenstein.[9] The committee may also include up to five co-opted members, chosen from experts nominated by member states or the Agency, to provide additional expertise in a particular scientific area.
EEA–EFTA state members participate in scientific deliberations but do not vote on the adoption of committee opinions. Their positions are recorded separately in the opinion, the minutes, and any divergent opinions appended to the committee's opinion.[10] The committee meets once a month at the EMA. [8]
Impact and Reception
editThe CHMP is formally advisory and issues a scientific opinion to the European Commission, which then makes the final legally binding decision on EU marketing authorization. In practice, the Commission has followed CHMP opinions in nearly all recorded cases. This differs from the approach of the U.S. Food and Drug Administration (FDA), which has on occasion departed from the recommendations of its advisory committees, both rejecting drugs that committees recommended and approving drugs that committees opposed. The Commission's practice of largely deferring to CHMP opinions has been described as "rubber-stamping" by some scholars. [11]
See also
editReferences
edit- ↑ Directive 75/319/EEC of 20 May 1975 of the European Parliament and of the Council on the approximation of provisions laid down by Law, Regulation or Administrative Action relating to proprietary medicinal products
- 1 2 Teijgeler, C. A. (1986). "The Committee for Proprietary Medicinal Products (CPMP): Past History and Future Changes". Drug Information Journal. 20 (3): 279–284. doi:10.1177/009286158602000320.
- ↑ "A walk through EU medicines legislation". Pharmavibes. 24 September 2025.
- ↑ Regulation (EU) No 2309/93 of 22 July 1993 laying down Community procedures for the authorisation and supervision of medicinal products for human and veterinary use and establishing a European Agency for the Evaluation of Medicinal Products
- ↑ Regulation (EU) No 726/2004 of 31 March 2004 laying down Community procedures for the authorisation and supervision of medicinal products for human and veterinary use and establishing a European Medicines Agency
- 1 2 "Q&A: marketing authorisation for pharmaceuticals and medical devices in the European Union". Lexology. 2025.
- ↑ "Authorisation procedures: the centralised procedure". European Commission, Directorate-General for Health and Food Safety. Retrieved 2026-06-11.
- 1 2 3 "Committee for Medicinal Products for Human Use (CHMP)". European Medicines Agency. Retrieved 2026-06-11.
- ↑ "CHMP members". European Medicines Agency. Retrieved 2026-06-11.
- ↑ "CHMP Rules of Procedure" (PDF). European Medicines Agency. Retrieved 2026-06-11.
- ↑ Caspers, Lena (18 May 2016). Regulating the (E) Uterus: Epistemic Communities in the European Medicines Agency and the case of ellaOne (Master's thesis). University of Gothenburg. Retrieved 12 June 2026.
- Enzmann, Harald; Schneider, C. (1 July 2008). "Die Rolle des Ausschusses für Humanarzneimittel (CHMP) bei der europäischen zentralen Zulassung". Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz ("The role of the Committee for Medicinal Products for Human Use (CHMP) in European centralised marketing authorisation") (in German). 51 (7): 731–739. doi:10.1007/s00103-008-0579-5. ISSN 1437-1588.