Therefore, alongside a comprehensive physician justification and good efficacy and safety data, a therapy can be included on the nominative ATU list. ANSM (France) Benefit-risk assessment of compassionate use (ATU), clinical trial and marketing authorization applications. To learn more about cookies, how we use them on our site and how to change your cookie settings please view our cookie policy. Le nouveau dispositif de traitement des demandes d’Autorisation temporaire d’utilisation nominatives (ATUn) d’un médicament s’applique depuis le 17 septembre dernier, dans le cadre du programme de modernisation et de transparence de l’Agence nationale de sécurité du médicament (ANSM). Dans le cadre de son programme de modernisation et de transparence, l'ANSM transforme dès le 18 septembre 2018 son dispositif de traitement des demandes d'Autorisations Temporaires d'Utilisation nominatives afin de le simplifier et renforcer un accès rapide et équitable à l'innovation thérapeutique pour les patients. Check out my @JustGiving page and please donate if you can. France is the rapporteur for the evaluation of this dossier. To reduce the BI of the ATU the French authorities aim to implement stricter eligibility criteria by capping the number of nominative requests per drug, by demanding drugs show a   stronger therapeutic benefit. With an increase in number of orphan drugs, cell and genes therapies achieving European MA, the ATU provides early paid for access for orphan drugs undergoing P&R and/or prior to EMA approval. Political (directs the ATU's political campaigns at the federal, local and provincial levels) 9. The International is the governing body that is responsible for the work of the entire union. Ces médicaments qui n’ont pas encore d’AMM (Autorisation de Mise sur le Marché) en France sont importés avec un statut d’ATU (Autorisation Temporaire d’Utilisation) nominative et sous le contrôle de l’ANSM. The Agence Nationale de Sécurité du Médicament et des Produits de Santé (ANSM) has unveiled a new system to be used when applying for a nominative Temporary Authorisation for Use (ATUn). Necessary cookies are absolutely essential for the website to function properly. These changes could therefore decrease the pre-commercialisation revenue opportunity through the nominative ATU program. Under the microscope: Orphan Drug incentives in Europe, https://ec.europa.eu/growth/sectors/healthcare/competitiveness/products-pricing-reimbursement/transparency-directive_en, https://www.efpia.eu/media/412747/efpia-patient-wait-indicator-study-2018-results-030419.pdf, https://www.ansm.sante.fr/var/ansm_site/storage/original/application/4a4914f30cd19e61213177e4d06fd1e4.pdf, https://www.researchgate.net/publication/330223086_French_Early_Access_Compassionate_Use_Program_ATU_Still_an_Eternal_Flame, https://www.simon-kucher.com/en-gb/node/5086, http://www.assemblee-nationale.fr/dyn/15/textes/l15b2296_projet-loi#B474571004, https://www.actions-traitements.org/atu-etre-rationnees/, France’s New ATU Process: Why only truly innovative therapies should now apply, India’s new draft national policy for rare disease and the road to accessing gene therapies, 4 key trends changing the access landscape through to 2025, HTA and pricing update: Recent moves on drug cost-control by European payers. Les demandes d’autorisation temporaire d’utilisation nominatives (ATUn) – et de renouvellement – peuvent être dématérialisées depuis le mois de mars via l’application e-Saturne. ANSM registered and evaluated quality defects in 1700 medicinal products, ... with medicinal products under cohort ATU representing 2-fold increase compared with 2013 and 18,831 patients under nominative ATU (12,822 patients with initiation of treatment). The ANSM are expected to implement changes set by the French social security law to the nominative ATU program later this year to ease the cost burden associated with the ATU. This website uses cookies to improve your experience while you navigate through the website. In contrast, the other countries have one compassionate use program for either individual patients or a group of patients. The ANSM are expected to implement changes set by the French social security law to the nominative ATU program later this year to ease the cost burden associated with the ATU. Such option is covered at European Community level in Article 5(1) of Directive 2001/83/EC, duly amended. Authored by: On 11 March 2019, the French National Agency for Medicines and Health Products Safety (ANSM) granted the first cohort Temporary Authorisation for Use (ATUc) for a medicine that already has a marketing authorisation since 2014 in a different indication. In recent years there has been an increasing trend of approvals of therapies for rare disorders. This is the first ATUc for an extension indication according to the early access and care scheme provided for in Article 65 of the Social Security Financing Act for 2019 (see Legal Update 2019 Social Security Financing Act introduces new healthcare measures). Education 3. L’ATU nominative tient lieu d’autorisation d’importation. Il repose sur un guichet unique mis à la disposition des professionnels de santé afin de simplifier les modalités de demandes des ATU et les À compter du 17 septembre 2018, les modalités de traitement des demandes d'autorisation temporaire d'utilisation nominative (ATUn) seront modifiées pour « une meilleure transparence et une meilleure accessibilité », annonce l'Agence nationale de sécurité du médicament et des produits de santé (ANSM). 350 State Street, Brooklyn, NY 11217. De rares cas d’atteintes hépatiques cytolytiques graves, d’évolution fatale ou ayant nécessité une transplantation hépatique, ont été rapportés dans les premiers mois d’un traitement par benzbromarone (commercialisé sous le nom de spécialité DESURIC). Legal and regulatory developments in the Life Sciences sector, ANSM grants first cohort ATU to a new indication of an authorised medicine. COMEDIMS AP-HP Service EPBU – UF ESBUI - AGEPS Décembre 2015 POST-ATU – PRE-INSCRIPTION : DEMANDE D’ADMISSION D’UN MEDICAMENT Préambule : à la fin des octrois des ATU par l’ANSM, tous les médicaments ayant bénéficiés d’ATU à l’APHP sont soumis à un avis temporaire du COMEDIMS de l’APHP avant que la procédure d’achat soient engagée pour la période post-ATU … De nouvelles modalités de traitement des autorisations temporaires d’utilisation nominatives sont entrées en vigueur le 17/09/2018 afin de garantir un accès transparent, rapide et équitable à l’innovation thérapeutique pour les patients.. A compter du 04/03/2019, l’ANSM met également en place un nouveau système de téléservice pour le traitement des ATU nominatives : e-SATURNE. Ces autorisations peuvent également être assujetties à la mise en place d'un protocole d'utilisation thérapeutique et de recueil d'informations. Cette demande d’autorisation de mise sur le marché concerne les adultes et adolescents (à partir de 12 ans), dont le dolutégravir est le premier traitement ou déjà sous antirétroviraux. Typically, two types of ATU can be granted: nominative ATU (nATU) or cohort ATU (cATU). EU Market Access 2021: What’s in Store for Orphan Drugs and ATMPs? En revanche, l’initiation de n… Le laboratoire ViiV Healthcare vient de soumettre aux autorités américaine, canadienne et européenne du médicament son anti-intégrase de nouvelle génération, le dolutégravir. Note: We have 81 other definitions for ATU in our Acronym Attic. 👉 https://www.cmtc.nl/en/activities/information-folders/after-the-diagnosis-brochure/, All Rights Reserved © Privacy Partners 4 Access 2020, Expert global consultancy specializing in access for orphan drugs. Lorsque le produit n’est pas disponible en France, le pharmacien de l’établissement de santé peut importer le produit grâce à l’ATU délivrée par l’ANSM (8).Les ATU nominatives répondent à des demandes dont l’enjeu est différent de celui des ATU de cohorte. A nominative ATU (nATU) is for one specific identified patient at the request of his or her physician. To reduce the BI the French authorities, aim to set the price of nominative ATU drugs and unlike before, the price will be confidential and not published. In Europe, a request for the extension of the marketing authorisation has been under examination since 19 August 2018. This category only includes cookies that ensures basic functionalities and security features of the website. Intitulé attribué au marché Fourniture de «Médicaments importés sous ATU nominative», conformément aux recommandations de l'ANSM et des prestations associées destinée à l'AGEPS - service approvisionnement et distribution. You can rely on the experience and expertise of our consultants for providing advice and efficient implementation of ATU projects (nominative and cohort): Provision of advice or responses to questions including strategy and/or positioning of ATU projects Preparation or review of ATU applications including the protocol for therapeutic use (PUT) Votre carte CPS doit être connectée à votre ordinateur afin de vous authentifier. Legal 6. In France, there are two categories of compassionate use programs, “Nominative ATU (Authorisation Temporaire d' Utilisation – Temporary Authorizations for Use)” and “Cohort ATU”. You can customise your daily newsletter by ticking the boxes below. Lynparza® (olaparib) has a marketing authorisation in the United States since 19 December 2018 for the same indication as the one covered by the ATUc. Dès le 4 mars 2019, toutes les demandes d’ATU nominatives pourront être transmises à l’ANSM avec l'application e-SATURNE. You also have the option to opt-out of these cookies. To authorise the exceptional use of a medicinal product that has not yet been granted marketing authorisation (MA). ATUs are granted by the ANSM ATU Group for a limited . En particulier, un guichet unique a été mis à la disposition des professionnels de santé ainsi qu'un référentiel des spécialités délivrées dans le cadre des ATU nominatives. Looking for online definition of ATU or what ATU stands for? The Plan is commonly known as a defined contribution Section 401(k) “profit sharing” plan. Elle est accordée pour une durée limitée (1 jour à 1 an) éventuellement renouvelable. Nominative (named patient) and cohort (group of patients) are the two types of ATU programs. ANSI/NETA ATS-2017 Standard for Acceptance Testing Specifications for Electrical Power Equipment and Systems. Pour un accès rapide à l’innovation thérapeutique, toutes les demandes d’ATU nominatives peuvent être dématérialisées via l’application de l'ANSM e-Saturne 14/03/2019 Médicament Etablissement de … The practical terms of use of Lynparza® in the context of this ATUc will soon be detailed on the ANSM website and the conditions of access to treatment will be specified in the therapeutic use protocol accompanying this ATUc. Getting ready for the EU MDR: Classification of medical devices, Getting ready for the EU MDR: Timelines for manufacturers, New requirements for Temporary Authorisations for Use in France. Driving patient access for treatments targeting rare genetic disorders in the Middle East. Ex-ATU nominative A partir du 01/01/2020 (date de fin du post-ATU), financement dérogatoire et temporaire (cf. AMM, ATU, RTU ... tout savoir sur ... (ANSM) avant de se retrouver dans les pharmacies ou les hôpitaux. What are the key considerations for manufacturers to optimise their market access strategy and implementation plans? Elles sont accordées pour une durée déterminée, ne pouvant excéder un an, et peuvent être renouvelées. On the request and responsibility of a prescribing physician. The nominative ATU can only be issued by the ANSM if there has been a request for a cohort ATU or MA for the medicinal product concerned (or if the pharmaceutical company is in the process of filing such a request within a set timescale) or if a clinical trial is ongoing in France (or an authorisation application has been submitted). #JustGiving https://www.justgiving.com/fundraising/raredisease?utm_source=Twitter&utm_medium=fundraising&utm_content=raredisease&utm_campaign=pfp-tweet&utm_term=37c2c193d2e84fc9a731947a15eb29c8, What does the future look like for a child recently diagnosed with a rare disease and his/her parents? These cookies do not store any personal information. Tagged with ANSM ATU RTU. The EU transparency directive states pricing and reimbursement (P&R) decisions should be made within a 180 days2 timeframe. Nominative and Cohort ATU criteria for serious life-threatening therapies: The nominative ATU application process is physician driven. La procédure de délivrance des ATUn au sein des établissements demeurera inchangée. Legislative 7. new search; suggest new definition; Search for ATU in Online Dictionary Encyclopedia This system allows early access to medicines for a different indication than the one for which they already have a marketing authorisation. Finance 4. Published 13. The new e-Saturn system replaces the old technology, and has been extensively piloted with partner pharmacies to ensure its safety. The second type is the nominative ATU, or the “named-patient ATU”, which provides early access for patients on an individual basis. À partir de septembre, seules les demandes dérogatoires pour des situations exceptionnelles pourront encore se faire par fax : e-Saturne sera l’unique canal de demande d’ATUn début 2020. Therefore, the proxy pathway to commercialise very high cost therapies with a small population is no longer available and manufacturers would need to opt for full HTA submission. L'ANSM a fait évoluer en septembre 2018 les modalités de traitement des ATU nominatives, qui permettent un accès précoce au marché pour des produits innovants encore en développement. Les ATU, qu’elles soient de cohorte ou nominatives, doivent faire l'objet d'une demande à l’ANSM. ANSM (France) Benefit-risk assessment of compassionate use (ATU), clinical trial and marketing authorization applications. Remplissez rigoureusement ce formulaire : Le prescripteur remplit toutes les parties ci-dessous sur fond blanc et transmet ce formulaire au pharmacien de la PUI ; Le pharmacien de l’établissement de santé vérifie les informations 12 March 2019 - II.1.2) Type de marché et lieu d'exécution, de livraison ou de prestation Fournitures Achat Code NUTS Celle-ci instruit le dossier et délivre éventuellement cette ATU nominative pour une durée limitée. Lire la suite : Bon usage / ATU-postATU Il repose sur un guichet unique mis à la disposition des professionnels-les de santé afin de In most cases this is not the reality, of the 38 orphan drugs in 2015 – 2017, the average delay from European medicines agency (EMA) market authorisation (MA) to commercialisation in France took 551 days3. Also, with the French authorities having more responsibility in determining the cost of the therapy, a lower price is likely. It is the purpose of these specifications to assure that tested electrical equipment and systems are operational, are within applicable standards and manufacturer's tolerances, and are installed in accordance with design specifications. Le laboratoire ViiV Healthcare vient de soumettre aux autorités américaine, canadienne et européenne du médicament son anti-intégrase de nouvelle génération, le dolutégravir. The French National Agency for Medicines and Health Products Safety (Agence nationale de sécurité du médicament et des produits de santé, ANSM) has published their annual report for 2014. Corps de texte L’application e-SATURNE sera accessible à tous les professionnels de santé (médecins, pharmaciens, internes en médecine) via leurs cartes CPS. Save my name, e-mail, and website in this browser for the next time I comment. Introduction. Nominative PETINIMID 250 mg, capsule molle PETINIMID 250MG CAPS MOL MD1003 100 mg, gélule MD1003 100MG GELU Substance active (Source ANSM) Médicaments sous ATU (nom, dosage, forme pharmaceutique) (Source ANSM) Statut de l'ATU octroyée (nominative/cohorte) (source: ANSM) LETERMOVIR MSD 480MG PERF FL BAT SOL PERF FL DAUNOXOME 2MG/ML INJ FL50ML On 11 March 2019, the French National Agency for Medicines and Health Products Safety (ANSM) granted the first cohort Temporary Authorisation for Use (ATUc) for a medicine that already has a marketing authorisation since 2014 in a different indication. Le nouveau dispositif de traitement des demandes d’Autorisation temporaire d’utilisation nominatives (ATUn) d’un médicament s’applique depuis le 17 septembre dernier, dans le cadre du programme de modernisation et de transparence de l’Agence nationale de sécurité du médicament (ANSM). Out of these, the cookies that are categorized as necessary are stored on your browser as they are essential for the working of basic functionalities of the website. showing only Military and Government definitions (show all 57 definitions). In 2018, 5,642 and 15,987 patients4 had access to medicines via the cohort ATU and nominative ATU programs, respectively. This will typically apply to all first time students, faculty, and staff. Courses fulfilling subject matter requirements in more than one area are cross-listed; e.g., the listing POLS(HIST) 4043 is offered for three semester hours of credit in either political science or history. Le Laboratoire CEVIDRA les distribue sous le statut d’Autorisation Temporaire d’Utilisation nominative ou ATUn. Les formulaires de demande et de renouvellement d'ATU de cohorte sont disponibles sur le site de l'ANSM. The ANSM recognised the benefit of the product in urgently treating patients with a life-threatening disease for which no appropriate treatment was available on the market. In 2014 the ANSM approved: 33 cohort Temporary Authorisations for Use (ATU) ... the subject of nominative ATUs between 1 st January and 30 th June 2018, full list available on ANSM . L'ANSM a décidé de délivrer des ATU nominatives pour permettre l'utilisation du médicament VALCHLOR gel (chlorméthine) en France dans le traitement des patients atteints de mycosis fongoïde. ... Il existe deux types d’ATU : l’ATU de cohorte et l’ATU nominative. France’s National Agency for the Safety of Medicines and Health Products (ANSM) 1 governs the early access program called autorisation temporaire d’utilisation (ATU). There is no opportunity for the manufacturer to engage with the authorities, to provide a strong rationale to include their therapy on the nominative ATU program. Chaque année, en moyenne, l’ANSM délivre entre 25 00 et 27 000 ATU nominatives pour un total de 17 000 à 19 000 patients en initiation de traitement. ATU is listed in the World's largest and most authoritative dictionary database of abbreviations and acronyms The Free Dictionary ANSM. The Board of Trustees has assigned 001 as the Plan identification number. À son tour, ce pharmacien adresse ce formulaire renseigné à l’ANSM. Que la spécialité ait fait l’objet d’une ATU nominative ou d’une ATU de cohorte, la prise en charge du médicament est garantie pour les patients dont le traitement a été initié sous le régime de l’ATU, sauf si l’indication a fait l’objet d’une évaluation défavorable au titre de son AMM. ATU nominative ANSM: Notice to applicants for marketing for Temporary authorisation for Use (ATU), 2015. Get the Atu nominative protocole d39utilisation therapeutique et de bb - ANSM Description of 2014 ATU NOMINATIVE PROTOCOLE DUTILISATION THERAPEUTIQUE ET DE RECUEIL DINFORMATIONS DIMINEX (mazindol) 2 mg, comprim scable Aot 2014 Version 4 Agence nationale de scurit du mdicament et des produits de - Évaluation des demandes d’ATU nominatives ou de cohorte - Évaluation des demandes de RTU. ATU de cohorte. ATU nominatives (ATUn) (Source ANSM ) Conclusion de l'avis de la HAS sur l'identification d'alternatives thérapeutiques prises en charge (Source HAS) Date d'octroi de l'AMM (JJ/MM/AA) (source: ANSM) Classement en réserve hospitalière au titre de l'AMM (OUI/NON) (Source ANSM) Date … It is mandatory to procure user consent prior to running these cookies on your website. The client obtained a fast approval of the cohort ATU in the required indication, which allowed the patients to receive the treatment ahead of the MA approval. Cette demande d’autorisation de mise sur le marché concerne les adultes et adolescents (à partir de 12 ans), dont le dolutégravir est le premier traitement ou déjà sous antirétroviraux. Quid Imfinzi qui devrait apparaitre sur le tableau des post-ATUc EIT puisque ATUc EIT arrêté selon site ANSM? Additional criteria include the clinical trial must have already started and not be in the planning / submitted phase. ANSM – ATU nominative information therapeutique DESURIC (benzbromarone) 100 mg, comprimé. Another reason may be the manufacturer did not seek a cohort ATU. De rares cas d’atteintes hépatiques cytolytiques graves, d’évolution fatale ou ayant nécessité une transplantation hépatique, ont été rapportés dans les premiers mois d’un traitement par benzbromarone (commercialisé sous le nom de spécialité DESURIC). While nATU is patient-specific and granted at the request of individual physicians, cATU is designated for a group of patients at the request of the drug manufacturer. April 2013–June 2014 Project manager for compassionate use and regulatory assessor ANSM (France) • Project manager for individual and group compassionate-use programs (ATU nominatives, ATU de cohorte) ANSM – ATU nominative information therapeutique DESURIC (benzbromarone) 100 mg, comprimé. Thank you! #NewYear #fitness, I'm fundraising for Genetic Alliance UK - Rare Disease UK. Required fields are marked *. A cohort ATU (cATU) is designated for a group of patients at the request of the drug manufacturer (with requirements and eligibility criteria differing slightly between the two). L’ATU nominative est autorisée, pour une durée limitée, par l’ANSM, à la demande du médecin prescripteur et est subordonnée à la mise en place d’un protocole d’utilisation thérapeutique et de … Your e-mail address will not be published. ATU nominative This site uses cookies. T. 718-858-2113 F. 718.858.2982 Il repose sur un guichet unique mis à la disposition des professionnels-les de santé afin de We use cookies on our website. The Arkansas Tech Account Management System (AMS) is designed to help you perform the following actions: Activate Account - For users who have never logged in to the Arkansas Tech network before and need their account activated. Table 2. Subway Surface Supervisors Association. The fiscal year and the plan year are a calendar year. Remplissez rigoureusement ce formulaire : Le prescripteur remplit toutes les parties ci-dessous sur fond blanc et transmet ce formulaire au pharmacien de la PUI ; Le pharmacien de l’établissement de santé vérifie les informations Find out here. 🤔 📘 You may find the answers to some of your questions in this booklet. You will only receive updates concerning your areas of interest. Activités secondaires - Evaluation du caractère indispensable des médicaments en vue d’une éventuelle rupture de stock - Echanges avec l’Agence européenne du médicament, les autorités compétentes des états membres de l’Union européenne Nominative ATU (ATUn) Delivered for one named patient (if she/he cannot enter a clinical study). At ATU International Headquarters in Washington, DC, there are various departments which carry out the work of the International: 1. Registry (keeps track of the Membership) 5. l'ATU nominative ou ATUn, délivrée pour un patient nommément désigné, délivrée par la cellule ATU de l'Agence nationale de sécurité du médicament et des produits de santé (ANSM) à la demande du médecin. These modifications to the nominative ATU criteria would lead to products late in the development cycle being approved, as they would need to possess strong benefit: risk data. Sans l’obtention de cette autorisation de l’ANSM, le pharmacien ne peut obtenir le produit auprès du laboratoire pharmaceutique. In France, the exceptional use of pharmaceutical products that do not have a MA and are not used in clinical trials is covered by obtaining a Temporary Authorisation for Use (ATU). AMS has been developed with built in security challenge questions allowing the community members to chose and provide the correct response for the questions they want to answer in order to change or reset their passwords. In this section of the catalog, all undergraduate courses taught at Arkansas Tech University are listed alphabetically by subject area. Pour les ATU nominatives accordées par dérogation, la transmission à l'ANSM des informations relève au premier chef de la responsabilité du médecin prescripteur. A prior version of this post was originally published by the same authors in Practical Law – Life Sciences, March 2019 Issue (Thomson Reuters). It is difficult to find a price comparison for many of these therapies and due to the free pricing nature of the ATU this leaves a large budget impact (BI) for French authorities, which has exceeded €1 billion per year since 2014.6. Enter your email address to receive our latest blog posts, You can unsubscribe at any time by emailing us, The information and views set out on the Life Sciences. market-access-pharma.com - ATU nominative : COBIMETINIB 20 mg, LEUKOTAC 1 mg/ml / Spécialité pharmaceutique : COBIMETINIB 20 mg et LEUKOTAC, 1 mg/ml ANSM – Mitsubishi Tanabe Pharma Europe Juin 2018 – Version 1 Page 4 sur 41 PUT – ATU nominative RADICUT (edaravone) 1.2.2 Le protocole d’utilisation thérapeutique et de … Such authorisation is delivered by the French National Agency for Medicines and Health Products Safet… Zolgensma’s ‘Day One’ access scheme – can Novartis’s early access plan succeed? Amalgamated Transit Union National 401(k) Pension Plan. France’s National Agency for the Safety of Medicines and Health Products (ANSM)1 governs the early access program called autorisation temporaire d’utilisation (ATU). Pending the availability of this anti-cancer treatment within the framework of the EU marketing authorisation, patients in France will be able to access this innovative treatment through this ATUc as of March 2019. Currently the manufacturer sets the price of therapy for nominative ATU and must pay back the price difference of up to €20,000 per patient once the therapy is commercialised in France. Your e-mail address will not be published. The full report can be read here. Trump finally signs executive order on Medicare drug pricing but will anything change on the ground? We also use third-party cookies that help us analyze and understand how you use this website. (3) Type of Plan. By continuing to use this site without changing your settings you consent to our use of cookies in accordance with our cookies policy.Accept cookies. Thanks to this first ATUc, some patients with advanced ovarian cancer will be able to benefit from maintenance treatment with Lynparza® (olaparib) after a first line of platinum-based chemotherapy. GRIEVANCE HANDLING: The ATU represents its bargaining unit employees in disputes with their employers in matters of discipline or unfair treatment on the job. ATU granted by ANSM for the duration of the patient treatment. DEMANDE D’ATU NOMINATIVE Notice explicative d’aide au remplissage Document à faxer à l’ANSM, à la direction concernée. @Partners4A https://buff.ly/3nfUjwm #OrphanDrugs #Manufacturing #EU #Market, Please support #P4A in our 7k fundraising run for @rarediseaseuk We would love for you to donate and also take part and send us your training videos! II.1.6) Classification CPV (vocabulaire commun pour les marchés publics) : 33600000. DEMANDE D’ATU NOMINATIVE Notice explicative d’aide au remplissage Document à faxer à l’ANSM, à la direction concernée. Research The Intern… As well as impact the price potential of a therapy in the long term, as the ATU price historically creates a price ceiling for discussions with Comité économique des produits de santé (CEPS).