Article 5(3) opinions
Table of contents
- Use of Paxlovid (PF-07321332 and ritonavir) for treating COVID-19
- Use of Lagevrio (also known as molnupiravir or MK 4482) for treating COVID-19
- Use of sotrovimab (VIR-7831) for treating COVID-19
- Use of Vaxzevria to prevent COVID-19
- Use of regdanvimab for the treatment of COVID-19
- Use of bamlanivimab and etesevimab for the treatment of COVID-19
- Use of casirivimab and imdevimab for the treatment of COVID-19
- Use of dexamethasone in COVID-19 patients on oxygen or mechanical ventilation
- Nitrosamine impurities in human medicinal products (Updated 18/02/2021)
- Use of direct oral anticoagulants (DOACs)
- Systemic use of gentamicin
- Suitability of the zebrafish model for evaluating effects of norethisterone and ethinylestradiol
- Prescription status of desloratadine-containing products
- Revision of manufacturing and quality requirements for polymyxin-based products
- Available data for Ebola treatments under development
- Short-term paediatric use of propylene glycol
- Use of GLP-1 based therapies and risk for inflammation of the pancreas
- Use of reworked batches of Octagam
- Equivalence between teicoplanin generics and the reference product
- Supply chain for protamine-containing medicinal products
- Hypothesis on Pandemrix and development of narcolepsy
- Non-selective non-steroidal anti-inflammatory drugs (NSAIDs) and cardiovascular risk
- Anti-tuberculosis medicines used in children: review of dosing recommendations from the World Health Organization (WHO)
- Angiotensin-II-receptor antagonists and the risk of cancer
- Particles on silicone tubing of diphtheria and tetanus toxoid (DT) and diphtheria/tetanus toxoid/pertussis (DTwP) antigen bulk containers
- Potential off-label use of celecoxib in patients with familial adenomatous polyposis
- Presence of endotoxins in Baxter peritoneal dialysis solutions
- Detection of unexpected viral DNA in live attenuated vaccines
- Bisphosphonates and osteonecrosis of the jaw
- Novel influenza (H1N1) outbreak: Tamiflu (oseltamivir) and Relenza (zanamivir)
- Conventional antipsychotics
- Antidepressants
- Medicinal products containing or derived from heparin
- Potential risk of carcinogens, mutagens and substances toxic to reproduction when these substances are used as excipients of medicinal products for human use
- Adequacy of guidance on the elderly regarding medicinal products for human use
- Non-selective non-steroidal anti-inflammatory drugs (NSAIDs)
This page lists the opinions drawn up by the European Medicines Agency's (EMA) Committee for Medicinal Products for Human Use (CHMP) under Article 5(3) of the Regulation establishing the EMA, concerning any scientific matter related to the evaluation of medicines for use in humans.
The Committee must draw up such an opinion at the request of the Executive Director of the EMA or of the European Commission. It may also draw up an opinion following a request from a Member State.
Where the scientific issue concerns both human and veterinary medicines, the Committee may adopt a common opinion with the Committee for Medicinal Products for Veterinary Use (CVMP).
Requests for this type of scientific opinion fall under Article 5(3) of Regulation (EC) No 726/2004.
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Paxlovid (PF-07321332 and ritonavir) - COVID-19 - Article-5(3) procedure: Assessment report (PDF/10.6 MB)
Adopted
First published: 10/01/2022
EMA/783153/2021 -
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Paxlovid (PF-07321332 and ritonavir) - COVID-19 - Article-5(3) procedure: Conditions of use, conditions for distribution and patients targeted and conditions for safety monitoring (PDF/261.73 KB)
Adopted
First published: 22/12/2021
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Questions and answers on the refusal of the marketing authorisation for Lagevrio (molnupiravir) (PDF/100.78 KB)
Adopted
First published: 24/02/2023
Last updated: 13/03/2023
EMA/82948/2023 Rev.1 -
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Lagevrio (also known as molnupiravir or MK 4482) - COVID-19 - Article-5(3) procedure: Assessment report (PDF/6.73 MB)
Adopted
First published: 03/12/2021
Last updated: 09/12/2021
EMA/719664/2021 Corr. 1 -
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Lagevrio (also known as molnupiravir or MK 4482) - COVID-19 - Article-5(3) procedure: Conditions of use, conditions for distribution and patients targeted and conditions for safety monitoring (PDF/202.13 KB)
Adopted
First published: 19/11/2021
- Meeting highlights from the Committee for Medicinal Products for Human Use (CHMP) 20-23 February 2023: EMA's CHMP recommends the refusal of a marketing authorisation for Lagevrio (molnupiravir) (24/02/2023)
- EMA reviewing new data on effectiveness of Lagevrio (molnupiravir) for the treatment of COVID-19 (14/12/2021)
- EMA receives application for marketing authorisation for Lagevrio (molnupiravir) for treating patients with COVID 19 (23/11/2021)
- EMA issues advice on use of Lagevrio (molnupiravir) for the treatment of COVID-19 (19/11/2021)
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Sotrovimab (also known as VIR-7831 and GSK4182136) - COVID19 - Article-5(3) procedure: Conditions of use, conditions for distribution and patients targeted and conditions for safety monitoring (PDF/188.42 KB)
Adopted
First published: 21/05/2021 -
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Sotrovimab (also known as VIR-7831 and GSK4182136) - COVID19 - Article-5(3) procedure: Assessment report (PDF/5.33 MB)
Adopted
First published: 11/06/2021
EMA/304600/2021
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Use of Vaxzevria to prevent COVID-19 - Article-5(3) procedure: Final assessment report (PDF/739.3 KB)
Adopted
First published: 21/09/2021
EMA/530434/2021 -
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Use of Vaxzevria to prevent COVID-19 - Article-5(3) procedure: Assessment report (PDF/553.23 KB)
Adopted
First published: 26/04/2021
EMA/CHMP/214855/2021 -
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Interim Opinion of the Committee for Medicinal products for Human Use pursuant to Article 5(3) of Regulation (EC) No 726/2004 for Vaxzevria (PDF/171.93 KB)
Adopted
First published: 23/04/2021
EMA/CHMP/228681/2021 -
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Letter from Commissioner Kyriakides asking EMA to follow up on Vaxzevria opinion after Council discussion (PDF/186.55 KB)
First published: 14/04/2021
- Vaxzevria (previously COVID-19 Vaccine AstraZeneca)
- Meeting highlights from the Committee for Medicinal Products for Human Use (CHMP) 13-16 September 2021 (17/09/2021)
- AstraZeneca’s COVID-19 vaccine: benefits and risks in context (23/04/2021)
- AstraZeneca’s COVID-19 vaccine: EMA to provide further context on risk of very rare blood clots with low blood platelets (14/04/2021)
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Regdanvimab for the treatment of COVID-19 (Celltrion) - COVID-19 - Article-5(3) procedure: Assessment report (PDF/2.09 MB)
Adopted
First published: 06/05/2021
EMA/192245/2021 -
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Celltrion use of regdanvimab for the treatment of COVID-19 - Article-5(3) procedure: Conditions of use, conditions for distribution and patients Targeted and conditions for safety monitoring addressed to Member States (PDF/323.64 KB)
Adopted
First published: 26/03/2021
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Eli Lilly and Company Limited antibody combination (bamlanivimab / etesevimab - COVID19 - Article-5(3) procedure: Assessment report (PDF/2.21 MB)
Adopted
First published: 24/03/2021
EMA/177113/2021 -
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Eli Lilly and Company Limited antibody combination (bamlanivimab / etesevimab - COVID19 - Article-5(3) procedure: Conditions of use, conditions for distribution and patients targeted and conditions for safety monitoring (PDF/522.66 KB)
First published: 05/03/2021
Last updated: 11/03/2021
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REGN-COV2 antibody combination (casirivimab / imdevimab) - COVID19 - Article-5(3) procedure: Assessment report (PDF/1.35 MB)
First published: 11/03/2021
EMA/142650/2021 -
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REGN-COV2 antibody combination (casirivimab / imdevimab) - COVID19 - Article-5(3) procedure: Conditions of use, conditions for distribution and patients targeted and conditions for safety monitoring (PDF/462.17 KB)
First published: 26/02/2021
Last updated: 24/03/2021
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EMA endorses use of dexamethasone in COVID-19 patients on oxygen or mechanical ventilation (PDF/116.33 KB)
First published: 18/09/2020
EMA/483739/2020 -
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Dexamethasone - COVID19 - Article-5(3) procedure: proposals for product information (PDF/425.9 KB)
First published: 18/09/2020 -
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Dexamethasone - COVID19 - Article-5(3) procedure: Assessment report (PDF/1.4 MB)
First published: 30/09/2020
EMA/509632/2020
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European Medicines Regulatory Network approach for the implementation of the CHMP Opinion pursuant to Article 5(3) of Regulation (EC) No 726/2004 for nitrosamine impurities in human medicines (PDF/444.81 KB)
First published: 19/02/2021
Last updated: 22/02/2021
EMA/425645/2020 -
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Nitrosamines EMEA-H-A5(3)-1490 - Assessment report (PDF/1.26 MB)
Adopted
First published: 09/07/2020
EMA/369136/2020 -
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Nitrosamine impurities - Final outcome of Article 5(3) (PDF/119.45 KB)
First published: 09/07/2020
EMA/341963/2020 -
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Nitrosamine impurities - Interim outcome of Article 5(3) (PDF/84.53 KB)
First published: 26/09/2019
EMA/511347/2019 -
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EMA to provide guidance on avoiding nitrosamines in human medicines (PDF/107.06 KB)
First published: 13/09/2019
EMA/500009/2019 -
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Nitrosamines EMEA-H-A5(3)-1490 - Information on nitrosamines for marketing authorisation holders - Obsolete (PDF/166.71 KB)
Adopted
First published: 26/09/2019
EMA/189634/2019 -
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Nitrosamines EMEA-H-A5(3)-1490 - Questions and answers on 'Information on nitrosamines for marketing authorisation holders' - Obsolete (PDF/489.11 KB)
Adopted
First published: 26/09/2019
Last updated: 27/03/2020
EMA/CHMP/428592/2019 Rev. 3
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Assessment report for Article-5(3) procedure: direct oral anticoagulants (DOACs) (PDF/768.67 KB)
Adopted
First published: 28/04/2020
EMA/194375/2020 -
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No change is needed in use of direct oral anticoagulants following EMA-funded study (PDF/160.71 KB)
First published: 27/03/2020
EMA/94424/2020 -
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Direct oral anticoagulants (DOACs) - EMA starts review of study on bleeding risk with direct oral anticoagulants (PDF/76.49 KB)
First published: 01/02/2019
EMA/37941/2019
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Assessment report for Article-5(3) procedure: norethisterone and ethinylestradiol (PDF/249.64 KB)
Adopted
First published: 26/10/2018
EMA/745160/2018 -
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Assessment report for Article-5(3) procedure: norethisterone and ethinylestradiol (EMEA/H/A-5(3)/1477) (PDF/644.89 KB)
Adopted
First published: 06/05/2019
Last updated: 24/05/2019
EMA/245512/2019 Corr.
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Assessment report for Article-5(3) procedure: Medicinal products under development for treatment of Ebola (PDF/2.16 MB)
Adopted
First published: 14/03/2016
Last updated: 14/03/2016
EMA/129754/2016 -
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Interim assessment report for Article-5(3) procedure: Medicinal products under development for treatment of Ebola (PDF/897.79 KB)
Adopted
First published: 16/12/2014
Last updated: 02/02/2015
EMA/756544/2014 Rev. 1
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Assessment report for Article-5(3) procedure: Non-steroidal anti-inflammatory drugs (NSAIDs) and cardiovascular risk (PDF/440.66 KB)
First published: 12/11/2012
Last updated: 12/11/2012
EMA/696137/2012 -
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Questions and answers on the review of non-selective non-steroidal anti-inflammatory drugs (NSAIDs) and cardiovascular risk (PDF/84.9 KB)
First published: 19/10/2012
Last updated: 19/10/2012
EMA/653433/2012
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Assessment report for Article-5(3) procedure: Angiotensin II (type-1) receptor antagonists and risk of cancer (PDF/420.17 KB)
Adopted
First published: 09/02/2012
Last updated: 09/02/2012
EMEA/H/A-5(3)/1274 -
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Questions and answers on the review of angiotensin-II-receptor antagonists and the risk of cancer (PDF/511.41 KB)
First published: 20/10/2011
Last updated: 11/05/2017
EMA/CHMP/834168/2011
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Assessment report for celecoxib for the reduction of the number of adenomatous intestinal polyps in familial adenomatous polyposis, as an adjunct to surgery and further endoscopic surveillance (PDF/193.37 KB)
Adopted
First published: 15/06/2011
Last updated: 15/06/2011
EMA/416998/2011 -
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Questions and answers on the potential off-label use of celecoxib in patients with familial adenomatous polyposis (PDF/55.78 KB)
First published: 20/05/2011
Last updated: 20/05/2011
EMA/CHMP/376406/2011
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Assessment report for Article-5(3) procedure: Presence of endotoxins in Baxter peritoneal dialysis solutions (PDF/102.92 KB)
First published: 20/12/2010
Last updated: 20/12/2010
EMA/833156/2010 -
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Questions and answers on the presence of endotoxins in Baxter peritoneal dialysis solutions (PDF/61.54 KB)
First published: 17/12/2010
Last updated: 17/12/2010
EMA/818936/2010
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Assessment report for Article-5(3) procedure: Detection by a highly sensitive new polymerase-chain-reaction technique of genomic fragments from endogenous and adventitious viral agents in live attenuated vaccines (PDF/129.93 KB)
Adopted
First published: 09/02/2012
Last updated: 09/02/2012
EMEA/H/A-5(3)/1269 -
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Questions and answers on the detection of unexpected viral DNA in live attenuated vaccines (PDF/122.53 KB)
First published: 18/11/2010
Last updated: 18/11/2010
EMA/718290/2010
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Opinion of the CHMP pursuant to Article-5(3) of Regulation (EC) No 726/2004, on bisphosphonates and osteonecrosis of the jaw (PDF/56.41 KB)
First published: 08/10/2009
Last updated: 08/10/2009
EMEA/CHMP/292474/2009, EMEA/H/A-5(3)/1130 -
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Request for a scientific opinion letter (PDF/181.33 KB)
First published: 08/10/2009
Last updated: 08/10/2009 -
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CHMP assessment report on bisphosphonates and osteonecrosis of the jaw - Procedure under Article 5(3) of Regulation (EC) No 726/2004 (PDF/171.39 KB)
First published: 24/09/2009
Last updated: 24/09/2009
EMEA/CHMP/291125/2009 -
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Questions and answers on the review of bisphosphonates and the risk of osteonecrosis of the jaw (PDF/39.9 KB)
First published: 24/09/2009
Last updated: 24/09/2009
EMEA/CHMP/292475/2009
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Opinion of the CHMP pursuant to Article-5(3) of Regulation (EC) no 726/2004, on novel influenza (H1N1) outbreak, Tamiflu (oseltamivir), Relenza (zanamivir) (PDF/33.25 KB)
First published: 08/05/2009
Last updated: 08/05/2009
EMEA/CHMP/278838/2009 -
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CHMP assessment report on novel influenza (H1N1) outbreak, Tamiflu (oseltamivir), Relenza (zanamivir) (PDF/271.65 KB)
First published: 07/05/2009
Last updated: 07/05/2009
EMEA/CHMP/287662/2009 -
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Questions and answers on the use of antiviral medicines in case of novel influenza A/H1N1 pandemic (PDF/46.56 KB)
First published: 08/05/2009
Last updated: 08/05/2009
EMEA/273535/2009
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Opinion of the CHMP pursuant to Article-5(3) of Regulation (EC) No 726/2004, on conventional antipsychotics (PDF/33.28 KB)
First published: 27/11/2008
Last updated: 27/11/2008
EMEA/CHMP/590563/2008 -
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CHMP assessment report on conventional antipsychotics procedure under Article 5(3) of Regulation (EC) No 726/2004 (PDF/81.61 KB)
First published: 20/11/2008
Last updated: 20/11/2008
EMEA/CHMP/590557/2008 -
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Questions and answers on the review of the use of conventional antipsychotic medicines in elderly patients with dementia (PDF/38.46 KB)
First published: 27/11/2008
Last updated: 27/11/2008
EMEA/637512/2008
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Opinion of the CHMP pursuant to Article-5(3) of Regulation (EC) No 726/2004, on antidepressants (PDF/20.93 KB)
First published: 04/07/2008
Last updated: 04/07/2008
EMEA/CHMP/266022/2008 -
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Letter on efficacy of antidepressants (PDF/27.85 KB)
First published: 19/03/2008
Last updated: 19/03/2008 -
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CHMP assessment report on antidepressants under Article 5(3) of Regulation (EC) No 726/2004 (PDF/38.64 KB)
First published: 30/05/2008
Last updated: 30/05/2008
EMEA/CHMP/266019/2008
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Opinion of the CHMP pursuant to Article-5(3) of Regulation (EC) No 726/2004, on heparins (PDF/33.88 KB)
First published: 06/06/2008
Last updated: 06/06/2008
EMEA/CHMP/271967/2008 -
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CHMP assessment report for medicinal products containing or derived from heparin under Article 5(3) of Regulation (EC) No 726/2004 (PDF/52.05 KB)
First published: 30/05/2008
Last updated: 30/05/2008
EMEA/CHMP/278280/2008 -
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Questions and answers on heparins (PDF/36.2 KB)
First published: 05/06/2008
Last updated: 05/06/2008
EMEA/276814/2008
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Opinion of the CHMP pursuant to Article-5(3) of Regulation (EC) No 726/2004, for non-selective non-steroidal anti-inflammatory drugs (NSAIDs) (PDF/73.37 KB)
First published: 23/10/2006
Last updated: 23/10/2006
EMEA/CHMP/410051/2006 -
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Letter on request for opinion on non-selective NSAIDs under Article 5(3) of Regulation (EC) No 726/2004 (PDF/34.1 KB)
First published: 21/09/2006
Last updated: 21/09/2006 -
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Public CHMP assessment report for medicinal products containing non-selective non-steroidal anti-inflammatory drugs (NSAIDs) (PDF/151.21 KB)
Adopted
First published: 07/11/2006
Last updated: 07/11/2006
EMEA/CHMP/442130/2006 -
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Questions and answers on the review of non-selective non-steroidal anti-inflammatory drugs (PDF/39.21 KB)
Adopted
First published: 24/10/2006
Last updated: 24/10/2006
EMEA/410862/2006