Subsection 2: Investigation, authorisation, refusal, renewal

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Article R5121-69

French Public Health CodeIn force

Updated 2 Nov 2023

I.-For each of the indications for which an application for early access authorisation has been submitted as mentioned in article R. 5121-68, the Haute Autorité de santé will inform the applicant of its reasoned decision within three months of acknowledgement of receipt of the complete dossier.

II. - When it concerns a medicinal product mentioned in 1° of II of Article L. 5121-12, the authorisation decision is taken after receiving the assent of the Agence nationale de sécurité du médicament et des produits de santé, attesting to the strong presumption of efficacy and safety of the medicinal product in each indication considered. This opinion is accompanied by the summary of product characteristics, the labelling and the package leaflet, drawn up by the Agency on the basis of the drafts mentioned in article R. 5121-68.

If the Haute Autorité de santé's authorisation decision includes a restriction, with regard to the criteria referred to in I of article L. 5121-12 other than efficacy and safety, of the scope of the indications covered by the authorisation in relation to the indications mentioned in the Agency's assent, this decision is sent to the Agency without delay with a view to adapting the summary of product characteristics, labelling and package leaflet.

The summary of product characteristics, labelling and package leaflet drawn up by the Agency are sent to the applicant by the Haute Autorité de santé as part of the communication referred to in I.

In the event of an unfavourable opinion from the Agence nationale de sécurité du médicament et des produits de santé on the presumed efficacy and safety of the medicinal product, the Haute Autorité de santé will refuse authorisation for early access.

III. - When the number of applications is exceptionally high, the time limit mentioned in I is extended by one month. This information is communicated to the applicant.

IV. - For medicinal products authorised in application of 1° of II of Article L. 5121-12, the Agence nationale de sécurité du médicament et des produits de santé assigns to the medicinal product the national number identifying the presentation of the medicinal product referred to in Article R. 5121-4 under the conditions laid down in the order provided for in this Article.

V. - A.- If, at the end of the period referred to in I, the Haute Autorité de Santé remains silent on an application for authorisation for a medicinal product referred to in 1° of II of Article L. 5121-12, this will be deemed to constitute a decision of acceptance if the opinion of the Agence nationale de sécurité du médicament issued within the same period attests to the strong presumption of efficacy and safety of the medicinal product in each indication considered. In the absence of a favourable opinion from the Agence nationale de sécurité du médicament et des produits de santé, the application is deemed to have been rejected.

B.- If the Haute Autorité de santé does not respond within the same time limit to an application for authorisation for a medicinal product mentioned in 2° of II of Article L. 5121-12, this will be deemed to constitute a decision of acceptance.

Mariela Petrova

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Working with a corporate lawyer in France — Q&A

Any time a strategic decision changes how the company is owned, governed or contractually bound — incorporation, fundraising, M&A, restructuring, shareholder agreements, or major commercial contracts. Earlier engagement always costs less than later remediation.

A notary (notaire) is a public officer who authenticates specific deeds (mainly real-estate transfers and certain family-law acts). A corporate lawyer (avocat) advises on strategy, negotiates and drafts company documents, and represents you in disputes. The two roles complement rather than overlap.

Yes — most of our clients are foreign suppliers, investors or holding entities. We bridge the gap between French law and your home jurisdiction's expectations and deliver everything bilingually.

The SAS (Société par Actions Simplifiée) is the default choice for most international structures: flexible governance, single shareholder allowed, no minimum capital, and works cleanly with foreign holding entities. We assess SARL, SA, SCI on the merits when the situation calls for it.

Yes — communications with a French avocat are protected by the secret professionnel (Article 66-5 of the Law of 31 December 1971). This protection is broader than the common-law attorney-client privilege and applies to written and oral exchanges.

We work on fixed fees for clearly scoped engagements (incorporation, contract drafting, audits) and on monthly retainers for ongoing advisory. Hourly billing is the exception, not the default. You always know the cost before work starts.

Typical timeline is 2–3 weeks from KYC kick-off to RCS registration, assuming standard documentation. Holding-company structures, foreign-shareholder identification or in-kind contributions can extend this — we flag the gating items at the first meeting.

Absolutely. We routinely coordinate with your in-house counsel, expert-comptable or notaire — pragmatic collaboration is the norm, not the exception. We send them everything they need to do their part without duplicating work.

Mariela Petrova

Mariela Petrova

Avocate au Barreau de Paris

Toque #C2396

15+ Years In Corporate Practice

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Communications protected by professional secrecy — secret professionnel de l'avocat, Article 66-5 of the Law of 31 December 1971.

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