Subsection 2: Investigation, authorisation, refusal, renewal

Articles in this section · 5

Article R5121-74-1

French Public Health CodeIn force

Updated 2 Nov 2023

I.- When examining any request for authorisation for compassionate access, the Director General of the Agence nationale de sécurité du médicament et des produits de santé has the prerogatives set out in Article R. 5121-34.

II.- As soon as a first request for authorisation for compassionate access for a medicinal product in a specific indication is received, the Director General of the Agence nationale de sécurité du médicament et des produits de santé immediately informs the holder of the compassionate access rights.Upon receipt of a first application for compassionate access authorisation for a medicinal product in a specific indication, the Director General of the Agence nationale de sécurité du médicament et des produits de santé will immediately inform the holder of the exploitation rights for the medicinal product concerned or his authorised representative and ask him to forward by any means giving a date certain of receipt :

1° Any information relating to the efficacy, safety, manufacture and control of the medicinal product and any information relevant to the examination of the application;

2° Any information relating to the titles and objectives of any research involving the human person for commercial purposes, including any clinical trials, planned or in progress for the medicinal product concerned, with, where appropriate, their progress, as well as, for those conducted in France, information relating to the identity of all the investigators and the designation of the site or sites concerned;

3° A copy of any marketing authorisation issued in another State for the medicinal product concerned;

4° A draft protocol for therapeutic use and follow-up of patients treated;

5° Where research involving the human person, including clinical trials, is being carried out for commercial purposes in the indication in question, an undertaking by the holder of the exploitation rights or his authorised representative to submit, within a period set by decree, an application for the early access authorisation referred to in Article L. 5121-12 for the medicinal product concerned in the indication in question.

III.-When the application for authorisation for compassionate access concerns the treatment of a rare disease, the Director General of the Agency will seek the opinion of the centres of reference and centres of competence in charge of the rare diseases concerned on the condition relating to the presumed efficacy and safety of the medicinal product.

IV.If the Director of the Agency identifies, for the medicinal product, research involving the human person mentioned in 1° or 2° of Article L. 1121-1, including a clinical trial mentioned in Article L. 1124-1, in progress for commercial purposes in the indication concerned, it shall request an undertaking from the holder of the exploitation rights or its authorised representative to submit, within the time limit specified by decree, an application for the early access authorisation mentioned in Article L. 5121-12 for the medicinal product concerned in the indication concerned, unless this undertaking has been forwarded in application of II. The holder of the exploitation rights or its authorised representative has a maximum period of one month from the date of receipt of the request from the Director of the Agency to inform the Agency of its decision. If no undertaking is sent within this period, the application for authorisation of compassionate access is declared inadmissible.

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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