
Countdown to JCA: What APAC and US Drug Developers Need to Know and do Today
What North American and APAC sponsors need to know about EU Joint Clinical Assessment — and why EMA approval doesn't guarantee reimbursement.
Sponsors in North America and APAC with plans to enter the European marketplace must contend with Joint Clinical Assessment (JCA) rules. These EU Health Technology Assessment Regulation (HTAR) requirements were first applied to new oncology medicinal products and advanced therapy medicinal products (ATMPs) in January 2025. The EU Member State Coordination Group on HTA (HTACG) began introducing JCAs for selected high-risk medical devices from June 2026. Orphan medicinal products will fall under JCA rules in January 2028 and by 2030 all remaining medicines must comply. Many North American and APAC sponsors and health technology developers (HTDs) are under prepared to meet the different expectations. Dossier preparation should begin at least 20 months in advance of submission and January 2028 is just over a year away. For sponsors embarking on phase 2 studies, now is the time to start preparations. Failure to do so can result in being unable to market drugs in the EU and the other countries that are party to the JCA process.
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