Directorate General

POST AUTHORISATION

competent for all activities following approval of the first marketing authorisation for a medicine or health product

Marketing Authorisation Division (variations and renewals)

Applications for variations and renewals of marketing authorisations

5 760

files submitted

5 048

files closed

Closed marketing authorisations for parallel import

Contact centre

1 541

questions answered

Vigilance Division

Medicinal products for human use

8 017

notifications received

127
updated safety reports received

Notifications of adverse reactions for medicinal products for human use

Trend

The number of notifications decreased compared to 2022 due to a lower number of notifications linked to the COVID-19 vaccination but remained higher than before the COVID crisis. The number of updated safety reports increased slightly.

Annual safety reports

1 138

annual safety reports

SaMS

Change in the number of active substances for which Belgium is responsible for assessing safety data (SaMS), including the assessment of suspected serious and unexpected adverse reactions and annual safety reports.

Totaal aantal SaMS

Trend

In 2023, there was a sharp increase due to the gradual allocation of active substances to EU countries under the new European Regulation.

Medicines for veterinary use

461

adverse reactions received

486
adverse reactions treated

Notification of adverse reactions for medicinal products for veterinary use

New

Vigilance is now shared between several departments.
Veterinary pharmacovigilance is now managed by the Assessors Division of DG PRE authorisation, and materiovigilance by the Health Products Division.

Human Body Material Unit

Haemovigilance (blood and labile blood components)

1 196

reports of incidents and serious adverse events received

8
reports via the rapid alert system

Biovigilance (cells and tissues)

303
reports of incidents and serious adverse events received

including

261
reports for reproductive cells and tissues used in medically assisted reproduction
42
reports for substitute cells and tissues used in the transplantation or transfusion of stem cells

Reports of serious adverse reactions and events

26
notifications received via the European Rapid Alert Tissues and Cells (RATC) platform

including

1
notification of a quality/safety defect in a medical device relating to reproductive cells and tissues
18
notifications of a quality/safety defect relating to reproductive cells and tissues
7
notifications for epidemiological opinions relating to:

substitute cells and tissues: 3
haematopoietic stem cells: 3
all types of cells and tissues: 1

New

2023 saw a decrease compared with 2022 (-24 %). The number of notifications received in 2023 compared with 2019 (pre-COVID period) still showed a significant increase (26 %).

Trend

Biovigilance:
In 2023 there was a further increase of approximately 9 % in the number of notifications (303 notifications), after a decrease in 2022 (280 notifications) compared to 2020 (327 notifications) and 2021 (334 notifications).

Health Products Division

Medical devices

956
956 new actors (manufacturers, legal representatives, distributors, importers) were registered via the online registration system

1 837

free sale certificates of medical devices

433
free sale certificates of in vitro diagnostic medical devices
467
applications for marketing authorisations for class I medical devices received

1 999

applications for marketing authorisations for class I in vitro diagnostic medical devices received

222
registrations of FAMHP-approved actors in Eudamed

1 654 215

reports of the implantation and explanation of medical devices in the central traceability register (CTR)

Implants and invasive medical devices notified to the FAMHP

5 733

vigilance notifications for medical devices

New

2023 saw another significant increase of over 25 % in the number of serious incidents, following a smaller increase in 2022 (10 %).

Proper Use Division

Information about medicinal products and medical devices

569
questions from the public and health professionals answered

Database

1 152

new authorisations for medicinal products in Belgium (in the Medicinal Product Management database)

886
concerning medicinal products for human use
266
concerning medicinal products for veterinary use
724
amendments to centrally authorised medicinal products (in the Medicinal Product Management database)

Availability of medicinal products for human use

Unavailability notifications for medicinal products for human use

Impact of new temporary unavailabilities

1 713

questions from the public and health professionals answered

9
meetings of the task force in cases of critical unavailability
25
follow-up meetings of the task force in cases of critical unavailability

Availability of medicinal products for veterinary use

Notifications on unavailability for medicinal products for veterinary use

Additional risk minimisation activities

70
dossiers for risk-limiting activities approved

Advertising of medicinal products for human use directed at the general public

659
new notifications of advertising handled
110
renewals of notifications of advertising handled
61
new approvals for radio or television advertising issued
6
renewals of approvals for radio or television advertising issued
5
new approvals for an information campaign on radio or television issued

New

On 18 December 2023, the FAMHP launched PharmaInfo, a web portal for citizens and patients containing easily understandable and reliable information on medicines and health products.

  • 97 new medicine information sheets published
  • 5 new information sheets on medical devices published
  • 28 new themes published
  • 7 news items published

More information on this subject can be found in the “In the Spotlight” section of our annual report.