Benchmarking study 2023

International comparison of Swiss authorisation times

24.07.2024

For the eleventh time in succession, Swissmedic, the Swiss authority for the authorisation and monitoring of therapeutic products, and the Swiss pharmaceutical industry associations (ASSGP, Intergenerika, Interpharma, scienceindustries and vips) have conducted a benchmarking study analysing the times required to authorise human medicinal products in Switzerland and comparing them with the equivalent times for the European Medicines Agency (EMA) and the US Food and Drug Administration (FDA). The results provide a factual basis for the ongoing dialogue between Swissmedic and the pharmaceutical industry. They help identify and implement improvements in the authorisation processes for human medicinal products.

The analysis is based on new applications for new active substances (NA NAS), additional indications (AI) and procedures for known active substances (KAS). The applications submitted for the study by participating authorisation holders account for 78.9% of the total Swiss market and 83.9% of the market for prescription-only medicinal products.

Compared with the previous year, throughput times for Swissmedic authorisation procedures followed divergent trends.

The study identified rising throughput times (+15%) for NA NAS in the standard procedure, the effect being particularly pronounced (+72%) in the orphan drugs subgroup owing to a high level of text review rounds. There were no material changes observed in AI applications.

Throughput times for NA NAS under the Type A Orbis procedure and under Art. 13 TPA were substantially (28% and 24% respectively) shorter than in the previous year.

Swissmedic was 11% slower than the EMA on NA NAS (all procedures) and 19% slower on AI applications (all procedures). The FDA was again significantly faster than Swissmedic: throughput times were 31% shorter for NA NAS (all procedures) and 48% shorter for AI (all procedures). 

Overall, both the submission gap and the approval gap widened year-on-year against the reference authorities EMA and FDA. The exceptions to this were NA NAS under the standard procedure, where the submission and approval gaps were shorter than the previous year compared with both the EMA and FDA.

In the case of known active substances, the throughput times for KAS without innovation (generics) in the standard procedure were slightly longer than in the EU. Throughput times for cases where the procedure under Art. 13 TPA was applied were shortened compared with the standard procedure.

In the labelling phase, the percentage of applications with text review rounds increased overall from 20% to 28%. The increase was most pronounced among KAS (from 14% to 25%).

Other trends and findings from the study can be found in the Executive Summary.

In connection with this, Swissmedic would also like to draw attention to the latest publication from the Centre for Innovation in Regulatory Science (CIRS): The R&D Briefing 93 – New drug approvals in six major authorities 2014-2023 compares the authorisation times at Swissmedic with those of Europe, Japan, Canada, Australia and the USA (Figure 1). When comparing the present study, R&D Briefing 93 and Swissmedic's publications (summary report Authorisations of human medicinal products with a new active substance and additional indications 2023, Swissmedic Annual Report 2023) it should be noted that the inclusion criteria for applications are not identical, which may lead to numerical differences in throughput times. Taking the total NA NAS (n=41) as an example, an acceleration of -15 CD was achieved in 2023 (excerpt from benchmarking study 2023: n=29; +29 CD).