This form should be used to request a scientific advice meeting with the MHRA.
Please complete this form and email with your proposed questions and any other attachments to scientific_advice@mhra.gsi.gov.uk
Company name
Title*
First name*
Surname*
Phone number*
Email address*
Confirm email address*
Postal address*
City*
Post code*
Country*
Contact name for invoicing (if different from above)
Contact address for invoicing (if different from above)
Contact email for invoicing (if different from above)
Name of the active substance (if advice is not product specific please write ‘Broader Scope advice’)
Proposed indication(s)
ATC code (if known)
Type of product
Pharmaceutical form(s)
Proposed legal status
Is the advice solely connected with a future
Or is advice on both CTA and MAA sought?
Regulatory procedure in the UK
Advice sought
Please add any comments related to the advice sought.(Please separately attach a draft of the proposed questions)
Preferred dates
Unavailable dates
Is this product currently under assessment in any other Member State?
Has CHMP scientific advice been sought on this development programme?
If ‘Yes’ please provide details and attach all advice received
Has previous MHRA scientific advice been sought on this development programme?
Has a previous MAA been made for this product for this indication?
If so, please give the PL number or European Procedure number
Actual/Proposed procedure to be followed for this product (if known)
For a centralised product is the UK rapporteur or co-rapporteur?