JSC

JCA Dossier Support and JSC

Dossier development

Combining proactive preparation with deep expertise in HTA dossier development, we support efficient delivery of JCA-ready submission packages.  

Anticipatory Evidence Generation

SLRs of clinical, safety and HRQOL data

Indirect comparison

Anticipatory dossier drafting

Anticipatory Evidence Generation

Update SLRs

Finalise indirect treatment comparisons

Finalise JCA dossier

Day 0
PICO Confirmation
Day 100
Dossier submission
Our Story

What is JSC?

Joint Scientific Consultation (JSC) was introduced under the HTAR framework for manufacturers to obtain early advice during the JCA process.

JSC can be requested in parallel with the European Medicines Agency (EMA), enabling manufacturers to gain input from both regulators and HTA bodies across EU member states to support market authorisation and reimbursement decision-making.

Early engagement with JSC supports informed planning of pivotal trials as well as guidance on the evidence packages required for JCAs and national HTA submissions.

How does the JSC process work?

01
Manufacturers must upload a submission request form during specific request periods published by the Health Technology Assessment (HTACG) to the HTA IT platform, via contacting the HTA secretariat (SANTE-HTA-JSC@ec.europa.eu).

Applications are limited to the request periods; therefore, engagement should be anticipated early to ensure readiness to apply at the optimal time.

02
Upon acceptance, manufacturers have approximately six weeks to prepare and submit a briefing package, including the list of questions for discussion.
03
Following submission, the HTACG reviews the briefing package and provides a list of issues for clarification.

Manufacturers must respond to some points in writing ahead of the JSC meeting, where the outstanding issues are discussed.

The JSC procedure takes approximately 4.5 months following submission of the briefing package.

01
JSC request period closes
03
Briefing package submitted
05
HTACG share list of issues
07
JSC meeting
15 working days
min. 6 weeks
~ 4.5 months
02
JSC decision
04
Briefing package amendments
06
Manufacturer response to list of issues
08
JSC outcome document published

How to get selected for JSC?

As the number of JSC slots is expected to be lower than the number of eligible requests, particularly in the first few years, products will be selected based on a series of selection criteria:

Unmet medical need

First in class

Impact on patients, public health or healthcare systems

Significant cross-border dimension

Major union wide added value or union clinical research priority

To be eligible for JSC a medical product must meet the following criteria:

  • being likely to be the subject of JCA
  • clinical studies and clinical investigations are still in the planning stage.

Strategic considerations for JSC

JSCs can streamline preparation for JCA and ensure that clinical studies generate JCA-ready evidence, however engagement requires considerable time and resource investment, so it is critical to assess whether it is the right route for your product:

Most appropriate scientific advice route?
Objectives of the advice?
Will the advice be actionable?
Likelihood of selection
JSC preparation costs
Timelines (adequate time before pivotal trial design lock)
Readiness to engage with the procedure

A critical component of JSC is development of the list of questions, ensuring they are strategically tailored and elicited at the appropriate stage of development to generate actionable insights for evidence generation.

Although JSC recommendations are not legally binding, manufacturers are expected to justify any deviations from the advice received, making well-positioned questions essential.

Drawing on our experience in national scientific advice, Symmetron can provide strategic guidance throughout the JSC process, and hands-on support across all stages, to maximise the value of engagement and translate advice into practical steps that support successful JSC outcomes.