PV Bulletin

Renewal of Compassionate Use Framework for Methotrexate

ANSM renews the compassionate use framework for Methotrexate effective July 22, 2026.

Primary source: Dailymotion Video Player

PV Impact Brief

Urgency: HighConfidence: high

What changed

The compassionate use framework for Methotrexate has been renewed, with updated protocols for patient monitoring and safety reporting obligations for a period of three years starting July 28, 2026.

Why it matters

Maintaining rigorous pharmacovigilance for off-label Methotrexate use is crucial to ensure patient safety and support ongoing evaluations of treatment risks and benefits.

Action needed

Healthcare providers must ensure patient registrations and comply with adverse event reporting as per the renewed compassionate use framework, which includes the collection and analysis of safety data.

Relevant for
Regulatory Intelligence LeadQPPV
Processes impacted
ICSRCountry Compliance
Owner

Regulatory Intelligence Lead

Review cadence

Review before 2026-07-21.

Policy change details

Document type
Executive Order / Decision
Policy status
Effective
Publication date
2026-07-21
Effective date
2026-07-21
Policy change
The ANSM has renewed the compassionate use framework (CPC) for Methotrexate in specific indications not covered by the marketing authorization. This decision mandates ongoing safety and efficacy monitoring for patients treated under this framework.

Key changes

Continuation of the CPC framework; mandatory registration of patients and reporting of adverse events by prescribing clinicians.

Affected workflows

ICSRCountry Compliance

Responsible groups

PV OperationsMedical Affairs

PV impact

MAHs and healthcare providers must maintain rigorous PV reporting for off-label use within this framework. This includes the collection and analysis of safety data to support periodic evaluations of the risk-benefit balance for these specific indications.

View regulator source

Source document details

Exact policy details

Duration of Compassionate Use Framework Renewal
3 years
Applies to: Starting from July 28, 2026
Le CPC précité est renouvelé pour une durée de trois ans à compter du 28 juillet 2026. · p. 1 · High · Source
Effective Date
July 22, 2026
Applies to: Date of effectiveness of the decision
La présente décision entre en vigueur le lendemain de sa publication sur le site Internet de l’ANSM. · p. 1 · High · Source
Previous Protocol Replacement
New therapeutic use and patient monitoring protocol replaces the previous protocol
Applies to: Applicable upon decision enactment
Le protocole d'utilisation thérapeutique et de suivi des patients (PUT-SP) annexé à la présente décision remplace le protocole précédemment en vigueur. · p. 1 · High · Source

Evidence and confidence

Confidence: highSource updated: Jul 21, 2026

Full briefing

Practical implication

Healthcare providers must ensure patient registrations and comply with adverse event reporting as per the renewed compassionate use framework, which includes the collection and analysis of safety data.

The ANSM has renewed the compassionate use framework (CPC) for Methotrexate, effective July 22, 2026. This renewal requires mandatory patient registration and adverse event reporting by healthcare providers. The framework will be in place for three years, with a new therapeutic use and patient monitoring protocol replacing the previous one.

What changed: The compassionate use framework for Methotrexate has been renewed, with updated protocols for patient monitoring and safety reporting obligations for a period of three years starting July 28, 2026.

Why it matters: Maintaining rigorous pharmacovigilance for off-label Methotrexate use is crucial to ensure patient safety and support ongoing evaluations of treatment risks and benefits.

Practical implication: Healthcare providers must ensure patient registrations and comply with adverse event reporting as per the renewed compassionate use framework, which includes the collection and analysis of safety data.

View original source

Published from the Firecrawl policy change extraction pipeline.

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