PV Bulletin

Update to Additional Monitoring List for Medicinal Products

The EMA has published the latest version of the additional monitoring list, affecting labeling and signal management for medicines in the EU.

Primary source: View

PV Impact Brief

Urgency: HighConfidence: high

What changed

The EMA's latest update to the additional monitoring list specifies that newly added medicines must now include an inverted black triangle and standard explanatory statement in their package leaflet and Summary of Product Characteristics (SmPC). MAHs must check for additions or removals and adjust labeling according to these changes.

Why it matters

This regulatory action directly impacts the labeling requirements and increases the monitoring intensity for signal management for certain medicines in the EU, thus enhancing patient safety.

Action needed

MAHs should verify their product's status on the additional monitoring list and ensure compliance with labeling requirements for any additions or removals during their next regulatory submission.

Relevant for
Regulatory Intelligence LeadSignal Management LeadLabeling LeadQPPV
Processes impacted
LabelingSignal ManagementCountry Compliance
Owner

Regulatory Intelligence Lead

Review cadence

As needed, with particular attention to subsequent updates to regulatory submissions.

Policy change details

Document type
Notice
Policy status
Revised
Publication date
2026-07-29
Policy change
The EMA has published the latest version of the list of medicines subject to additional monitoring. This list identifies medicines that are being monitored particularly closely by regulatory authorities, typically because they contain a new active substance or are biological medicines for which post-authorisation safety data are still being gathered. Medicines on this list must include an inverted black triangle symbol in their package leaflet and Summary of Product Characteristics (SmPC).

Affected workflows

LabelingSignal ManagementCountry Compliance

Responsible groups

Labeling TeamPV OpsSignal Management

PV impact

MAHs should check if their products have been added to or removed from the additional monitoring list. For new additions, the inverted black triangle and standard explanatory statement must be added to the product information during the next regulatory submission. For removals, the triangle should be removed. This change directly impacts labeling and signal management monitoring intensity.

View regulator source

Source document details

Exact policy details

Medicines under Additional Monitoring
Medicines under additional monitoring have a black inverted triangle displayed in their package leaflet and summary of product characteristics.
Applies to: Medicines authorized in the European Union (EU).
List of medicines under additional monitoring | European Medicines Agency (EMA) · p. 1 · High · Source

Extracted documents

Primary source was weak; used same-domain rescue URL https://www.ema.europa.eu/en/human-regulatory-overview/post-authorisation/pharmacovigilance-post-authorisation/medicines-under-additional-monitoring/list-medicines-under-additional-monitoring.

Evidence and confidence

Confidence: highSource updated: Jul 29, 2026

Full briefing

Practical implication

MAHs should verify their product's status on the additional monitoring list and ensure compliance with labeling requirements for any additions or removals during their next regulatory submission.

Medicines added to the additional monitoring list must display an inverted black triangle and a standard explanatory statement in their documentation. Marketing Authorization Holders (MAHs) need to ensure these updates are implemented during their next regulatory submission. Conversely, products removed from the list are required to remove the triangle from their labeling.

What changed: The EMA's latest update to the additional monitoring list specifies that newly added medicines must now include an inverted black triangle and standard explanatory statement in their package leaflet and Summary of Product Characteristics (SmPC). MAHs must check for additions or removals and adjust labeling according to these changes.

Why it matters: This regulatory action directly impacts the labeling requirements and increases the monitoring intensity for signal management for certain medicines in the EU, thus enhancing patient safety.

Practical implication: MAHs should verify their product's status on the additional monitoring list and ensure compliance with labeling requirements for any additions or removals during their next regulatory submission.

View original source

Published from the Firecrawl policy change extraction pipeline.

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