Regulatory Update

EU MDR 2017/745 & IVDR 2017/746 Pilot Coordinated Assessment 2025 Update

The EU MDR 2017/745 and IVDR 2017/746 pilot coordinated assessment lets sponsors submit one application for multinational clinical investigations and performance studies. The system streamlines approvals, reduces duplicative national submissions, and prepares Member States for mandatory coordinated assessment. Eligibility includes Class III and certain Class II devices, as well as IVD performance studies under Article 58. Sponsors must confirm intended use, documentation, and risk class before applying.

Published on:
November 26, 2025

The EU MDR 2017/745 and IVDR 2017/746 pilot coordinated assessment for clinical investigations and performance studies began on 10 November 2025, enabling a single application for multi-country submissions. This initiative supports more harmonised review across Member States and prepares authorities for the future EU coordinated assessment system. The pilot is a major step for sponsors planning EU medical device or IVD clinical studies.

What the 2025 Pilot Coordinated Assessment Covers

On 10 November 2025, the European Commission launched a voluntary pilot coordinated assessment under MDR Article 78 and IVDR Article 74. The project allows sponsors to submit one application for a clinical investigation or performance study involving multiple EU/EEA Member States.

Eligible studies include:

  • MDR: Class III devices and invasive Class IIa/IIb devices
  • IVDR: Performance studies under Article 58(1)(b), 58(1)(c) or 58(2), including companion diagnostics
  • Multinational studies involving two or more participating Member States

This coordinated approach reduces duplication, brings greater transparency, and supports a unified EU evaluation process.

How the Pilot Improves EU CI/PS Submissions

The 2025 pilot offers several operational advantages for sponsors:

  • A single EU-facing submission process: Sponsors communicate primarily with one coordinating Member State, reducing the complexity of parallel national procedures.
  • Harmonised regulatory expectations: Member States collaborate on shared assessments, helping align interpretations of MDR/IVDR requirements.
  • Faster, more predictable timelines: By eliminating repetitive requests across countries, sponsors may benefit from clearer timelines and fewer administrative hurdles.
  • Support for future mandatory implementation: The pilot helps authorities build the systems needed once coordinated assessment becomes mandatory under MDR Article 78(14) and IVDR Article 74(14), as amended by Regulation (EU) 2024/1860.

Why Early Participation Matters for Sponsors

Participation in the pilot gives manufacturers and developers several strategic advantages:

  • Familiarity with the upcoming mandatory EU-wide system
  • Insights into coordinated procedures and document expectations
  • Opportunities to refine internal processes for future submissions
  • Possible acceleration of multinational clinical timelines

Sponsors interested in joining must submit an expression of interest to the Commission (SANTE-CA-CIPS@ec.europa.eu).

Key Actions for Sponsors Preparing for Coordinated Assessment

To make the most of the pilot and prepare for full implementation, sponsors should:

  1. Review the MDR and IVDR requirements for their device category.
  1. Align documentation with the MDCG templates and guidance used for EU-wide assessment.
  1. Develop a harmonised multinational study plan, ensuring consistency across participating countries.
  1. Prepare for remaining national elements such as ethics approvals, local language requirements, and site-level compliance.

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