EU HTA process, challenges and opportunities for implementation in Sweden

Summary from Brain & Breakfast February 20th, 2024 – SwedenBIO, Cencora PharmaLex

Collaboration and transparency are foundational principles crucial for navigating the transition into the Joint Clinical Assessment (JCA) process.

During an intense 60 minute discussion, participants delved into the current landscape of JCA, both from a European and Swedish perspective, offering insights from both regulatory authorities and industry representatives. Topics explored included the anticipation of national impacts, the harmonization of clinical and economic considerations, and the potential synergy between JCA and national assessment frameworks.

We extend our sincere appreciation to our esteemed panellists for their valuable contributions, as well as to the engaged audience and skilled moderator who facilitated the conversation.

Niklas Hedberg, representing TLV and serving as the co-chair of the HTAR Coordination group, provided invaluable insights into the overarching European perspective on the JCA process, shedding light on ongoing developments and future expectations.

What is the Joint Clinical Assessment (JCA)?

The EU joint clinical assessment is a collaborative effort among EU member states to evaluate the clinical evidence of new treatments. The aim of the JCA is to enhance efficiency and consistency in decision-making regarding new health technologies across Europe by replacing individual country clinical assessments with a unified, transparent process.



  • Jan 2025 mandatory for all new oncology drugs and ATMP’s
  • Jan 2028 mandatory for orphan drugs
  • Jan 2030 all drugs registered with the EMA

Hanna Zirath, a senior project manager at TLV and representing Sweden in the HTAR Coordination group on all topics about medicinal products, offered a comprehensive view of the national processes in light of the JCA implementation, detailing Sweden’s role in shaping the regulatory framework. She emphasized the critical importance of understanding how JCA reports will inform TLV evaluations, particularly with regards to integrating value-based pricing considerations.

Sofia Heigis, CEO of Oncopeptides, shared her perspective on the implications of JCA for companies operating in Sweden and across Europe. Sofia underscored the prevailing uncertainty among companies and emphasized the necessity of acquiring knowledge, engaging with Market Access early in the development process, and fostering robust networks. She highlighted the pivotal role of organizations like SwedenBIO in raising awareness and supporting industry stakeholders.


Concluding Panel Recommendations:

  • Stay prepared and keep updated on the documents regarding the JCA implemention. Get involved and concentrate on the PICO process.
  •  It’s essential to learn the system and refrain from excessive focus on hypothetical scenarios (“but what if’s”)
  • The power of knowledge was emphasized, view it as a learning process and an opportunity for growth. Collaboration and transparency are key principles to uphold.
Moderator Herbert Altmann, head of Market Access and Pricing and Reimbursement Europe, Cencora PharmaLex. Panelists Hanna Zirath, Ph.D. and Niklas Hedberg from TLV and Sofia Heigis, CEO at Oncopeptides,

Key take aways from the discussion


Prioritize Preparation: In order to be adequately prepared, pharma/biotech companies should familiarize themselves with the available information and materials continuously published by the EC and other competent experts. Preparation strategies revolve around understanding TLV’s usage of PICOs and early dialogue between companies and stakeholders. It’s crucial to stay abreast of updates and developments to effectively navigate the evolving landscape of the EU HTA process.

Emphasize Communication: Effective communication, interaction, and knowledge-sharing are pivotal both internally within organizations and externally between companies and regulatory authorities, especially during the implementation phase. Establishing clear channels of communication and fostering a collaborative environment will facilitate the exchange of vital information and insights, ensuring a smoother transition into the new regulatory framework.

Cross-functional collaboration: Implementing an integrated launch plan supported by research and development (R&D), market access, regulatory and other departments focusing on evidence generation for the new EU HTA process. Cross-functional collaboration fosters synergy and ensures alignment across various organizational functions, maximizing the efficiency and effectiveness of the evidence generation process.

Engage with Joint Scientific Consultation (JSC): Engaging in early scientific consultation presents a valuable opportunity to consider an optimal and robust evidence generation plan satisfying both regulatory and HTA bodies’ requirements. By proactively engaging with all stakeholders, companies can tailor their evidence generation strategies to meet the evolving demands of the regulatory landscape.

PICO Considerations: The Joint Clinical Assessment (JCA) relies on the Population, Intervention, Comparator, and Outcome (PICO) framework for assessments. However, variations in healthcare systems and treatment guidelines among different nations will significantly influence how PICO criteria are applied in drug assessments. For example, high quality input from Swedish affiliates or SMEs is critical to ensure a good discussion with TLV in Sweden. It’s essential to consider these variations and tailor evidence generation strategies accordingly to optimize outcomes in different regulatory contexts.


Overall, the discussion provided valuable insights into the multifaceted challenges and opportunities presented by the JCA process, underscoring the importance of collaboration, transparency, and proactive engagement among all stakeholders involved.



This blog is intended to communicate PharmaLex’s capabilities which are backed by the author’s expertise. However, PharmaLex US Corporation and its parent, Cencora, Inc., strongly encourage readers to review the references provided with this article and all available information related to the topics mentioned herein and to rely on their own experience and expertise in making decisions related thereto as the article may contain certain marketing statements and does not constitute legal advice. 

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