Differences between AP1 and AP2 in France:
- AP1: Early Access before marketing authorization (MAA) → allows use of an innovative medicine still under regulatory review.
- AP2: Early Access after marketing authorization (MAA) but are still awaiting reimbursement approval and/or completion of final price negotiations → ensures patient access during the pricing/HTA process.
Both require: serious/rare/disabling disease, no alternative, urgent need, strong presumption of efficacy/safety, and real-world data collection (PUT-RD).
