SWITZERLAND
Regulatory and Ethical Procedures
Clinical trials in Switzerland are regulated by the new Law on Therapeutic Products (Federal Law on Medicinal Products and Medical Devices, "HMG"), which was approved by Parliament in December 2000 and came into force on 1st January 2002, as well as the Ordinance on Clinical Trials of Therapeutic Products ("VKlin"), which also came into effect on 1st January 2002. This legislation is in line with European Union legislation and provides standardised provisions for Switzerland as a whole, replacing the earlier provisions based on cantonal and intercantonal legislation.

A new federal regulatory body, the Swiss Agency for Therapeutic Products (Swissmedic), was created and came into operation on 1st January 2002. It is responsible for authorising the testing and marketing of pharmaceutical products and medical devices.

All clinical trials must be carried out in accordance with the principles of Good Clinical Practice.

Before a clinical trial can be conducted, the favourable opinion of the competent Ethics Committee responsible for the trial site must be obtained. The ordinance "VKlin" lists details of the documentation to be submitted. After receiving all the required documents, the Ethics Committee will give an opinion within 30 days.

The sponsor must notify Swissmedic of a clinical trial in advance by submitting a notification form, the complete documentation and the approval of the Ethics Committee. The clinical trial can begin when authorisation has been granted - or if no objections have been received from Swissmedic within 30 days (or 60 days in the case of clinical trials with radiopharmaceuticals). Swissmedic will inform the involved cantons about the clinical trial.
Health Care System
Swiss health care has an excellent international reputation. In addition to the public hospitals there are about 170 private hospitals, which provide approximately one-fifth of the hospital services.
Authorities
Swiss Agency for Therapeutic Products (Swissmedic)
Federal Office of Public Health (Bundesamt für Gesundheit)