A treatment decision
Your treating healthcare team considers clinical options, suitability and the questions specific to your care.
Prepare questions for your teamInformation & signposting
For patients, families, carers, patient organisations and professionals who want clearer information about access processes and responsibilities.
A term in a letter, a general policy or a programme described in another country can raise more questions than it answers. Start by separating the process from the individual clinical decision.
This page offers general explanations and official sources. You can use them without contacting IAE. We do not assess eligibility, obtain medicines or manage individual treatment-access cases.
Your treating healthcare team considers clinical options, suitability and the questions specific to your care.
Prepare questions for your teamUse the responsible company’s or programme’s advertised channel, through a healthcare professional wherever required. A general policy is not confirmation that a particular request can proceed.
Check the official processRead the explanations below. If the terminology or responsibility remains unclear, IAE can consider a non-identifying general question.
Ask a general process questionThe relevant country and official programme determine the applicable process.
The purpose and rules may differ. In the US, the FDA describes expanded access as treatment with an investigational product outside a clinical trial under specified conditions. Ask which arrangement is being discussed and who is responsible for it. Read the FDA patient explanation
It sets out a company’s approach. It does not, by itself, confirm a programme for a particular medicine, country or person. Availability and individual decisions must be clarified through the advertised programme or company route and the treating team.
Ask the study team what the study documents and sponsor arrangements say about treatment after participation ends, who can explain the position and when that discussion should happen. An access route elsewhere does not establish an individual entitlement.
Some jurisdictions permit certain personal imports under specific conditions. Australia’s TGA describes a personal-importation scheme with prescription, quantity, product and other restrictions. That example is not permission to import a particular medicine or a rule for another country. Read the TGA requirements
We can consider questions about a published process, unfamiliar term or responsible organisation and signpost to official information or patient organisations. Describe the process and relevant country, without patient names, records or prescriptions. This is not an urgent-response channel or individual case management.
These questions help organise a discussion. The treating team and responsible company or programme provide the answers for an individual situation.
Selected examples, checked 26 September 2026. Requirements can change; always read the current official guidance.
Guidance on the regulated supply and import of unlicensed medicines. The responsible prescriber determines special clinical need.
Read MHRA guidancePatient information explaining expanded access and the roles of the physician, company, ethics review and regulator.
Read FDA patient informationConditions and restrictions for the personal importation of therapeutic goods.
Read TGA guidanceThese examples are not a global route directory or confirmation of medicine availability. For another country, use the national regulator and advertised company or programme channels.
IAE’s advice is independent of a medicine supply or logistics sale. We cannot receive, submit, broker or progress treatment-access requests, arrange supply, act as importer or provide medical advice.
Where a healthcare professional must make the request, use that route. Where a patient may have a personal-importation role, IAE’s contribution remains general explanation and signposting; we do not establish personal entitlement.
Send the term or general process you want to understand and the relevant country, if known. Please leave out patient-identifiable information.
Ask a general process questionGeneral questions are considered within IAE’s information role and capacity. You are not applying for treatment or commissioning paid advice.
A recurring difficulty may deserve a wider explanation or conversation. You can suggest the topic without telling your personal story.
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