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EU MAA — Application Form (eAF) & Cover Letter — GLPI-103

July 13, 2026

📚 Part of the GLPI-103 Regulatory Dossier — Reader's Guide. This article shows the live document; edits to the source appear here automatically.

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Mock / simulation document

This is a mock / simulation document, made for a portfolio and for learning. The drug (GLPI-103), the sponsor, the people, and the data are all fictional. It is not a real regulatory submission and has no clinical, legal, or regulatory standing. What is real is the shape of the thing — the document structure, the standards it follows, and the analysis methods; the content inside is illustrative.

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About this document — a plain-language guide

What it is. The executed-style EU centralised Marketing Authorisation Application form (eAF) and cover letter.

Why it exists. The eAF is the structured application that opens the EU centralised procedure — naming the active substance, legal basis, indication, manufacturers, QPPV, and RMP. It is the European counterpart to Form 356h.

How it is produced here. This is a region-specific administrative document, assembled to the local filing and labeling conventions. Its operational and label content is written to stay consistent with the (simulated) clinical data.

Format & governing standard. Regulation (EC) 726/2004 (centralised) · Directive 2001/83/EC · eCTD EU M1


EU MAA — Application Form (eAF) & Cover Letter — GLPI-103

FieldValue
Document IDM1-EU-eAF
Version1.0
StatusFinal (mock executed)
RegionEMA (EU)
StandardRegulation (EC) 726/2004 (centralised) · Directive 2001/83/EC · eCTD EU M1
ConfidentialityConfidential — portfolio use

[MOCK — administrative identifiers fictional] An executed-style rendering of the EU centralised Marketing Authorisation Application form and cover letter. Consistent with M1-EU (SmPC) and the dossier.

Change History

VersionDateAuthorSummary of Change
1.02026-07-05Regulatory Affairs (EU)Initial executed-style eAF and cover letter

1. Cover Letter

Virtual Biopharma Inc. (EU representative: Virtual Biopharma B.V., Amsterdam [MOCK]) Date: 2026-07-05 · To: European Medicines Agency, Amsterdam.

Re: Marketing Authorisation Application (centralised procedure) — GLPI-103, EMEA/H/C/00xxxx [MOCK]. Virtual Biopharma Inc. submits this MAA under the centralised procedure (mandatory scope — new active substance for diabetes mellitus) for GLPI-103, for adults with type 2 diabetes mellitus inadequately controlled on metformin. Scientific Advice was obtained (EMA/SA); the Paediatric Investigation Plan (PIP) is agreed/deferred as described (M1 pediatric plan). The eCTD dossier contains Modules 1–5, the proposed SmPC/Annexes/Package Leaflet, and the EU-RMP. The (Co-)Rapporteur appointments are noted. Yours faithfully, — [Signature] [MOCK].

2. eAF — Application Form (executed-style) [MOCK]

FieldEntry
ApplicantVirtual Biopharma Inc. (EU rep: Virtual Biopharma B.V.)
Invented nameGLPI-103 [MOCK]
Active substanceGLPI-103 (synthetic peptide GLP-1/APJ dual agonist)
Pharmaceutical form(s) / strength(s)Solution for injection 1/2/4 mg; tablet 2/4/8 mg
Route(s)Intravenous (once weekly); oral (once daily)
ATC codeA10B (placeholder) [MOCK]
Legal basisArticle 8(3) of Directive 2001/83/EC (full/complete application)
ProcedureCentralised (Regulation 726/2004), new active substance
Therapeutic indicationTreatment of adults with T2DM inadequately controlled on metformin
Orphan / conditional / acceleratedNot orphan; standard assessment [MOCK]
Manufacturers (DS, DP, batch release)Listed with GMP certificates (M3-AR §3.2.R)
Qualified Person (pharmacovigilance) — QPPVNamed; EU PSMF location referenced [MOCK]
RMP versionEU-RMP (RMP-EU)
PIP decisionEMA Paediatric Committee decision referenced [MOCK]

3. Accompanying EU Administrative Content

Proposed SmPC, Annex II, labelling (outer/immediate) and Package Leaflet with user-consultation (readability) statement (M1-EU); EU-RMP (RMP-EU); environmental risk assessment (ERA) for the active substance; letters of access to any Active Substance Master Files/CEPs as applicable [MOCK].

4. Cross-References

M1-0 (administrative index); M1-EU (SmPC + Annexes); RMP-EU; M1 pediatric plan (PIP); M2.1 (CTD ToC).

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