EU HTA Regulation · mandatory for new oncology medicines & ATMPs since January 2025

Deliver the EU Joint Clinical Assessment on time. Without the 100-day fire drill.

One workspace for your whole team to scope every PICO across up to 27 Member States, close the evidence gaps and build the Annex I dossier. No missed PICOs, no last-week scramble — just the dossier, delivered before the clock runs out.

The first EU JCA reports are being published now, in June 2026. The deadlines are real.

Built for EU hosting · GDPR Expert sign-off on every AI output Export to the EU HTA platform
0
days on the JCA clock
(60 if accelerated)
0
Member States, one consolidated scope
0
clock stops once it starts
13 Jan ’28
orphan drugs join the scope
The problem

The JCA is mandatory. The clock runs to 100 days. No tool was built for it.

One joint clinical assessment now feeds the national HTA processes of up to 27 Member States, and most teams are running it on Word, Excel and shared drives. Member States write the PICOs; you cannot negotiate them. You answer every one, in full, before the clock runs out.

A regulatory affairs specialist working late, surrounded by printed clinical study reports and dense spreadsheets across two monitors
01

The PICO explosion

One oncology submission can mean 10 to 30+ country-specific PICOs and hundreds of analyses, with subpopulations splitting by histology or biomarker. No spreadsheet holds that cleanly.

02

Evidence scattered everywhere

Clinical data, systematic reviews and indirect comparisons sit across Word, Excel and email threads. None of it is easy to reuse, version or defend per PICO.

03

Fragile cross-functional work

Regulatory, Market Access, HEOR and Biostatistics now share one deadline with no shared source of truth, version control or audit trail.

04

No clock stops

Miss a PICO and the completeness check returns the dossier while the clock keeps running. A weak answer reaches all 27 Member States, which must give the report "due consideration".

The JCA, end to end

How a Joint Clinical Assessment runs, and how JCA Studio hits every deadline.

One EU assessment now feeds reimbursement decisions in up to 27 countries. It runs on a fixed clock with no stops, from the moment the Commission sends the scope to the day the report is published. This is the real procedure, and where JCA Studio keeps you on time.

01

Scope & PICOs

The JCA

Member States set the assessment scope and the PICOs in the Commission's first request. You cannot negotiate them. One oncology file can carry many PICOs across populations and comparators, often eight or more.

JCA Studio

Model every country PICO as structured data the moment the first request lands, and see comparator and subgroup divergence before the clock starts.

02

The 100-day dossier

The JCA

From the first request you have 100 days, or 60 if the EMA review is accelerated, to submit the full Annex I dossier, and never later than 45 days before the CHMP opinion. There are no clock stops, not even if the indication changes.

JCA Studio

Back-plan from the CHMP date, assemble the six-section dossier in parallel, and track every PICO answer against the day count so nothing slips.

03

Completeness check

The JCA

The Commission checks the dossier is complete within 15 working days. Miss a required PICO answer or table and it returns for a second request, while the clock keeps running.

JCA Studio

A live completeness check flags every unanswered PICO and missing evidence table before you submit, so you pass the first time.

04

Assessment & clarifications

The JCA

The assessor and co-assessor write the report and can send clarification requests on 7-to-30-day deadlines. An assessment often runs more than one request-and-response round across several dossier versions.

JCA Studio

Keep every analysis, source and version in one auditable place, so you turn each clarification around in days, not weeks, with a clean trail.

05

The endorsed report

The JCA

The endorsed report sets out relative effectiveness and its uncertainty, per PICO, for every Member State to give due consideration. It does not decide price or reimbursement; your national HTA bodies do, using this report.

JCA Studio

Export a platform-ready package and keep the evidence trail your national submissions reuse, so the JCA feeds your market access instead of restarting it.

The crux

Predicting your PICOs is predicting comparators — country by country.

Population follows your label and outcomes share a common core across Europe. The comparator is the hard part — roughly 80% of the work. Every Member State selects it with its own rule, filtered by what is reimbursed and shifting over time.

80%
of PICOs need an indirect comparison (ITC / NMA) — you rarely have a head-to-head against every country's comparator.
5
countries demand every locally-relevant comparator — Germany, Italy, Spain, Portugal and Ireland (Portugal alone, up to 7).
The solution

One workspace for the whole JCA workflow.

From the consolidated scope to an Annex I-conformant dossier, your submission team works in one auditable environment, with AI assistance where it earns its place.

A European market access and HEOR team collaborating calmly around a shared screen in one workspace

PICO-by-country matrix

Model every PICO per Member State as structured data. See subpopulation splits and comparator divergence before formal scoping.

Evidence library & gap tracker

A searchable repository of studies and analyses you build once and reuse. See, per PICO, whether the dossier can answer it.

Annex I dossier builder

Assemble a template-conformant dossier across the six required sections, with a completeness check that catches failures before submission.

100-day clock orchestration

Track every milestone against the no-clock-stop timeline and the parallel EMA procedure: completeness checks, second requests and factual-accuracy windows.

Collaboration & audit trail

RA, HEOR, Biostatistics and Medical work in one space with roles, approvals and a versioned, attributable record for CSV / Annex 11.

EU platform export & API

Assemble a package formatted to the EU HTA IT Platform's requirements, with a redaction view, for your team to review and submit. Connect your stack via API.

A look inside

Six screens, one JCA workflow.

An early look at the interface, from the country-PICO matrix to the EU platform export. Open each of the six screens with the tabs below.

Screen 01 / 06 · 100-day clock · use the tabs above to open each screen

Illustrative product preview. Data shown is fictional and for demonstration only; JCA Studio is in early access.

A medical reviewer examining AI-surfaced evidence on screen before signing off
AI & automation

AI that assists. Never decides.

JCA Studio uses AI and automation to cut the manual work in the dossier, while a qualified expert reviews and signs off every output. That is the human oversight EMA and ISPOR call for.

Accelerated literature review

AI proposes search terms, de-duplicates and ranks abstracts across MEDLINE and Cochrane CENTRAL. A reviewer confirms every include and exclude.

PICO mapping & gap detection

Anticipate likely Member-State PICOs and flag which ones lack head-to-head or indirect evidence, before formal scoping closes.

Draft-assist & consistency checks

First-draft prose for Annex I sections from structured inputs, plus contradiction-spotting across the dossier, EMA file and PICO answers.

Source traceability on every claim

Every AI-drafted line in the Annex I dossier links back to the exact source it came from, down to the study, page and table. Click any claim to see its evidence and its full edit history.

Where we stand on the EU AI Act

JCA Studio is a human-in-the-loop tool. It assists experts and makes no autonomous clinical or regulatory decision, so on a reasoned reading it sits outside the AI Act's high-risk tier. We meet the transparency duties, label where AI is used, and align with EMA's reflection paper on AI and ISPOR's guidance on human oversight in HTA. No certification scheme exists for this tier, so we do not claim one.

Productivity

What AI and automation give your team back: time on the clock.

The 100-day clock never moves. AI and automation move the work that fills it, so a lean team can answer a larger scope without missing the deadline or burning out.

Weeks → days
Evidence triage

AI screening collapses weeks of manual abstract triage into days, so your reviewers spend their time judging evidence, not hunting for it.

Hours, not weeks
Annex I drafting

Draft-assist turns structured inputs into first-pass Annex I prose in hours, leaving experts to refine rather than write from a blank page.

More per analyst
Bigger scope, same team

Automation across the country-PICO matrix lets a lean team answer a larger, combinatorial scope inside the fixed 100-day window.

Why now

Today, oncology. By 2030, every new medicine.

An abstract network of light linking Europe's member states into a single clinical assessment
1
2025

Oncology medicines and ATMPs. JCA in force since 12 January.

First joint reports landing now · June 2026
2
2028

Orphan medicinal products join the scope on 13 January.

3
2030

All new centrally authorised medicines, from 13 January.

The system is live and the deadlines are real. Today's tools stop at PICO prediction; none run the assessment end to end.

The difference

JCA-native, end to end.

Live in days instead of a six-month rollout. JCA Studio covers the country-PICO matrix through to the EU platform export, the gap your current stack leaves open.

How JCA Studio compares with a full RIM, PICO-prediction tools, and manual / consultancy approaches, across purpose-fit, workflow coverage, clock orchestration, time to live and relative cost.
Capability JCA Studio Veeva / full RIM PICO-prediction tools Word · Excel · consultancy
Purpose-built for the JCA Native, end-to-end Built for eCTD, not JCA PICO front-end only Manual
PICO-by-country to assembled dossier Built in No PICO model Predicts, doesn't assemble Spreadsheets
100-day clock orchestration Built in Generic workflow None Manual tracking
Time to live Days 6+ month rollout Weeks Immediate but unstructured
Relative cost A fraction of a RIM Enterprise pricing Module / suite High day-rates

Veeva runs your eCTD; it doesn't run your JCA. PICO-prediction tools stop at the scope. JCA Studio owns the workflow in between.

"We already have an AI writing tool."

Generic AI writing platforms turn inputs into prose. They do not model the PICO-by-country matrix, comparator divergence across Member States, the 100-day clock, or the export to the EU HTA IT platform. JCA Studio is built on that structure, so drafting is the last step, not the whole product.

Built for a regulated audience

Security and compliance for a regulated buyer.

A secure European data centre, conveying EU data residency and reliability

EU data residency

Built to be hosted and processed in the European Union, with GDPR-aligned data processing terms.

Validation-ready

Audit trails, access control and documented change management that support your CSV and Annex 11 obligations.

AI transparency

Every AI-assisted output is labelled and routed through human sign-off, designed to meet the AI Act's transparency duties.

SSO & API integration

Single sign-on, role-based access, and an API to connect your RIM, literature sources and analytics stack.

On the security roadmap: a public Trust Center, SOC 2 Type II, and a live status page. We will publish progress rather than claim badges we have not earned.

Architecture

Your data never leaves your perimeter.

JCA Studio deploys a data ingestor inside your own infrastructure. It reads your local systems securely, over API or MCP, and only structured extracts and references cross to the JCA Studio cloud. Full documents and patient-level data stay with you.

Agentic AIorchestrationAudit &loggingApp & APIservicesVector &metadata DBJCA StudioData IngestorAuth / SSORIM / eCTDCSRs · dataJCA workflowdatabaseLiteratureEMA filesSubmission teamStatsEU HTAIT Platform web workspace · SSOexport · submitCUSTOMER PERIMETERJCA STUDIO CLOUD · EUEncrypted channelstructured extracts & references · no full documents

The ingestor reads only what you authorise, where your data lives.

Beyond the clinical and regulatory systems above, the JCA Studio Data Ingestor connects to any source you authorise: SharePoint, network file shares, document management systems and data lakes, each behind your own access controls. It runs retrieval-augmented generation with local models inside your perimeter, indexing and extracting only the evidence relevant to each PICO. Raw documents, source files and patient-level data never leave your network; only de-identified structured extracts and references cross to the EU cloud.

GDPR · data minimisation & EU residency EU AI Act · human-in-the-loop, transparent GxP · Annex 11 audit trail & access control
Your data stays on-prem

Real documents and patient-level data never leave your network. The connector runs where your data already lives.

No full documents leave

The JCA Studio cloud receives structured extracts and references to assemble the dossier, never your full source documents.

Secure and auditable

Every pull from a local system, over API or MCP, is encrypted, access-controlled and written to an immutable audit log.

Separated by design

Customer data, JCA databases, identity, audit, the agentic AI services and the vector and metadata stores run as isolated, independently secured services.

Security & data-protection details
  • Encryption in transit and at rest, with optional customer-managed keys (BYOK).
  • Per-tenant isolation keeps each customer's data and workspace separate.
  • Sensitive embeddings stay on-prem; only de-identified extracts are indexed in the cloud.
  • RAG guardrails: whitelisted sources, PII detection and redaction, prompt-injection mitigation.
  • GDPR controller / processor terms (Art. 28 DPA) and DPIA support for your assessment.
  • Immutable, time-stamped audit trail, ALCOA+ aligned for GxP and Annex 11.

The clock is already running on the first JCA cohort.

If you have an oncology or ATMP assessment underway or on the horizon, the teams who prepare early set the precedent. See JCA Studio before your next scope lands.

Request early access
Investors

Back the JCA category at the start.

JCA Studio is an early-stage bet on a market the EU has made mandatory. The Joint Clinical Assessment is law, its scope widens to every new medicine by 2030, and no incumbent owns the workflow yet. We are validating demand now and talking to aligned investors who want in early.

A regulation-made market

Demand is driven by EU law, not a sales cycle. Oncology and ATMPs today, orphan drugs in 2028, every new centrally authorised medicine by 2030.

An open first-mover lane

RIM suites run the eCTD and PICO tools stop at the scope. JCA Studio is built to own the assessment workflow in between, end to end.

Built by Stradiax

An operator team shipping AI products for regulated industries, with EU hosting, audit trails and compliance designed in from day one.

Talk to the team

For investors exploring an early stake. We will share the materials and the demand data under NDA.

Plans

Pricing built around your submission load.

Final pricing is being shaped with early-access partners. Join the program to help define it.

Starter

For a single, time-critical JCA.

  • One active assessment
  • PICO-by-country matrix & 100-day clock
  • Annex I builder & EU export
  • Up to 5 users
Join the early-access program

Enterprise

For global organisations & consultancies.

  • Multi-entity & client workspaces
  • SSO & advanced security
  • Validation support (CSV / Annex 11)
  • Dedicated onboarding
Join the early-access program
FAQ

Questions we get.

What is the EU Joint Clinical Assessment (JCA)?+
The Joint Clinical Assessment (JCA) is a single, EU-level assessment of a new medicine's relative clinical effectiveness and safety, carried out jointly by EU Member States under the Health Technology Assessment Regulation, Regulation (EU) 2021/2282. Since 12 January 2025 it is mandatory for new oncology medicines and ATMPs, expanding to orphan medicines in 2028 and all new centrally authorised medicines by 2030. One JCA report replaces duplicated national clinical reviews and feeds each country's HTA process; national bodies still decide pricing and reimbursement.
What is a PICO in HTA?+
PICO stands for Population, Intervention, Comparator and Outcome, the structured framework that defines a clinical research question. In the EU Joint Clinical Assessment, Member States set the PICOs that scope the assessment, and a single oncology submission can generate many country-specific PICOs across different populations and comparators. The health technology developer must answer every PICO in the Annex I dossier within the 100-day clock.
What is the EU HTA Regulation (HTAR)?+
The EU HTA Regulation (HTAR), Regulation (EU) 2021/2282, is the European law that established joint Health Technology Assessment across the EU. In force since 12 January 2025, it introduces the Joint Clinical Assessment (JCA) and joint scientific consultations, coordinated by the Member State Coordination Group on HTA. It standardises the clinical evidence assessment that underpins national HTA and reimbursement decisions.
Is this Veeva?+
No. Veeva Vault runs your eCTD marketing-authorisation filings; it has no announced JCA-specific module, no PICO-by-country model and no 100-day-clock orchestration. JCA Studio is purpose-built for the Joint Clinical Assessment and complements your existing RIM rather than replacing it. It is live in days, not months.
Where is my data stored?+
All data is hosted and processed within the European Union, in line with the GDPR. You retain ownership of your content, and our data processing terms cover sub-processors, retention and deletion. Full details are in our privacy policy.
Is it validated (GxP / CSV)?+
Validation is your obligation, and JCA Studio is built to support it: audit trails, access control and documented change management aligned with CSV and EU GMP Annex 11 expectations. We provide validation-support documentation on the Enterprise track. We do not market the product as "GxP-certified", because that would not be accurate.
Is it EU AI Act compliant?+
JCA Studio is a human-in-the-loop assistant that makes no autonomous clinical or regulatory decision, so on a reasoned reading it sits outside the AI Act's high-risk tier. We meet the transparency duties, label AI-assisted output, and route everything through human sign-off. Classification depends on the final feature set, so we describe this as a counsel-confirmable posture rather than a certification. No certification scheme exists for this tier.
Does it integrate via API?+
Yes. JCA Studio is designed with an API and SSO so you can connect your RIM/eCTD environment, literature and evidence sources, and analytics, then assemble a package formatted to the EU HTA IT Platform's requirements for your team to submit. Integration scope is part of the early-access roadmap we are shaping with partners.
When is it available?+
We are onboarding early-access partners during 2026. Joining the waitlist now gives you priority access, a direct say in the roadmap, and preferential early-access terms.
How is this different from hiring a consultancy?+
A consultancy delivers a dossier and leaves; the know-how walks out with them. JCA Studio keeps the PICO matrix, evidence library and audit trail as a living asset your team owns and reuses across every assessment, at a fraction of repeated day-rates. Many teams use both: the tool as the system of record, consultants for strategic input.
Will our submission data be used to train AI models?+
No. Your clinical data, evidence and dossiers are never used to train shared or third-party models. AI features work on your content only, to assist your own team, within the EU. Every AI-assisted output is labelled and traceable to its source.
How do you keep the AI output trustworthy?+
Two ways. Every AI-drafted claim links back to the exact source it came from, down to the study, page and table, so nothing is unsourced. And a qualified human reviews and signs off every output before it enters the dossier, recorded in the audit trail.
Can we start with a single assessment?+
Yes. The Starter plan is built for one active, time-critical JCA, so you can prove the workflow on a real submission before scaling to a recurring pipeline.
How much does it cost?+
Pricing scales with your submission volume, from a single assessment to an unlimited pipeline. Final pricing is being shaped with early-access partners; join the program to help define it and lock in preferential terms.
Who is behind JCA Studio?+
JCA Studio is built by Stradiax, an operator team shipping AI products for regulated European industries. The product is designed for EU hosting, audit trails and compliance from day one.
Early access

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