LIVE: Reuters NEXT Newsmaker with EMA Executive Director Emer Cooke

| News | April 22, 2026 | 477 views

TL;DR

EMA Executive Director Emer Cooke defends Europe's life sciences sector against claims of falling behind the US and China, emphasizing new regulatory frameworks and industry engagement, while warning that US drug pricing policies threaten to delay launches and limit patient access to new medicines including weight loss pills expected by summer.

🔬 Europe's Innovation Landscape 3 insights

Defending European competitiveness

Cooke rejects narratives of European decline, citing active implementation of new pharma legislation, the Biotech Act, and Critical Medicines Act to boost innovation and competitiveness.

Regulatory modernization efforts

EMA is deploying "sandbox" regulatory approaches and platform technologies ahead of formal legislation while engaging directly with biotech clusters to connect innovators with financing.

Industry collaboration initiative

The agency recently convened 24 pharmaceutical companies to discuss leveraging Europe's strengths in data digitalization and AI to attract R&D investment.

💶 Drug Access and Pricing Pressures 3 insights

US pricing impact on launches

Cooke warns that US international reference pricing policies have contributed to a 35% drop in EU drug launches, potentially delaying access to breakthrough treatments for European patients.

Calls for unified procurement

To counter fragmented national markets, she advocates for "more Europe" through joint procurement mechanisms in the Critical Medicines Act, creating larger, more attractive markets for manufacturers.

Weight loss pill timeline

Regulatory decisions on oral GLP-1 weight loss medications from Novo Nordisk and Eli Lilly are expected by summer.

🌐 Global Regulatory Dynamics 3 insights

Continued FDA collaboration

Despite Trump administration leadership changes, EMA maintains daily contact with FDA colleagues and recently published joint AI principles while restarting staff exchange programs.

Scientific talent migration

Cooke notes anecdotal evidence of US scientists and former FDA staff relocating to European institutions amid American research funding uncertainties, positioning Europe as stable and predictable.

China engagement strategy

While acknowledging record Chinese biotech licensing deals, she admits few applications currently reach EMA despite impressive regulatory improvements in China.

⚕️ Supply Security and Shortages 2 insights

Antibiotic shortage reduction

Using new 2023 legal powers, EMA's Medicine Shortage Steering Group reduced antibiotic shortages by over 50% through proactive supply-and-demand monitoring after COVID disruptions.

Emergency preparedness limitations

Cooke acknowledges Europe likely cannot produce vaccines within six months of a new health emergency, citing the 10-12 month COVID timeline as the realistic standard even with unprecedented collaboration.

Bottom Line

Europe must adopt centralized procurement and unified market approaches to remain competitive for drug launches, as fragmented national pricing increasingly drives manufacturers to prioritize the US and China while threatening patient access.

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