Cyklokapron

Primær information

  • Handelsnavn:
  • Cyklokapron 1 g brusetabletter
  • Dosering:
  • 1 g
  • Lægemiddelform:
  • brusetabletter
  • Brugt til:
  • Mennesker
  • Medicin typen:
  • Allopatiske stof

Dokumenter

  • for den brede offentlighed:
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Lokation

  • Fås i:
  • Cyklokapron 1 g brusetabletter
    Danmark
  • Sprog:
  • dansk

Andre oplysninger

Status

  • Kilde:
  • Lægemiddelstyrelsen - Danish Medicines Agency
  • Autorisationsnummer:
  • 15554
  • Sidste ændring:
  • 22-02-2018

Produktresumé: dosering, interaktioner, bivirkninger

26. juni 2018

PRODUKTRESUMÉ

for

Cyklokapron, brusetabletter

0.

D.SP.NR.

2823

1.

LÆGEMIDLETS NAVN

Cyklokapron

2.

KVALITATIV OG KVANTITATIV SAMMENSÆTNING

Tranexamsyre 1 g.

Hjælpestof, som behandleren skal være opmærksom på:

Natrium (195 mg).

Alle hjælpestoffer er anført under pkt. 6.1.

3.

LÆGEMIDDELFORM

Brusetabletter.

4.

KLINISKE OPLYSNINGER

4.1

Terapeutiske indikationer

Blødninger forårsaget af fibrinolyse og fibronogenolyse.

4.2

Dosering og indgivelsesmåde

Dosering

Den anbefalede normaldosering er 1 brusetablet 2-4 gange daglig.

Ved nedenfor nævnte indikationer kan følgende standarddosering anvendes:

Generel fibrinolyse:

Se Cyklokapron injektionsvæske.

Prostatektomi:

Efter 3. postoperative dag 1 brusetablet 2-4 gange daglig til makroskopisk hæmaturi ikke

længere foreligger. Se endvidere Cyklokapron injektionsvæske.

15554_spc.doc

Side 1 af

6

Hæmaturi:

1 brusetablet 2-4 gange daglig til makroskopisk hæmaturi ikke længere foreligger.

Svære næseblødninger:

1 brusetablet 4 gange daglig i 4-10 døgn afhængig af, hvornår tamponaden fjernes.

Menoragi:

1 brusetablet 3 gange daglig så længe som nødvendigt i op til 4 dage. Ved kraftig

menstruationsblødning kan dosis øges. En totaldosis på 4 g daglig (4 brusetabletter) bør

ikke overskrides. Behandlingen påbegyndes først, når rigelig blødning indtræder.

Kvinder med menoragi kan inddeles i 2 grupper:

Kvinder med påviselig organisk årsag til menoragi (fx myom, corpus polypper,

adenomyose). Ældre kvinder nær menopausen kan behandles med Cyklokapron. Unge

eller midaldrende kvinder bør fortrinsvis behandles kirurgisk. I undtagelsestilfælde kan

disse kvinder dog behandles med Cyklokapron i kortere perioder.

Kvinder uden påviselig organisk årsag til menoragi Unge kvinder, hvor fertiliteten skal

bibeholdes, behandles enten med perorale antikonceptionsmidler eller med Cyklokapron.

Visse kvinder i denne gruppe vil derfor blive behandlet med Cyklokapron i land tid. Dette

gælder især kvinder, hvor det er kontraindiceret at behandle med perorale

antikonceptionsmidler. Midaldrende kvinder med svær menoragi, som ikke længere har

ønske om at være fertile, bør behandles kirurgisk. Et alternativ er perorale

antikonceptionsmidler.

Ældre kvinder nær menopausen kan behandles med Cyklokapron.

Konisation:

1 brusetablet 4 gange daglig i 12-14 døgn postoperativt.

Tandkirurgi ved hæmofili:

Se Cyklokapron injektionsvæske.

Hereditært angioneurotisk ødem:

Ved anfald 1 brusetablet 2-4 gange daglig i nogle dage. Profylaktisk 1 brusetablet 3-4

gange daglig.

Ved ekstrapolering fra clearance data relateret til den intravenøse lægemiddelform

anbefales følgende reduktion i oral dosis til patienter med mild til moderat

nyreinsufficiens:

Serum creatinin (mikromol/l)

Dosis tranexamsyre

120.249

15 mg/kg legemsvægt 2 gange daglig

250.500

15 mg/kg legemsvægt daglig

>500

7,5 mg/kg legemsvægt daglig

Brusetabletterne bør opløses i ½ glas vand.

15554_spc.doc

Side 2 af

6

4.3

Kontraindikationer

Overfølsomhed overfor tranexamsyre eller et eller flere af hjælpestofferne anført i pkt.

6.1.

Aktiv tromboembolisk lidelse som dyb venetrombose, lungeemboli og cerebral

trombose.

Subaraknoidal blødning.

Alvorlig nyreinsufficiens (risiko for akkumulation).

Tidligere tilfælde af kramper.

4.4

Særlige advarsler og forsigtighedsregler vedrørende brugen

Patienter med tidligere tromboembolisk tilfælde og familiær forekomst af tromboembolisk

sygdom (patienter med trombofili) bør kun anvende Cyklokapron, hvis der er tale om en

stærk medicinsk indikation og da under nøje lægeovervågning.

Anvendelse af tranexamsyre kan ikke anbefales i tilfælde af forhøjet fibrinolyse på grund

af dissemineret intravaskulær koagulation. Patienter med dissemineret intravaskulær

koagulation (DIC), der behøver behandling med Cyklokapron, skal derfor nøje overvåges

af en læge med særligt kendskab til behandling af denne lidelse.

Patienter med uregelmæssig menstruation bør ikke anvende Cyklokapron, før årsagen til

blødningerne er fastslået.

Hvis menstruationsblødningen ikke reduceres tilstrækkeligt af Cyklokapron, bør alternativ

behandling overvejes.

Hos patienter med nyreinsufficiens kan anvendelse af tranexamsyre forårsage forhøjet

serumkoncentration med risiko for kumulation. Derfor anbefales en dosisreduktion (se pkt.

4.2).

Der er rapporteret om tilfælde med kramper i forbindelse med behandling med

tranexamsyre. I forbindelse med hjertekirurgi blev de fleste tilfælde rapporteret ved

anvendelse af intravenøs (i.v.) injektion af tranexamsyre i høje doser.

Ved hæmaturi i de øvrige urinveje kan koageldannelse i få tilfælde føre til obstruktion af

ureter.

Der er ikke klinisk erfaring med Cyklokapron til børn under 15 år med menorrhagi.

Dette lægemiddel indeholder 8,5 mmol (195 mg) natrium pr. tablet, svarende til 10% af

den WHO anbefalede maximale daglige indtagelse af natrium for en voksen. Den

maximale daglige dosis er svarende til 60% af den WHO anbefalede maximale daglige

indtagelse af natrium.

4.5

Interaktion med andre lægemidler og andre former for interaktion

Der er ikke observeret klinisk betydende interaktioner med tranexamsyretbaletter.

På grund af manglen på interaktionsstudier, skal samtidig behandling med antikoagulantia

ske under nøje overvågning af en læge med erfaring indenfor området.

15554_spc.doc

Side 3 af

6

4.6

Graviditet og amning

Graviditet

Erfaringsgrundlaget for anvendelse af tranexamsyre til gravide er utilstrækkeligt.

Tranexamsyre passerer placenta. Dyreforsøg har ikke vist tegn på øget hyppighed af

fosterskader.

Amning

Tranexamsyre udskilles i modermælk, men påvirker sandsynligvis ikke barnet ved

terapeutiske doser.

4.7

Virkning på evnen til at føre motorkøretøj eller betjene maskiner

Ikke mærkning.

Cyklokapron påvirker ikke eller kun i ubetydelig grad evnen til at føre motorkøretøj eller

betjene maskiner.

4.8

Bivirkninger

Dosisafhængigt gastrointestinalt ubehag er den hyppigst rapporterede bivirkning, men det

er normalt mildt og forbigående.

Hyppighed af bivirkninger ved en dosis på 4 g daglig:

Nervesystemet

Sjælden (≥1/10.000 til <1/1.000)

Ikke kendt (frekvens kan ikke estimeres

ud fra forhåndenværende data)

Svimmelhed.

Kramper (se pkt. 4.3 og 4.4).

Øjne

Sjælden (≥1/10.000 til <1/1.000)

Nedsat farvesyn og andre

synsforstyrrelser.

Mave-tarmkanalen

Almindelig (≥1/100 til, <1/10)

Kvalme, opkastning, diaré.

Hud og subkutant væv

Ikke almindelig (≥1/1.000 til, <1/100)

Allergiske hudreaktioner.

Vaskulære sygdomme

Sjælden (≥1/10.000 til <1/1.000)

Tromboembolisme.

Indberetning af formodede bivirkninger

Når lægemidlet er godkendt, er indberetning af formodede bivirkninger vigtig. Det

muliggør løbende overvågning af benefit/risk-forholdet for lægemidlet. Læger og

sundhedspersonale anmodes om at indberette alle formodede bivirkninger via:

15554_spc.doc

Side 4 af

6

Lægemiddelstyrelsen

Axel Heides Gade 1

DK-2300 København S

Websted: www.meldenbivirkning.dk

E-mail: dkma@dkma.dk

4.9

Overdosering

Symptomer:

Kvalme, diarré, svimmelhed og hovedpine. Ortostatiske symptomer, hypotension, myopati

og kramper kan forekomme. Kramper forekommer hyppigere ved anvendelse af højere

doser. Risiko for trombose hos prædisponerede personer.

Behandling af overdosering:

Fremprovokation af opkastning, herefter skylning af mavesækken, kulterapi og

symptomatisk behandling. Oprethold tilstrækkelig diurese. Antikoagulationsbehandling

bør overvejes.

Tokcisitet:

37 g tranexamsyre til en 17 årig person forårsagede mild forgiftning efter maveskylning.

4.10

Udlevering

5.

FARMAKOLOGISKE EGENSKABER

5.0

Terapeutisk klassifikation

Farmakoterapeutisk klassifikation: Hæmostatika, ATC-kode: B 02 AA 02.

5.1

Farmakodynamiske egenskaber

Cyklokapron indeholder tranexamsyre, som har en hæmmende virkning på

plasminogenaktiveringen, dvs. omdannelsen af plasminogen til plasmin i det fibrinolytiske

system. Tranexamsyre anvendes i tilfælde af fibrinolytisk blødning, som kan forekomme

under forskellige kliniske situationer, der medfører stimulation af aktiveringsmekanismen.

Behandlingen af menorrhagi er symptomatisk, da den ikke påvirker den underliggende

patogenese for den øgede menstruationsblødning.

5.2

Farmakokinetiske egenskaber

Biotilgængeligheden er ca. 35 % i dosisintervallet 0,5-2 g og påvirkes ikke af samtidig

fødeindtagelse. Efter en oral enkeltdosis stiger C

og udskillelse via urinen lineært ved

doser på mellem 0,5 og 2 g. Efter en oral enkeltdosis på 0,5 g er C

ca. 5 mikrog/ml og

efter en dosis på 2 g er C

15 mikrog/ml.

Terapeutisk koncentration opretholdes i plasma op til 6 timer efter en oral enkeltdosis på

2 g. Binding til plasmaproteiner (plasminogen) er ca. 3 % ved terapeutiske plasmaniveauer.

Plasmaclearance er ca. 7 l/time. Typisk plasma halveringstid er ca. 2 timer efter en enkelt

intravenøs dosis. Efter gentagen oral administration er halveringstiden længere. Den

terminale halveringstid er ca. 3 timer. Ca. 95 % af den absorberede dosis udskilles

uomdannet i urinen. Der er identificeret 2 metabolitter: et N-acetyleret og et deamineret

derivat.

15554_spc.doc

Side 5 af

6

5.3

Prækliniske sikkerhedsdata

Prækliniske data viser ingen særlig risiko for mennesker ud over, hvad der er nævnt under

andre afsnit i produktresuméet. Disse data er baseret på konventionelle undersøgelser af

sikkerhedsfarmakologi, gentagen dosistoksicitet, reproduktionstoksicitet, genotoksicitet og

carcinogenicitet.

Der blev fundet retinale abnormiteter i langtidstoksicitetsundersøgelserne på hund og kat:

øget reflektivitet, segmentel photoreceptoratrofi, perifer retinaatrofi, afrofi af stave og

tappe. Disse okulære ændringer var dosisrelaterede og forekom ved høje doser.

6.

FARMACEUTISKE OPLYSNINGER

6.1

Hjælpestoffer

Citronsyre vandfri, natriumbicarbonat, natriumcarbonat, natriumcitrat, aroma tetrarome

orange P 05.51, paraffinolie.

6.2

Uforligeligheder

Ikke relevant.

6.3

Opbevaringstid

18. måneder.

6.4

Særlige opbevaringsforhold

Ingen særlige opbevaringsbetingelser.

6.5

Emballagetyper og pakningsstørrelser

Aluminiumsrør.

6.6

Regler for destruktion og anden håndtering

Brusetabletterne opløses i et halvt glas vand.

Ikke anvendt lægemiddel samt affald heraf bør destrueres i henhold til lokale

retningslinjer.

7.

INDEHAVER AF MARKEDSFØRINGSTILLADELSEN

Meda A/S

Solvang 8

3450 Allerød

8.

MARKEDSFØRINGSTILLADELSESNUMMER (NUMRE)

15554

9.

DATO FOR FØRSTE MARKEDSFØRINGSTILLADELSE

30. april 1969

10.

DATO FOR ÆNDRING AF TEKSTEN

26. juni 2018

15554_spc.doc

Side 6 af

6

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Safety evaluation of the food enzyme maltogenic amylase from a genetically modified Bacillus subtilis (strain NZYM‐SO)

Safety evaluation of the food enzyme maltogenic amylase from a genetically modified Bacillus subtilis (strain NZYM‐SO)

Published on: Wed, 14 Nov 2018 The food enzyme maltogenic amylase (glucan 1,4‐α‐maltohydrolase; EC 3.2.1.133) is produced with a genetically modified Bacillus subtilis strain NZYM‐SO by Novozymes A/S. The genetic modifications do not give rise to safety concerns. The food enzyme is free from viable cells of the production microorganism and recombinant DNA. This maltogenic amylase is intended to be used in baking processes. Based on the maximum use levels, dietary exposure to the food enzyme–total organi...

Europe - EFSA - European Food Safety Authority Publications

15-11-2018

Safety evaluation of the food enzyme acetolactate decarboxylase from a genetically modified Bacillus licheniformis (strain NZYM‐JB)

Safety evaluation of the food enzyme acetolactate decarboxylase from a genetically modified Bacillus licheniformis (strain NZYM‐JB)

Published on: Wed, 14 Nov 2018 The food enzyme acetolactate decarboxylase (α‐acetolactate decarboxylase; EC 4.1.1.5) is produced with a genetically modified Bacillus licheniformis strain NZYM‐JB by Novozymes A/S. The genetic modifications do not give rise to safety concerns. The food enzyme is free from viable cells of the production organism and recombinant DNA. This acetolactate decarboxylase is intended to be used in distilled alcohol production and brewing processes. Residual amounts of total organi...

Europe - EFSA - European Food Safety Authority Publications

9-11-2018

Safety assessment of the active substance polyacrylic acid, sodium salt, cross‐linked, for use in active food contact materials

Safety assessment of the active substance polyacrylic acid, sodium salt, cross‐linked, for use in active food contact materials

Published on: Thu, 08 Nov 2018 00:00:00 +0100 The EFSA Panel on Food Contact Materials, Enzymes and Processing Aids (CEP) assessed the safety of polyacrylic acid, sodium salt, cross‐linked, FCM substance No 1015, which is intended to be used as a liquid absorber in the packaging of fresh or frozen foods such as meat, poultry and seafood as well as fresh fruits and vegetables. Specific migration tests were not performed due to the high absorption of liquids by the substance. The Panel noted that if polya...

Europe - EFSA - European Food Safety Authority Publications

9-11-2018

Safety assessment of the substance Ln 1,4‐benzene dicarboxylic acid (with Ln = La, Eu, Gd, Tb) for use in food contact materials

Safety assessment of the substance Ln 1,4‐benzene dicarboxylic acid (with Ln = La, Eu, Gd, Tb) for use in food contact materials

Published on: Wed, 07 Nov 2018 00:00:00 +0100 The EFSA Panel on Food Contact Materials, Enzymes and Processing Aids (CEP Panel) assessed the safety of the additive Ln 1,4‐benzene dicarboxylic acid (with Ln = La, Eu, Gd, Tb) for use in food contact materials. It is a family of mixtures combining the four lanthanides lanthanum (La), europium (Eu), gadolinium (Gd) and/or terbium (Tb) in different proportions as their 1,4‐benzene dicarboxylate complexes, used as a taggant in plastics for authentication and ...

Europe - EFSA - European Food Safety Authority Publications

1-11-2018

Safety evaluation of the food enzyme endo‐1,4‐β‐xylanase from a genetically modified Bacillus subtilis (strain LMG S‐24584)

Safety evaluation of the food enzyme endo‐1,4‐β‐xylanase from a genetically modified Bacillus subtilis (strain LMG S‐24584)

Published on: Wed, 31 Oct 2018 00:00:00 +0100 The food enzyme endo‐1,4‐β‐xylanase (EC 3.2.1.8) is produced with the genetically modified Bacillus subtilis strain LMG S‐24584 by Puratos N. V. The genetic modifications do not give rise to safety concerns. The Panel noted that, although the production strain was not detected in the food enzyme, recombinant DNA was present in all batches of the food enzyme tested. The food enzyme is intended to be used in baking processes. Based on the maximum use levels re...

Europe - EFSA - European Food Safety Authority Publications

1-11-2018

Safety evaluation of the food enzyme glucan 1,4‐α‐glucosidase from a genetically modified Aspergillus niger (strain NZYM‐BW)

Safety evaluation of the food enzyme glucan 1,4‐α‐glucosidase from a genetically modified Aspergillus niger (strain NZYM‐BW)

Published on: Wed, 31 Oct 2018 00:00:00 +0100 The food enzyme glucan 1,4‐α‐glucosidase (EC 3.2.1.3) is produced with the genetically modified Aspergillus niger strain NZYM‐BW by Novozymes A/S. The genetic modifications do not give rise to safety concerns. The food enzyme is free from viable cells of the production organism and recombinant DNA. The glucan 1,4‐α‐glucosidase food enzyme is intended to be used in distilled alcohol production and starch processing for the production of glucose syrups. Residu...

Europe - EFSA - European Food Safety Authority Publications

1-11-2018

Safety of the food enzyme glucoamylase from a genetically modified Aspergillus niger (strain NZYM‐BF)

Safety of the food enzyme glucoamylase from a genetically modified Aspergillus niger (strain NZYM‐BF)

Published on: Wed, 31 Oct 2018 00:00:00 +0100 The food enzyme glucoamylase (glucan 1,4‐α‐glucosidase; EC 3.2.1.3) is produced with the genetically modified strain of Aspergillus niger by Novozymes A/S. The genetic modifications do not give rise to safety concerns. The food enzyme is free from viable cells of the production organism and recombinant DNA. This glucoamylase is intended to be used in brewing processes and in starch processing for glucose syrups production. Residual amounts of total organic s...

Europe - EFSA - European Food Safety Authority Publications

1-11-2018

Safety evaluation of the food enzyme α‐amylase from a genetically modified Aspergillus niger (strain NZYM‐MC)

Safety evaluation of the food enzyme α‐amylase from a genetically modified Aspergillus niger (strain NZYM‐MC)

Published on: Wed, 31 Oct 2018 00:00:00 +0100 The food enzyme alpha‐amylase (4‐α‐d‐glucan glucanohydrolase; EC 3.2.1.1) is produced with the genetically modified strain of Aspergillus niger by Novozymes A/S. The genetic modifications do not give rise to safety concerns. The food enzyme is free from viable cells of the production organism and recombinant DNA. This α‐amylase is intended to be used in starch processing for glucose syrups production, beverage alcohol (distilling) processes and baking proces...

Europe - EFSA - European Food Safety Authority Publications

31-10-2018

Safety and efficacy of a super critical carbon dioxide extract of Humulus lupulus L. flos when used as a feed flavouring for all animal species

Safety and efficacy of a super critical carbon dioxide extract of Humulus lupulus L. flos when used as a feed flavouring for all animal species

Published on: Tue, 30 Oct 2018 00:00:00 +0100 Following a request from the European Commission, the EFSA Panel on Additives and Products or Substances used in Animal Feed (FEEDAP) was asked to deliver a scientific opinion on the safety and efficacy of a super critical carbon dioxide extract of Humulus lupulus L. flos (hop strobiles) when used as a sensory feed additive for all animal species. The additive is specified to containing 40% beta acids and less than 0.2% alpha acids. Known substances of conce...

Europe - EFSA - European Food Safety Authority Publications

26-10-2018

Safety and efficacy of l‐threonine produced by fermentation using Escherichia coli CGMCC 7.232 for all animal species

Safety and efficacy of l‐threonine produced by fermentation using Escherichia coli CGMCC 7.232 for all animal species

Published on: Thu, 25 Oct 2018 00:00:00 +0200 The product subject of this assessment is l‐threonine produced by fermentation with a genetically modified strain of Escherichia coli (CGMCC 7.232). It is intended to be used in feed and water for drinking for all animal species and categories. The production strain and its recombinant DNA were not detected in the additive. The product l‐threonine, manufactured by fermentation with E. coli CGMCC 7.232, does not raise any safety concern with regard to the gen...

Europe - EFSA - European Food Safety Authority Publications

15-10-2018

Toy Land Company recalls Boom Boom ChemsSlime andPutty

Toy Land Company recalls Boom Boom ChemsSlime andPutty

Health Canada has determined that the slime and putty products do not meet the Canadian toy safety requirements related to boric acid content.

Health Canada

15-10-2018

Dollar Novelty (Karapelle Inc) recalls Barrel-O-Slime Toy

Dollar Novelty (Karapelle Inc) recalls Barrel-O-Slime Toy

Health Canada's sampling and evaluation program has determined the Barrel-O-Slime toy does not meet the Canadian toy safety requirements related to boric acid content.

Health Canada

11-10-2018

Re‐evaluation of oxidised soya bean oil interacted with mono‐ and diglycerides of fatty acids (E 479b) as a food additive

Re‐evaluation of oxidised soya bean oil interacted with mono‐ and diglycerides of fatty acids (E 479b) as a food additive

Published on: Wed, 10 Oct 2018 00:00:00 +0200 The EFSA Panel on Food Additives and Flavourings (FAF) provides a scientific opinion re‐evaluating the safety of thermally oxidised soya bean oil interacted with mono‐ and diglycerides of fatty acids (TOSOM) (E 479b) when used as a food additive. The Scientific Committee on Food (SCF) and the Joint FAO/WHO Expert Committee on Food Additives (JECFA) derived an acceptable daily intake (ADI) of 25 and 30 mg/kg body weight (bw) per day, respectively. There was n...

Europe - EFSA - European Food Safety Authority Publications

31-1-2019


Opinion/decision on a Paediatric investigation plan (PIP): Macrogol 3350,sodium sulfate,sodium chloride,sodium ascorbate,potassium chloride (NER1006),Ascorbic acid, decision type: , therapeutic area: , PIP number: P/0315/2018

Opinion/decision on a Paediatric investigation plan (PIP): Macrogol 3350,sodium sulfate,sodium chloride,sodium ascorbate,potassium chloride (NER1006),Ascorbic acid, decision type: , therapeutic area: , PIP number: P/0315/2018

Opinion/decision on a Paediatric investigation plan (PIP): Macrogol 3350,sodium sulfate,sodium chloride,sodium ascorbate,potassium chloride (NER1006),Ascorbic acid, decision type: , therapeutic area: , PIP number: P/0315/2018

Europe - EMA - European Medicines Agency

29-1-2019


Opinion/decision on a Paediatric investigation plan (PIP): Synthetic ribonucleic acid oligonucleotide directed against superoxide dismutase 1 (SOD1) messenger ribonucleic acid, decision type: , therapeutic area: , PIP number: P/0337/2018

Opinion/decision on a Paediatric investigation plan (PIP): Synthetic ribonucleic acid oligonucleotide directed against superoxide dismutase 1 (SOD1) messenger ribonucleic acid, decision type: , therapeutic area: , PIP number: P/0337/2018

Opinion/decision on a Paediatric investigation plan (PIP): Synthetic ribonucleic acid oligonucleotide directed against superoxide dismutase 1 (SOD1) messenger ribonucleic acid, decision type: , therapeutic area: , PIP number: P/0337/2018

Europe - EMA - European Medicines Agency

23-1-2019


5 fluorouracil / salicylic acid: List of nationally authorised medicinal products - PSUSA/00000008/201805

5 fluorouracil / salicylic acid: List of nationally authorised medicinal products - PSUSA/00000008/201805

5 fluorouracil / salicylic acid: List of nationally authorised medicinal products - PSUSA/00000008/201805

Europe - EMA - European Medicines Agency

23-1-2019


Deoxycholic acid: CMDh scientific conclusions and grounds for variation, amendments to the product information and timetable for the implementation - PSUSA/00010525/201804

Deoxycholic acid: CMDh scientific conclusions and grounds for variation, amendments to the product information and timetable for the implementation - PSUSA/00010525/201804

Deoxycholic acid: CMDh scientific conclusions and grounds for variation, amendments to the product information and timetable for the implementation - PSUSA/00010525/201804

Europe - EMA - European Medicines Agency

23-1-2019


Deoxycholic acid: List of nationally authorised medicinal products - PSUSA/00010525/201804

Deoxycholic acid: List of nationally authorised medicinal products - PSUSA/00010525/201804

Deoxycholic acid: List of nationally authorised medicinal products - PSUSA/00010525/201804

Europe - EMA - European Medicines Agency

18-1-2019


Opinion/decision on a Paediatric investigation plan (PIP): Omega-3-acid ethyl esters 90 / rosuvastatin (calcium), decision type: , therapeutic area: , PIP number: P/0309/2018

Opinion/decision on a Paediatric investigation plan (PIP): Omega-3-acid ethyl esters 90 / rosuvastatin (calcium), decision type: , therapeutic area: , PIP number: P/0309/2018

Opinion/decision on a Paediatric investigation plan (PIP): Omega-3-acid ethyl esters 90 / rosuvastatin (calcium), decision type: , therapeutic area: , PIP number: P/0309/2018

Europe - EMA - European Medicines Agency

18-1-2019


Opinion/decision on a Paediatric investigation plan (PIP): Acetylsalicylic acid / rosuvastatin (calcium) / perindopril (tert-butylamine) / indapamide (hemihydrate), decision type: , therapeutic area: , PIP number: P/0311/2018

Opinion/decision on a Paediatric investigation plan (PIP): Acetylsalicylic acid / rosuvastatin (calcium) / perindopril (tert-butylamine) / indapamide (hemihydrate), decision type: , therapeutic area: , PIP number: P/0311/2018

Opinion/decision on a Paediatric investigation plan (PIP): Acetylsalicylic acid / rosuvastatin (calcium) / perindopril (tert-butylamine) / indapamide (hemihydrate), decision type: , therapeutic area: , PIP number: P/0311/2018

Europe - EMA - European Medicines Agency

17-1-2019


Opinion/decision on a Paediatric investigation plan (PIP): 3-(3-(3,5-Dimethyl-1H-pyrazol-4-yl)propoxy)-4-fluorobenzoic acid, decision type: , therapeutic area: , PIP number: P/0330/2018

Opinion/decision on a Paediatric investigation plan (PIP): 3-(3-(3,5-Dimethyl-1H-pyrazol-4-yl)propoxy)-4-fluorobenzoic acid, decision type: , therapeutic area: , PIP number: P/0330/2018

Opinion/decision on a Paediatric investigation plan (PIP): 3-(3-(3,5-Dimethyl-1H-pyrazol-4-yl)propoxy)-4-fluorobenzoic acid, decision type: , therapeutic area: , PIP number: P/0330/2018

Europe - EMA - European Medicines Agency

17-1-2019


Opinion/decision on a Paediatric investigation plan (PIP): Recombinant human acid ceramidase (RVT-801), decision type: , therapeutic area: , PIP number: P/0319/2018

Opinion/decision on a Paediatric investigation plan (PIP): Recombinant human acid ceramidase (RVT-801), decision type: , therapeutic area: , PIP number: P/0319/2018

Opinion/decision on a Paediatric investigation plan (PIP): Recombinant human acid ceramidase (RVT-801), decision type: , therapeutic area: , PIP number: P/0319/2018

Europe - EMA - European Medicines Agency

10-1-2019


Orphan designation: (6aR,10aR)-3-(1,1-dimethylheptyl)-delta8-tetrahydro-cannabinol-9-carboxylic acid, Treatment of dermatomyositis, , Positive

Orphan designation: (6aR,10aR)-3-(1,1-dimethylheptyl)-delta8-tetrahydro-cannabinol-9-carboxylic acid, Treatment of dermatomyositis, , Positive

Orphan designation: (6aR,10aR)-3-(1,1-dimethylheptyl)-delta8-tetrahydro-cannabinol-9-carboxylic acid, Treatment of dermatomyositis, , Positive

Europe - EMA - European Medicines Agency

10-1-2019


Orphan designation: glycine, L-alanine, L-arginine, L-aspartic acid, L-cysteine, L-cystine, L-glutamic acid, L-histidine, L-lysine monohydrate, L-methionine, L-phenylalanine, L-proline, L-serine, L-threonine, L-tryptophan, L-tyrosine, taurine, Treatment

Orphan designation: glycine, L-alanine, L-arginine, L-aspartic acid, L-cysteine, L-cystine, L-glutamic acid, L-histidine, L-lysine monohydrate, L-methionine, L-phenylalanine, L-proline, L-serine, L-threonine, L-tryptophan, L-tyrosine, taurine, Treatment

Orphan designation: glycine, L-alanine, L-arginine, L-aspartic acid, L-cysteine, L-cystine, L-glutamic acid, L-histidine, L-lysine monohydrate, L-methionine, L-phenylalanine, L-proline, L-serine, L-threonine, L-tryptophan, L-tyrosine, taurine, Treatment of maple syrup urine disease, 26/10/2018, Positive

Europe - EMA - European Medicines Agency

19-12-2018


Orphan designation: (S)-(−)-3-(4-aminophenyl)-2-methoxypropanoic acid, Treatment of idiopathic pulmonary fibrosis, 24/08/2018, Positive

Orphan designation: (S)-(−)-3-(4-aminophenyl)-2-methoxypropanoic acid, Treatment of idiopathic pulmonary fibrosis, 24/08/2018, Positive

Orphan designation: (S)-(−)-3-(4-aminophenyl)-2-methoxypropanoic acid, Treatment of idiopathic pulmonary fibrosis, 24/08/2018, Positive

Europe - EMA - European Medicines Agency

19-12-2018

EU/3/14/1423 (Richardson Associates Regulatory Affairs Ltd)

EU/3/14/1423 (Richardson Associates Regulatory Affairs Ltd)

EU/3/14/1423 (Active substance: Synthetic signal peptide of human mucin-1 (amino acids 1-21)) - Transfer of orphan designation - Commission Decision (2018)9009 of Wed, 19 Dec 2018 European Medicines Agency (EMA) procedure number: EMA/OD/0000002647

Europe -DG Health and Food Safety

18-12-2018


Calcium chloride / glutamic acid / glutathione / histidine / lactobionic acid / magnesium chloride / mannitol / potassium chloride / sodium hydroxide: List of nationally authorised medicinal products - PSUSA/00010390/201801

Calcium chloride / glutamic acid / glutathione / histidine / lactobionic acid / magnesium chloride / mannitol / potassium chloride / sodium hydroxide: List of nationally authorised medicinal products - PSUSA/00010390/201801

Calcium chloride / glutamic acid / glutathione / histidine / lactobionic acid / magnesium chloride / mannitol / potassium chloride / sodium hydroxide: List of nationally authorised medicinal products - PSUSA/00010390/201801

Europe - EMA - European Medicines Agency

18-12-2018


Mycophenolate mofetil, mycophenolic acid : List of nationally authorised medicinal products - PSUSA/00010550/201805

Mycophenolate mofetil, mycophenolic acid : List of nationally authorised medicinal products - PSUSA/00010550/201805

Mycophenolate mofetil, mycophenolic acid : List of nationally authorised medicinal products - PSUSA/00010550/201805

Europe - EMA - European Medicines Agency

18-12-2018

EU/3/18/2123 (IQVIA RDS Ireland Limited)

EU/3/18/2123 (IQVIA RDS Ireland Limited)

EU/3/18/2123 (Active substance: 6,8-bis(benzylthio)octanoic acid) - Orphan designation - Commission Decision (2018)9038 of Tue, 18 Dec 2018 European Medicines Agency (EMA) procedure number: EMA/OD/169/18

Europe -DG Health and Food Safety

18-12-2018

EU/3/18/2105 (IQVIA RDS Ireland Limited)

EU/3/18/2105 (IQVIA RDS Ireland Limited)

EU/3/18/2105 (Active substance: 6,8-bis(benzylthio)octanoic acid) - Orphan designation - Commission Decision (2018)9020 of Tue, 18 Dec 2018 European Medicines Agency (EMA) procedure number: EMA/OD/167/18

Europe -DG Health and Food Safety

18-12-2018

EU/3/18/2104 (Novartis Europharm Limited)

EU/3/18/2104 (Novartis Europharm Limited)

EU/3/18/2104 (Active substance: (4-{(2S,4S)-4-ethoxy-1-[(5-methoxy-7-methyl-1H-indol-4-yl)methyl]piperidin-2-yl}benzoic acid-hydrogen chloride(1/1))) - Orphan designation - Commission Decision (2018)9019 of Tue, 18 Dec 2018 European Medicines Agency (EMA) procedure number: EMA/OD/157/18

Europe -DG Health and Food Safety

18-12-2018

EU/3/18/2103 (Albireo AB)

EU/3/18/2103 (Albireo AB)

EU/3/18/2103 (Active substance: (2S)-2-{[(2R)-2-[({[3,3-dibutyl-7-(methylthio)-1,1-dioxido-5-phenyl-2,3,4,5-tetrahydro-1,2,5-benzothiadiazepin-8-yl]oxy}acetyl)amino]-2-(4-hydroxyphenyl)acetyl]amino}butanoic acid) - Orphan designation - Commission Decision (2018)9018 of Tue, 18 Dec 2018 European Medicines Agency (EMA) procedure number: EMA/OD/165/18

Europe -DG Health and Food Safety

18-12-2018

EU/3/16/1731 (Alnylam Netherlands B.V.)

EU/3/16/1731 (Alnylam Netherlands B.V.)

EU/3/16/1731 (Active substance: Synthetic double-stranded siRNA oligonucleotide directed against delta-aminolevulinic acid synthase 1 mRNA covalently linked to a ligand containing three N-acetylgalactosamine residues) - Transfer of orphan designation - Commission Decision (2018)9015 of Tue, 18 Dec 2018 European Medicines Agency (EMA) procedure number: EMA/OD/0000002858

Europe -DG Health and Food Safety

17-12-2018

OCALIVA (Intercept Pharma Ltd)

OCALIVA (Intercept Pharma Ltd)

OCALIVA (Active substance: obeticholic acid) - Centralised - Annual renewal - Commission Decision (2018)8909 of Mon, 17 Dec 2018 European Medicines Agency (EMA) procedure number: EMEA/H/C/4093/R/9

Europe -DG Health and Food Safety

12-12-2018


Scientific recommendation on classification of advanced therapy medicinal products: Codon-optimized human ornithine transcarbamylase messenger ribonucleic acid

Scientific recommendation on classification of advanced therapy medicinal products: Codon-optimized human ornithine transcarbamylase messenger ribonucleic acid

Scientific recommendation on classification of advanced therapy medicinal products: Codon-optimized human ornithine transcarbamylase messenger ribonucleic acid

Europe - EMA - European Medicines Agency

10-12-2018

EU/3/16/1786 (PTC Therapeutics International Limited)

EU/3/16/1786 (PTC Therapeutics International Limited)

EU/3/16/1786 (Active substance: Recombinant adeno-associated viral vector serotype 2 carrying the gene for the human aromatic L-amino acid decarboxylase protein) - Transfer of orphan designation - Commission Decision (2018)8630 of Mon, 10 Dec 2018 European Medicines Agency (EMA) procedure number: EMA/OD/0000002507

Europe -DG Health and Food Safety

26-11-2018


Withdrawn application: HopGuard Gold, purified semi-solid extract from Humulus lupulus L. containing approximately 48% of beta acids as potassium salts, Date of withdrawal: 12/04/2018, Initial authorisation

Withdrawn application: HopGuard Gold, purified semi-solid extract from Humulus lupulus L. containing approximately 48% of beta acids as potassium salts, Date of withdrawal: 12/04/2018, Initial authorisation

Withdrawn application: HopGuard Gold, purified semi-solid extract from Humulus lupulus L. containing approximately 48% of beta acids as potassium salts, Date of withdrawal: 12/04/2018, Initial authorisation

Europe - EMA - European Medicines Agency

22-11-2018


Opinion/decision on a Paediatric investigation plan (PIP): Bempedoic acid (ETC-1002), decision type: , therapeutic area: , PIP number: P/0185/2018

Opinion/decision on a Paediatric investigation plan (PIP): Bempedoic acid (ETC-1002), decision type: , therapeutic area: , PIP number: P/0185/2018

Opinion/decision on a Paediatric investigation plan (PIP): Bempedoic acid (ETC-1002), decision type: , therapeutic area: , PIP number: P/0185/2018

Europe - EMA - European Medicines Agency

22-11-2018


Opinion/decision on a Paediatric investigation plan (PIP): Citric acid (as citric acid anhydrous) / sodium chloride / simeticone / macrogol 4000 / sodium citrate /sodium sulfate (as sodium sulfate anhydrous) / potassium chloride (PMF104), decision type:

Opinion/decision on a Paediatric investigation plan (PIP): Citric acid (as citric acid anhydrous) / sodium chloride / simeticone / macrogol 4000 / sodium citrate /sodium sulfate (as sodium sulfate anhydrous) / potassium chloride (PMF104), decision type:

Opinion/decision on a Paediatric investigation plan (PIP): Citric acid (as citric acid anhydrous) / sodium chloride / simeticone / macrogol 4000 / sodium citrate /sodium sulfate (as sodium sulfate anhydrous) / potassium chloride (PMF104), decision type: , therapeutic area: , PIP number: P/0223/2018

Europe - EMA - European Medicines Agency

21-11-2018

EU/3/18/2081 (Pharma Gateway AB)

EU/3/18/2081 (Pharma Gateway AB)

EU/3/18/2081 (Active substance: 3-(3-(3,5-dimethyl-1H-pyrazol-4-yl)propoxy)-4-fluorobenzoic acid) - Orphan designation - Commission Decision (2018)7790 of Wed, 21 Nov 2018 European Medicines Agency (EMA) procedure number: EMA/OD/096/18

Europe -DG Health and Food Safety

21-11-2018

EU/3/13/1184 (Pfizer Europe MA EEIG)

EU/3/13/1184 (Pfizer Europe MA EEIG)

EU/3/13/1184 (Active substance: (1R,3R,4R,5S)-3-O-[2-O-benzoyl-3-O-(sodium(2S)-3-cyclohexyl-propanoate-2-yl)-beta-D-galactopyranosyl]-4-O-(a-L-fucopyranosyl)-5-orothylamido-cyclohexane-1-carboxylic acid ethyl-2-amidyl-ethyloxy-2-acetyl-(8-amino-1,3,6-naphthalene-tris sodium sulfonate) amide) - Transfer of orphan designation - Commission Decision (2018)7836 of Wed, 21 Nov 2018 European Medicines Agency (EMA) procedure number: EMA/OD/084/13/T/01

Europe -DG Health and Food Safety

5-11-2018

EU/3/18/2070 (Accelsiors CRO and Consultancy Services Ltd)

EU/3/18/2070 (Accelsiors CRO and Consultancy Services Ltd)

EU/3/18/2070 (Active substance: (6aR,10aR)-3-(1,1-dimethylheptyl)-delta8-tetrahydro-cannabinol-9-carboxylic acid) - Orphan designation - Commission Decision (2018)7271 of Mon, 05 Nov 2018 European Medicines Agency (EMA) procedure number: EMA/OD/114/18

Europe -DG Health and Food Safety

30-10-2018

EU/3/18/2076 (Orphan Europe S.A.R.L.)

EU/3/18/2076 (Orphan Europe S.A.R.L.)

EU/3/18/2076 (Active substance: Glycine, L-alanine, L-arginine, L-aspartic acid, L-cysteine, L-cystine, L-glutamic acid, L-histidine, L-lysine monohydrate, L-methionine, L-phenylalanine, L-proline, L-serine, L-threonine, L-tryptophan, L-tyrosine, taurine) - Orphan designation - Commission Decision (2018)7277 of Tue, 30 Oct 2018 European Medicines Agency (EMA) procedure number: EMA/OD/100/18

Europe -DG Health and Food Safety

29-10-2018

Clopidogrel/Acetylsalicylic acid Zentiva (Sanofi-Aventis groupe)

Clopidogrel/Acetylsalicylic acid Zentiva (Sanofi-Aventis groupe)

Clopidogrel/Acetylsalicylic acid Zentiva (Active substance: clopidogrel / acetylsalicylic acid) - Centralised - 2-Monthly update - Commission Decision (2018)7249 of Mon, 29 Oct 2018 European Medicines Agency (EMA) procedure number: EMEA/H/C/1144/WS1433/0051

Europe -DG Health and Food Safety

29-10-2018

DuoPlavin (Sanofi Clir SNC)

DuoPlavin (Sanofi Clir SNC)

DuoPlavin (Active substance: clopidogrel / acetylsalicylic acid) - Centralised - 2-Monthly update - Commission Decision (2018)7255 of Mon, 29 Oct 2018 European Medicines Agency (EMA) procedure number: EMEA/H/C/1143/WS/1433/0050

Europe -DG Health and Food Safety

2-10-2018

Zoledronic acid Actavis (Actavis Group PTC ehf.)

Zoledronic acid Actavis (Actavis Group PTC ehf.)

Zoledronic acid Actavis (Active substance: zoledronic acid) - Centralised - Yearly update - Commission Decision (2018)6488 of Tue, 02 Oct 2018

Europe -DG Health and Food Safety

2-10-2018

EU/3/16/1786 (Voisin Consulting S.A.R.L.)

EU/3/16/1786 (Voisin Consulting S.A.R.L.)

EU/3/16/1786 (Active substance: Recombinant adeno-associated viral vector serotype 2 carrying the gene for the human aromatic L-amino acid decarboxylase protein) - Transfer of orphan designation - Commission Decision (2018)6427 of Tue, 02 Oct 2018 European Medicines Agency (EMA) procedure number: EMA/OD/183/16/T/02

Europe -DG Health and Food Safety

2-10-2018

Zoledronic acid Mylan (Mylan S.A.S.)

Zoledronic acid Mylan (Mylan S.A.S.)

Zoledronic acid Mylan (Active substance: zoledronic acid) - Centralised - Yearly update - Commission Decision (2018)6486 of Tue, 02 Oct 2018

Europe -DG Health and Food Safety