Maa: Euroopan unioni
Kieli: englanti
Lähde: EMA (European Medicines Agency)
Diroximel fumarate (BIIB098)
Biogen Netherlands B.V.
L04AX07
diroximel fumarate
Immunosuppressants
Multiple Sclerosis, Relapsing-Remitting
Vumerity is indicated for the treatment of adult patients with relapsing remitting multiple sclerosis (see Section 5.1 for important information on the populations for which efficacy has been established).
Revision: 4
Authorised
2021-11-15
30 B. PACKAGE LEAFLET 31 PACKAGE LEAFLET: INFORMATION FOR THE PATIENT VUMERITY 231 MG GASTRO-RESISTANT HARD CAPSULES diroximel fumarate READ ALL OF THIS LEAFLET CAREFULLY BEFORE YOU START TAKING THIS MEDICINE BECAUSE IT CONTAINS IMPORTANT INFORMATION FOR YOU. - Keep this leaflet. You may need to read it again. - If you have any further questions, ask your doctor or pharmacist. - This medicine has been prescribed for you only. Do not pass it on to others. It may harm them, even if their signs of illness are the same as yours. - If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. See section 4. WHAT IS IN THIS LEAFLET 1. What Vumerity is and what it is used for 2. What you need to know before you take Vumerity 3. How to take Vumerity 4. Possible side effects 5. How to store Vumerity 6. Contents of the pack and other information 1. WHAT VUMERITY IS AND WHAT IT IS USED FOR WHAT VUMERITY IS Vumerity contains the active substance diroximel fumarate. WHAT VUMERITY IS USED FOR Vumerity is used to treat relapsing-remitting multiple sclerosis (MS) in adult patients. MS is a long-term condition in which the immune system (the body’s natural defences) malfunctions and attacks parts of the central nervous system (the brain, spinal cord and the optic nerve of the eye) causing inflammation that damages the nerves and the insulation around them. Relapsing-remitting MS is characterised by repeated attacks (relapses) on the nervous system. Symptoms vary from patient to patient, but typically include walking difficulties, feeling off balance and visual difficulties (e.g. blurred or double vision). These symptoms may disappear completely when the relapse is over, but some problems may remain. HOW VUMERITY WORKS The medicine is thought to work by increasing the action of a protein called ‘Nrf2’ which regulates certain genes that produce ‘antioxidants’ involved in protecting cells from damage. This helps control the activity of the immune system Lue koko asiakirja
1 ANNEX I SUMMARY OF PRODUCT CHARACTERISTICS 2 1. NAME OF THE MEDICINAL PRODUCT Vumerity 231 mg gastro-resistant hard capsules 2. QUALITATIVE AND QUANTITATIVE COMPOSITION Each gastro-resistant hard capsule contains 231 mg diroximel fumarate. For the full list of excipients, see section 6.1. 3. PHARMACEUTICAL FORM Gastro-resistant hard capsule White capsule, size 0 (approximately 18 mm in length), printed with ‘DRF 231 mg’ in black ink. 4. CLINICAL PARTICULARS 4.1 THERAPEUTIC INDICATIONS Vumerity is indicated for the treatment of adult patients with relapsing remitting multiple sclerosis (see section 5.1 for important information on the populations for which efficacy has been established). 4.2 POSOLOGY AND METHOD OF ADMINISTRATION Treatment should be initiated under supervision of a physician experienced in the treatment of multiple sclerosis. Posology The starting dose is 231 mg twice a day. After 7 days, the dose should be increased to the recommended maintenance dose of 462 mg twice a day (see section 4.4). Temporary dose reductions to 231 mg twice a day may reduce the occurrence of flushing and gastrointestinal adverse reactions. Within 1 month, the recommended dose of 462 mg twice a day should be resumed. If a patient misses a dose, a double dose should not be taken. The patient may take the missed dose only if they leave 4 hours between doses. Otherwise, the patient should wait until the next scheduled dose. _Special populations _ _Elderly _ _ _ Based on uncontrolled study data, the safety profile of diroximel fumarate in patients ≥55 years of age seems to be comparable to patients <55 years of age. Clinical studies with diroximel fumarate had limited exposure to patients aged 65 years and above and did not include sufficient numbers of patients aged 65 years and above to determine whether they respond differently than younger patients (see section 5.2). Based on the mechanism of action of the active substance there are no theoretical reasons for any requirement for dose adjustments in the elderly. _ _ Lue koko asiakirja