Meeting highlights from the Committee for Medicinal Products for Human Use (CHMP) 12-15 September 2016 (corrected)
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Ten* medicines recommended for approval, including three medicines for cancer
The European Medicines Agency's Committee for Medicinal Products for Human Use (CHMP) recommended ten medicines for approval at its September meeting.
The CHMP recommended granting a conditional marketing authorisation for Lartruvo (olaratumab) for the treatment of adults with advanced soft tissue sarcoma. Lartruvo is to be used in combination with doxorubicin (a chemotherapy medicine) in patients with advanced soft tissue sarcoma for whom surgery or radiotherapy is not suitable, and who have not been previously treated with doxorubicin. Lartruvo was reviewed under EMA's accelerated assessment mechanism and has an orphan designation. For more information, please see the press release in the grid below.
The Committee recommended granting a marketing authorisation for Ibrance (palbociclib) for the treatment of women with locally-advanced or metastatic breast cancer. Ibrance is to be used to treat breast cancer that is hormone receptor (HR)-positive and human epidermal growth factor receptor 2 (HER2)–negative. For more information, please see the press release in the grid below.
The CHMP recommended granting a conditional marketing authorisation for Ninlaro (ixazomib) for the treatment of multiple myeloma. This follows a re-examination of the Committee's earlier negative opinion. Ninlaro is a new medicine that is taken orally to treat multiple myeloma, and it has an orphan designation. Please see the questions-and-answers document in the grid below for more information on this opinion.
Glyxambi (empagliflozin / linagliptin) was recommended for approval for the treatment of type 2 diabetes.
Parsabiv (etelcalcetide) was recommended for approval for the treatment of secondary hyperparathyroidism.
One hybrid application, Chenodeoxycholic acid sigma-tau (chenodeoxycholic acid), received a positive opinion from the CHMP for the treatment of cerebrotendinous xanthomatosis. Hybrid applications rely in part on the results of pre-clinical tests and clinical trials for a reference product and in part on new data. This medicine has an orphan designation.
Four generic medicines were recommended for approval by the Committee: Ivabradine JensenR (ivabradine) and Ivabradine Zentiva (ivabradine) to treat angina pectoris and heart failure, Emtricitabine / Tenofovir disoproxil Zentiva (emtricitabine / tenofovir disoproxil) to treat HIV infection and Granpidam (sildenafil) for the treatment of patients with pulmonary arterial hypertension.
Two recommendations on extensions of therapeutic indications
The Committee recommended extensions of indications for NovoRapid and Stelara.
Outcome of review of compliance with good manufacturing practice (GMP) at Pharmaceutics International
The CHMP recommended that medicines manufactured by Pharmaceutics International Inc., located in the United States, should no longer be available in the European Union, except Ammonaps (sodium phenylbutyrate), which is used to treat a rare disease and is considered critical for public health. The recommendation is the outcome of a review into issues with GMP at Pharmaceutics International Inc. For more information, please see the public health communication in the grid below.
Withdrawals of applications
The application for a marketing authorisation for Cokiera (dasabuvir / ombitasvir / paritaprevir / ritonavir) has been withdrawn. Cokiera was intended for the treatment of chronic hepatitis C. A questions-and-answers document on this withdrawal is available below.
A request to extend the indication of Adempas (riociguat) to the treatment of pulmonary arterial hypertension associated with congenital heart disease has also been withdrawn. A questions-and-answers document on this withdrawal is available below.
Agenda and minutes
The agenda of the September 2016 meeting is published on EMA's website. Minutes of the July 2016 CHMP meeting will be published next week.
CHMP statistics
Key figures from the September 2016 CHMP meeting are represented in the graphic below.
More information on this, and all other outcomes of the CHMP's September 2016 meeting, is available in the grid below.
* The adoption of the CHMP opinion for SomaKit TOC was included in the CHMP highlights in error. This opinion has now been removed from the highlights as this procedure is still ongoing. Once the procedure is finalised, EMA will communicate its outcome. The below infographic has been updated to reflect this change.
CHMP statistics: September 2016
Positive recommendations on new medicines
| Name of medicine | Glyxambi |
|---|---|
| International non-proprietary name (INN) | empagliflozin / linagliptin |
| Marketing-authorisation applicant | Boehringer Ingelheim International GmbH |
| Therapeutic indication | Treatment of type 2 diabetes mellitus |
| More information | CHMP summary of positive opinion for Glyxambi |
| Name of medicine | Ibrance |
|---|---|
| INN | palbociclib |
| Marketing-authorisation applicant | Pfizer Limited |
| Therapeutic indication | Treatment of locally advanced or metastatic breast cancer |
| More information | CHMP summary of positive opinion for Ibrance Press release: New treatment for breast cancer |
| Name of medicine | Lartruvo |
|---|---|
| INN | olaratumab |
| Marketing-authorisation applicant | Eli Lilly Nederland B.V. |
| Therapeutic indication | Treatment of soft tissue sarcoma |
| More information | CHMP summary of positive opinion for Lartruvo Press release: New treatment for patients with soft tissue sarcoma |
| Name of medicine | Ninlaro |
|---|---|
| INN | ixazomib |
| Marketing-authorisation applicant | Takeda Pharma A/S |
| Therapeutic indication | Treatment of multiple myeloma |
| More information | CHMP summary of opinion for Ninlaro Questions and answers on the positive opinion on the marketing authorisation for Ninlaro (ixazomib) |
| Name of medicine | Parsabiv |
|---|---|
| INN | etelcalcetide |
| Marketing-authorisation applicant | Amgen Europe B.V. |
| Therapeutic indication | Treatment of secondary hyperparathyroidism |
| More information | CHMP summary of positive opinion for Parsabiv |
Positive recommendations on new generic medicines
| Name of medicine | Emtricitabine/Tenofovir disoproxil Zentiva |
|---|---|
| INN | emtricitabine / tenofovir disoproxil |
| Marketing-authorisation applicant | Zentiva k.s. |
| Therapeutic indication | Treatment of HIV infection |
| More information | CHMP summary of opinion for Emtricitabine/Tenofovir disoproxil Zentiva |
| Name of medicine | Granpidam |
|---|---|
| INN | sildenafil |
| Marketing-authorisation applicant | Accord Healthcare Ltd |
| Therapeutic indication | Treatment of pulmonary arterial hypertension |
| More information | CHMP summary of positive opinion for Granpidam |
| Name of medicine | Ivabradine JensonR |
|---|---|
| INN | ivabradine |
| Marketing-authorisation applicant | JensonR+Limited |
| Therapeutic indication | Treatment of angina pectoris and heart failure |
| More information | CHMP summary of positive opinion for Ivabradine JensonR |
| Name of medicine | Ivabradine Zentiva |
|---|---|
| INN | ivabradine |
| Marketing-authorisation applicant | Zentiva, k.s. |
| Therapeutic indication | Treatment of angina pectoris and heart failure |
| More information | CHMP summary of positive opinion for Ivabradine Zentiva |
Positive recommendation on a new hybrid medicine
| Name of medicine | Chenodeoxycholic acid sigma-tau |
|---|---|
| INN | chenodeoxycholic acid |
| Marketing-authorisation applicant | Sigma-tau Arzneimittel GmbH |
| Therapeutic indication | Treatment of cerebrotendinous xanthomatosis |
| More information | CHMP summary of positive opinion for Chenodeoxycholic acid sigma-tau |
Positive recommendations on extensions of therapeutic indications
| Name of medicine | NovoRapid |
|---|---|
| INN | insulin aspart |
| Marketing-authorisation holder | Novo Nordisk A/S |
| More information | CHMP summary of positive opinion for NovoRapid |
| Name of medicine | Stelara |
|---|---|
| INN | ustekinumab |
| Marketing-authorisation holder | Janssen-Cilag International NV |
| More information | CHMP post-authorisation summary of positive opinion for Stelara |
Public-health recommendation
| Name of the procedure | Pharmaceutics International Inc |
|---|---|
| More information | Pharmaceutics International Inc., US: supply of non-critical medicines to EU to be stopped due to manufacturing failings |
Outcome of harmonisation procedure
| Name of medicine | Clenil and associated names |
|---|---|
| INN | Beclometasone dipropionate |
| Marketing-authorisation holder | Chiesi and associated companies |
| More information | Questions and answers on Clenil and associated names |
Withdrawals of application
| Name of medicine | Adempas |
|---|---|
| INN | riociguat |
| More information | Questions and answers on the withdrawal of the application for a change to the marketing authorisation for Adempas (riociguat) |
| Name of medicine | Cokiera |
|---|---|
| INN | dasabuvir / ombitasvir / paritaprevir / ritonavir |
| More information | Questions and answers on the withdrawal of the marketing authorisation application for Cokiera (dasabuvir / ombitasvir / paritaprevir / ritonavir) |
Other opinion
| Name of medicine | Abilify |
|---|---|
| INN | aripiprazole |
| More information | Questions and answers on the outcome of an application an application to extend use of Abilify in schizophrenia to 13 and 14 year olds |