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Regulatory details:<br />

PRAC rapporteur: Qun-Ying Yue (SE)<br />

PRAC Co-rapporteur: Karen Pernille Harg (NO)<br />

Administrative details:<br />

Procedure number: EMEA/H/A-107i/1395<br />

MAH(s): Martindale Pharma, various<br />

Background<br />

A referral procedure under Article 107i of Directive 2001/83/EC is ongoing for methadone medicinal<br />

products for oral use containing povidone (see PRAC minutes 7-10 April 2014). An ad-hoc expert<br />

meeting is to be organised.<br />

Summary of recommendation(s)/conclusions<br />

EMA secretariat informed the PRAC of the confirmed date of the ad-hoc expert group which is to be<br />

convened on 16 June 2014 in the framework of the procedure. The PRAC agreed on the expertise<br />

required at the meeting and on a list of questions for the experts, as well as a revised timetable to<br />

take into account this step (EMA/PRAC/186319/2014 rev.1 published on the EMA website). Members<br />

were invited to propose candidates from the Member States. EMA clarified that the current provisions<br />

in terms of the handling of potential conflict of interest will be applied.<br />

2.3. Procedures for finalisation<br />

None<br />

3. EU Referral Procedures for Safety Reasons: Other EU<br />

Referral Procedures<br />

3.1. Newly triggered Procedures<br />

3.1.1. Hydroxyzine (NAP)<br />

<br />

Review of the benefit-risk balance following notification by Hungary of a referral under Article<br />

31 of Directive 2001/83/EC, based on pharmacovigilance data<br />

Regulatory details:<br />

PRAC Rapporteur: Isabelle Robine (FR)<br />

PRAC Co-Rapporteur: Julia Pallos (HU)<br />

Administrative details:<br />

MAH(s): UCB, various<br />

Triggering MS: HU<br />

Background<br />

Following discussion at the April 2014 meeting of the CMDh (see CMDh Minutes of the 22-24 April 2014<br />

meeting) on the intention of one of the MAHs for hydroxyzine-containing medicines to submit a<br />

variation to delete two authorised indications ’preoperative anxiolysis’ and ‘sleep disorders’, and<br />

‘anxiety’ in paediatric patients and to reduce the highest recommended daily dose, the Hungarian<br />

Medicines Agency (GYEMSZI-OGYI) circulated a notification dated 25 April 2014 to initiate a referral<br />

procedure under Article 31 of Directive 2001/83/EC to review the benefit-risk of all hydroxyzinecontaining<br />

medicines in all indications, assessing in particular the pro-arrhythmogenic potential of<br />

hydroxyzine.<br />

Pharmacovigilance Risk Assessment Committee (PRAC)<br />

EMA/PRAC/324055/2014 Page 12/73

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