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In follow-up to its discussion at the February 2015 meeting, the PRAC finalised the action plan for the<br />

implementation of enhanced risk minimisation measures regarding the risk of osteonecrosis of the jaw<br />

(ONJ) with bisphosphonates and denosumab. This included a proposal for key safety messages to be<br />

reflected in the product information for these products, as well as for a patient reminder card. These<br />

are currently being implemented for Aclasta (see 6.1.14. ) and will be considered during the upcoming<br />

periodic reviews for all other bisphosphonates for intravenous use as well as for denosumab.<br />

12.14. Interaction within the EU regulatory network<br />

None<br />

12.15. Contacts of the PRAC with external parties and interaction of the<br />

EMA with interested parties<br />

12.15.1. Guidelines of the International Conference on Harmonisation of Technical<br />

Requirements for Registration of Pharmaceuticals for Human Use (ICH)<br />

None<br />

12.15.2. Others<br />

12.15.2.1. International Society for Pharmacoepidemiology (ISPE)<br />

<br />

Analysis of patient and healthcare professional input into EMA communications relating to the<br />

oral contraceptives referral, following the symposium, October 2014<br />

At the organisational matters teleconference held on 26 March 2015, the EMA Secretariat presented<br />

feedback on the analysis of patient and healthcare professional input into the EMA communications<br />

relating to the oral contraceptive referral presented at the International Society for<br />

Pharmacoepidemiology at its conference in October 2014.<br />

12.16. Others<br />

<br />

Interaction with patients, consumers and organisations: revised framework<br />

At the organisational matters teleconference held on 26 March 2015, the EMA Secretariat presented<br />

the revised framework for interaction between the European Medicines Agency and patients and<br />

consumers and their organisations, which was adopted by the EMA management board in December<br />

2014. The aim of this revised framework was to clarify the objectives and consolidate the methodology<br />

for such interactions. The PRAC welcomed this important progress and anticipated strengthening its<br />

interactions with patients and consumers using the new framework.<br />

13. Any other business<br />

13.1. Medication errors<br />

<br />

Risk minimisation strategy for medication errors with high strength/fixed combination insulins<br />

As a follow-up to the discussion at the February 2015 PRAC, the EMA Secretariat presented revised<br />

draft guidance and a revised draft EMA safety communication for patients and HCPs on the risk<br />

minimisation strategy for medication errors with high strength/fixed combination insulins taking into<br />

Pharmacovigilance Risk Assessment Committee (PRAC)<br />

EMA/PRAC/257790/2015 Page 60/89

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