Committee for medicinal products for human use (CHMP)
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Ebymect-EMEA/H/C/004162/WS0968/001<br />
2<br />
Edistride-EMEA/H/C/004161/WS0968/00<br />
09<br />
Forxiga-EMEA/H/C/002322/WS0968/002<br />
8<br />
Xigduo-EMEA/H/C/002672/WS0968/0023<br />
MAH: AstraZeneca AB, Lead PRAC Rapporteur:<br />
Qun-Ying Yue, “To provide a revised RMP in order<br />
to implement the recommendations given in the<br />
Article 20 assessment report dated 18th February<br />
(EMA/PRAC/50218/2016). The changes<br />
introduced are the following:<br />
- The inclusion of atypical DKA as an identified<br />
Risk.<br />
- Upgrade of a DUS from category 4 to 3 'required<br />
additional pharmacovigilance activities to<br />
address specific safety concerns or to measure<br />
effectiveness of risk minimisation measures'.<br />
- Addition of a description of an ongoing<br />
mechanistic study. This is a short description as it<br />
is an ongoing post-doctorate research project<br />
and no protocol will be reviewed.<br />
- Addition of a description of a DKA<br />
epidemiological study assessing the incidence of<br />
DKA to the RMP.”<br />
Request <strong>for</strong> Supplementary In<strong>for</strong>mation adopted<br />
on 15.09.2016.<br />
PRAC Led<br />
WS1005<br />
Ultibro<br />
Breezhaler-EMEA/H/C/002679/WS1005/0<br />
013<br />
Ulunar<br />
Breezhaler-EMEA/H/C/003875/WS1005/0<br />
013<br />
Xoterna<br />
Breezhaler-EMEA/H/C/003755/WS1005/0<br />
015<br />
MAH: Novartis Europharm Ltd, Lead Rapporteur:<br />
Hanne Lomholt Larsen, Lead PRAC Rapporteur:<br />
Torbjorn Callreus, “Update of the SmPC section<br />
4.8 to add Dysphonia and revise the ADRs<br />
selection and frequencies based on the MAH’s<br />
review of all safety data. As a consequence,<br />
section 4.4 was updated.<br />
The Package Leaflet is updated accordingly.<br />
The MAH took the opportunity of this procedure<br />
to update the Product In<strong>for</strong>mation as per the<br />
latest QRD template.<br />
Annex to November 2016 <strong>CHMP</strong> Agenda<br />
EMA/<strong>CHMP</strong>/682759/2016 Page 36/43