January 2020: Additions and Deletions to the Drug Product List
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List of Medicinal Products Under Additional Monitoring
26 October 2018 EMA/245297/2013 Rev.60 Inspections & Human Medicines Pharmacovigilance List of medicinal products under additional monitoring Related Information: Additional monitoring explained: http://www.ema.europa.eu/ema/index.jsp?curl=pages/special_topics/document_listing/document_listing_000365.jsp Good Pharmacovigilance Practice Module on additional monitoring: http://www.ema.europa.eu/ema/index.jsp?curl=pages/regulation/document_listing/document_listing_000345.jsp To note: All products added to the list in September 2018 are shown in red font. All products removed from the list are shown with a strikethrough for the period of one month after which they are excluded. Date of Product name Active Substance (s) Reason (s) on list Marketing Authorisation Holder (s) Link to Product Information Inclusion http://www.ema.europa.eu/ema/index.jsp?curl=pages/medicines/human/medicines/ Abasaglar (previously Abasria) Insulin glargine New biological Eli Lilly Nederland B.V. 002835/human_med_001790.jsp&mid=WC0b01ac058001d124 October 2014 Acarizax (also known in some EU countries as MITIZAX) Standardised allergen extract from house dust mites New Biological ALK-Abelló A/S https://portal.dimdi.de/amispb/doc/pei/Web/2613318-spcde-20170401.pdf May 2016 http://www.ema.europa.eu/ema/index.jsp?curl=pages/medicines/human/medicines/ Accofil Filgrastim New biological Accord Healthcare Limited 003956/human_med_001798.jsp&mid=WC0b01ac058001d124 October 2014 http://www.ema.europa.eu/ema/index.jsp?curl=pages/medicines/human/medicines/ Adcetris Brentuximab vedotin -
Eortc-1307-Bcg) (Big5-13) (Tesaro Pr-30-5010-C)
EORTC Avenue E. Mounierlaan 83/11 Brussel 1200 Bruxelles België – Belgique Tel: PPD e-mail: PPD www.eortc.org Intergroup Study (EORTC-1307-BCG) (BIG5-13) (TESARO PR-30-5010-C) (EudraCT number 2013-000684-85) (NCT01905592) (IND number # 117580) A phase III, randomized, open label, multicenter, controlled trial of niraparib versus physician’s choice in previously-treated, HER2 negative, germline BRCA mutation-positive breast cancer patients. Co-Lead: Breast International Group (BIG) EORTC Breast Cancer Group Study Coordinator: PPD (BIG) Study Co-Coordinators: PPD (BIG) PPD (EORTC) PPD (Tufts Medical Center) Protocol Date of PRC Amendment reference version approval/notification N° Classification Outline June 28, 2013 ---- ---- 1.0 July 22, 2013 ---- ---- 2.0 August 28, 2013 1 Scientific 3.0 April 24, 2014 3 Scientific 4.0 May 04, 2015 4 Scientific 5.0 November 04, 2015 5 Scientific 6.0 January 13, 2017 8 Scientific Version 6.0 / January 13, 2017 Copyright EORTC 2017 EORTC-1307-BCG / BIG5-13 / TESARO PR-30-5010-C Niraparib in BRCA germline mutated MBC Contact addresses Executive Committee: Defined in the related study charter Writing Committee: PPD (EORTC, Statistician) PPD (EORTC, Study Co-coordinator) PPD (Tufts Medical Center) PPD (BIG, Scientific Director) PPD (BIG, Ass. Scientific Director) PPD (EORTC, Statistician) PPD (EORTC, Clinical Research Physician) PPD (BIG, Study Coordinator) Steering Committee: Defined in the related study charter Version 6.0 2 / 102 January 13, 2017 EORTC-1307-BCG / BIG5-13 / TESARO PR-30-5010-C Niraparib -
Tocolytic Therapy a Meta-Analysis and Decision Analysis
Tocolytic Therapy A Meta-Analysis and Decision Analysis David M. Haas, MD, MS, Thomas F. Imperiale, MD, Page R. Kirkpatrick, Robert W. Klein, Terrell W. Zollinger, DrPH, and Alan M. Golichowski, MD, PhD OBJECTIVE: To determine the optimal first-line tocolytic ing prostaglandin inhibitors, only 80 would deliver within agent for treatment of premature labor. 48 hours, compared with 182 for the next-best treatment. METHODS: We performed a quantitative analysis of ran- CONCLUSION: Although all current tocolytic agents domized controlled trials of tocolysis, extracting data on were superior to no treatment at delaying delivery for maternal and neonatal outcomes, and pooling rates for both 48 hours and 7 days, prostaglandin inhibitors were each outcome across trials by treatment. Outcomes were superior to the other agents and may be considered the delay of delivery for 48 hours, 7 days, and until 37 weeks; optimal first-line agent before 32 weeks of gestation to adverse effects causing discontinuation of therapy; absence delay delivery. of respiratory distress syndrome; and neonatal survival. We (Obstet Gynecol 2009;113:585–94) used weighted proportions from a random-effects meta- analysis in a decision model to determine the optimal first-line tocolytic therapy. Sensitivity analysis was per- reterm birth, defined as any birth before the gesta- formed using the standard errors of the weighted propor- Ptional age of 37 weeks, is responsible for most of the 1–3 tions. neonatal morbidity and mortality in the United States and consumes 35% of all U.S. healthcare spending on RESULTS: Fifty-eight studies satisfied the inclusion crite- 4 ria. -
Effects of Ritodrine Hydrochloride, a Beta2-Adrenoceptor Stimulant, on Uterine Motilities in Late Pregnancy
Japan. J. Pharmacol. 35, 319-326 (1984) 319 Effects of Ritodrine Hydrochloride, a Beta2-Adrenoceptor Stimulant, on Uterine Motilities in Late Pregnancy Shigeru IKEDA, Hiroshi TAMAOKI, Masuo AKAHANE and Yoshifumi NEBASHI Central ResearchLaboratories, Kissei Pharmaceutical Co., Ltd. 19-48 Yoshino,Matsumoto 399-65, Japan Accepted April7, 1984 Abstract•\Ritodrine hydrochloride (ritodrine) is a beta2-adrenoceptor stimulant which has been effectively prescribed for the prevention of premature labor. The present studies were carried out to investigate the effects of ritodrine on uterine motility in rats and rabbits during gestation, as compared with those of isoproterenol and isoxsuprine. The results were as follows: 1) Spontaneous movements and evoked contractile responses of isolated rat uterus (19-20th days of gestation) were suppressed by 10-9-1 0-6 M ritodrine. The potency of ritodrine was approximately 10 times more than that of isoxsuprine and 100-1,000 times less than that of iso- proterenol. 2) When these drugs were administered to pregnant rats or rabbits intravenously, the tocolytic potency was in the following order: isoproterenol> ritodrine>isoxsuprine. 3) Ritodrine induced hypotension and tachycardia, but these effects were less than those of isoproterenol and isoxsuprine. 4) The effects of isoproterenol and ritodrine were almost prevented by pretreatment with pro- pranolol, but those of isoxsuprine were only partially or not affected. These results suggest that ritodrine is effective in preventing the uterine contractions in rats and rabbits and that it has less effect on the circulatory system than isoproterenol and isoxsuprine. It is also concluded that ritodrine produces these effects through activation of beta-adrenoceptors. -
Drug Index and Glossary
Drug index and glossary Approved name Proprietary name Proprietary name Page (UK) (USA) number Acebutolol Sectral Sectral 101 Acetaminophen (see Paracetamol) Actinomycin Cosmegen Lyovac 21 Acyclovir Zovirax Zovirax 30, 65-6, 156, 159,281 Adenosine triphosphate 233 Adrenaline 72, 78, 262, 263, (epinephrine) 264,265 Alcohol (see Ethanol) Aloes 48 Aluminium hydroxide Alu-Cap Many preparations 90 Aludrox available Ambroxol 39,143 Amikacin Amikin Amikin 29,152,167,168, 184-6,281 Aminophylline Pecram Mudrane 30,39,133,134, Phyllocontin Somophylline 143,283 Continus Theodrox Aminosalicylic acid 154, 168, 198, (para-aminosalicylic 203-4 acid) Amiodarone Cordarone Cordarone 24 Amoxycillin Almodan Trlmox 152, 154, 155, (amoxicillin) Amoxil Wymox 160, 161, 162, 166,167, 171-2, 192, 281 Amphotericin Fungilin 'Fungizone' 168, 207--S, 281 Fungizone Ampicillin Ampifen Omnipen 47,162,16,167, Penbritin Principen 281 Vidopen Unasyn Amylobarbitone Amytal 108,125 (amobarbital) Antitetanus Humotet Hyper-Tet 53,54-5 immunoglobulin Antivaccinial gamma 51,58 globulin Drug index and glossary 289 Approved name Proprietary name Proprietary name Page (UK) (USA) number Antivaricella-zoster 65 immunoglobulin Apomorphine 97 Arnica 278 Ascorbic acid Redoxon Many preparations 70,75--6 available Aspirin Many preparations Many preparations 23,48,99,100, available available 141,272-3,276 Atebrin 12 (Atabrine, Medacrine, Quinacrine) Atenolol Tenormin Tenormin 101,120 Atropine Many combined Many combined 48,49,96,222, preparations preparations 234,250,26S-9 available available -
Anesthesia/Anti-Convulsants: Carbamazepine Ethosuximide Halothane Lidocaine Phenytoin Valproic Acid Antibiotics: Aminoglycosides
DRUGS Anesthesia/Anti-Convulsants: Carbamazepine Ethosuximide Halothane Lidocaine Phenytoin Valproic Acid Antibiotics: Aminoglycosides (Generic Examples: Gentamycin; Tobramycin; Amikacin) Amoxicillin Amphotericin B Ampicillin Azithromycin (A Special Macrolide) Ceftriaxone (Prototype 3rd Generation Cephalosporin) Chloramphenicol Chloroquine, Quinine and Mefloquine Ciprofloxacin (Prototype Fluoroquinolone) Clindamycin Demeclocycline (Another Tetracycline) Doxycycline (Prototype Tetracycline) Erythromycin (Prototype Macrolide) Indinavir Isoniazid Ketoconazole Metronidazole Nafcillin (Beta-Lactamase Resistant Penicillin) Praziquantel Rifampin Trimethoprim + Sulfamethoxazole Vancomycin Zidovudine Autonomic Drugs : Atropine Bethanechol Clonidine Cocaine Dobutamine Edrophonium Epinephrine Isoproteronol Labetalol (also Carvedilol) Methylphenidate Metoprolol Phenoxybenzamine Phentolamine Phenylepherine Physostigmine Pilocarpine Pindolol (also Acebutolol) Prazosin Propranolol Reserpine Ritodrine Blood D/O Drugs: Heparin Streptokinase TPA (Tissue Plasminogen Activator) Warfarin Cancer Drugs: 5-Fluoruracil + Folic Acid Bleomycin Busulfan Cisplatin Colchicine Cyclophoshamide Cyclosporine Dacarbazine Doxorubicin = Adriamycin Melphalan Methotrexate Vinchristine Cardiovascular Drugs: Amiodarone Captopril and Enalapril Digoxin Diltiazem Hydralazine Lidocaine Losartan Nifedipine Nitroglycerin and Isosorbide Dinitrate Nitroprusside Procainamide Quinidine Verapamil CNS Drugs: Alprazolam (Another Benzodiazepine) Desipramine (Secondary TCA) Diazepam (Prototype -
Final Belgian List
Final Belgian list: (Last update 07/02/2019) Marketing name Active substance MAH Reason on list ABASAGLAR (ABASRIA previously)INSULINE GLARGINE ELI LILLY REGIONAL OPERATIONS GMBH New Biological ACARIZAX STANDARDIZED ALLERGEN EXTRACT FROM HOUSE DUSTALK-ABELLO MITES A/S New Biological ACCOFIL FILGASTRIM ACCORD HEALTHCARE LIMITED New Biological ADCETRIS BRENTUXIMAB VEDOTINE TAKEDA GLOBAL R&D CENTRE (EUROPE) LTD New AS, Cond Auth, PASS ADEMPAS RIOCIGUAT BAYER PHARMA New AS ADYNOVI RURIOCTOCOG ALFA PEGOL BAXALTA INNOVATIONS GMBH New AS, PASS AIMOVIG ERENUMAB NOVARTIS EUROPHARM LIMITED New AS, New Biological AFSTYLA LONOCTOCOG ALFA CSL BEHRING GmbH New AS STANDARDIZED ALLERGEN EXTRACT FROM HOUSE AITARO ALK-ABELLO A/S New Biological DUST MITES AKYNZEO NETUPITANT, PALONOSETRON HELSINN BIREX PHARMACEUTICALS LTD New AS ALECENSA ALECTINIB ROCHE REGISTRATION LIMITED New AS, Cond Auth ALOFISEL DAVASTROCEL TiGenix SAU New AS ALPHA-RIX TETRA INFLUENZA VACCINE INACTIVATED GLAXOSMITHKLINE BIOLOGICALS S.A. New Biological ALPIVAB PERAMIVIR BIOCRYST UK LTD New AS ALPROLIX EFTRENOCOG ALFA BIOGEN IDEC LTD New AS ALUNBRIG BRIGATINIB TAKEDA PHARMA A/S New AS AMGEVITA ADALIMUMAB AMGEN EUROPE BV New biological STANDARDIZED ALLERGEN EXTRACT FROM HOUSE AMITEND ALK-ABELLO A/S New Biological DUST MITES AMITIZA LUBIPROSTON Sucampo Pharma Europe Ltd New AS ANORO GLAXO GROUP LTD New AS, PASS UMECLIDINIUM BROMIDE, VILANTEROL TRIFENATATE APLEEK ETHINYL ESTRADIOL/GESTODENE BAYER PHARMA AG PASS ATRIANCE NELARABINE 5.00 MG/ML GLAXO GROUP LTD Auth under excep circumstances -
Adrenoceptor Agonists on Spontaneous Contractions of Human Nonpregnant Myometrium
PRACE ORYGINALNE Ginekol Pol. 2011, 82, 918-924 ginekologia Differences in the effects ofβ 2- and β3- adrenoceptor agonists on spontaneous contractions of human nonpregnant myometrium Odmienny wpływ agonistów receptorów β2- i β3-adrenergicznych na spontaniczne skurcze myometrium kobiet nieciężarnych Pędzińska-Betiuk Anna1*, Modzelewska Beata1, Jóźwik Marcin2, Jóźwik Maciej3, Kostrzewska Anna1 1 Department of Biophysics, Medical University of Białystok, Białystok, Poland 2 Department of Gynecology and Obstetrics, Kliniken Nordoberpfalz, Akademisches Lehrkrankenhaus der Universität Regensburg, Weiden, Germany 3 Department of Gynecology, Medical University of Białystok, Białystok, Poland * Current address: Department of Experimental Physiology and Pathophysiology, Medical University of Białystok, Białystok, Poland Abstract Objective: This study aimed to compare the relaxant properties of BRL 37344 with β2-adrenoceptors agonist ritodrine on the contractility of human nonpregnant myometrium. Material and methods: The activity of myometrial strips mounted in an organ bath was recorded under isometric conditions using force transducers with digital output. Contractility before and after cumulative additions of both uterorelaxants and with preincubation with β-adrenoceptor antagonists bupranolol, propranolol, and butoxamine were studied. Results: Both BRL 37344 (10-10 – 10-4 mol/L) and ritodrine (10-10 – 10-5 mol/L) decreased the area under curve, or AUC, value (logIC50 -6.45 ± 0.18 and -8.71 ± 0.35, respectively), and the degree of inhibition of spontaneous contractile activity was similar (< 30%). However, BRL 37344 decreased the mean frequency of contractions, whereas ritodrine decreased the mean amplitude of contractions. The inhibition of contractions by BRL 37344 was partially antagonized by bupranolol and propranolol, but not with butoxamine. The inhibition by ritodrine was counteracted by all these antagonists. -
Antibodies to Watch in 2021 Hélène Kaplona and Janice M
MABS 2021, VOL. 13, NO. 1, e1860476 (34 pages) https://doi.org/10.1080/19420862.2020.1860476 PERSPECTIVE Antibodies to watch in 2021 Hélène Kaplona and Janice M. Reichert b aInstitut De Recherches Internationales Servier, Translational Medicine Department, Suresnes, France; bThe Antibody Society, Inc., Framingham, MA, USA ABSTRACT ARTICLE HISTORY In this 12th annual installment of the Antibodies to Watch article series, we discuss key events in antibody Received 1 December 2020 therapeutics development that occurred in 2020 and forecast events that might occur in 2021. The Accepted 1 December 2020 coronavirus disease 2019 (COVID-19) pandemic posed an array of challenges and opportunities to the KEYWORDS healthcare system in 2020, and it will continue to do so in 2021. Remarkably, by late November 2020, two Antibody therapeutics; anti-SARS-CoV antibody products, bamlanivimab and the casirivimab and imdevimab cocktail, were cancer; COVID-19; Food and authorized for emergency use by the US Food and Drug Administration (FDA) and the repurposed Drug Administration; antibodies levilimab and itolizumab had been registered for emergency use as treatments for COVID-19 European Medicines Agency; in Russia and India, respectively. Despite the pandemic, 10 antibody therapeutics had been granted the immune-mediated disorders; first approval in the US or EU in 2020, as of November, and 2 more (tanezumab and margetuximab) may Sars-CoV-2 be granted approvals in December 2020.* In addition, prolgolimab and olokizumab had been granted first approvals in Russia and cetuximab saratolacan sodium was first approved in Japan. The number of approvals in 2021 may set a record, as marketing applications for 16 investigational antibody therapeutics are already undergoing regulatory review by either the FDA or the European Medicines Agency. -
List Item Short-Acting Beta-Agonists Article-31 Referral
Annex II Scientific conclusions and grounds for revocation or variation as applicable to the terms of the marketing authorisations and detailed explanation for the differences from the PRAC recommendation 19 Scientific conclusions and grounds for revocation or variation as applicable to the terms of the marketing authorisations and detailed explanation for the differences from the PRAC recommendation The CMDh considered the below PRAC recommendation dated 5 September 2013 with regards to the terbutaline, salbutamol, hexoprenaline, ritodrine, fenoterol and isoxsuprine containing medicinal products: 1. Overall summary of the scientific evaluation of terbutaline, salbutamol, hexoprenaline, ritodrine, fenoterol and isoxsuprine containing medicinal products by PRAC (see Annex I) On 27 November 2012, further to evaluation of data resulting from pharmacovigilance activities, Hungary informed the European Medicines Agency, pursuant to Article 31 of Directive 2001/83/EC, of their consideration that the risk-benefit balance of short-acting beta-agonists (SABAs) containing medicinal products authorised in obstetric indications has become unfavourable, taking into account the cardiovascular events reported. Hungary considered it was in the interest of the Union to refer the matter to the PRAC and expressed concerns with regards to the posology and warnings reflected in the product information. The short-acting beta-agonists (SABAs) (also known as beta-mimetics), salbutamol, terbutaline, fenoterol, ritodrine, hexoprenaline and isoxsuprine are all nationally authorised and have been on the market within the EU since the 1960s. Authorised obstetric indications for SABAs differ across Member States. The authorised obstetric indications include partus prematurus, tocolysis (for some products use is restricted to particular weeks of gestation but for others no specific gestation period is specified), external cephalic version (ECV), and hyper-uterine contractility. -
Medications to Avoid in Long QT Syndrome
Jackie Crawford Cardiac Inherited Disease Co-ordinator C/- Paediatric Cardiology; Level 3 Starship; Auckland City Hospital Private Bag 92024; Auckland Cardiac Inherited Disease Registry Phone: (09) 3074949 ext 23634 www.cidg.org Fax: (09) 6309877 Email: [email protected] Medications to be avoided, or requiring special caution, in people with Long QT syndrome This list includes medications which prolong the QT interval and is meant as a guide for people with Long QT syndrome, or acquired long QT interval from heart muscle disease, and their parents or guardians. It should not be seen as all inclusive. Those prescribing any medication to someone with Long QT syndrome should always check the drug specifications and contra-indications. The list has been compiled by review of publications and/or drug advice sheets provided with medications. Check also www.SADS.org and www.Torsades .org. Antibiotics Erythromycin, Clarithromycin, Gatifloxacin, levofloxacin, Moxifloxacin Sulfamethoxazole-trimethoprim (Septrin/Bactrim), Spiramycin, Pentamidine Antihistamines Terfenadine, Astemizole, Diphenhydramine, (These are particularly to be avoided (even in normal subjects) in combination with Erythromycin or grapefruit juice or the antifungals ketoconazole, miconazole, fluconazole or itraconazole) [Antihistamines that may be used safely are loratidine, cetirizine and fexofenadine, and phenergan] Appetite suppressants Fenfluramine, phentermine, Sibutramine Asthma treatments The Beta-2 agonists (e.g. Terbutaline, Salbutamol, Salmeterol) both work against -
Assessment Report for Short Acting Beta Agonists (Sabas) Containing Medicinal Products Authorised in Obstetric Indications
23 October 2013 EMA/664276/2013 Assessment report for Short Acting Beta Agonists (SABAs) containing medicinal products authorised in obstetric indications Procedure under Article 31 of Directive 2001/83/EC INN/active substance: terbutaline, salbutamol, hexoprenaline, ritodrine, fenoterol, isoxsuprine Procedure number: EMEA/H/A-31/1347 Assessment Report as adopted by PRAC with all the information of a confidential nature deleted. 7 Westferry Circus ● Canary Wharf ● London E14 4HB ● United Kingdom Telephone +44 (0)20 7418 8400 Facsimile +44 (0)20 7418 8416 E -mail [email protected] Website www.ema.europa.eu An agency of the European Union © European Medicines Agency, 2013. Reproduction is authorised provided the source is acknowledged. Table of contents 1. Background information on the procedure .............................................. 3 2. Scientific discussion ................................................................................ 3 2.1. Clinical aspects .................................................................................................... 4 2.1.1. Safety .............................................................................................................. 4 2.1.2. Efficacy ............................................................................................................ 8 2.2. Risk minimisation activities .................................................................................. 13 2.3. Product information ...........................................................................................