Olimel/Periolimel - FR/H/0419/001-006/MR Page 1 of 32 Proposed common SmPC consolidated March 2013 PERIOLIMEL N4E, emulsion for infusion OLIMEL N5E, emulsion for infusion OLIMEL N7E, emulsion for infusion OLIMEL N9E, emulsion for infusion OLIMEL N7, emulsion for infusion OLIMEL N9, emulsion for infusion SUMMARY OF PRODUCT CHARACTERISTICS (SmPC) English master Proposed version – March 2013 Annotated version In order to facilitate the review, this document consists in a combined SmPC for all strenghts. This annotated version includes all revised wording clearly identified using track-changes mode with the following annotations: - Grey-shaded titles the strength in which alternative text elements refer. Grey-shaded text is used to highlight text which will not be included in each separated SPC. - Information to be filled in is presented using the following bracket {text}. - Text to be selected or deleted as appropriate is presented using the following bracket <text>. Confidential Document Olimel/Periolimel - FR/H/0419/001-006/MR Page 2 of 32 Proposed common SmPC consolidated March 2013 1. NAME OF THE MEDICINAL PRODUCT <PERIOLIMEL N4E, emulsion for infusion OLIMEL N5E, emulsion for infusion OLIMEL N7E, emulsion for infusion OLIMEL N9E, emulsion for infusion OLIMEL N7, emulsion for infusion OLIMEL N9, emulsion for infusion> 2. QUALITATIVE AND QUANTITATIVE COMPOSITION <PERIOLIMEL / OLIMEL> is presented in the form of a 3-compartment bag. For PERIOLIMEL N4E, OLIMEL N5E, OLIMEL N7E and OLIMEL N9E: <Each bag contains a glucose solution with calcium, a lipid emulsion and an amino acid solution with other electrolytes.> For OLIMEL N7 and OLIMEL N9: <Each bag contains a glucose solution, a lipid emulsion and an amino acid solution.> For PERIOLIMEL N4E: Contents per bag 1000 ml 1500 ml 2000 ml 2500 ml 18.75 % Glucose solution 400 ml 600 ml 800 ml 1000 ml (corresponding to 18.75 g/100 ml) 6.3 % Amino acid solution 400 ml 600 ml 800 ml 1000 ml (corresponding to 6.3 g/100 ml) 15 % Lipid emulsion 200 ml 300 ml 400 ml 500 ml (corresponding to 15 g/100 ml) For OLIMEL N5E : Contents per bag 1500 ml 2000 ml 2500 ml 28.75 % Glucose solution 600 ml 800 ml 1000 ml (corresponding to 28.75 g/100 ml) 8.2 % Amino acid solution 600 ml 800 ml 1000 ml (corresponding to 8.2 g/100 ml) 20 % Lipid emulsion 300 ml 400 ml 500 ml (corresponding to 20 g/100 ml) For OLIMEL N7E: Contents per bag 1000 ml 1500 ml 2000 ml 35% Glucose solution 400 ml 600 ml 800 ml (corresponding to 35 g/100 ml) 11.1% Amino acid solution 400 ml 600 ml 800 ml (corresponding to 11.1 g/100 ml) 20% Lipid emulsion 200 ml 300 ml 400 ml (corresponding to 20 g/100 ml) Confidential Document Olimel/Periolimel - FR/H/0419/001-006/MR Page 3 of 32 Proposed common SmPC consolidated March 2013 For OLIMEL N9E: Contents per bag 1000 ml 1500 ml 2000 ml 27.5 % Glucose solution 400 ml 600 ml 800 ml (corresponding to 27.5 g/100 ml) 14.2 % Amino acid solution 400 ml 600 ml 800 ml (corresponding to 14.2 g/100 ml) 20 % Lipid emulsion 200 ml 300 ml 400 ml (corresponding to 20 g/100 ml) For OLIMEL N7: Contents per bag 1000 ml 1500 ml 2000 ml 35 % Glucose solution 400 ml 600 ml 800 ml (corresponding to 35 g/100 ml) 11.1 % Amino acid solution 400 ml 600 ml 800 ml (corresponding to 11.1 g/100 ml) 20 % Lipid emulsion 200 ml 300 ml 400 ml (corresponding to 20 g/100 ml) For OLIMEL N9: Contents per bag 1000 ml 1500 ml 2000 ml 27.5 % Glucose solution 400 ml 600 ml 800 ml (corresponding to 27.5 g/100 ml) 14.2 % Amino acid solution 400 ml 600 ml 800 ml (corresponding to 14.2 g/100 ml) 20 % Lipid emulsion 200 ml 300 ml 400 ml (corresponding to 20 g/100 ml) Confidential Document Olimel/Periolimel - FR/H/0419/001-006/MR Page 4 of 32 Proposed common SmPC consolidated March 2013 Composition of the reconstituted emulsion after mixing the contents of the 3 compartments: For PERIOLIMEL N4E: Active substances 1000 ml 1500 ml 2000 ml 2500 ml Refined olive oil + refined soybean oila 30.00 g 45.00 g 60.00 g 75.00 g Alanine 3.66 g 5.50 g 7.33 g 9.16 g Arginine 2.48 g 3.72 g 4.96 g 6.20 g Aspartic acid 0.73 g 1.10 g 1.46 g 1.83 g Glutamic acid 1.26 g 1.90 g 2.53 g 3.16 g Glycine 1.76 g 2.63 g 3.51 g 4.39 g Histidine 1.51 g 2.26 g 3.02 g 3.77 g Isoleucine 1.26 g 1.90 g 2.53 g 3.16 g Leucine 1.76 g 2.63 g 3.51 g 4.39 g Lysine 1.99 g 2.99 g 3.98 g 4.98 g (equivalent to lysine acetate) (2.81 g) (4.21 g) (5.62 g) (7.02 g) Methionine 1.26 g 1.90 g 2.53 g 3.16 g Phenylalanine 1.76 g 2.63 g 3.51 g 4.39 g Proline 1.51 g 2.26 g 3.02 g 3.77 g Serine 1.00 g 1.50 g 2.00 g 2.50 g Threonine 1.26 g 1.90 g 2.53 g 3.16 g Tryptophan 0.42 g 0.64 g 0.85 g 1.06 g Tyrosine 0.06 g 0.10 g 0.13 g 0.16 g Valine 1.62 g 2.43 g 3.24 g 4.05 g Sodium acetate, trihydrate 1.16 g 1.73 g 2.31 g 2.89 g Sodium glycerophosphate, hydrated 1.91 g 2.87 g 3.82 g 4.78 g Potassium chloride 1.19 g 1.79 g 2.38 g 2.98 g Magnesium chloride, hexahydrate 0.45 g 0.67 g 0.90 g 1.12 g Calcium chloride, dihydrate 0.30 g 0.44 g 0.59 g 0.74 g Glucose anhydrous 75.00 g 112.50 g 150.00 g 187.50 g (equivalent to glucose monohydrate) (82.50 g) (123.75 g) (165.00 g) (206.25 g) a: Mixture of refined olive oil (approximately 80%) and refined soybean oil (approximately 20%) corresponding to a ratio essential fatty acids / total fatty acids of 20%. Confidential Document Olimel/Periolimel - FR/H/0419/001-006/MR Page 5 of 32 Proposed common SmPC consolidated March 2013 For OLIMEL N5E: Active substances 1500 ml 2000 ml 2500 ml Refined olive oil+ refined soybean oila 60.00 g 80.00 g 100.00 g Alanine 7.14 g 9.52 g 11.90 g Arginine 4.84 g 6.45 g 8.06 g Aspartic acid 1.43 g 1.90 g 2.38 g Glutamic acid 2.47 g 3.29 g 4.11 g Glycine 3.42 g 4.56 g 5.70 g Histidine 2.95 g 3.93 g 4.91 g Isoleucine 2.47 g 3.29 g 4.11 g Leucine 3.42 g 4.56 g 5.70 g Lysine 3.88 g 5.18 g 6.47 g (equivalent to lysine acetate) (5.48 g) (7.30 g) (9.13 g) Methionine 2.47 g 3.29 g 4.11 g Phenylalanine 3.42 g 4.56 g 5.70 g Proline 2.95 g 3.93 g 4.91 g Serine 1.95 g 2.60 g 3.25 g Threonine 2.47 g 3.29 g 4.11 g Tryptophan 0.82 g 1.10 g 1.37 g Tyrosine 0.13 g 0.17 g 0.21 g Valine 3.16 g 4.21 g 5.26 g Sodium acetate, trihydrate 2.24 g 2.99 g 3.74 g Sodium glycerophosphate, hydrated 5.51 g 7.34 g 9.18 g Potassium chloride 3.35 g 4.47 g 5.59 g Magnesium chloride, hexahydrate 1.22 g 1.62 g 2.03 g Calcium chloride, dihydrate 0.77 g 1.03 g 1.29 g Glucose anhydrous 172.50 g 230.00 g 287.50 g (equivalent to glucose monohydrate) (189.75 g) (253.00 g) (316.25 g) a: Mixture of refined olive oil (approximately 80%) and refined soybean oil (approximately 20%) corresponding to a ratio essential fatty acids / total fatty acids of 20%. Confidential Document Olimel/Periolimel - FR/H/0419/001-006/MR Page 6 of 32 Proposed common SmPC consolidated March 2013 For OLIMEL N7E: Active substances 1000 ml 1500 ml 2000 ml Refined olive oil+ refined soybean oila 40.00 g 60.00 g 80.00 g Alanine 6.41 g 9.61 g 12.82 g Arginine 4.34 g 6.51 g 8.68 g Aspartic acid 1.28 g 1.92 g 2.56 g Glutamic acid 2.21 g 3.32 g 4.42 g Glycine 3.07 g 4.60 g 6.14 g Histidine 2.64 g 3.97 g 5.29 g Isoleucine 2.21 g 3.32 g 4.42 g Leucine 3.07 g 4.60 g 6.14 g Lysine 3.48 g 5.23 g 6.97 g (equivalent to lysine acetate) (4.88 g) (7.31 g) (9.75 g) Methionine 2.21 g 3.32 g 4.42 g Phenylalanine 3.07 g 4.60 g 6.14 g Proline 2.64 g 3.97 g 5.29 g Serine 1.75 g 2.62 g 3.50 g Threonine 2.21 g 3.32 g 4.42 g Tryptophan 0.74 g 1.10 g 1.47 g Tyrosine 0.11 g 0.17 g 0.22 g Valine 2.83 g 4.25 g 5.66 g Sodium acetate, trihydrate 1.50 g 2.24 g 2.99 g Sodium glycerophosphate, hydrated 3.67 g 5.51 g 7.34 g Potassium chloride 2.24 g 3.35 g 4.47 g Magnesium chloride, hexahydrate 0.81 g 1.22 g 1.62 g Calcium chloride, dihydrate 0.52 g 0.77 g 1.03 g Glucose anhydrous 140.00 g 210.00 g 280.00 g (equivalent to glucose monohydrate) (154.00 g) (231.00 g) (308.00 g) a: Mixture of refined olive oil (approximately 80%) and refined soybean oil (approximately 20%) corresponding to a ratio essential fatty acids / total fatty acids of 20%.