FrancophonIA/ELRC3.0 huggingface dataset:
English: List of the names, pharmaceutical form, strength of the medicinal products, route of administration, applicants /marketing authorisation holders in the Member States
Danish: Fortegnelse over lægemidlernes navne, lægemiddelform, styrke, indgivelsesvej, ansøger/indehaver af markedsføringstilladelse i Medlemsstaterne
English: For the suspension to be lifted the Marketing Authorisation Holder would need to provide the National Competent Authorities with the following:
Danish: For at suspenderingen kan ophæves, skal indehaveren af markedsføringstilladelsen fremlægge følgende for de kompetente nationale myndigheder:
English: The populations studied have been healthy adult volunteers as well as children and renal impairment patients.
Danish: De undersøgte populationer var raske voksne forsøgspersoner samt børn og patienter med nedsat nyrefunktion.
English: A judgement must be made whether the product studied can be considered as similar to the product for which application for marketing authorisation has been made in spite of existing differences”.
Danish: Det skal vurderes, om det lægemiddel, der er undersøgt, kan anses for at svare til det lægemiddel, som der er ansøgt om markedsføringstilladelse for, på trods af de eksisterende forskelle.”
English: In view of this lack of evidence the committee found merit on the concerns raised by the member states on the potential serious risk to public health.
Danish: På baggrund af denne manglende dokumentation fandt udvalget det berettiget, at medlemsstaterne har rejst betænkelighed ved den potentielle alvorlige risiko for den offentlige sundhed.
English: This study was a two period cross-over bioequivalence study with only 40 subjects (in total 80 separate drug intake events).
Danish: Undersøgelsen var en bioækvivalensundersøgelse med overkrydsning i to perioder med deltagelse af kun 40 personer (i alt 80 separate indtagelser af lægemidlet).
English: However, it is noted that the CHMP is a scientific committee and that while it operates within the legal framework, it cannot discuss the specific merits of procedural and legal aspects of administrative procedures laid down in the legislation.
Danish: Det må imidlertid bemærkes, at CHMP er et videnskabeligt udvalg, som, skønt det arbejder inden for lovmæssige rammer, ikke kan drøfte den nærmere berettigelse af de proceduremæssige og retlige aspekter af de administrative procedurer, der er fastlagt i lovgivningen.
English: The MAH also presented their grounds at an oral explanation on 16 October 2012.
Danish: Indehaveren af markedsføringstilladelsen redegjorde endvidere for sin begrundelse ved en mundtlig fremlæggelse den 16. oktober 2012.
English: Loraxin 10 mg is a conventional compressed immediate release tablet with loratadine as the active substance.
Danish: Loraxin 10 mg er en konventionel tablet med umiddelbar udløsning, der indeholder loratadin som aktivt stof.
English: Furthermore, there were extensive inter-subject variabilities in the absorption parameters of loratadine.
Danish: Desuden var der udtalt interindividuel variabilitet i absorptionsparametrene for loratadin.
English: the CHMP has recommended the refusal of the granting of the marketing authorisation for Loraxin and associated names (see Annex I).
Danish: anbefalede CHMP afslag på ansøgningen om udstedelse af markedsføringstilladelse for Loraxin og relaterede navne (se bilag I).
English: These studies include loratadine products in several strengths from 5 mg up to 40 mg.
Danish: Disse undersøgelser omfattede lægemidler indeholdende loratadin i forskellige styrker fra 5 mg op til 40 mg.
English: As a result, procedural and legal considerations are outside the remit of the CHMP, and therefore the re-examination of the referral procedure under Article 29(4) of Directive 2001/83/EC focussed only on the scientific points addressed in the grounds for reexamination.
Danish: Proceduremæssige og retlige hensyn er således uden for CHMP's beføjelser, hvorfor revurderingen af indbringelsesproceduren i henhold til artikel 29, stk. 4, i direktiv 2001/83/EF alene omfattede de videnskabelige punkter, der henvises til i begrundelsen for den fornyede overvejelse.
English: For the majority of the clinical studies referenced in the submitted literature, the product was not clearly defined.
Danish: For størstedelen af de kliniske undersøgelser, der henvises til i den forelagte litteratur, var der ingen tydelig angivelse af det anvendte lægemiddel.
English: Loratadine is not a BCS class I (high solubility-high permeability) or III ((high solubility-low permeability) substance, which might otherwise have supported an extrapolation based on the pharmaceutical data.
Danish: Loratadin er ikke et stof af BCS-klasse I (høj opløselighed - høj permeabilitet) eller III (høj opløselighed - lav permeabilitet), hvilket ellers kunne have støttet en ekstrapolering på grundlag af de farmaceutiske data.
English: Loratadine is a second-generation long-acting, non-sedating antihistamine with no significant antimuscarinic activity.
Danish: Loratadin er et andengenerations langtidsvirkende, non-sederende antihistamin uden nævneværdig antimuskarin aktivitet.
English: why the applied loratadine 10 mg product would cause a potential serious risk to public health how the applied loratadine 10 mg product would cause a potential serious risk to public health
Danish: hvorfor det ansøgte lægemiddel indeholdende loratadin, 10 mg, ville medføre potentiel alvorlig risiko for den offentlige sundhed hvordan det ansøgte lægemiddel indeholdende loratadin, 10 mg, ville medføre mulig alvorlig risiko for den offentlige sundhed.
English: The lower limit of detection in the analytical method used was 0.2 ng/ml, and due to this, over 50% of the plasma samples loratadine/desloratadine concentrations were below the lower limit of quantification and could not be determined.
Danish: Den nedre detektionsgrænse for den anvendte analysemetode var 0,2 ng/ml, hvorfor over 50 % af plasmaprøverne af loratadin/desloratadin var under den nedre kvantificeringsgrænse og ikke kunne bestemmes.
English: Although the other report contained some information on doseresponse this only referred to urticaria.
Danish: Den anden rapport indeholder visse oplysninger om dosis/respons, men kun vedrørende urticaria.
English: Therefore, a scientifically valid approach such as the demonstration of comparable kinetics may be necessary to bridge Loraxin to a similar product.
Danish: Det kan derfor være nødvendigt med en videnskabeligt holdbar tilgang, såsom påvisning af sammenlignelig kinetik, til at bygge bro fra Loraxin til et lignende lægemiddel.
English: More importantly, the sensitivity of the assay was considered to be insufficient to detect low concentrations of the parent compound (and the main metabolite desloratadine).
Danish: Yderligere vægt må tillægges det forhold, at følsomheden af det anvendte assay blev anset for utilstrækkelig til påvisning af lave koncentrationer af moderstoffet (og af hovedmetabolitten, desloratadin).
English: Following the adoption of the CHMP opinion and recommendations during the June 2012 CHMP meeting, a request for re-examination was received from the MAH Vitabalans Oy on 6 July 2012 and the detailed grounds were submitted on 31 August 2012.
Danish: Efter vedtagelsen af CHMP's udtalelse og anbefalinger på mødet i juni 2012 blev der den 6. juli 2012 modtaget en anmodning om revurdering fra indehaveren af markedsføringstilladelsen, Vitabalans Oy.
English: • the provided data does not show that Loraxin is similar to the product used in the pivotal clinical studies described in the submitted bibliography.
Danish: • De forelagte data viser ikke, at Loraxin svarer til det lægemiddel, der er anvendt i de kliniske hovedundersøgelser, der beskrives i den forelagte bibliografiske oversigt.
English: In addition it is also noted that according to the Guideline on the Definition of a Potential Serious Risk to Public Health, a potential serious risk to public health in relation to a particular medicinal product can be considered to exist if the data submitted to support therapeutic efficacy do not provide sound justification for the claims of efficacy and/or the clinical safety data does not provide adequate support for the conclusion that all potential safety issues have been appropriately and adequately addressed.
Danish: Derudover bemærkes, at der i henhold til “Guideline on the Definition of a Potential Serious Risk to Public Health” kan antages at foreligge potentiel alvorlig risiko for den offentlige sundhed i forbindelse med et givet lægemiddel, hvis de forelagte data til støtte for den terapeutiske virkning ikke giver rimelig begrundelse for den påberåbte virkning, og/eller hvis de kliniske sikkerhedsdata ikke giver tilstrækkeligt grundlag for at konkludere, at alle potentielle sikkerhedsproblemer er løst på passende og tilstrækkelig vis.
English: In several plasma samples the concentration of loratadine was below the lowest level of quantification (LLOQ).
Danish: I flere plasmaprøver lå koncentrationen af loratadin under den nedre kvantificeringsgrænse (LLOQ).
English: The application for Loraxin is therefore based on publicly available bibliographic data as it is possible to replace results of the pre-clinical and clinical trials by detailed references to published scientific literature (information available in the public domain) if it can be demonstrated that the active substances of a medicinal product have been in well-established medicinal use within the Community for at least ten years, with recognized efficacy and an acceptable level of safety.
Danish: Ansøgningen for Loraxin er derfor baseret på offentligt tilgængelige bibliografiske data, idet resultaterne af prækliniske og kliniske undersøgelser kan erstattes af henvisninger til offentliggjort faglitteratur (oplysninger, der er offentligt tilgængelige), hvis det kan påvises, at de aktive stoffer i et lægemiddel har haft almindelig anerkendt anvendelse på det medicinske område i Fællesskabet i mindst 10 år og er effektive og tilstrækkelig sikre.
English: The use of loratidine is wide in clinical practice and a number of published papers have been submitted in support of efficacy and safety.
Danish: Loratadin har udbredt klinisk anvendelse, og der er forelagt en række publikationer til støtte for dets virkning og sikkerhed.
English: Loratadine was first authorised as Claritine 10mg tablet in Belgium, since 1987.
Danish: Loratadin blev først godkendt i 1987 i Belgien som 10-mgtabletter under navnet Claritine.
English: Re-examination of these data and also taking into account the two expert reports submitted by the MAH, confirmed that the results of the pharmacokinetic study are not reliable for loratadine.
Danish: En revurdering af disse data og af de to ekspertrapporter, der er forelagt af indehaveren af markedsføringstilladelsen, bekræftede, at resultaterne af den farmakokinetiske undersøgelser ikke var pålidelige for loratadin.
English: • Pharmacokinetic data
Danish: • Farmakokinetiske data
English: Part II.1.d) of Annex I of Directive 2001/83/EC is states that “ the non-clinical and/or clinical overviews must explain the relevance of any data submitted which concern a product different from the product intended for marketing.
Danish: Bilag I, del II, punkt 1, litra d), til direktiv 2001/83/EF fastslår, at “de ikke-kliniske og/eller kliniske oversigter skal forklare relevansen af alle forelagte data, som vedrører et lægemiddel, der er forskellig fra det lægemiddel, der påtænkes markedsført.
English: The MAH expressed its disagreement on some procedural aspects of the mutual recognition procedure, the CMDh procedure and the referral procedure under Article 29(4) of Directive 2001/83/EC.
Danish: Indehaveren af markedsføringstilladelsen gav udtryk for sin uenighed med hensyn til visse proceduremæssige aspekter af den gensidige anerkendelsesprocedure, CMD(h)-proceduren og indbringelsesproceduren i henhold til artikel 29, stk. 4, i direktiv 2000/83/EF.
English: Instead, as it is a BCS class II (low solubility-high permeability) or IV (low solubility-low permeability) substance additional data would be needed to support the relevance of the bibliographic data to demonstrate efficacy and safety of Loraxin.
Danish: Der er i stedet tale om et stof af BCS-klasse II (lav opløselighed - høj permeabilitet) eller IV (lav opløselighed - lav permeabilitet), hvorfor der kræves supplerende oplysninger om stoffet til støtte for relevansen af de bibliografiske data for at godtgøre virkningen og sikkerheden af Loraxin.
English: The experts reports submitted during the referral procedure suggest that that there could be a slightly lower exposure to loratadine, based on the results of the supportive pharmacokinetic study provided by the MAH.
Danish: De ekspertrapporter, der er indsendt under indbringelsesproceduren, antyder, at der kan være tale om en lidt lavere eksponering for loratadin ud fra resultaterne af den støttende farmakokinetiske undersøgelse, der er forelagt af indehaveren af markedsføringstilladelsen.
English: With regard to the additional clinical data to support the efficacy and safety of Loraxin, the MAH has submitted two expert reports.
Danish: Vedrørende de supplerende kliniske data til støtte for virkningen og sikkerheden af Loraxin har indehaveren af markedsføringstilladelsen forelagt to ekspertrapporter.
English: • The Committee considered the notification of the referral triggered by Finland under Article 29(4)
Danish: • Udvalget behandlede anmeldelsen af den indbringelse, der var indledt af Finland i henhold til artikel 29, stk. 4, i Rådets direktiv 2001/83/EF.
English: The report of a pharmacokinetic study (Report V-808) submitted by the MAH in support of the marketing authorisation application was considered by the CHMP, since the inclusion of pharmacokinetic data in support of a well-established use application could be considered, if it is intended to show the relevance of the literature used to demonstrate safety and efficacy as regards the product concerned.
Danish: CHMP tog rapporten om en farmakokinetisk undersøgelse (rapport V-808), som blev forelagt af indehaveren af markedsføringstilladelsen til støtte for ansøgningen, i betragtning, idet der kunne tages hensyn til farmakokinetiske data til støtte for en ansøgning vedrørende en almindeligt anerkendt anvendelse, når disse har til formål at påvise relevansen af den anvendte litteratur til påvisning af sikkerheden og virkningen af lægemidlet.
English: The marketing authorisation for Loraxin and associated names will have to be suspended in the reference Member State, where the product is currently authorised, until such time as adequate data is presented, which will allow a judgment to be made that in spite of the existing formulation differences, Loraxin and the products included in the literature references are considered similar, such that the data generated with these products may be considered relevant to Loraxin, and therefore address the potential serious risk to public health identified by Sweden and Poland.
Danish: Markedsføringstilladelsen for Loraxin og relaterede navne skal suspenderes i referencemedlemsstaten, hvor lægemidlet på nuværende tidspunkt er godkendt, indtil der fremlægges tilstrækkelige data til vurdering af, om Loraxin trods de eksisterende forskelle i formuleringen kan anses for at svare til de lægemidler, der er omfattet af litteraturhenvisningerne, så at resultaterne med disse lægemidler kan anses for at være relevante for Loraxin, og den potentielle alvorlige risiko for den offentlige sundhed, der er påpeget af Sverige og Polen, derved afhjælpes.
English: Finland Vitabalans Oy Varastokatu 8
Danish: Finland Vitabalans Oy Varastokatu 8 13500 Hämeenlinna
English: The mutual recognition marketing authorisation application presented for the medicinal product Loraxin 10 mg tablets is a well-established use (WEU) application according to Article 10a of Directive 2001/83/EC.
Danish: Ansøgningen om markedsføringstilladelse for lægemidlet Loraxin er indgivet i henhold til den gensidige anerkendelsesprocedure og vedrører en almindelig anerkendt anvendelse i henhold til artikel 10, stk. 1, litra a), i direktiv 2001/83/EF.
English: Therefore the CHMP was of the view that the submitted pharmacokinetic study report V-808 did not confirm the relevance of the bibliographic data submitted to demonstrate safety and efficacy of Loraxin.
Danish: Derfor var det CHMP's opfattelse, at den forelagte farmakokinetiske undersøgelsesrapport V-808 ikke bekræftede relevansen af de bibliografiske data, der var forelagt til påvisning af sikkerheden og virkningen af Loraxin.
English: Overall, the CHMP was still of the view that due to its limitations, the study could not confirm the relevance of the bibliographic data submitted to demonstrate safety and efficacy of Loraxin.
Danish: Overordnet var CHMP fortsat af den opfattelse, at undersøgelsen som følge af sine begrænsninger ikke kunne bekræfte relevansen af den forelagte bibliografiske oversigt til påvisning af sikkerheden og virkningen af Loraxin.
English: In order to show the relevance of the bibliographic data used in support of the application for Loraxin, the MAH referred to pharmaceutical, pharmacokinetic and clinical data.
Danish: For at påvise relevansen af de bibliografiske data, der anvendes til støtte for ansøgningen om Loraxin, henviste indehaveren af markedsføringstilladelsen til farmaceutiske, farmakokinetiske og kliniske data.
English: During the re-examination procedure, the MAH did not demonstrate adequately that the published literature of loratadine is directly applicable to Loraxin.
Danish: I forbindelse med revurderingsproceduren har indehaveren af markedsføringstilladelsen ikke tilfredsstillende godtgjort, at den offentliggjorte faglitteratur vedrørende loratadin kan anvendes direkte på Loraxin.
English: As mentioned previously, Annex I of Directive 2001/83/EC states that the non-clinical and/or clinical overviews must explain the relevance of any data submitted in relation to the product under application.
Danish: Som nævnt fastlægges det i del II, punkt 1, litra d), i bilag I til direktiv 2001/83/EF, at de ikke-kliniske og/eller kliniske oversigter skal forklare relevansen af alle forelagte data, som vedrører det lægemiddel, der påtænkes markedsført.
English: The MAH expressed its disagreement with the CHMP opinion, focusing its scientific grounds on the following points, for which the MAH argues that clear justifications or evidence have not been presented to explain:
Danish: Indehaveren af markedsføringstilladelsen gav udtryk for uenighed i CHMP's udtalelse og rettede sin videnskabelige begrundelse mod følgende punkter, som ifølge indehaveren af markedsføringstilladelsen mangler en forklaring i form af en klar begrundelse eller evidens for:
English: In view of the above, the CHMP considered that the pharmaceutical, pharmacokinetic and clinical data/documentation referred to by the MAH was not considered sufficient to establish the relevance of the bibliographic data to Loraxin.
Danish: På ovenstående baggrund fandt CHMP, at den farmaceutiske, farmakokinetiske og kliniske dokumentation, som indehaveren af markedsføringstilladelsen henviser til, ikke kunne anses for tilstrækkelig til at fastslå relevansen af de bibliografiske data for Loraxin.
English: The results show that the 90% confidence interval of the AUCt (0.727-0.967) and Cmax (0.727-0.945) of the test product (Loraxin) to the product Clarityn did not conform to the acceptance interval of 0.81.25.
Danish: Undersøgelsen resulterede i 90-%-sikkerhedsintervaller for den relative størrelse af AUCt på [0,7270,967] og for Cmax på [0,727-0,945] for testlægemidlet (Loraxin) i forhold til Clarityn.
English: Therefore the CHMP considered the provided clinical data to be very limited and not strong enough to address what a potential difference in exposure, compared to the exposure obtained following administration of the product used in the pivotal clinical studies described in the submitted bibliography, could mean for efficacy and safety for each indication.
Danish: CHMP anså derfor de forelagte meget begrænsede kliniske data for at være for svage til at klarlægge betydningen af en potentiel forskel i eksponering i forhold til eksponeringen fra det lægemiddel, der blev anvendt i de kliniske hovedundersøgelser i den forelagte bibliografi, hvad angår virkningen og sikkerheden ved de enkelte indikationer.
English: The Marketing Authorisation Holder is requested to present adequate data, which will allow a judgment to be made that in spite of the existing formulation differences, Loraxin and the products included in the literature references are considered similar, such that the data generated with these products may be considered relevant to Loraxin.
Danish: Indehaveren af markedsføringstilladelsen anmodes om at fremlægge fyldestgørende data til bedømmelse af, om Loraxin trods de eksisterende forskelle i formuleringen kan anses for at svare til de lægemidler, der er omfattet af bibliografien, således at de data, der er genereret vedrørende disse lægemidler, kan anses for relevante for Loraxin.
English: In these studies pharmacokinetic parameters have been studied after single dose as well as after 10 days (40 mg/day) administration of loratadine.
Danish: Den tilsigtede daglige dosis af Loraxin er 10 mg. I undersøgelserne blev de farmakokinetiske parametre undersøgt dels efter enkeltdosisindgivelse, dels efter 10 dage med 40 mg loratadin dagligt.
English: • The data referred to by the MAH is not considered sufficient to address what a potential difference in exposure, compared to the exposure obtained following administration of the product used in the pivotal clinical studies described in the submitted bibliography, could mean for efficacy and safety for each indication.
Danish: • De data, der henvises til af indehaveren af markedsføringstilladelsen, anses ikke for at give tilstrækkeligt grundlag for at vurdere den betydning, en potentiel forskel i eksponering i forhold til eksponeringen fra det lægemiddel, der er anvendt i de kliniske hovedundersøgelser i den forelagte bibliografiske oversigt, vil have for virkningen og sikkerheden ved hver indikation.
English: However the case for a lack of significant difference in efficacy concerns due to lower exposure is not adequately addressed in both the expert reports.
Danish: I ingen af de to ekspertrapporter tages der tilstrækkelig stilling til betænkelighederne vedrørende muligheden af en betydningsfuld forskel i virkning som følge af lavere eksponering.
English: Marketing authorisation holder
Danish: Indehaver af markedsføringstilla delsen
English: As discussed previously a pharmacokinetic study was provided to bridge Loraxin to the published literature and the AUCt and Cmax of Loraxin to the product Clarityn did not conform to the acceptance interval of 0.8-1.25 for the parent compound, loratadine.
Danish: I forhold til lægemidlet Clarityn var værdierne af AUCt og Cmax for Loraxin imidlertid ikke i overensstemmelse med acceptintervallet på 0,8-1,25 for moderstoffet, loratadin.
English: Strength Pharmaceutical form
Danish: (Handels)navn Styrke Lægemiddelform Indgivelsesvej
English: It is also noted that the case for the safety concerns due to potentially higher exposures has not been adequately addressed by the MAH.
Danish: Desuden bemærkes, at indehaveren af markedsføringstilladelsen heller ikke har taget fyldestgørende stilling til muligheden af sikkerhedsmæssige betænkeligheder ved potentielt højere eksponering.
English: Based on the published literature and the pharmacokinetic study results used to bridge Loraxin to the published literature, the relevance of the literature data submitted which concern a product different from the product intended for marketing was not addressed satisfactorily.
Danish: På grundlag af den bibliografiske oversigt og resultaterne af den farmakokinetiske undersøgelser, der er anvendt til brobygning mellem Loraxin og den bibliografiske oversigt, savnedes fyldestgørende stillingtagen til relevansen af den forelagte bibliografiske oversigt vedrørende et lægemiddel, der er forskelligt fra det ansøgte lægemiddel.