FrancophonIA/ELRC3.0 huggingface dataset:
English: Further testing of the product on importation in the EU was also put in place with a new set of analytical results being generated prior to the release.
Estonian: Peale selle juurutati ravimi ELi importimisel täiendav testimine koos partii vabastamisele eelnevate uute analüüsitulemustega.
English: Lutinus (and associated names)
Estonian: Lutinus (ja sarnased nimetused)
English: Pharmaceutics International Inc. (PII), located in Maryland, USA is listed as manufacturer in the marketing authorisation of four products authorised in the EU, including the centrally approved product Ammonaps and three nationally approved products: Lutinus, Dutasteride Actavis and SoliCol D3.
Estonian: Ameerika Ühendriikides Marylandis asuv ettevõte Pharmaceutics International Inc. on märgitud müügiloas tootjana nelja Euroopa Liidus müügiluba omava ravimi korral, sealhulgas tsentraalse müügiloaga ravimi Ammonaps ja kolme liikmesriikides heaks kiidetud ravimi korral - Lutinus, Dutasteride Actavis ja SoliCol D3.
English: Furthermore, the CHMP recommended that in due course, appropriate communications should be issued and proposed Direct Healthcare Professional Communications (DHPC) to inform on the outcome of the review and the conclusions reached concerning the use of Ammonaps.
Estonian: Peale selle soovitas inimravimite komitee, et ettenähtud ajal peab avaldama vastavad teatised ja tervishoiutöötajate teatised, milles neid teavitatakse Ammonapsi andmete läbivaatamise tulemustest ja kasutamisega seotud järeldustest.
English: In February 2016, a joint inspection by the Medicines and Healthcare Products Regulatory Agency (MHRA) and the US Food and Drug Administration (FDA) found critical and major deficiencies and concluded that PII was non-compliant with the legal requirements and/or the principles and guidelines of Good Manufacturing Practice (GMP) as provided for by Union law.
Estonian: 2016. aasta veebruaris leiti USA ravimeid ja tervishoiutooteid reguleeriva ameti (MHRA) ning USA Toidu- ja Ravimiameti (FDA) ühiskontrolli käigus kriitilisi ja olulisi puudusi ning jõuti järeldusele, et Pharmaceutics International Inc. ei vasta õigusnõuetele ja/või Euroopa Liidu õigusega kehtestatud hea tootmistava põhimõtetele ja suunistele.
English: Lutinus is a vaginal tablet containing 100 mg progesterone, indicated for luteal support as part of treatment program for infertile women.
Estonian: Lutinus on vaginaaltablett, mis sisaldab 100 mg progesterooni ja mis on näidustatud kasutamiseks kollaskehafaasi toetava ravimina naiste viljatusravi osana.
English: • The CHMP reviewed the inspection report provided by the Supervisory Authority, the (co-) rapporteur's assessment reports and the available data presented by the MAHs in writing in response to questions addressed by the CHMP;
Estonian: • Inimravimite komitee vaatas läbi järelevalveasutuse esitatud kontrolliaruande, (kaas)hindaja hindamisaruanded ja müügiloa hoidjate kirjalikud vastused inimravimite komitee küsimustele.
English: All medicinal products Dutasteride Actavis currently available on the EU market were manufactured at an alternative manufacturing site already registered in the marketing authorisation at time of approval.
Estonian: Kõik praegu ELi turul olevad Dutasteride Actavise ravimipartiid on toodetud alternatiivses tootmiskohas, mis oli ravimile müügiloa andmise ajal müügiloas juba registreeritud.
English: Dutasteride Actavis is a medicinal product containing the active substance dutasteride, a triple 5αreductase inhibitor.
Estonian: Dutasteride Actavis on ravim, mille toimeaine on dutasteriid, kolmekordne 5α-reduktaasi inhibiitor.
English: The additional risks due to non-compliance to GMP can potentially lead to potential cross-contamination with other drugs produced at the site, including hormones, cytotoxics and teratogens.
Estonian: Heale tootmistavale mittevastavuse tagajärjel esinevad lisariskid võivad põhjustada ristsaastumist tootmiskohas toodetavate teiste ravimitega, näiteks hormoonide, tsütotoksiliste ravimite ja teratogeensete ravimitega.
English: It is also indicated in patients with late-onset disease (partial enzyme deficiencies, presenting after the first month of life) who have a history of hyperammonaemic encephalopathy.
Estonian: Ravim on näidustatud ka neile hilise algusega haigusega patsientidele (ensüümi osaline vaegus, avaldub pärast esimest elukuud), kellel on esinenud hüperammoneemiline entsefalopaatia.
English: This certificate of GMP compliance is valid until 30 June 2017.
Estonian: See heale tootmistavale vastavust kinnitav sertifikaat kehtib 30. juunini 2017.
English: The sourcing of Lutinus from PII has stopped in 2014 and the manufacturing of the product fully switched to an alternative site registered in December 2013.
Estonian: Lutinuse tarnimine ettevõttelt Pharmaceutics International Inc. lõppes 2014. aastal ja tootmine on täielikult üle viidud alternatiivsesse tootmiskohta, mis on registreeritud 2013. aasta detsembris.
English: Although no reports of cross-contamination have been reported in the post-marketing setting, taking into account the target population, that is severely ill and the small patient population (as the prevalence of the condition is very low), the lack of such reports only provides a low degree of reassurance.
Estonian: Kuigi puuduvad turustusjärgsed teated ristsaastumise juhtudest, siis arvestades sihtpopulatsiooni, kelle haigus on raske ja kelle arv ei ole väga suur (sest seisundit esineb väga harva), ei ole selliste teadete puudumine eriti veenev.
English: Given the absence of reports of cross-contamination and taking into consideration the criticality of the product and the improvements in manufacturing which has reduced the risk of cross-contamination to low, it is recommended that the supply of Ammonaps from PII is maintained for the patient population for whom no other treatment option is available.
Estonian: Arvestades ristsaastumise teadete puudumist ja ravimi kriitilist tähtsust ning tootmisprotsessis tehtud täiendusi, millega ristsaastumise riski on oluliselt vähendatud, soovitatakse säilitada Ammonapsi tarnimine ettevõttelt Pharmaceutics International Inc. patsiendipopulatsiooni jaoks, kelle puhul puuduvad teised ravivõimalused.
English: Given that all EU Member States are currently supplied with Lutinus manufactured at the alternative manufacturing site, no shortage is foreseen for this product.
Estonian: Arvestades, et kõikidesse ELi liikmesriikidesse tarnitakse ka alternatiivses tootmiskohas toodetud Lutinust, ei ole ette näha selle ravimi tarneraskusi.
English: The statement of noncompliance with GMP of PII clarifies that marketing authorisation holders are requested to contact the relevant National Competent Authority (NCA) to verify whether their products are considered medically critical to public health in their territory.
Estonian: Pharmaceutics International Inc. heale tootmistavale mittevastavuse teates selgitatakse, et müügilubade hoidjatel palutakse pöörduda asjakohase riikliku pädeva asutuse poole ja küsida, kas nende tooteid peetakse nende territooriumil inimtervisele meditsiiniliselt kriitiliseks.
English: The benefits of Ammonaps in its approved indication of urea cycle disorders are well established.
Estonian: Ammonapsi kasulikkus uureatsükli häirete heakskiidetud näidustusel kasutamisel on hästi tõendatud.
English: Also, unless no alternative options are available for patients, the use of Ammonaps granules should be limited to patients requiring administration through a nasogastric tube or gastrostomy.
Estonian: Ka juhul, kui patsiendil ei ole võimalik kasutada alternatiivseid ravivõimalusi, tohivad Ammonapsi graanuleid kasutada ainult patsiendid, kellel on vajalik ravimi manustamine läbi nasogastraalsondi või gastrostoomiasondi.
English: The MAH should provide progress reports to inform on the progression of the actions taken to restore GMP compliance of the site after each identified milestone in accordance with the agreed timelines.
Estonian: Müügiloa hoidja peab esitama tegevusaruandeid, et asjaomaseid asutusi teavitada tootmiskoha heale tootmistavale vastavuse taastamise toimingute käigust pärast iga määratud etapi läbimist vastavalt kokku lepitud ajakavale.
English: • The CHMP considered the procedure under Article 31 of Directive 2001/83/EC for medicinal products for which Pharmaceutics International Inc, Maryland, USA, is included in the marketing authorisation as manufacturing site;
Estonian: • inimravimite komitee arutas direktiivi 2001/83/EÜ artikli 31 kohast menetlust ravimite kohta, mille müügiluba sisaldab tootmiskohana Ameerika Ühendriikides Marylandis asuvat ettevõtet Pharmaceutics International Inc.
English: The safety profile of Ammonaps in urea cycle disorders is well established.
Estonian: Ammonapsi ohutusprofiil uureatsükli häirete ravimisel on hästi tõendatud.
English: No alternative manufacturer is registered in the marketing authorisation of SoliCol D3.
Estonian: SoliCol D3 müügiloas ei ole registreeritud ühtegi alternatiivset tootjat.
English: Based on the nature of the disease and the fact that therapeutic alternatives are not available in all Member States, the CHMP considers the product Ammonaps to be critical.
Estonian: Tuginedes haiguse laadile ja asjaolule, et kõikides liikmesriikides ei ole alternatiivsed ravivõimalused kättesaadavad, peab inimravimite komitee Ammonapsi kriitilise tähtsusega ravimiks.
English: The MHRA issued a corresponding certificate of GMP compliance for the site, limited to medicinal products confirmed by National Competent Authorities as being critical to public health.
Estonian: MHRA väljastas tootmiskohale heale tootmistavale vastavuse sertifikaadi ainult nende ravimite kohta, mille riiklikud pädevad asutused nimetasid rahvatervise jaoks kriitilise tähtsusega ravimiteks.
English: According to this statement of non-compliance, the NCA should evaluate the criticality of products being supplied by PII and enact measures to ensure continued supply where appropriate.
Estonian: Mittevastavuse teate kohaselt peab riiklik pädev asutus hindama, kas Pharmaceutics International Inc. tarnitavad ravimid on kriitilise tähtsusega, ja võtma meetmeid, et tagada tarnete jätkumine, kui asjakohane.
English: However the non-compliance with good manufacturing practice presents a degree of unquantifiable risk which cannot be detected reliably through post-marketing data, hence the lack of any significant concerns cannot provide sufficient reassurance over the safety of the batches manufactured at PII.
Estonian: Heale tootmistavale mittevastavus on siiski seotud mittekvantifitseeritava riskiga, mida ei ole võimalik usaldusväärselt tuvastada turustamisjärgsete andmete kaudu, mistõttu ei taga oluliste probleemide puudumine küllaldast kindlust ettevõttes Pharmaceutics International Inc. toodetud partiide ohutuse suhtes.
English: The non-compliance with good manufacturing practice presents a degree of unquantifiable risk which cannot be detected reliably through postmarketing data; hence the lack of any significant concerns cannot provide sufficient reassurance over the safety of the batches manufactured at PII.
Estonian: Heale tootmistavale mittevastavus on seotud mittekvantifitseeritava riskiga, mida ei ole võimalik usaldusväärselt tuvastada turustamisjärgsete andmete kaudu, mistõttu ei taga oluliste probleemide puudumine küllaldast kindlust ettevõttes Pharmaceutics International Inc. toodetud partiide ohutuse suhtes.
English: As a consequence, the CHMP is of the opinion that pursuant to Article 116 of Directive 2001/83/EC, the marketing authorisations of SoliCol D3 should be suspended.
Estonian: Seega on inimravimite komitee arvamusel, et direktiivi 2001/83/EÜ artiklist 116 lähtudes tuleb peatada SoliCol D3 müügiload.
English: • Lutinus is currently manufactured at an alternative manufacturing site registered in their marketing authorisation;
Estonian: • Lutinust toodetakse praegu müügiloas registreeritud alternatiivses tootmiskohas.
English: Notwithstanding the above, the CHMP takes note of the statement of non-compliance with GMP of PII by the Supervisory Authority which recommends that in Member States where the product is not considered critical to public health, all batches of Ammonaps from Pharmaceutics Internationals Inc. should be recalled and the supply from this manufacturing site prohibited.
Estonian: Olenemata eelöeldust võtab inimravimite komitee teadmiseks, et järelevalveasutuse teate kohaselt ei vasta Pharmaceutics International Inc. heale tootmistavale, ja soovitab liikmesriikidel, kus ravimit ei peeta rahvatervisele kriitilise tähtsusega ravimiks, kõik Pharmaceutics International Inc. toodetud Ammonapsi partiid turult tagasi võtta ja tarned sellest tootmiskohast keelustada.
English: The product has not yet been launched on the market and the MAH confirmed that no commercial batches of the product had been manufactured at PII.
Estonian: Ravimit ei ole veel turule toodud ja müügiloa hoidja kinnitas, et ettevõttes Pharmaceutics International Inc. ei ole toodetud ühtegi turustamiseks ette nähtud ravimipartiid.
English: • The CHMP considered the GMP compliance certificate for Pharmaceutics International Inc. issued by the MHRA on 15th June 2016 restricted to medicinal products considered critical to public health and valid until 30 June 2017; Ammonaps
Estonian: • Inimravimite komitee arutas MHRA poolt ettevõttele Pharmaceutics International Inc. 15. juunil 2016 väljastatud heale tootmistavale vastavuse sertifikaati, mis oli piiratud rahvatervise jaoks kriitilise tähtsusega ravimitega ja mis kehtib 30. juunini 2017.
English: • Dutasteride Actavis is currently manufactured at an alternative manufacturing site registered in their marketing authorisation;
Estonian: • Dutasteride Actavist toodetakse praegu müügiloas registreeritud alternatiivses tootmiskohas.
English: Ammonaps is a centrally authorised product containing the active substance sodium phenylbutyrate.
Estonian: Ammonaps on tsentraalse menetlusega heaks kiidetud ravim, mis sisaldab toimeainet naatriumfenüülbutüraati.
English: The MAH should provide evidence by 30 June 2017 that the manufacturing process complies with the requirements of Commission Directive 2003/94/EC (as amended) laying down the principles and guidelines of GMP as provided for in Article 8(3) of Directive 2001/83/EC, as this is a condition to the marketing authorisation.
Estonian: Müügiloa hoidja peab 30. juuniks 2017 tõendama, et tootmisprotsess vastab nõuetele, mis on esitatud komisjoni direktiivis 2003/94/EÜ (muudetud), milles sätestatakse hea tava põhimõtted ja suunised vastavalt direktiivi 2001/83/EÜ artikli 8 lõikes 3 kehtestatule, sest see on müügiloa tingimus.
English: • There is no alternative manufacturing site registered in the marketing authorisation of Ammonaps;
Estonian: • Ammonapsi müügiloas puudub alternatiivne registreeritud tootmiskoht.
English: It is indicated to treat the patients who have urea cycle disorders (UCDs), involving deficiencies of carbamylphosphate synthetase, ornithine transcarbamylase or argininosuccinate synthetase.
Estonian: Ravim on näidustatud uureatsükli häiretega, sealhulgas karbamüülfosfaadi süntetaasi, ornitiintranskarbamülaasi ja argininosuktsinaadi süntetaasi vaegusega patsientide raviks.
English: • The CHMP noted that batches of Lutinus from Pharmaceutics international Inc. are currently available on the EU market.
Estonian: • Inimravimite komitee märkis, et ettevõttes Pharmaceutics International Inc. toodetud Lutinuse partiisid turustatakse praegu ELi turul.
English: • The CHMP noted that there are no batches of Dutasteride Actavis from Pharmaceutics international Inc. on the EU market.
Estonian: • Inimravimite komitee märkis, et ettevõttes Pharmaceutics International Inc. toodetud Dutasteride Actavise partiisid praegu ELi turul ei ole.
English: In addition to the above conclusions, the CHMP noted the recommendations from the Supervisory Authority in the statement of non-compliance with GMP of PII that all batches of Lutinus from Pharmaceutics Internationals Inc. should be recalled and the supply from this manufacturing site prohibited.
Estonian: Lisaks eespoolsetele järeldustele teatas inimravimite komitee järelevalveasutuse soovitusest ettevõtte Pharmaceutics International Inc. heale tootmistavale mittevastavuse teates kõik Pharmaceutics International Inc. toodetud Lutinuse partiid turult tagasi võtta ja tootmiskoha tarned keelustada.
English: • The CHMP considers that at present, the particulars and documents provided for in Article 8(3) of Directive 2001/83/EC are incorrect.
Estonian: • Inimravimite komitee on arvamusel, et praegu on direktiivi 2001/73/EÜ artikli 8 lõike 3 kohaselt esitatud andmed ja dokumendid ebaõiged.
English: In addition to the measures already implemented following the initial MHRA inspection in June 2015, further quality actions are currently on-going to improve the quality systems in place at the manufacturing site.
Estonian: Lisaks 2015. aasta juunis toimunud MHRA esmase kontrolli järel juba võetud meetmetele toimuvad praegu täiendavad kvaliteedikontrolli toimingud tootmiskoha kvaliteedisüsteemide parandamiseks, näiteks kvaliteedijuhtimisele spetsialiseerunud ja kogenud ettevõtteväliste spetsialistide abi kasutamine ja partiidokumentide tõhusam kontrollimine, mida teeb kvalifitseeritud isik, kes vastutab ravimipartii Euroopa Majanduspiirkonnas kasutamiseks vabastamise eest.
English: On 15th June 2016 the MHRA issued a GMP Statement of Non-Compliance (SNC) for PII, recommending a restriction of supply in the EU and the recall of the medicinal products manufactured at this site unless considered critical to public health.
Estonian: 15. juulil 2016 avaldas MHRA ettevõtte Pharmaceutics International Inc. kohta heale tootmistavale mittevastavuse teatise, soovitades piirata selles tootmiskohas toodetud ravimite tarnimist ELi ja need turult tagasi võtta, v.a kui neid peetakse rahvatervise jaoks kriitilise tähtsusega ravimiteks.
English: • The CHMP considered the Statement of Non-Compliance with GMP for Pharmaceutics International Inc. issued by the MHRA on 15th June 2016 recommending a restriction of supply in the EU and the recall of the medicinal products manufactured at this site unless considered critical to public health;
Estonian: • Inimravimite komitee arutas MHRA poolt ettevõttele Pharmaceutics International Inc. 15. juunil 2016 väljastatud heale tootmistavale mittevastavuse teatist, milles soovitati piirata selles tootmiskohas toodetud ravimite tarnimist ELi ja tagasi võtta kõik tootmiskohas toodetud ravimid, v.a kui neid peetakse rahvatervise jaoks kriitilise tähtsusega ravimiteks.
English: For the suspension of SoliCol D3 to be lifted, the marketing authorisation holder shall provide evidence that the manufacturing process complies with the requirements of Commission Directive 2003/94/EC (as amended) laying down the principles and guidelines of GMP as provided for in Article 8(3) of Directive 2001/83/EC.
Estonian: SoliCol D3 müügiloa peatamise lõpetamiseks peab müügiloa hoidja tõendama, et tootmisprotsess vastab nõuetele, mis on esitatud komisjoni direktiivis 2003/94/EÜ (muudetud), milles sätestatakse hea tava põhimõtted ja suunised vastavalt direktiivi 2001/83/EÜ artikli 8 lõikes 3 kehtestatule.
English: The current certificate of GMP compliance of PII will no longer be valid after 30 June 2017.
Estonian: Pharmaceutics International Inc. kehtiv heale tootmistavale vastavuse sertifikaadi kehtivus lõpeb 30. juunil 2017.
English: No commercial batches of the product have been manufactured by PII, nor released in the EU market.
Estonian: Ettevõttes Pharmaceutics International Inc. ei ole toodetud ühtegi turustamiseks ette nähtud ravimipartiid ning neid ei ole ELi turule lastud.
English: Also, in view of the statement of non-compliance that was issued for Pharmaceutics International Inc. on 15 June 2016, the CHMP considered that the particulars and documents provided for in Article 8(3) of Directive 2001/83/EC are incorrect and that the terms of the marketing authorisation of Lutinus (and associated names) should be varied to remove Pharmaceutics International Inc. as manufacturing site.
Estonian: Arvestades ettevõttele Pharmaceutics International Inc. 15. juunil 2016 väljastatud mittevastavuse teadet, oli inimravimite komitee arvamusel, et direktiivi 2001/73/EÜ artikli 8 lõike 3 kohaselt esitatud andmed ja dokumendid on ebaõiged, mistõttu Lutinuse (ja sarnaste nimetuste) müügilubade tingimusi tuleb muuta nii, et Pharmaceutics International Inc. eemaldatakse ravimi tootmiskohtade hulgast.
English: As a consequence, the CHMP recommends that the marketing authorisation for Dutasteride Actavis (and associated names) should be varied to remove Pharmaceutical International Inc. as manufacturing site from their marketing authorisations.
Estonian: Seetõttu soovitab inimravimite komitee muuta Dutasteride Actavise (ja sarnaste nimetuste) müügiluba nii, et müügilubadest eemaldatakse tootmiskohana Pharmaceutics International Inc. SoliCol D3
English: For the suspension of SoliCol D3 to be lifted, the marketing authorisation holder(s) shall provide evidence that the manufacturing process complies with the requirements of Commission Directive 2003/94/EC laying down the principles and guidelines of GMP as provided for in Article 8(3) of Directive 2001/83/EC.
Estonian: SoliCol D3 müügiloa peatamise lõpetamiseks peab müügiloa hoidja tõendama, et tootmisprotsess vastab Euroopa Komisjoni direktiivile 2003/94/EÜ, milles sätestatakse hea tootmistava põhimõtted ja suunised vastavalt direktiivi 2001/83/EÜ artiklis 8 lõikes 3 kehtestatule.
English: • The CHMP considers that in the absence of GMP compliance of the manufacturing site Pharmaceutics International Inc., the particulars and documents provided for in Article 8(3) of Directive 2001/83/EC for Dutasteride Actavis are incorrect.
Estonian: • Inimravimite komitee on arvamusel, et tootmiskoha Pharmaceutics International Inc. heale tootmistavale mittevastavuse korral on direktiivi 2001/73/EÜ artikli 8 lõike 3 kohaselt Dutasteride Actavise kohta esitatud andmed ja dokumendid ebaõiged.
English: • The CHMP considers that in the absence of GMP compliance of the manufacturing site Pharmaceutics International Inc., the particulars and documents provided for in Article 8(3) of Directive 2001/83/EC for Lutinus are incorrect.
Estonian: • Inimravimite komitee on arvamusel, et tootmiskoha Pharmaceutics International Inc. heale tootmistavale mittevastavuse korral on direktiivi 2001/73/EÜ artikli 8 lõike 3 kohaselt Lutinuse kohta esitatud andmed ja dokumendid ebaõiged.
English: As a consequence, the CHMP recommends that the marketing authorisation for Lutinus (and associated names) should be varied to remove Pharmaceutical International Inc. as manufacturing site from their marketing authorisations.
Estonian: Seetõttu soovitab inimravimite komitee muuta Lutinuse (ja sarnaste nimetuste) müügiluba nii, et müügilubadest eemaldatakse tootmiskohana Pharmaceutics International Inc. Dutasteride (ja sarnased nimetused)
English: Grounds for CHMP opinion Whereas
Estonian: Inimravimite komitee arvamuse alused
English: In view of the certificate of non-GMP compliance issued for Pharmaceutics International, Inc., the CHMP considered that the particulars and documents provided for in Article 8(3) of Directive 2001/83/EC are incorrect and therefore, pursuant to Article 116 of Directive 2001/83/EC, the marketing authorisations of SoliCol D3 should be suspended.
Estonian: Arvestades ettevõttele Pharmaceutics International Inc. 15. juunil 2016 väljastatud heale tootmistavale mittevastavuse teadet, oli inimravimite komitee arvamusel, et direktiivi 2001/73/EÜ artikli 8 lõike 3 kohaselt esitatud andmed ja dokumendid on ebaõiged, mistõttu tuleb direktiivi 2001/83/EÜ artikli 116 kohaselt SoliCol D3 müügiload peatada.
English: PII is the only manufacturing site registered on the marketing authorisation for the manufacture of the finished products.
Estonian: Pharmaceutics International Inc. on ainus tootmiskoht, mis on müügiloas registreeritud valmisravimi tootjana.