FrancophonIA/ELRC3.0 huggingface dataset:
English: Clinical signs such as temporary mild behavioural disturbances can uncommonly be observed after application of Ecoporc SHIGA.
Slovenian: Občasno je mogoče po uporabi cepiva Ecoporc SHIGA opaziti klinične znake, kot so začasne blage motnje v vedenju.
English: Shelf life after first opening the container: 24 hours (store at 2 °C - 8 °C).
Slovenian: Rok uporabnosti po prvem odpiranju vsebnika: 24 ur (shranjujte pri 2 °C - 8 °C).
English: The active substance being a principle of biological origin intended to produce active immunity is not within the scope of Regulation (EC) No 470/2009.
Slovenian: C. NAVEDBA NAJVIŠJIH DOVOLJENIH KOLIČIN OSTANKOV ZDRAVILA (MRL) Učinkovina biološkega izvora, namenjena vzbujanju aktivne imunosti, ni vključena v Uredbo(ES) št.
English: MARKETING AUTHORISATION NUMBER(S) EU/2/13/149/001
Slovenian: ŠTEVILKA DOVOLJENJA ZA PROMET EU/2/13/149/001
English: STATEMENT OF ACTIVE SUBSTANCES One dose (1 ml) contains:
Slovenian: En odmerek 1 ml vsebuje:
English: MANUFACTURER OF THE BIOLOGICAL ACTIVE SUBSTANCE AND MANUFACTURER RESPONSIBLE FOR BATCH RELEASE
Slovenian: A. PROIZVAJALEC BIOLOŠKE UČINKOVINE IN PROIZVAJALEC ZDRAVILA, ODGOVOREN ZA SPROŠČANJE SERIJ
English: PACKAGE LEAFLET: Ecoporc SHIGA suspension for injection for pigs
Slovenian: Ecoporc SHIGA Suspenzija za injiciranje za prašiče
English: Pregnancy and lactation: The use is not recommended during pregnancy and lactation.
Slovenian: Uporaba ni priporočljiva v obdobju brejosti in laktacije.
English: METHOD AND ROUTE(S) OF ADMINISTRATION Shake well before use.
Slovenian: NAČIN IN POT(I) UPORABE
English: max. 3.5 mg
Slovenian: 3,5 mg Pomožna snov:
English: Once opened use within 24 hours (store at 2 °C - 8 °C).
Slovenian: Odprto cepivo uporabite v roku 24 ur (shranjujte pri 2 °C - 8 °C).
English: SPECIAL WARNING(S), IF NECESSARY Read the package leaflet before use.
Slovenian: POSEBNO OPOZORILO, ČE JE/SO POTREBNO(A)
English: A. MANUFACTURER OF THE BIOLOGICAL ACTIVE SUBSTANCE AND
Slovenian: PROIZVAJALEC BIOLOŠKE UČINKOVINE IN PROIZVAJALEC
English: In case of accidental self-injection or ingestion, seek medical advice immediately and show the package leaflet or the label to the physician.
Slovenian: Posebni previdnostni ukrepi, ki jih mora izvajati oseba, ki živalim daje zdravilo V primeru nenamernega samo-injiciranja ali zaužitja se takoj posvetujte z zdravnikom in mu pokažite navodila za uporabo ali ovojnino.
English: MARKETING AUTHORISATION NUMBER(S) EU/2/13/149/002 PET bottle
Slovenian: ŠTEVILKA(E) DOVOLJENJ(A) ZA PROMET EU/2/13/149/002 plastenko PET
English: Cardboard box with 1 PET bottle of 50 doses (50 ml) or 100 doses (100 ml).
Slovenian: Kartonasta škatla z 1 plastenko PET s 50 odmerki (50 ml) ali 100 odmerki (100 ml).
English: PARTICULARS TO APPEAR ON THE OUTER PACKAGE Cardboard box (with PET bottle of 50 ml or 100 ml)
Slovenian: PODATKI NA ZUNANJI OVOJNINI Kartonska škatla (z 1 plastenko PET s 50 ml ali 100 ml)
English: Name and address of the manufacturer responsible for batch release
Slovenian: Ime in naslov proizvajalca zdravila, odgovornega za sproščanje serij IDT Biologika GmbH
English: Pack sizes: Cardboard box with 1 PET bottle of 50 doses (50 ml) or 100 doses (100 ml).
Slovenian: Velikosti pakiranja: Kartonasta škatla z 1 plastenko PET s 50 odmerki (50 ml) ali 100 odmerki (100 ml).
English: CONTRAINDICATIONS
Slovenian: 4.3 Kontraindikacije
English: MINIMUM PARTICULARS TO APPEAR ON SMALL IMMEDIATE PACKAGING UNITS 50 ml
Slovenian: PODATKI, KI MORAJO BITI NAJMANJ NAVEDENI NA MANJŠIH STIČNIH
English: DATE OF FIRST AUTHORISATION/RENEWAL OF THE AUTHORISATION Date of first authorisation 10/04/2013
Slovenian: DATUM PRIDOBITVE/PODALJŠANJA DOVOLJENJA ZA PROMET Datum pridobitve dovoljenja za promet:
English: EXP {month/year}
Slovenian: {DD/MM/LLLL}.
English: ≥ 3.2 x 106 ELISA units/ml CONTENTS BY WEIGHT, BY VOLUME OR BY NUMBER OF DOSES 50 doses
Slovenian: VSEBINA, IZRAŽENA Z MASO, PROSTORNINO ALI ŠTEVILOM ODMERKOV 50 odmerkov
English: 4.6 Adverse reactions (frequency and seriousness)
Slovenian: 4.6 Neželeni učinki (pogostost in resnost) Pogosto so opazili majhne lokalne reakcije, kot je blaga oteklina na mestu injiciranja (največ 5 mm),
English: Pigs.
Slovenian: Rp-Vet.
English: DOSAGE FOR EACH SPECIES, ROUTE(S) AND METHOD OF ADMINISTRATION Prior to administration, shake the vaccine carefully.
Slovenian: ODMERKI ZA POSAMEZNE ŽIVALSKE VRSTE TER POT(I) IN NAČIN UPORABE ZDRAVILA
English: This period of deferral shall not exceed twenty-four months from the Commission Decision.
Slovenian: Ta odlog je mogoč za obdobje največ štiriindvajsetih mesecev od sklepa Komisije.
English: This does not change the fact that any data generated at Semler is considered unreliable and therefore cannot be used to demonstrate bioequivalence.
Slovenian: To ne spremeni dejstva, da štejejo vsi podatki iz podjetja Semler za nezanesljive in jih zato ni mogoče uporabiti za dokaz biološke enakovrednosti;
English: The CHMP was requested in particular to provide its opinion under Article 31 of Directive 2001/83/EC as to whether marketing authorisations of these products should be maintained, varied, suspended, or revoked.
Slovenian: Odbor CHMP je bil posebej zaprošen, naj v skladu s členom 31 Direktive 2001/83/ES poda svoje mnenje o tem, ali naj se dovoljenja za promet s temi zdravili ohranijo, spremenijo, začasno prekličejo ali ukinejo.
English: The inspection found significant instances of misconduct, including the substitution and manipulation of study subject samples.
Slovenian: Pri inšpekcijskem pregledu so bile ugotovljene resne nepravilnosti, vključno z nadomeščanjem in manipulacijo vzorcev proučevanih oseb.
English: Therefore, bioequivalence of the products concerned by this procedure has to be established using alternative data.
Slovenian: Biološka enakovrednost v tem postopku obravnavanih zdravil mora biti torej dokazana z alternativnimi podatki.
English: In their own investigation and analysis of the studies concerned by the FDA inspection, and also in their investigation for similar anomalies or patterns in other studies, Semler found no conclusive evidence of inappropriate data manipulation, substitution or dilution.
Slovenian: V svoji lastni preiskavi in analizi študij, ki jih je zajel inšpekcijski pregled FDA, ter pri iskanju podobnih nepravilnosti in vzorcev v drugih študijah podjetje Semler ni našlo zanesljivih dokazov o neprimernem ravnanju s podatki, njihovem nadomeščanju ali redčenju.
English: In view of the findings described above and the necessity to protect public health in the EU, the United Kingdom, Germany, Spain, the Netherlands and Denmark considered that it is in the interest of the Union to refer the matter to the CHMP and request that it assesses the impact of the findings mentioned above on the benefit-risk balance of the medicinal products which have been authorised by the Member States on the basis of relevant trials performed at these sites and also that of pending marketing authorisation applications (MAA).
Slovenian: Zaradi teh ugotovitev in nujnosti zaščite javnega zdravja v EU so Združeno kraljestvo, Nemčija, Španija, Nizozemska in Danska menile, da je v interesu Unije napotitev zadeve na odbor CHMP, in odbor zaprosile, da oceni vpliv zgoraj omenjenih ugotovitev na razmerje med tveganji in koristmi zdravil, ki so jih države članice odobrile na podlagi preskušanj, izvedenih na teh lokacijah, ter še nezaključenih vlog za dodelitev dovoljenja za promet.
English: Between 29 September 2015 and 9 October 2015, the United States Food and Drug Administration (FDA) performed a Good Clinical Practice (GCP) inspection at the bioanalytical facility Semler Research Centre Private Ltd, 75A, 15th Cross, 1st Phase, J.P. Nagar, Bangalore - 560 078 India.
Slovenian: Med 29. septembrom 2015 in 9. oktobrom 2015 je ameriška Agencija za hrano in zdravila (FDA) izvedla inšpekcijski pregled dobre klinične prakse (GCP) v bioanalitičnem objektu Semler Research Centre Private Ltd, 75A, 15th Cross, 1st Phase, J.P. Nagar, Bangalore - 560 078 Indija.
English: The findings reported during this inspection cast serious doubts on the reliability of the data of bioequivalence studies (clinical and bioanalytical part) generated at the site.
Slovenian: Ugotovitve inšpekcijskega pregleda porajajo resen dvom o zanesljivosti podatkov študij biološke enakovrednosti (kliničnega in bioanalitičnega dela), pridobljenih na tej lokaciji.
English: • In some cases, MAHs pointed out that only certain parts of the study had been conducted at Semler, with the remaining tasks conducted at a different site.
Slovenian: • v nekaterih primerih so imetniki dovoljenja za promet z zdravilom izpostavili, da so bili v podjetju Semler izvedeni samo nekateri deli raziskave, preostale naloge pa na drugi lokaciji.
English: • The CHMP considered the procedure under Article 31 of Directive 2001/83/EC for marketing authorisations and marketing authorisation applications for medicinal products for which the clinical and/or bioanalytical parts of the bioequivalence studies were performed at Semler, Bangalore, India;
Slovenian: • odbor je obravnaval postopek v skladu s členom 31 Direktive 2001/83/ES za dovoljenja za promet z zdravilom in vloge za pridobitev dovoljenja za promet z zdravilom za zdravila, za katera so bili klinični in/ali bioanalitični deli študij biološke enakovrednosti izvedeni v podjetju Semler, Bangalore, Indija;
English: • Pharmacovigilance data on specific products included in this procedure have not indicated any problems which could be attributed to non-bioequivalence, such as reduced efficacy or worsened safety and tolerability.
Slovenian: • farmakovigilančni podatki o posameznih zdravilih, vključenih v ta postopek, niso pokazali nobenih težav, ki bi jih lahko pripisali odsotnosti biološke enakovrednosti, kot so manjša učinkovitost, varnost ali prenašanje.
English: On these grounds, the WHO pre-qualification team (PQT) recommended an immediate stop to all submissions of dossiers relying in whole or in part on involvement from Semler until the underlying issues have been verified to have been adequately resolved.
Slovenian: Na tej podlagi je predizbirna ekipa SZO priporočila takojšnje prenehanje vsakršnega predlaganja dokumentacije, ki v celoti ali deloma temelji na udeležbi podjetja Semler, dokler ne bo potrjeno, da so bili osnovni problemi ustrezno odpravljeni.
English: The findings of the FDA and WHO inspections raise serious concerns relating to the suitability of the quality management system in place at the Semler JP Nagar and Sakar Nagar sites.
Slovenian: Ugotovitve inšpekcijskih pregledov FDA in SZO so vzbudile resne pomisleke o primernosti sistema upravljanja kakovosti na lokacijah Semler JP Nagar in Sakar Nagar.
English: • The CHMP reviewed available data and information provided by the MAHs/applicants, as well as information provided by Semler Research Centre Private Ltd;
Slovenian: • odbor je pregledal vse razpoložljive podatke in informacije, ki so jih zagotovili imetniki dovoljenj za promet z zdravilom/predlagatelji, ter informacije, ki jih je predložilo podjetje Semler Research Centre Private Ltd;
English: Therefore the FDA concluded that clinical and bioanalytical studies conducted by Semler Research Private Limited in Bangalore, India are not acceptable as a result of data integrity concerns1.
Slovenian: Agencija FDA je zato zaključila, da klinične in bioanalitične študije, ki jih je izvedlo podjetje Semler Research Private Limited v Bangaloreju, Indija, zaradi pomislekov o celovitosti podatkov niso sprejemljive.1
English: The findings of the FDA and WHO inspections raise serious concerns relating to the suitability of the quality management system at these sites and, consequently, the reliability of data submitted in applications for marketing authorisations submitted in European Union (EU) Member States.
Slovenian: Ugotovitve inšpekcijskih pregledov FDA in SZO so vzbudile resne pomisleke o primernosti sistema upravljanja kakovosti na teh lokacijah in posledično tudi o zanesljivosti podatkov, ki so bili predloženi v vlogah za dodelitev dovoljenja za promet v državah članicah Evropske unije (EU).
English: 1 http://www.fda.gov/Drugs/DrugSafety/ucm495778.htm 2 http://apps.who.int/prequal/info_applicants/NOC/2016/NOC_Semler12April2016.pdf substance between the two medicinal products may differ.
Slovenian: 1 http://www.fda.gov/Drugs/DrugSafety/ucm495778.htm 2 http://apps.who.int/prequal/info_applicants/NOC/2016/NOC_Semler12April2016.pdf
English: The World Health Organisation (WHO) also inspected the same bioanalytical facility and the Semler clinical facility located at PA Arcade #21,22,23 Kodigehali Main Road, Sahakaranagar Post, Bangalore 560 092, Karnataka, India between 27 and 31 January 2015, and performed a follow-up inspection between 2 and 5 December 2015 to verify compliance with GLP and GCP.
Slovenian: Isti bioanalitični objekt in kliniko podjetja Semler na naslovu PA Arcade #21,22,23 Kodigehali Main Road, Sahakaranagar Post, Bangalore 560 092, Karnataka, Indija, je med 27. in 31. januarjem 2015 pregledala tudi Svetovna zdravstvena organizacija (SZO).
English: A number of corrective and preventive actions (CAPA) are proposed or have already been already implemented to address the findings of the FDA and WHO inspections.
Slovenian: Za obravnavo ugotovitev inšpekcijskih pregledov FDA in SZO je bila predlagana ali že izvedena vrsta korektivnih in preventivnih ukrepov.
English: Data from all bioequivalence studies performed at Semler Research Private Limited in Bangalore India and submitted to the Competent Authorities to demonstrate bioequivalence of medicinal products with their originator is considered unreliable.
Slovenian: Podatki iz študij biološke enakovrednosti, ki so bile opravljene v podjetju Semler Research Private Limited v Bangaloreju, Indija, in predložene pristojnim oblastem kot dokaz biološke enakovrednosti zdravil z originatorjem, štejejo za nezanesljive.
English: The condition for the lifting of the suspension of the marketing authorisations is set out in Annex III.
Slovenian: Pogoj za preklic začasnega umika dovoljenj za promet z zdravilom, kot je ustrezno, je določen v Prilogi III.
English: Nevertheless, any CAPAs implemented after the FDA and WHO inspections cannot retrospectively correct the quality system failures observed during these two inspections.
Slovenian: Kljub temu noben po inšpekcijskih pregledih FDA in SZO izveden ukrep ne more retrospektivno odpraviti med inšpekcijskima pregledoma ugotovljenih napak v sistemu upravljanja kakovosti.
English: For a medicinal product with a marketing authorisation or marketing authorisation application under Article 10(1) of Directive 2001/83/EC as amended, bioequivalence is crucial for the conclusion that efficacy and safety are similar to that of the reference product.
Slovenian: Za zdravilo z dovoljenjem za promet ali vlogo za dovoljenje za promet v skladu s členom 10(1) Direktive 2001/83/ES, kakor je bila spremenjena, je biološka enakovrednost nujna za zaključek o podobni učinkovitosti in varnosti v primerjavi z referenčnim zdravilom.
English: The Committee recommends that these marketing authorisations (annex IB) should be suspended unless the medicinal product is considered critical by the relevant national competent authorities.
Slovenian: Odbor zato priporoča, da se ta dovoljenja za promet z zdravilom (Priloga IB) začasno umaknejo, razen v primeru, da je zadevno zdravilo po mnenju ustreznega nacionalnega pristojnega organa kritičnega pomena.
English: The CHMP therefore recommends the suspension of the marketing authorisations for all remaining medicinal products concerned by this referral procedure (annex IB), as bioequivalence vis-à-vis the EU reference medicinal products has not been demonstrated.
Slovenian: Odbor CHMP zato priporoča začasen umik dovoljenj za promet z vsemi preostalimi zdravili, ki jih zadeva ta napotitveni postopek (Priloga IB), saj biološka enakovrednost z referenčnimi zdravili, odobrenimi v EU, ni bila dokazana.
English: • For some products, results from bioequivalence data using non-EU Reference Medicinal Products may be available.
Slovenian: • za nekatera zdravila so morda na voljo rezultati iz podatkov o biološki enakovrednosti ob uporabi referenčnih zdravil, ki v EU niso bila odobrena.
English: For those products for which no alternative data is available to establish bioequivalence to an EU reference medicinal product, the main arguments put forward by the MAHs/applicants were as follows:
Slovenian: Pri zdravilih, pri katerih niso na voljo nobeni alternativni podatki, ki bi potrdili biološko enakovrednost z referenčnimi zdravili EU, so bili glavni argumenti, ki so jih predložili imetniki dovoljenja za promet z zdravilom oz. predlagatelji, naslednji:
English: The WHO concluded that the findings indicate the existence of a general or systematic deviation from commonly accepted quality standards, and cannot be ascribed to a single person or two working outside of the quality management system.
Slovenian: Inšpekcijski pregledi so razkrili kritična in velika odstopanja, ki so privedla do objave obvestila o zaskrbljenosti.2 SZO je zaključila, da ugotovitve kažejo na obstoj splošnega ali sistematičnega odstopanja od splošno sprejetih standardov kakovosti, ki ga ni mogoče pripisati eni sami ali dvema zunaj sistema upravljanja kakovosti delujočima osebama.
English: However, pharmacovigilance activities may lack the ability to detect a signal with regard to efficacy or safety and tolerability, therefore CHMP is of the opinion that the absence of any pharmacovigilance signal does not offer sufficient reassurance to conclude on a positive benefit-risk balance in the absence of the demonstration of bioequivalence with the EU reference medicinal product.
Slovenian: Vendar pa farmakovigilančne aktivnosti morda ne morejo zaznati signala v zvezi z učinkovitostjo ali varnostjo in prenašanjem, zato odbor CHMP meni, da odsotnost farmakovigilančnega signala ob odsotnosti dokaza biološke enakovrednosti z referenčnim zdravilom, odobrenim v EU, ne omogoča zanesljivega zaključka o pozitivnem razmerju med tveganji in koristmi;
English: Under Article 10(1) of Directive 2001/83/EC, these data are not acceptable to support a positive benefit-risk balance for the concerned products and cannot substitute the requirement to demonstrate bioequivalence between test product and a suitable EU reference product.
Slovenian: 2001/83/ES ti podatki niso sprejemljivi za podporo pozitivnega razmerja med tveganji in koristmi in ne morejo nadomestiti zahteve za dokaz biološke enakovrednosti med testnim zdravilom in primernim referenčnim zdravilom, odobrenim v EU.
English: For marketing authorisation(s) of a medicinal product considered critical, the suspension may be deferred in the relevant EU Member State(s) for a period which shall not exceed twenty-four months from the Commission Decision.
Slovenian: Za dovoljenja(-e) za promet z zdravilom, ki šteje za zdravilo kritičnega pomena, se lahko začasni umik v eni ali več zadevnih državah članicah odloži za obdobje največ štiriindvajsetih mesecev od sklepa Komisije.
English: Having assessed the alternative data, the CHMP recommends the maintenance of the marketing authorisations for abacavir/lamivudinecontaining medicinal products (annex IA) and concludes that, with regards to marketing authorisation applications for abacavir/lamivudine-containing medicinal products, bioequivalence has been demonstrated vis-à-vis the EU reference medicinal product using alternative data.
Slovenian: Po oceni alternativnih podatkov odbor CHMP priporoča ohranitev dovoljenj za promet z zdravili, ki vsebujejo abakavir/lamivudin (Priloga IA), in zaključuje, da je bila za vloge za dovoljenje za promet z zdravili, ki vsebujejo abakavir/lamivudin, biološka enakovrednost z referenčnim zdravilom, odobrenim v EU, z alternativnimi podatki dokazana.
English: • The CHMP concluded that the particulars supporting the marketing authorisation/marketing authorisation application are incorrect and that the benefit-risk balance is considered not favourable for:
Slovenian: • odbor je zaključil, da podatki, ki podpirajo dovoljenje za promet z zdravilom/vlogo za pridobitev dovoljenja za promet z zdravilom, niso ustrezni in da razmerje med tveganji in koristmi ni ugodno za:
English: Where the bioequivalence is not established, safety and efficacy cannot be extrapolated from the EU reference medicinal product to the generic medicinal product as the bioavailability of the active
Slovenian: Kjer biološka enakovrednost ni ugotovljena, varnosti in učinkovitosti referenčnega zdravila, odobrenega v EU, ni mogoče ekstrapolirati na generično zdravilo, saj se lahko biološka uporabnost učinkovine med zdraviloma razlikuje.
English: − Authorised medicinal products and marketing authorisation applications for which no alternative bioequivalence data or a justification was submitted (annex IB).
Slovenian: − vloge za pridobitev dovoljenja za promet z zdravilom, za katere niso bili predloženi alternativni podatki o biološki enakovrednosti ali utemeljitev (Priloga IB);
English: If the bioavailability of the generic product is lower than the bioavailability of the reference medicinal product, this may result in a lower than intended exposure to the active substance, leading potentially to a decrease in efficacy, a delay or even a lack of therapeutic effect.
Slovenian: V primeru, da je biološka uporabnost generičnega zdravila manjša od biološke uporabnosti referenčnega zdravila, bi to pomenilo, da so bolniki učinkovini izpostavljeni v manjši meri od načrtovane, kar bi lahko povzročilo manjšo učinkovitost, zapoznelo terapevtsko učinkovitost ali celo njeno odsotnost.
English: For all other marketing authorisation applications (annex IB), the CHMP considers that the applicants did not submit information which allows to establish bioequivalence to the EU reference medicinal product, and therefore the marketing authorisation applications do not currently fulfil the criteria for authorisation.
Slovenian: Kar zadeva vse druge vloge za pridobitev dovoljenja za promet z zdravilom (Priloga IB), je odbor CHMP menil, da predlagatelj ni dokazal biološke enakovrednosti z referenčnim zdravilom, odobrenim v EU, zato trenutno vloga za pridobitev dovoljenja za promet z zdravilom ne izpolnjuje meril za pridobitev dovoljenja.
English: • In some cases it was pointed out that products containing certain active substances could be eligible for biowaiver.
Slovenian: • v nekaterih primerih je bilo izpostavljeno, da bi se zdravila, ki vsebujejo nekatere zdravilne učinkovine, lahko izvzela iz obveznosti izvedbe študij biološke enakovrednosti.
English: d. Bioequivalence vis-à-vis the EU reference medicinal product has been established for marketing authorisation applications listed in annex IA.
Slovenian: d. Biološka enakovrednost z referenčnim zdravilom, odobrenim v EU, je bila ugotovljena za vloge za pridobitev dovoljenja za promet z zdravilom, navedene v Prilogi IA.
English: If the bioavailability of the generic product is higher than the bioavailability of the reference medicinal product, this may result in a higher than intended exposure of patients to the active substance, leading potentially to an increase in the incidence or severity of adverse effects.
Slovenian: V primeru, da je biološka uporabnost zdravila večja od biološke uporabnosti referenčnega zdravila, bi to pomenilo, da so bolniki učinkovini izpostavljeni v večji meri od načrtovane, kar bi lahko povzročilo večjo pojavnost ali resnost neželenih učinkov.
English: An authorised medicinal product listed in Annex IB may be considered critical by the EU Member State(s) based on the evaluation of the potential unmet medical need, considering the availability of suitable alternative medicinal products in the respective EU Member State(s) and, as appropriate, the nature of the disease to be treated.
Slovenian: Zdravilo, navedeno v Prilogi IB, lahko šteje za zdravilo kritičnega pomena v eni ali več državah članicah na podlagi ocene morebitnih neizpolnjenih zdravstvenih potreb ter ob upoštevanju razpoložljivosti ustreznih alternativnih zdravil v eni ali več zadevnih državah članicah in, če je primerno, narave zdravljene bolezni.