Committee for medicinal products for human use (CHMP)

1 11 March 2022. EMA/CHMP/95406/2022. human Medicines Division Committee for medicinal products for human use (CHMP). Minutes for the meeting on 24-27 January 2022. Chair: Harald Enzmann Vice-Chair: Bruno Sepodes Disclaimers Some of the information contained in this set of minutes is considered commercially confidential or sensitive and therefore not disclosed. With regard to intended therapeutic indications or procedure scopes listed against products , it must be noted that these may not reflect the full wording proposed by applicants and may also vary during the course of the review. Additional details on some of these procedures will be published in the CHMP meeting highlights once the procedures are finalised and start of referrals will also be available. Of note, these minutes are a working document primarily designed for CHMP members and the work the Committee undertakes. Note on access to documents Some documents mentioned in the minutes cannot be released at present following a request for access to documents within the framework of Regulation (EC) No 1049/2001 as they are subject to on- going procedures for which a final decision has not yet been adopted.

2 They will become public when adopted or considered public according to the principles stated in the Agency policy on access to documents (EMA/127362/2006). Official address Domenico Scarlattilaan 6 1083 HS Amsterdam The Netherlands Address for visits and deliveries Refer to Send us a question Go to Telephone +31 (0)88 781 6000 An agency of the European Union European Medicines Agency, 2022. Reproduction is authorised provided the source is acknowledged. Table of contents 1. Introduction 8. Welcome and declarations of interest of members, alternates and experts .. 8. Adoption of agenda .. 8. Adoption of the minutes .. 8. 2. Oral Explanations 9. Pre-authorisation procedure oral 9. gefapixant - EMEA/H/C/005884 .. 9. gefapixant - EMEA/H/C/005476 .. 9. betulae cortex dry extract (5-10: 1); extraction solvent: n-heptane 95% (w/w) - Orphan - EMEA/H/C/005035 .. 9. Paxlovid (1R,2S,5S)-N-((1S)-1-Cyano-2-((3S)-2-oxo pyrrolidin-3-yl)ethyl)-3-((2S)-3,3- dimethyl-2-(2,2,2-trifluoroacetamido) butanoyl)-6,6-dimethyl-3-azabicyclo[ ]hexane-2- carboxamide / ritonavir EMEA/H/C/005973.

3 10. Re-examination procedure oral explanations .. 10. Post-authorisation procedure oral explanations .. 10. Referral procedure oral explanations .. 10. Stresam and generics etifoxine (hydrochloride) - EMEA/H/A-31/1509 .. 10. Lidocain/ Prilocain IDETEC lidocaine, prilocaine - EMEA/H/A-29(4)/1506 .. 10. 3. Initial applications 11. Initial applications; Opinions .. 11. Breyanzi - lisocabtagene maraleucel / lisocabtagene maraleucel - PRIME - Orphan - ATMP - EMEA/H/C/004731 .. 11. Dasatinib Accord - dasatinib - EMEA/H/C/005446 .. 11. Dasatinib Accordpharma - dasatinib - EMEA/H/ 12. Paxlovid (1R,2S,5S)-N-((1S)-1-Cyano-2-((3S)-2-oxo pyrrolidin-3-yl)ethyl)-3-((2S)-3,3- dimethyl-2-(2,2,2-trifluoroacetamido) butanoyl)-6,6-dimethyl-3-azabicyclo[ ]hexane-2- carboxamide / ritonavir EMEA/H/C/005973 .. 12. Sondelbay - teriparatide - EMEA/H/C/005827 .. 13. Stimufend - pegfilgrastim - EMEA/H/C/004780 .. 13. Vildagliptin/Metformin hydrochloride Accord - vildagliptin / metformin hydrochloride - EMEA/H/C/005738.

4 14. Initial applications; List of outstanding issues (Day 180; Day 120 for procedures with accelerated assessment timetable) .. 14. amifampridine - EMEA/H/C/005839 .. 14. leuprorelin - EMEA/H/C/005034 .. 14. dimethyl fumarate - EMEA/H/C/006039 .. 15. dimethyl fumarate - EMEA/H/C/005956 .. 15. dimethyl fumarate - EMEA/H/C/005955 .. 15. Committee for medicinal products for human use (CHMP). EMA/CHMP/95406/2022 Page 2/60. dimethyl fumarate - EMEA/H/C/006042 .. 15. trastuzumab - EMEA/H/C/005880 .. 16. betulae cortex dry extract (5-10: 1); extraction solvent: n-heptane 95% (w/w) - Orphan - EMEA/H/C/005035 .. 16. artesunate - Orphan - EMEA/H/C/005718 .. 16. gefapixant - EMEA/H/C/005884 .. 17. tebentafusp - Orphan - EMEA/H/C/004929 .. 17. budesonide, micronised - Orphan - EMEA/H/C/005653 .. 17. gefapixant - EMEA/H/C/005476 .. 17. capmatinib - EMEA/H/C/004845 .. 18. insulin aspart - EMEA/H/C/005635 .. 18. trastuzumab - EMEA/H/C/005066.

5 18. doxorubicin - EMEA/H/C/005320 .. 19. Initial applications; List of questions (Day 120; Day 90 for procedures with accelerated assessment timetable) .. 19. vutrisiran - Orphan - EMEA/H/C/005852 .. 19. mavacamten - EMEA/H/ 19. dimethyl fumarate - EMEA/H/C/005963 .. 19. pegfilgrastim - EMEA/H/C/005810 .. 20. maralixibat - Orphan - EMEA/H/C/005857 .. 20. mosunetuzumab - Orphan - EMEA/H/C/005680 .. 20. relatlimab / nivolumab - EMEA/H/C/005481 .. 20. efbemalenograstim alfa - EMEA/H/C/005828 .. 21. teriflunomide - EMEA/H/C/005962 .. 21. ranibizumab - EMEA/H/C/005617 .. 21. ganaxolone - Orphan - EMEA/H/C/005825 .. 21. Update on on-going initial applications for Centralised 22. eptacog alfa (activated) - EMEA/H/C/005547 .. 22. voclosporin - EMEA/H/C/005256 .. 22. arimoclomol - Orphan - EMEA/H/C/005203 .. 22. adrenaline - EMEA/H/C/005584 .. 22. autologous glioma tumor cells, inactivated / autologous glioma tumor cell lysates, inactivated /.

6 Allogeneic glioma tumor cells, inactivated / allogeneic glioma tumor cell lysates, inactivated - Orphan - ATMP - EMEA/H/C/003693 .. 23. palovarotene - Orphan - EMEA/H/C/004867 .. 23. thalidomide - EMEA/H/C/005715 .. 23. lonafarnib - Orphan - EMEA/H/C/005271 .. 23. Re-examination of initial application procedures under Article 9(2) of Regulation no 726/2004 .. 24. Ipique - bevacizumab - EMEA/H/C/005433 .. 24. Committee for medicinal products for human use (CHMP). EMA/CHMP/95406/2022 Page 3/60. Aduhelm - aducanumab - EMEA/H/C/005558 .. 24. Initial applications in the decision-making phase .. 24. Padcev - enfortumab vedotin - EMEA/H/C/005392 .. 24. Yselty - linzagolix choline - EMEA/H/C/005442 .. 25. Withdrawals of initial marketing authorisation application .. 25. Abylqis - arachis hypogaea extract - Article 28 - EMEA/H/C/004810 .. 25. Aliqopa - copanlisib - Orphan - EMEA/H/C/004334 .. 25. 4. Extension of marketing authorisation according to Annex I of Commission Regulation (EC) No 1234/2008 26.

7 Extension of marketing authorisation according to Annex I of Commission Regulation (EC) No 1234/2008; Opinion .. 26. Ayvakyt - avapritinib - Orphan - EMEA/H/C/005208/X/0004/G .. 26. Dupixent - dupilumab - EMEA/H/C/004390/X/0045/G .. 26. Extension of marketing authorisation according to Annex I of Commission Regulation (EC) No 1234/2008; Day 180 list of outstanding issues .. 27. Sogroya - somapacitan - Orphan - EMEA/H/C/005030/X/0001/G .. 27. Extension of marketing authorisation according to Annex I of Commission Regulation (EC) No 1234/2008; Day 120 List of question .. 27. Rinvoq - upadacitinib - EMEA/H/C/004760/X/0012/G .. 27. Update on on-going extension application according to Annex I of Commission Regulation (EC) No 1234/2008 .. 28. Zejula - niraparib - Orphan - EMEA/H/C/004249/X/0029 .. 28. Re-examination procedure of extension of marketing authorisation according to Annex I of Commission Regulation (EC) No 1234/2008.

8 28. 5. Type II variations - variation of therapeutic indication procedure according to Annex I of Commission Regulation (EC) No 1234/2008. 28. Type II variations - variation of therapeutic indication procedure according to Commission Regulation (EC) No 1234/2008; Opinions or Requests for supplementary information .. 28. Briviact - brivaracetam - EMEA/H/C/003898/II/0032/G .. 28. Cosentyx - secukinumab - EMEA/H/C/003729/II/0079 .. 29. Enhertu - trastuzumab deruxtecan - EMEA/H/C/005124/II/0012 .. 29. Hemlibra - emicizumab - EMEA/H/C/004406/II/0027 .. 30. Imcivree - setmelanotide - Orphan - EMEA/H/C/005089/II/0002 30. Jardiance - empagliflozin - EMEA/H/C/002677/II/0060 .. 30. Keytruda - pembrolizumab - EMEA/H/C/003820/II/0117 .. 31. Lynparza - olaparib - EMEA/H/C/003726/II/0051/G .. 31. NovoSeven - eptacog alfa (activated) - EMEA/H/C/000074/II/0116 .. 31. Reblozyl - luspatercept - Orphan - EMEA/H/C/004444/II/0009 .. 32. Senshio - ospemifene - EMEA/H/C/002780/II/0041.

9 32. Committee for medicinal products for human use (CHMP). EMA/CHMP/95406/2022 Page 4/60. Tecfidera - dimethyl fumarate - EMEA/H/C/002601/II/0073 .. 33. Verzenios - abemaciclib - EMEA/H/C/004302/ 33. WS2049/G Lacosamide UCB - lacosamide - EMEA/H/C/005243/WS2049/0009/G Vimpat - lacosamide - EMEA/H/C/000863/WS2049/0091/G .. 34. Update on on-going Type II variation; variation of therapeutic indication procedure according to Commission Regulation (EC) No 1234/2008 .. 34. Lonquex - lipegfilgrastim - EMEA/H/C/002556/II/0058/G .. 34. Revestive - teduglutide - Orphan - EMEA/H/C/002345/II/0054/G .. 35. Re-examination of Type II variation; variation of therapeutic indication procedure according to Commission Regulation (EC) No 1234/2008 .. 35. 6. Medical devices 35. Ancillary medicinal substances - initial consultation .. 35. Ancillary medicinal substances post-consultation update .. 35. Companion diagnostics initial consultation.

10 35. Companion diagnostics follow-up consultation .. 35. 7. Procedure under Article 83(1) of Regulation (EC) 726/2004. (Compassionate Use) 36. Procedure under Article 83(1) of Regulation (EC) 726/2004 (Compassionate Use)36. 8. Pre-submission issues 36. Pre-submission issue .. 36. Priority Medicines (PRIME) .. 36. List of applications received .. 36. Recommendation for PRIME 36. 9. Post-authorisation issues 36. Post-authorisation issues .. 36. Comirnaty - tozinameran - EMEA/H/C/005735/ 36. Comirnaty - tozinameran - EMEA/H/C/005735/ 37. Elzonris - tagraxofusp - EMEA/H/C/005031/II/0009 .. 37. Naglazyme - galsulfase - EMEA/H/C/000640/II/0086 .. 38. COVID-19 vaccines use during pregnancy .. 38. Imbruvica - ibrutinib - EMEA/H/C/003791/II/0069 .. 39. Bosulif - bosutinib - EMEA/H/C/002373/II/0050/G .. 39. Spikevax - COVID-19 mRNA vaccine - EMEA/H/C/005791/II/0042 .. 40. 10. Referral procedures 40. Procedure for Centrally Authorised products under Article 20 of Regulation (EC) No 726/2004.