NAPROXEN TABLETS BP 500 MG PL 21880/0111 UKPAR

NAPROXEN TABLETS BP 500 MG
PL 21880/0111
UKPAR
TABLE OF CONTENTS
Lay Summary
Page 2
Scientific discussion
Page 3
Steps taken for assessment
Page 9
Steps taken after authorisation – summary
Page 10
Summary of Product Characteristics
Page 11
Patient Information Leaflet
Page 11
Labelling
Page 12
UKPAR Naproxen Tablets BP 500 mg
PL 21880/0111
NAPROXEN TABLETS BP 500 MG
PL 21880/0111
LAY SUMMARY
On 10 July 2013, the MHRA granted Medreich Plc a Marketing Authorisation
(licence) for the medicinal product Naproxen Tablets BP 500 mg (PL 21880/0111).
This is a prescription-only medicine (legal status POM) containing the active
ingredient naproxen. Naproxen belongs to a group of medicines called non-steroidal
anti-inflammatory drugs (NSAIDs). It is used to treat rheumatoid arthritis or other
rheumatic or musculoskeletal disorders (ailments that cause pain and stiffness in
muscles, bones and joints), period pain and acute gout. Naproxen reduces
inflammation and pain in the joints and muscles.
No new or unexpected safety concerns arose from this application and it was,
therefore, judged that the benefits of taking Naproxen Tablets BP 500 mg
(PL 21880/0111) outweigh the risks; hence a Marketing Authorisation has been
granted.
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UKPAR Naproxen Tablets BP 500 mg
PL 21880/0111
NAPROXEN TABLETS BP 500 MG
PL 21880/0111
SCIENTIFIC DISCUSSION
TABLE OF CONTENTS
Introduction
Page 4
Pharmaceutical assessment
Page 5
Non-clinical assessment
Page 7
Clinical assessment
Page 7
Overall conclusions and risk benefit assessment
Page 8
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UKPAR Naproxen Tablets BP 500 mg
PL 21880/0111
INTRODUCTION
Based on the review of the data on quality, safety and efficacy, the UK granted a
Marketing Authorisation to Medreich Plc for the medicinal product Naproxen Tablets
BP 500 mg (PL 21880/0111) on 10 July 2013. This product is a prescription-only
medicine (legal status POM) and is used for the treatment of rheumatoid arthritis and
other rheumatic or musculoskeletal disorders, dysmenorrhoea and acute gout.
This was submitted as an abridged simple (informed consent) application according to
Article 10c of Directive 2001/83/EC, as amended, cross-referring to Naproxen Tablets
BP 500 mg, which was originally granted to Sandoz Limited on 15 October 1996
(PL 04416/0266). The current marketing authorisation holder of the reference product
is Aurobindo Pharma Limited (PL 20532/0028) following a change of ownership that
was concluded on 28 May 2004.
This product contains the active substance naproxen. Naproxen is a non-steroidal
anti-inflammatory analgesic compound with antipyretic properties. It exhibits its
anti-inflammatory effect even in adrenalectomised animals, indicating that its action is
not mediated through the pituitary-adrenal axis. Naproxen inhibits prostaglandin
synthetase; however, as with other NSAIDs, the exact mechanism of its
anti-inflammatory action is not known.
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UKPAR Naproxen Tablets BP 500 mg
PL 21880/0111
PHARMACEUTICAL ASSESSMENT
LICENCE NO:
PROPRIETARY NAME:
ACTIVE(S):
COMPANY NAME:
E.C. ARTICLE:
LEGAL STATUS:
1.
PL 21880/0111
Naproxen Tablets BP 500 mg
Naproxen
Medreich Plc
Article 10c
POM
INTRODUCTION
This is a simple, informed consent application for Naproxen Tablets BP 500 mg,
submitted under Article 10c of Directive 2001/83/EC, as amended. The proposed MA
holder is Medreich Plc, 9 Royal Parade, Kew Gardens, Surrey, TW9 3QD, UK.
The application cross-refers to Naproxen Tablets BP 500 mg, which was originally
granted to Sandoz Limited on 15 October 1996 (PL 04416/0266). The current
marketing authorisation holder for the reference product is Aurobindo Pharma
Limited (PL 20532/0028) following a change of ownership that was concluded on 28
May 2004.
The application is considered valid.
2.
MARKETING AUTHORISATION APPLICATION FORM
2.1 Name(s)
The proposed name of the product is Naproxen Tablets BP 500 mg.
2.2 Strength, pharmaceutical form, route of administration, container and pack
sizes
Each tablet contains 500 mg Naproxen BP.
The finished product is packaged in the following presentations and pack sizes:
•
Polyethylene/polypropylene tamper-evident containers in pack sizes of 28,
30, 56, 60, 84, 100, 250, 500 and 1000 tablets
•
Aluminium/polyvinylchloride/polyvinylidene chloride blister pack in pack
sizes of 28, 30, 56, 60, 84 and 100 tablets
Not all pack sizes are to be marketed. However, the Marketing Authorisation Holder
has committed to submitting mock-ups to the regulatory authorities for approval
before marketing any pack size.
The proposed shelf-life (36 months) and storage conditions (“Store in a dry place
below 25°C. Protect from light. Keep container tightly closed”) are consistent with the
details registered for the cross-reference product.
2.3 Legal status
On approval, the product will be available as a prescription-only medicine (POM).
2.4 Marketing authorisation holder/Contact Persons/Company
Medreich Plc, 9 Royal Parade, Kew Gardens, Surrey, TW9 3QD, UK
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UKPAR Naproxen Tablets BP 500 mg
PL 21880/0111
The QP responsible for pharmacovigilance is stated and their CV is included.
2.5 Manufacturers
The proposed manufacturing sites are consistent with those registered for the
cross-reference product and evidence of compliance with Good Manufacturing
Practice (GMP) has been provided.
2.6 Qualitative and quantitative composition
The proposed composition is consistent with the details registered for the
cross-reference product.
2.7 Manufacturing process
The proposed manufacturing process is consistent with the details registered for the
cross-reference product.
2.8 Finished product/shelf-life specification
The proposed finished product specification is in line with the details registered for
the cross-reference product.
2.9 Drug substance specification
The proposed drug substance specification is consistent with the details registered for
the cross-reference product.
2.10 TSE Compliance
With the exception of lactose, no materials of animal or human origin are included in
this product. Lactose is from an animal source but is free from BSE/TSE risk. This is
consistent with the cross-reference product.
2.11 Bioequivalence
No bioequivalence data are required to support this informed consent application, as the
proposed product is manufactured to the same formula, utilising the same process as the
reference product Naproxen Tablets BP 500 mg (PL 20532/0028).
3.
EXPERT REPORTS
The applicant has included detailed expert reports in Module 2 of the application.
Signed declarations and copies of the experts’ CVs are enclosed in Module 1.4 for the
quality, non-clinical and clinical experts. All are considered to have sufficient
experience for their responsibilities.
4.
PRODUCT NAME & APPEARANCE
See 2.1 for details of the proposed product name. The appearance of the product is
identical to the cross-reference product.
5.
SUMMARY OF PRODUCT CHARACTERISTICS (SmPC)
The proposed SmPC is consistent with the details registered for the cross-reference
product.
6.
PATIENT INFORMATION LEAFLET (PIL)/LABEL
PIL
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UKPAR Naproxen Tablets BP 500 mg
PL 21880/0111
The patient information leaflet has been prepared in line with the details registered for
the cross-reference product.
Carton and blister
The proposed artwork is comparable with the artwork registered for the
cross-reference product and complies with statutory requirements. The applicant has
included sufficient space for a standard UK pharmacy dispensing label.
7.
CONCLUSIONS
The data submitted with the application are acceptable. From a quality perspective, a
Marketing Authorisation should be granted.
NON-CLINICAL ASSESSMENT
No new non-clinical data have been supplied with this application and none are
required for applications of this type.
CLINICAL ASSESSMENT
No new clinical data have been supplied with this application and none are required
for applications of this type.
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UKPAR Naproxen Tablets BP 500 mg
PL 21880/0111
OVERALL CONCLUSION AND BENEFIT/RISK ASSESSMENT
QUALITY
The data provided for this application are consistent with that previously assessed for
the cross-reference product and as such have been judged to be satisfactory. There are
no outstanding quality issues that would have a negative impact on the benefit/risk
balance.
NON-CLINICAL
No new non-clinical data were submitted and none are required for applications of
this type.
EFFICACY
No new clinical pharmacology/efficacy data have been submitted with this application
and none are required for applications of this type.
SAFETY
No new safety data have been submitted with this application and none are required
for applications of this type.
No new or unexpected safety concerns arose from this application.
The SmPC, PIL and labelling are satisfactory and consistent with those for the
reference product.
BENEFIT-RISK ASSESSMENT
The quality of the product is acceptable and no new non-clinical or clinical safety
concerns have been identified. Extensive clinical experience with naproxen is
considered to have demonstrated the therapeutic value of the compound. The
benefit/risk assessment is therefore considered to be positive.
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UKPAR Naproxen Tablets BP 500 mg
PL 21880/0111
NAPROXEN TABLETS BP 500 MG
PL 21880/0111
STEPS TAKEN FOR ASSESMENT
1
The MHRA received the marketing authorisation application on 21 October
2010.
2
Following standard checks and communication with the applicant, the MHRA
considered the application valid on 26 November 2010.
3
Following assessment of the application, the MHRA requested further
information relating to the dossier on 01 February 2011 and 10 August 2011.
The applicant responded to the MHRA’s requests, providing further information
on 15 July 2011 and 31 May 2013.
The application was approved on 10 July 2013.
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UKPAR Naproxen Tablets BP 500 mg
PL 21880/0111
NAPROXEN TABLETS BP 500 MG
PL 21880/0111
STEPS TAKEN AFTER AUTHORISATION - SUMMARY
Date
Application
submitted type
Scope
Outcome
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UKPAR Naproxen Tablets BP 500 mg
PL 21880/0111
Summary of Product Characteristics and Patient Information Leaflet
In accordance with Directive 2010/84/EU, the current approved UK versions of the
Summary of Product Characteristics (SmPC) and Patient Information Leaflet (PIL)
for this product are available on the MHRA website.
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UKPAR Naproxen Tablets BP 500 mg
PL 21880/0111
Labelling
Carton:
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UKPAR Naproxen Tablets BP 500 mg
PL 21880/0111
Blister:
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