UKPAR Sodium Cromoglicate 2% w/v Eye drops, Solution PL 35533/0031-0033 Sodium Cromoglicate 2% w/v Eye drops, Solution (Sodium cromoglicate) PL 35533/0031-0033 UKPAR TABLE OF CONTENTS Lay Summary Page 2 Scientific discussion Page 4 Steps taken for assessment Page 12 Summary of Product Characteristics Page 13 Patient Information Leaflet Page 14 Labelling Page 15 1 UKPAR Sodium Cromoglicate 2% w/v Eye drops, Solution PL 35533/0031-0033 LAY SUMMARY Sodium Cromoglicate 2% w/v Eye drops, Solution (Sodium cromoglicate) This is a summary of the Public Assessment Report (PAR) for duplicate applications for Sodium Cromoglicate 2% w/v Eye drops, Solution (PL 35533/0031-0033). These medicinal products will be referred to as Sodium Cromoglicate 2% w/v Eye drops, Solution in the remainder of this report. This summary explains how the applications for Sodium Cromoglicate 2% w/v Eye drops, Solution were assessed and their authorisation recommended, as well as their conditions of use. It is not intended to provide practical advice on how to use Sodium Cromoglicate 2% w/v Eye drops, Solution. For practical information about using Sodium Cromoglicate 2% w/v Eye drops, Solution, patients should read the package leaflet or contact their doctor or pharmacist. What is Sodium Cromoglicate 2% w/v Eye drops, Solution and what is it used for? Sodium Cromoglicate 2% w/v Eye drops, Solution contains the active substance sodium cromoglicate. Sodium Cromoglicate 2% w/v Eye drops, Solution is used for the relief and treatment of eye allergies. These duplicate medicinal products are identical to Sodium Cromoglicate 2% w/v Eye Drops, Solution (PL 25298/0033), which was authorised to Brown & Burk UK Ltd on 29th March 2012. The company, Brown & Burk UK Ltd, has agreed that the scientific data presented for Sodium Cromoglicate 2% w/v Eye Drops, Solution (PL 25298/0033) can be used for the applications for Sodium Cromoglicate 2% w/v Eye drops, Solution (PL 35533/0031-0033). How is Sodium Cromoglicate 2% w/v Eye drops, Solution used? Sodium Cromoglicate 2% w/v Eye drops, Solution is for use as eye drops. The dosage for adults and children over 6 years is usually 1-2 drops administered into each eye four times daily. There is no evidence to suggest that a different dose is needed for elderly patients. Sodium Cromoglicate 2% w/v Eye drops, Solution is not recommended for children under 6 years of age Sodium Cromoglicate 2% w/v Eye drops, Solution come in a bottle with a screw cap. When using the drops for the first time, patients should ensure the tamper-proof base ring with cap is not broken. Always wash your hands before using this medicine. Sodium Cromoglicate 2% w/v Eye drops, Solution can be obtained from a pharmacy. For further information on how Sodium Cromoglicate 2% w/v Eye drops, Solution is used, please see the Summary of Product Characteristics or the package leaflet available on the MHRA website. How does Sodium Cromoglicate 2% w/v Eye drops, Solution work? 2 UKPAR Sodium Cromoglicate 2% w/v Eye drops, Solution PL 35533/0031-0033 Sodium Cromoglicate Eye Drops contain a substance called sodium cromoglicate which belongs to a group of medicines known for their anti-allergy activity. It works by stopping the release of the natural substances in the eyes that can lead to an allergic reaction. How has Sodium Cromoglicate 2% w/v Eye drops, Solution been studied? Sodium Cromoglicate 2% w/v Eye drops, Solution is a duplicate of the previously granted application for Sodium Cromoglicate 2% w/v Eye Drops, Solution (PL 25298/0033; Brown & Burk UK Ltd). The company referred to data provided by Brown & Burk UK Ltd for the grant of a licence for Sodium Cromoglicate 2% w/v Eye Drops, Solution (PL 25298/0033) as the basis for the grant of licences for Sodium Cromoglicate 2% w/v Eye drops, Solution (PL 35533/0031-0033). What are the benefits and risks of Sodium Cromoglicate 2% w/v Eye drops, Solution? As Sodium Cromoglicate 2% w/v Eye drops, Solution (PL 35533/0031-0033) are considered identical to Sodium Cromoglicate 2% w/v Eye Drops, Solution (PL 25298/0033), its benefits and risks are taken as being the same as those for Sodium Cromoglicate 2% w/v Eye Drops, Solution (PL 25298/0033) Why is Sodium Cromoglicate 2% w/v Eye drops, Solution approved? No new or unexpected safety concerns arose from these duplicate applications. It was, therefore, considered that the benefits of Sodium Cromoglicate 2% w/v Eye drops, Solution outweigh the identified risks; and the grant of Marketing Authorisations was recommended. What measures are being taken to ensure the safe and effective use of Sodium Cromoglicate 2% w/v Eye drops, Solution? A risk management plan has been developed to ensure that Sodium Cromoglicate 2% w/v Eye drops, Solution is used as safely as possible. Based on this plan, safety information has been included in the Summary of Product Characteristics and the package leaflet for Sodium Cromoglicate 2% w/v Eye drops, Solution, including the appropriate precautions to be followed by healthcare professionals and patients. Other information about Sodium Cromoglicate 2% w/v Eye drops, Solution Marketing Authorisations were granted in the UK on 22nd August 2014. For more information about taking Sodium Cromoglicate 2% w/v Eye drops, Solution, read the package leaflet, or contact your doctor or pharmacist. This summary was last updated in October 2014. The full PAR for Sodium Cromoglicate 2% w/v Eye drops, Solution follows this summary. 3 UKPAR Sodium Cromoglicate 2% w/v Eye drops, Solution PL 35533/0031-0033 Sodium Cromoglicate 2% w/v Eye drops, Solution (Sodium cromoglicate) PL 35533/0031-0033 SCIENTIFIC DISCUSSION TABLE OF CONTENTS Introduction Page 5 Pharmaceutical assessment Page 6 Non-clinical assessment Page 9 Clinical assessment Page 10 Overall conclusion and benefit/risk assessment Page 11 4 UKPAR Sodium Cromoglicate 2% w/v Eye drops, Solution PL 35533/0031-0033 INTRODUCTION The Medicines and Healthcare products Regulatory Agency (MHRA) granted Aspire Pharma Limited Marketing Authorisations for the medicinal products Sodium Cromoglicate 2% w/v Eye drops, Solution (PL 35533/0031-0033) on 22nd August 2014. These pharmacy (P) medicines are used for the relief and treatment of seasonal and perennial allergic conjunctivitis. These products will be referred to as Sodium Cromoglicate 2% w/v Eye drops, Solution throughout this report. These duplicate applications were submitted as simple applications according to Article 10c of Directive 2001/83/EC, as amended. The applicant has cross-referred to Sodium Cromoglicate 2% w/v Eye Drops, Solution (PL 25298/0033), which was authorised to Brown & Burk UK Ltd on 29th March 2012. No new data were submitted nor were they necessary for these simple applications, as the data are identical to those of the previously granted cross-reference product. The MHRA has been assured that acceptable standards of Good Manufacturing Practice (GMP) are in place for these product types at all sites responsible for the manufacture and assembly of these products. A summary of the pharmacovigilance system and a detailed risk management plan have been provided with these applications and these are satisfactory. 5 UKPAR Sodium Cromoglicate 2% w/v Eye drops, Solution PL 35533/0031-0033 PHARMACEUTICAL ASSESSMENT LICENCE NO: PL 35533/0031-0033 PROPRIETARY NAME: Sodium Cromoglicate 2% w/v Eye drops, Solution COMPANY NAME: Aspire Pharma Limited E.C. ARTICLE: Article 10c of Directive 2001/83/EC, as amended LEGAL STATUS: P 1 INTRODUCTION These are informed consent applications for Sodium Cromoglicate 2% w/v Eye drops, Solution, submitted under Article 10c of Directive 2001/83/EC, as amended. The applicant has cross-referred to Sodium Cromoglicate 2% w/v Eye Drops, Solution which was authorised to Brown & Burk UK Ltd on 29th March 2012. The current applications are considered valid. 2 MARKETING AUTHORISATION APPLICATION (MAA) 2.1 Name(s) The proposed name of the products is Sodium Cromoglicate 2% w/v Eye drops, Solution. The products have been named in line with current requirements. 2.2 Strength, pharmaceutical form, route of administration, container and pack sizes These products are eye drop solutions and contain 2% w/v sodium cromoglicate. The solution is packed in a low density polyethylene (LDPE) blow fill seal (BFS) container with white polypropylene spiked screw cap having a tamper-proof base ring containing 5 ml and 10 ml. Not all pack sizes may be marketed. Specifications and Certificates of Analysis for all packaging components used have been provided and are satisfactory. The packaging and pack sizes are the same as those for the cross-reference product. The proposed shelf-lives are 30 months for unopened bottle with no special storage conditions, and 4 weeks after opening with a storage condition ‘Do not store above 25°C’. The shelf-lives and storage conditions are identical to those for the cross-reference product and are satisfactory. 2.3 Legal status Sodium Cromoglicate 2% w/v Eye drops, Solution is supplied through a pharmacy (P). 2.4 Marketing Authorisation Holder/Contact Persons/Company The proposed Marketing Authorisation holder is Aspire Pharma Limited, Bellamy House, Winton Road, Petersfield, Hampshire, GU32 3HA, United Kingdom 6 UKPAR Sodium Cromoglicate 2% w/v Eye drops, Solution PL 35533/0031-0033 2.5 Manufacturers The proposed manufacturing sites are consistent with those registered for the crossreference product and evidence of Good Manufacturing Practice (GMP) compliance has been provided. 2.6 Qualitative and quantitative composition The proposed formula is consistent with the details registered for the cross-reference product. 2.7 Manufacturing processes The proposed manufacturing processes are consistent with the details registered for the cross-reference product and the maximum full scale batch size is stated. 2.8 Finished product specifications The proposed finished product specifications, at release and shelf-life, are in line with the details registered for the cross-reference product. 2.9 Drug substance specification The proposed drug substance specification conforms to the current European Pharmacopoeia monograph for sodium cromoglicate and is in line with that for the cross-reference product. A European Directorate for the Quality of Medicines and Healthcare (EDQM) Certificate of Suitability for the manufacture of sodium cromoglicate has been provided. The active substance manufacturer is the same as the manufacturer approved for the cross-reference product. 2.10 TSE Compliance No materials of animal or human origin are included in these products. This is consistent with the cross-reference product. 2.11 Bioequivalence No bioequivalence data are required to support these informed consent applications, as the proposed products are manufactured to the same formula utilising the same process as the cross-reference product, Sodium Cromoglicate 2% w/v Eye Drops, Solution (PL 25298/0033). 3 EXPERT REPORTS The applicant has cross-referred to the data for cross-reference product, Sodium Cromoglicate 2% w/v Eye Drops, Solution (PL 25298/0033), to which they are claimed to be identical. This is acceptable. The applicant has included detailed expert reports for the application. Signed declarations and copies of the experts’ CVs are enclosed 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 products is identical to that of the cross-reference product. 7 UKPAR Sodium Cromoglicate 2% w/v Eye drops, Solution 5. PL 35533/0031-0033 SUMMARIES OF PRODUCT CHARACTERISTICS (SmPCs) The proposed SmPCs are consistent with the details registered for the cross-reference product. 6. PATIENT INFORMATION LEAFLET (PIL)/LABELLING The package leaflet is identical to the leaflet for the reference product. A satisfactory user testing has been provided. The proposed artwork complies with the relevant statutory requirements. In line with current legislation the applicant has also included the name of the product in Braille on the outer packaging and sufficient space for a standard UK pharmacy dispensing label. 7. CONCLUSION The data submitted with the applications are acceptable. The grant of Marketing Authorisations is recommended. 8 UKPAR Sodium Cromoglicate 2% w/v Eye drops, Solution PL 35533/0031-0033 NON-CLINICAL ASSESSMENT No new non-clinical data have been supplied with these applications and none are required for applications of this type. A satisfactory justification has been provided for not submitting an environmental risk assessment (ERA). 9 UKPAR Sodium Cromoglicate 2% w/v Eye drops, Solution PL 35533/0031-0033 CLINICAL ASSESSMENT No new clinical data have been supplied with these applications and none are required for applications of this type. 10 UKPAR Sodium Cromoglicate 2% w/v Eye drops, Solution PL 35533/0031-0033 OVERALL CONCLUSION AND BENEFIT/RISK ASSESSMENT QUALITY The data for these applications are consistent with those previously assessed for the cross-reference product and, as such, have been judged to be satisfactory. NON-CLINICAL No new non-clinical data were submitted and none are required for applications of this type. CLINICAL These applications are identical to the previously granted application for Sodium Cromoglicate 2% w/v Eye Drops, Solution (PL 25298/0033), authorised to Brown & Burk UK Ltd on 29th March 2012. No new or unexpected safety concerns arose from these applications. The SmPCs, PIL and labelling are satisfactory and consistent with those for the crossreference product. BENEFIT RISK ASSESSMENT The quality of the products is acceptable and no new non-clinical or clinical concerns have been identified. The applicant’s products are identical to the cross-reference product. Extensive clinical experience with sodium cromoglicate is considered to have demonstrated the therapeutic value of the compound. The benefit risk is, therefore, considered to be positive. 11 UKPAR Sodium Cromoglicate 2% w/v Eye drops, Solution PL 35533/0031-0033 Sodium Cromoglicate 2% w/v Eye drops, Solution (Sodium cromoglicate) PL 35533/0031-0033 STEPS TAKEN FOR ASSESSMENT 1 The MHRA received the Marketing Authorisation applications on 25th June 2013 2 Following standard checks and communication with the applicant the MHRA considered the applications valid on 4th July 2013 3 Following assessment of the applications the MHRA requested further information on 17th September 2013, 15th November 2013, 20th February 2014 and 2nd April 2014 4 The applicant responded to the MHRA’s request, providing further information on 25th October 2013, 25th January 2014, 26th March 2014 and 16th June 2014 5 The applications were determined on 22nd August 2014 12 UKPAR Sodium Cromoglicate 2% w/v Eye drops, Solution PL 35533/0031-0033 SUMMARY OF PRODUCT CHARACTERISTICS In accordance with Directive 2010/84/EU the Summaries of Product Characteristics (SmPCs) for products that have been granted Marketing Authorisations at a national level are available on the MHRA website. 13 UKPAR Sodium Cromoglicate 2% w/v Eye drops, Solution PL 35533/0031-0033 PATIENT INFORMATION LEAFLET In accordance with Directive 2010/84/EU the Patient Information Leaflets (PILs) for products that have been granted Marketing Authorisations at a national level are available on the MHRA website. 14 UKPAR Sodium Cromoglicate 2% w/v Eye drops, Solution PL 35533/0031-0033 LABELLING 15 UKPAR Sodium Cromoglicate 2% w/v Eye drops, Solution PL 35533/0031-0033 16 UKPAR Sodium Cromoglicate 2% w/v Eye drops, Solution PL 35533/0031-0033 17 UKPAR Sodium Cromoglicate 2% w/v Eye drops, Solution PL 35533/0031-0033 18 UKPAR Sodium Cromoglicate 2% w/v Eye drops, Solution PL 35533/0031-0033 19 UKPAR Sodium Cromoglicate 2% w/v Eye drops, Solution PL 35533/0031-0033 20 UKPAR Sodium Cromoglicate 2% w/v Eye drops, Solution PL 35533/0031-0033 21 UKPAR Sodium Cromoglicate 2% w/v Eye drops, Solution PL 35533/0031-0033 22 UKPAR Sodium Cromoglicate 2% w/v Eye drops, Solution PL 35533/0031-0033 23
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