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EMA CHMP Meeting Agenda March 2026

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Summary

The European Medicines Agency (EMA) has published the agenda for the Committee for Medicinal Products for Human Use (CHMP) meeting scheduled for March 23-26, 2026. The agenda outlines 23 procedures, including annual reassessments and Periodic Safety Update Reports (PSURs), for review by the committee.

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What changed

This document is the agenda for the EMA's Committee for Medicinal Products for Human Use (CHMP) meeting from March 23-26, 2026. It lists 23 procedures to be discussed, including annual reassessments for drugs like Lojuxta (Lomitapide) and Raxone (Idebenone), and a PSUR for CARVYKTI (Ciltacabtagene autoleucel). Some information is marked as commercially confidential and not disclosed.

This agenda serves as a working document for CHMP members and outlines the committee's work. While it indicates the procedures to be reviewed, specific therapeutic indications or review scopes may vary and will be further detailed in CHMP meeting highlights upon finalization. The document also references policies on access to documents and abbreviations used by the EMA.

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Mar 23, 2026

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Committee for medicinal products for human use (CHMP)
Annex to 23-26 March 2026 CHMP Agenda
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3/23/2026
EMA/CHMP/49808/2026
Human Medicines Division
Disclaimer: Some of the information contained in this agenda 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, this agenda is a working document primarily designed for CHMP members and the work the Committee. Note on access to documents: Some documents mentioned in the agenda 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 ongoing procedures for which a final decision has not yet been adopted. 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).
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Note: This document is an integral part of the March 2026 agenda.
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For a list of acronyms and abbreviations, see: Abbreviations in relation to EMA regulatory activities ****
Access to documents: EMA Policy on Access to Documents
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Chair: Bruno Sepodes – Vice-Chair: Outi Mäki-Ikola
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Cells with commercially confidential information are left blank *Classification column identifies only quality scopes.
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Procedure Process Type (Invented) name Substance(s) Applicant Scope* Commettee Meeting Attribute Classification** Worksharing Rapporteur Co-Rapporteur PRAC Rapporteur
Case Title (Case) (Case) Process Type Invented name (Case Lead Product) (Product (EMA)) Active substance(s) (Case Lead Product) (Product (EMA)) Customer (Case) (Case) Precise scope (case) (Case) (Case) Committee Meeting Attributes relates to Worksharing (Case) (Case) Rapporteur (Case) (Case) Co-Rapporteur (Case) (Case) PRAC rapporteur (Case) (Case)
EMA/S/0000290089 Annual reassessment - H Lojuxta Lomitapide Chiesi Farmaceutici S.p.A. No Patrick Vrijlandt Bianca Mulder
EMA/S/0000310527 Annual reassessment - H Raxone Idebenone Chiesi Farmaceutici S.p.A. No John Joseph Borg Amelia Cupelli
EMA/S/0000316340 Annual reassessment - H Defitelio Defibrotide Gentium S.r.l. No Kristina Dunder Mari Thorn
EMA/PSUR/0000311150 PSUR CARVYKTI Ciltacabtagene autoleucel Janssen Cilag International ATMP No Jo Robays
EMA/PSUR/0000311160 PSUR Fycompa Perampanel Eisai GmbH No Tiphaine Vaillant
EMA/PSUR/0000311141 PSUR Tecvayli Teclistamab Janssen Cilag International No Veronika Macurova
EMA/PSUR/0000311184 PSUR Qdenga DENGUE TETRAVALENT VACCINE (LIVE, ATTENUATED) Takeda GmbH No Liana Martirosyan
EMA/PSUR/0000311064 PSUR RINVOQ Upadacitinib Abbvie Deutschland GmbH & Co. KG No Petar Mas
EMA/PSUR/0000308360 PSUR Dengue Tetravalent Vaccine (Live, Attenuated) Takeda DENGUE TETRAVALENT VACCINE (LIVE, ATTENUATED) Takeda GmbH No Liana Martirosyan
EMA/PSUR/0000311151 PSUR Kapruvia Difelikefalin Vifor Fresenius Medical Care Renal Pharma France No Mari Thorn
EMA/PSUR/0000311145 PSUR Voxzogo Vosoritide Biomarin International Limited No Zane Neikena
EMA/PSUR/0000311177 PSUR ALTUVOCT Efanesoctocog alfa Swedish Orphan Biovitrum AB (publ) N/A No Amelia Cupelli
EMA/R/0000323237 Renewal - 1 year Ezmekly Mirdametinib Springworks Therapeutics Ireland Limited No Alexandre Moreau Bianca Mulder
EMA/R/0000317381 Renewal - 1 year Lytgobi Futibatinib Taiho Pharma Netherlands B.V. No Peter Mol Mari Thorn
EMA/R/0000319073 Renewal - 1 year Rozlytrek Entrectinib Roche Registration GmbH No Paolo Gasparini Bianca Mulder
EMA/R/0000316670 Renewal - 1 year Duvyzat Givinostat Italfarmaco S.p.A. No Janet Koenig Liana Martirosyan
EMA/R/0000319964 Renewal - 1 year Aucatzyl Obecabtagene autoleucel Autolus GmbH No Berendina Maria van den Hoorn Karin Erneholm
EMA/R/0000314834 Renewal - 5 year Fingolimod Mylan Fingolimod Mylan Pharmaceuticals Limited No Kristina Nadrah Tiphaine Vaillant
EMA/R/0000316559 Renewal - 5 year Cometriq Cabozantinib Ipsen Pharma No Peter Mol Ingrid Wang Bianca Mulder
EMA/R/0000314604 Renewal - 5 year Voxzogo Vosoritide Biomarin International Limited First 5-years renewal No Janet Koenig Christian Gartner Zane Neikena
EMA/VR/0000308170 Variation type IB Bylvay KAYFANDA Odevixibat Odevixibat Ipsen Pharma Quality Yes Patrick Vrijlandt
EMA/VR/0000314304 Variation type IB Imatinib Teva Imatinib Teva B.V. C.I.2.a - to update section 4.5 of SmPC with new paragraph related to interaction with Methotrexate. Following changes of reference product texts Glivec (EMA/VR/0000290092) sections 4.2, 4.8 and 5.1 of the SmPC (reordering of text) and Sections 3 and 6 of PL were updated. The MAH took also the opportunity to apply the following additional changes: • Adaption to the latest QRD-template; • Minor editorial changes (format changes, e.g. spacing or indentation, correcting typos, reordering of text) For EMEA/H/C/002585 only: • Changes within list of local representatives in section 6 of the PL for: MT, ES and deletion of UK(NI); • Minor editorial changes in translations for EL, HU and MT. Yes Carolina Prieto Fernandez
EMA/VR/0000327271 Variation type IB Ranivisio Epruvy Ranibizumab Ranibizumab Midas Pharma GmbH Quality Yes Jan Mueller-Berghaus
EMA/VR/0000313630 Variation type IB Ranivisio Epruvy Ranibizumab Ranibizumab Midas Pharma GmbH Quality Yes Jan Mueller-Berghaus
EMA/VR/0000285852 Variation type IB Xarelto Rivaroxaban Bayer AG Quality Yes Kristina Dunder
EMA/VR/0000310736 Variation type IB Forxiga Xigduo Qtern Edistride Ebymect Dapagliflozin Dapagliflozin / Metformin Saxagliptin / Dapagliflozin Dapagliflozin Dapagliflozin / Metformin AstraZeneca AB C.I.3.z - to update section 4.4 of the SmPC following the CHMP conclusion dated 16 October 2025 using the PRAC agreed wording to conclude the PAM (LEG) procedure (EMA/PAM/0000289605). Yes Kristina Dunder
EMA/VR/0000310403 Variation type IB Lenalidomide Krka Lenalidomide KRKA tovarna zdravil d.d. Novo mesto C.I.11.z - to update Annex IID and the RMP following the outcome of the renewal procedure (EMA/R/0000272358). The RMP has been updated in accordance with the changes to the reference product's RMP as requested. Yes Andreja Kranjc Tiphaine Vaillant
EMA/VR/0000323424 Variation type IB Trulicity Cyramza Taltz Emgality Omvoh Kisunla Dulaglutide Ramucirumab Ixekizumab Galcanezumab Mirikizumab Donanemab Eli Lilly Nederland B.V. Eli Lilly Nederland B.V. Eli Lilly and Co (Ireland) Limited Eli Lilly Nederland B.V. Eli Lilly Nederland B.V. Eli Lilly Nederland B.V. Quality Yes Janet Koenig
EMA/VR/0000325497 Variation type IB Lixiana Roteas Edoxaban Edoxaban Daiichi Sankyo Europe GmbH Berlin-Chemie AG Quality Yes Antonio Gomez-Outes
EMA/VR/0000324776 Variation type IB Binocrit Epoetin alfa Hexal Abseamed Epoetin alfa Epoetin alfa Epoetin alfa Sandoz GmbH H e x a l AG Medice Arzneimittel Puetter GmbH & Co. KG Quality Yes Alexandre Moreau
EMA/VR/0000314312 Variation type IB Cometriq CABOMETYX Cabozantinib Cabozantinib Ipsen Pharma Quality Yes Ingrid Wang
EMA/VR/0000310964 Variation type IB Insuman Lantus Toujeo Apidra Insulin human Insulin glargine Insulin glargine Insulin glulisine Sanofi-Aventis Deutschland GmbH C.z – to update section 4.9 of the SmPC by removing the route of administration of glucagon in the PIs of insulin-containing medicinal products. The same rationale applies in section Hyperglycaemia and Hypoglycaemia of the Package Leaflet (What should you do if you experience hypoglycaemia). Additionally, the applicant takes the opportunity to reinstate the below texts for Apidra and Lantus (“Other side effects” section), which is the standard template sentence on "Other side effects" in PL, and that were omitted inadvertently in the PL: “Tell your doctor, pharmacist or nurse if you notice any of the following side effects:” Furthermore, the MAH has made some minor editorial corrections and formatting changes in the English SmPC and Package Leaflet of Lantus, Toujeo and Apidra. Finally, the MAH also takes the opportunity to update the local representative information in the Package Leaflet as follows: • Apidra: UK-NI (deletion) and Iceland (name change) and Italy (telephone number change). • Lantus: UK-NI (deletion) and Iceland (name change) and Italy (telephone number change). • Toujeo: Italy (telephone number change). • Insuman: Italy (telephone number change: adding the international country code as(+39)). Yes Karin Janssen van Doorn
EMA/VR/0000327316 Variation type IB Baiama Ahzantive Aflibercept Aflibercept Formycon AG Quality Yes Tomas Radimersky
EMA/VR/0000300752 Variation type IB Febuxostat Krka Febuxostat KRKA tovarna zdravil d.d. Novo mesto Quality Yes John Joseph Borg
EMA/VR/0000315651 Variation type IB Hexacima Hexyon diphtheria, tetanus, pertussis (acellular, component), hepatitis b (rdna), poliomyelitis (inact.) and haemophilus type b conjugate vaccine (adsorbed)// diphtheria, tetanus, pertussis (acellular, component), hepatitis b (rdna), poliomyelitis (inact.) and haemophilus type b conjugate vaccine (adsorbed) Sanofi Winthrop Industrie Quality Yes Jan Mueller-Berghaus
EMA/VR/0000328217 Variation type IB Lenvima Kisplyx Lenvatinib Lenvatinib Eisai GmbH C.3.b - to update section 4.8 of the EN SmPC, resulting from the final assessment report, dated 11 December 2025, for paediatric study E7080-G000-231, which was submitted in accordance with Article 46 of regulation (EC) No 1901/2006 (Procedure no.: EMA/PAM/0000279817 and EMA/PAM/0000279841). Yes Karin Janssen van Doorn
EMA/VR/0000325499 Variation type IB Lixiana Roteas Edoxaban Edoxaban Daiichi Sankyo Europe GmbH Berlin-Chemie AG Quality Yes Antonio Gomez-Outes
EMA/VR/0000320740 Variation type II Padcev Enfortumab vedotin Astellas Pharma Europe B.V. Quality No Thalia Marie Estrup Blicher
EMA/VR/0000321341 Variation type II IMULDOSA Ustekinumab Accord Healthcare S.L.U. Quality No Ruth Kieran
EMA/VR/0000321396 Variation type II ROMVIMZA Vimseltinib Deciphera Pharmaceuticals (Netherlands) B.V. Update of section 4.5 of the SmPC in order to add drug-drug interaction information with P-gp substrates based on pharmacokinetic modelling and simulation; the Package Leaflet is updated accordingly. No Martin Mengel
EMA/VR/0000319629 Variation type II Cyanokit Hydroxocobalamin Serb Quality No Alexandre Moreau
EMA/VR/0000320815 Variation type II Rezdiffra Resmetirom Madrigal Pharmaceuticals EU Limited A grouped application consisting of: C.I.13: Submission of the final report from study MGL-3196-21. This is phase 1, multi-center, open-label study to evaluate the pharmacokinetics, safety, and tolerability of multiple oral doses (6 days) of 100 mg resmetirom in subjects with severe renal impairment and in matched healthy control subjects with normal renal function. C.I.13: Submission of the final report from study MGL-3196-24. This is a phase 1, single-center, open-label, drug interaction study of resmetirom with rosuvastatin in healthy subjects. No Janet Koenig
EMA/VR/0000320482 Variation type II Dupixent Dupilumab Sanofi Winthrop Industrie Update of section 5.1 of the SmPC in order to update clinical efficacy information based on final results from the phase 4 study LPS15834 (VESTIGE); this is a 24-week multicenter, randomized, double-blind, placebo-controlled, parallel group global phase IV study evaluating the effect of dupilumab on airway inflammation and structural changes in patients with moderate to severe type 2 asthma. In addition, the MAH took the opportunity to introduce additional changes to the Instructions for Use section. No Jan Mueller-Berghaus
EMA/VR/0000264105 Variation type II Arava Leflunomide Sanofi-Aventis Deutschland GmbH Submission of an updated RMP version 6.0 in order to address query raised by PRAC EMEA/H/C/PSUSA/00001837/202309 on the effectiveness and usefulness of the additional risk minimization measures (aRMMs) specifically related to the safety concerns hepatic reactions, blood cytopenia, and infections. No Peter Mol Liana Martirosyan
EMA/VR/0000315759 Variation type II Ruxience Rituximab Pfizer Europe MA EEIG Quality No Peter Mol
EMA/VR/0000316398 Variation type II Ziihera Zanidatamab Jazz Pharmaceuticals Ireland Limited Update of sections 5.1, and 5.2 of the SmPC in order to update pharmacokinetic information based on final results from study ZW25-ZW1-101 and PopPK analysis. Study 101 is a phase 1 trial of ZW25 in patients with locally advanced (unresectable) and/or metastatic HER2-expressing cancers. In addition, the MAH took the opportunity to introduce editorial changes to the PI. No Thalia Marie Estrup Blicher
EMA/VR/0000320821 Variation type II Flucelvax influenza vaccine (surface antigen, inactivated, prepared in cell cultures) Seqirus Netherlands B.V. Quality No Sol Ruiz
EMA/VR/0000322828 Variation type II Qoyvolma Ustekinumab Celltrion Healthcare Hungary Kft. Quality No Ruth Kieran
EMA/VR/0000293786 Variation type II Hexacima Hexyon diphtheria, tetanus, pertussis (acellular, component), hepatitis b (rdna), poliomyelitis (inact.) and haemophilus type b conjugate vaccine (adsorbed)// diphtheria, tetanus, pertussis (acellular, component), hepatitis b (rdna), poliomyelitis (inact.) and haemophilus type b conjugate vaccine (adsorbed) Sanofi Winthrop Industrie Quality Yes Jan Mueller-Berghaus
EMA/VR/0000303055 Variation type II Epidyolex Cannabidiol Jazz Pharmaceuticals Ireland Limited A grouped application consisting of: C.I.4: Update of section 5.3 of the SmPC in order to add information about genotoxicity based on final results from study GWTX21060 following EU Letter of Recommendations, agreed during the initial MAA. This study concerns embryo-fetal development in the rat. The MAH also included updates to the Multiples of Human Exposure detailed in the non-clinical data included in section 5.3 of the SmPC. In addition, the MAH took the opportunity to introduce editorial changes to the PI. C.I.4: Update of section 5.3 of the SmPC in order to add information about genotoxicity based on final results from study GWTX21062 following EU Letter of Recommendations, agreed during the initial MAA. This study concerns a pre- and postnatal development study in rat. C.I.13: Submission of the final report from genotoxicity study JZP926-TX-1495 concerning cytogenic test for chromosomal damage following EU Letter of Recommendations, agreed during the initial MAA. C.I.13: Submission of the final report from genotoxicity study JZP926-TX-1805 concerning rat bone marrow micronucleus assay following EU Letter of Recommendations, agreed during the initial MAA. No Thalia Marie Estrup Blicher
EMA/VR/0000289986 Variation type II Flebogamma DIF Human normal immunoglobulin Instituto Grifols S.A. Quality Yes Jan Mueller-Berghaus
EMA/VR/0000313332 Variation type II Ezmekly Mirdametinib Springworks Therapeutics Ireland Limited A grouped application consisting of: C.I.4: Update of section 5.2 of the SmPC in order to introduce the results from the in vitro study KC245128 investigating the reversible inhibitory potential of mirdametinib and PD-0315209 on CYP2C8, CYP2C9, CYP2C19, CYP1A2, CYP2D6, and CYP3A4. C.I.4: Update of section 5.2 of the SmPC in order to introduce the results from the in vitro study KC255037 investigating the potential inhibitory effect of PD-0315209 on UGT enzymes. C.I.4: Update of section 5.2 of the SmPC in order to introduce the results from the in vitro studies KC245140 and KC248110 investigating the CYP enzyme and transporter inhibitory potential of M22. C.I.13: Submission of the final report from the in vitro study KC255048 conducted to determine the mirdametinib Ki and Kinact for CYP2C19. C.I.13: Submission of the final report from from the in vitro investigation SPWT-20250515B (IVBU) of the pharmacological activity of M30. No Alexandre Moreau
EMA/VR/0000304947 Variation type II Korjuny Catumaxomab Atnahs Pharma Netherlands B.V. Submission of the final report from study concerning the validation of quantification of EpCAM-positive cells in malignant ascites samples for EpCAM CytoDetect Assay implementation using HO-3 primary anti-body to fulfil commitment given during the Marketing Authorisation Application (EMEA/H/C/005697). No Jan Mueller-Berghaus
EMA/VR/0000312940 Variation type II Darzalex Daratumumab Janssen Cilag International Update of section 4.2 of the SmPC in order to introduce, upon physician’s discretion, the possibility of self-administration of Darzalex SC by patients or their caregivers, based on results from four human factor studies. The Package Leaflet is updated accordingly. In addition, the Labelling section is updated to include information in Braille. No Thalia Marie Estrup Blicher
EMA/VR/0000296242 Variation type II Doptelet Avatrombopag Swedish Orphan Biovitrum AB (publ) A grouped application consisting of: C.I.11 for RMP: Submission of an updated RMP version 4.0 to propose the removal of missing information Use in splenectomy patients with chronic liver disease, Use in patients receiving interferon products and Safety in patients undergoing invasive procedures. C.I.11 for RMP: Submission of an updated RMP version 4.0 to propose to remove Targeted Medical Event Questionnaires. C.I.11 for RMP: Submission of an updated RMP version 4.0 to update information on immune thrombocytopenia (ITP) PASS and chronic liver disease (CLD) PASS studies. No Maria Martinez Gonzalez
EMA/VR/0000315906 Variation type II Remsima Infliximab Celltrion Healthcare Hungary Kft. Quality No Outi Mäki-Ikola
EMA/VR/0000320822 Variation type II Orkambi Lumacaftor / Ivacaftor Vertex Pharmaceuticals (Ireland) Limited Submission of the final report from study VX18-809-128 (study 128), listed as an obligation in the Annex II of the Product Information. This is a 6-year, observational, post-authorization efficacy study (PAES) in young children with cystic fibrosis (CF) aged 1 through 5 years at the time of Orkambi initiation. This study evaluated disease progression and safety using observational cohorts of children receiving therapy in a “real-world” setting. The Annex II and the RMP version 12.0 are updated accordingly. No Paolo Gasparini Eamon O Murchu
EMA/VR/0000320811 Variation type II Darzalex Daratumumab Janssen Cilag International Quality No Thalia Marie Estrup Blicher
EMA/VR/0000308742 Variation type II Ilumetri Tildrakizumab Almirall S.A. Update of section 5.1 of the SmPC with efficacy data of nail psoriasis based on final results from study TILD-18-19; this is a phase 3 b, multicenter, randomized, double-blind, placebo-controlled clinical study to assess the efficacy and safety of tildrakizumab in the treatment of moderate-to-severe nail psoriasis. No Jan Mueller-Berghaus
EMA/VR/0000304280 Variation type II Dazublys Trastuzumab Curateq Biologics s.r.o. Quality No Jan Mueller-Berghaus
EMA/VR/0000315088 Variation type II Erbitux Cetuximab Merck Europe B.V. Quality No Filip Josephson
EMA/VR/0000315350 Variation type II Omlyclo Omalizumab Celltrion Healthcare Hungary Kft. Quality No Finbarr Leacy
EMA/VR/0000301995 Variation type II Flucelvax influenza vaccine (surface antigen, inactivated, prepared in cell cultures) Seqirus Netherlands B.V. Quality No Sol Ruiz
EMA/VR/0000309688 Variation type II Visudyne Verteporfin Cheplapharm Arzneimittel GmbH Quality No Alexandre Moreau
EMA/VR/0000309145 Variation type II Itovebi Inavolisib Roche Registration GmbH Grouped application comprised of a Type II Variation and a Type IA Variation, as follows: Type II (C.I.4): Update of sections 4.2 and 5.2 of the SmPC in order to update posology recommendations for patients with severe renal impairment and to update pharmacokinetics information based on final results from study GP44944; this is a Phase I, open-label, multicenter, single-dose, parallel-group study to evaluate the effect of moderate or severe renal impairment on the pharmacokinetics, safety, and tolerability of a single oral dose of 6 mg inavolisib compared with demographically matched healthy subjects with normal renal function. In addition, the MAH took the opportunity to introduce minor corrections and formatting changes to the PI. Type IA (A.6): To include the ATC Code L01EM06 in section 5.1 of the SmPC. No Filip Josephson
EMA/VR/0000307073 Variation type II Perjeta Pertuzumab Roche Registration GmbH Update of sections 4.8 and 5.1 of the SmPC in order to update safety and efficacy data, based on final results from post-authorisation efficacy study BO25126 (APHINITY) listed as a specific obligation in the Annex II; this is a phase III, randomized multicenter, double-blind, placebo-controlled comparison of chemotherapy plus trastuzumab plus placebo versus chemotherapy plus trastuzumab plus pertuzumab as adjuvant therapy in patients with operable HER2-positive primary breast cancer; the Package Leaflet and Annex II are updated accordingly. The RMP version 15.0 has also been submitted. In addition, the MAH took the opportunity to introduce editorials changes to the PI. No Thalia Marie Estrup Blicher Marie Louise Schougaard Christiansen
EMA/VR/0000315309 Variation type II Kisqali Ribociclib Novartis Europharm Limited Update of sections 4.2, 5.1, and 5.2 of the SmPC in order to update information on paediatric population based on the final results from the study CLEE011Q12101 listed as study 3 of the PIP EMEA-002765-PIP02-21-M01 for Kisqali; this is a Phase I/II interventional study CLEE011Q12101 designed to determine a safe dose and treatment schedule of ribociclib when combined with TOTEM, with an aim to provide a therapeutic opportunity for pediatric patients with high unmet medical need, especially those with relapsed or refractory high-risk Neuroblastoma. No Filip Josephson
EMA/VR/0000316217 Variation type II Adjupanrix Pandemic influenza vaccine, monovalent (split virion, inactivated, adjuvanted) GlaxoSmithKline Biologicals Quality No Patrick Vrijlandt
EMA/VR/0000321405 Variation type II Kinpeygo Budesonide STADA Arzneimittel AG Update of sections 4.2, 4.8 and 5.1 of the SmPC in order to update efficacy and safety information regarding re-treatment, based on results from the Phase 3b Nef-301 OLE study. This is an Open-Label Extension (OLE) study to evaluate the efficacy and safety of Nefecon treatment in patients with IgA nephropathy who have completed study Nef-301. In addition, the MAH took the opportunity to introduce minor formatting changes to the PI. No Christian Gartner
EMA/VR/0000302930 Variation type II Twinrix Adult Twinrix Paediatric Ambirix HEPATITIS A (INACTIVATED) AND HEPATITIS B (RDNA) VACCINE (ADSORBED)// HEPATITIS A (INACTIVATED) AND HEPATITIS B (RDNA) VACCINE (ADSORBED)// HEPATITIS A (INACTIVATED) AND HEPATITIS B (RDNA) VACCINE (ADSORBED) GlaxoSmithKline Biologicals Quality Yes Christophe Focke
EMA/VR/0000325758 Variation type II SARCLISA Isatuximab Sanofi Winthrop Industrie Update of sections 4.4 and 4.8 of the SmPC in order to update information regarding anaphylactic reactions including fatal events, based on recent post-marketing surveillance data. The Package Leaflet is updated accordingly. In addition, the MAH took the opportunity to include minor editorial changes and to update the list of local representatives in the Package Leaflet. No Peter Mol
EMA/VR/0000332468 Variation type II Visudyne Verteporfin Cheplapharm Arzneimittel GmbH Quality No Alexandre Moreau
EMA/VR/0000319546 Variation type II Strensiq Asfotase alfa Alexion Europe Quality No Paolo Gasparini
EMA/VR/0000310706 Variation type II Perjeta Pertuzumab Roche Registration GmbH Quality No Thalia Marie Estrup Blicher
EMA/VR/0000319537 Variation type II PHELINUN Melphalan Adienne S.r.l. Quality No Peter Mol
EMA/VR/0000319763 Variation type II COMIRNATY COVID-19 mRNA vaccine BioNTech Manufacturing GmbH Quality No Filip Josephson
EMA/VR/0000320506 Variation type II Ponvory Ponesimod Laboratoires Juvise Pharmaceuticals Submission of the final report from non-interventional post authorisation safety study PCSNSP003693 listed as a category 3 study in the RMP. This is a Survey to Assess the Effectiveness of Ponvory Educational Materials for Additional Risk Minimization Measures in the European Union. No Karin Erneholm
EMA/VR/0000312915 Variation type II Hemangiol Propranolol Pierre Fabre Medicament A grouped application comprised of 3 Type II Variations, as follows: C.I.4: Update of sections 4.2 and 4.4 of the SmPC in order to delete the monitoring in relation to cardiovascular parameters after each dose increase, based on a comprehensive safety review. The Package Leaflet is updated accordingly. C.I.4: Update of sections 4.2 and 5.1 of the SmPC in order to update the percentage of patients showing relapse of symptoms after treatment discontinuation. C.I.4: Update of section 4.4 of the SmPC in order to update the existing warning on ‘PHACE syndrome’, based on literature data. In addition, the MAH took the opportunity to introduce changes to the PI, including additions, clarifications, corrections and formatting changes in line with the guidance. No Nicolas Beix
EMA/VR/0000320413 Variation type II Kaftrio Ivacaftor / Tezacaftor / Elexacaftor Vertex Pharmaceuticals (Ireland) Limited Submission of Part A (week 96) clinical study report for study VX21-445-125 (study 125). This is a Phase 3, open-label study to evaluate the long-term safety, tolerability, efficacy, and pharmacodynamics of elexacaftor/tezacaftor/ivacaftor (ELX/TEZ/IVA) in cystic fibrosis (CF) subjects ≥6 years of age who have qualifying non-F508del ELX/TEZ/IVA-responsive CFTR mutations. RMP version 10.3 has also been submitted. No Peter Mol Dennis Lex
EMA/VR/0000320816 Variation type II Remsima Infliximab Celltrion Healthcare Hungary Kft. Quality No Outi Mäki-Ikola
EMA/VR/0000319148 Variation type II Nulojix Belatacept Bristol-Myers Squibb Pharma EEIG Quality No Filip Josephson
EMA/VR/0000319887 Variation type II Kaftrio Ivacaftor / Tezacaftor / Elexacaftor Vertex Pharmaceuticals (Ireland) Limited Submission of the final report from the 5-year Post Authorisation Safety Study (PASS) VX20-445-120, listed as a category 3 study in the RMP. This is a longitudinal, registry based study evaluating the real-world effects and utilisation patterns of elexacaftor, tezacaftor, and ivacaftor combination therapy (ELX/TEZ/IVA) in patients with cystic fibrosis (CF). The RMP version 10.2 has also been submitted. No Dennis Lex
EMA/VR/0000320809 Variation type II Avonex Interferon beta-1A Biogen Netherlands B.V. Update of section 5.1 of the SmPC following the outcome of procedure PAM/0000245472, based on interim results from study 105MS306 (CHARGE). This is an open-label, randomized, multicenter, active-controlled, parallel-group study to evaluate the safety, tolerability, and efficacy of BIIB017 in pediatric subjects aged 10 to less than 18 years for the treatment of relapsing-remitting multiple sclerosis, with optional open-label extension. No Antonio Gomez-Outes
EMA/VR/0000316395 Variation type II Dexdor Dexmedetomidine Orion Corporation Submission of the final report from study ANZIC-RC/YS003 listed as a category 3 PASS in the RMP. It concerns sedation practice in intensive care evaluation [SPICE] III, early goal directed sedation compared with standard care in mechanically ventilated patients in intensive care. The RMP version 10.0 has also been submitted. No Karin Bolin
EMA/VR/0000319745 Variation type II Winrevair Sotatercept Merck Sharp & Dohme B.V. Quality No Patrick Vrijlandt
EMA/VR/0000319297 Variation type II Mosquirix PLASMODIUM FALCIPARUM AND HEPATITIS B VACCINE (RECOMBINANT, ADJUVANTED) GlaxoSmithKline Biologicals A grouped application consisting of: C.I.13: Submission of the final report from post authorisation safety study EPI-MAL-005 listed as a category 3 study in the RMP. This is an epidemiology study to assess Plasmodium falciparum parasite prevalence and malaria control measures in catchment areas of two interventional studies pre- and post RTS,S/AS01E introduction (EPI-MAL-002 and EPI-MAL-003) to assess, in field conditions, vaccine benefit:risk in children in sub-Saharan Africa. RMP version 7.0 has also been submitted. C.I.13: Submission of the final report from post authorisation safety study EPI-MAL-010 listed as a category 3 study in the RMP. This is a phase IV, longitudinal, cross-sectional, retrospective, ancillary epidemiology study of the EPI-MAL-005 study to evaluate the genetic diversity in the Plasmodium falciparum parasite circumsporozoite sequences before and after the implementation of the RTS,S/AS01E vaccine in malaria-positive subjects ranging from 6 months to less than 5 years of age. No Jean-Michel Dogné
EMA/VR/0000322540 Variation type II Lantus Insulin glargine Sanofi-Aventis Deutschland GmbH Quality No Patrick Vrijlandt
EMA/VR/0000320529 Variation type II IXCHIQ Chikungunya vaccine (live) Valneva Austria GmbH Quality No Christophe Focke
EMA/VR/0000319771 Variation type II Spectrila Asparaginase Medac Gesellschaft für klinische Spezialpräparate mbH Quality No Christian Gartner
EMA/VR/0000319709 Variation type II Pylclari Piflufolastat (18F) Curium Pet France Update of sections 4.4 and 5.1 of the SmPC in order to include a CE-marked software as an adjunct to the visual interpretation for standardized reporting and semi-quantitative assessment based on literature. No Antonio Gomez-Outes
EMA/VR/0000322246 Variation type II Flixabi Infliximab Samsung Bioepis NL B.V. Quality No Jan Mueller-Berghaus
EMA/VR/0000317717 Variation type II Nuvaxovid COVID-19 vaccine (recombinant, adjuvanted) Sanofi Winthrop Industrie A grouped application consisting of: Type II (C.I.4): Update of sections 4.8 and 5.1 of the SmPC in order to update safety and pharmacokinetic information based on final results from study 2019nCoV-301 (adolescent part). This is a Phase 3, Randomized, Observer-Blinded, Placebo Controlled Study To Evaluate The Efficacy, Safety, And Immunogenicity Of A Sars-Cov-2 Recombinant Spike Protein Nanoparticle Vaccine (Sars-Cov-2 Rs) With Matrix-M1™ Adjuvant In Adult Participants ≥ 18 Years With A Pediatric Expansion In Adolescents (12 To < 18 Years). The Package Leaflet is updated accordingly. Type II (C.I.4): Update of sections 4.8 and 5.1 of the SmPC in order to update safety and pharmacokinetic information based on final results from study 2019nCoV-311 part 2. This is a Multi-Part, Phase 3, Randomized, Observer Blinded Study to Evaluate the Safety and Immunogenicity of Omicron Subvariant and Bivalent SARS-CoV-2 rS Vaccines in Adults Previously Vaccinated with Other COVID-19 Vaccines. The Package Leaflet is updated accordingly. Type IB (C.I.z): to update the PI in accordance with the latest EMA excipients guideline. No Patrick Vrijlandt
EMA/VR/0000319983 Variation type II Beyfortus Nirsevimab Sanofi Winthrop Industrie Quality No Thalia Marie Estrup Blicher
EMA/VR/0000320218 Variation type II Olumiant Baricitinib Eli Lilly Nederland B.V. A grouped application consisting of: C.I.4: Update of sections 4.2 and 5.1 of the SmPC based on long-term efficacy data from Study I4V-MC-JAHO in adults with alopecia areata. This is a Multicentre, Randomised, Double-Blind, Placebo-Controlled, Operationally Seamless, Adaptive Phase 2/3 Study to Evaluate the Efficacy and Safety of Baricitinib in Adult Patients with Severe or Very Severe Alopecia Areata. C.I.4: Update of sections 4.2 and 5.1 of the SmPC based on long-term efficacy data from Study I4V-MC-JAIR in adults with alopecia areata. This is a Multicentre, Randomised, Double-Blind, Placebo-Controlled, Phase 3 Study to Evaluate the Efficacy and Safety of Baricitinib in Adult Participants with Severe or Very Severe Alopecia Areata. No Peter Mol
EMA/VR/0000320170 Variation type II Evenity Romosozumab UCB Pharma Submission of the final report of the EU PASS study OP0006 listed as a category 3 study in the RMP. The OP0006 EU PASS study is a European non-interventional post authorization safety study related to serious infections for romosozumab. The RMP version 3.0 has also been submitted. No Tiphaine Vaillant
EMA/VR/0000316339 Variation type II Nemluvio Nemolizumab Galderma International A grouped application comprised of two Type II Variations, as follows: C.I.4: Update of sections 4.8 and 5.1 of the SmPC in order to update clinical safety and efficacy information based on interim results from the ARCADIA long-term extension (LTE) study (RD.06.SIR.118163) listed as a category 3 study in the RMP; this is a Phase 3 prospective, multicenter, open-label, long-term extension study evaluating the long-term safety and efficacy of nemolizumab in adolescent and adult subjects with moderate-to-severe atopic dermatitis (AD). C.I.4: Update of sections 4.8 and 5.1 of the SmPC in order to update clinical safety and efficacy information based on interim results from the OLYMPIA long-term extension (LTE) study (RD.06.SIR.202699) listed as a category 3 study in the RMP; this is a Phase 3 prospective, multicenter, open-label, long-term extension study evaluating the long-term safety and efficacy of nemolizumab in adult subjects with moderate-to-severe prurigo nodularis (PN). No Kristina Dunder
EMA/VR/0000320475 Variation type II Orencia Abatacept Bristol-Myers Squibb Pharma EEIG Quality No Outi Mäki-Ikola
EMA/VR/0000294539 Variation type II Ovaleap Follitropin alfa Theramex Ireland Limited Quality No Patrick Vrijlandt
EMA/VR/0000295392 Variation type II Ozempic Rybelsus Semaglutide Semaglutide Novo Nordisk A/S Update of section 4.4 of the SmPC in order to remove of Type 1 diabetes mellitus restriction from warnings and precautions based on a post-marketing safety assessment of off-label/T1D use for Ozempic and Rybelsus; the Package Leaflet is updated accordingly. Yes Patrick Vrijlandt
EMA/VR/0000321440 Variation type II LEQEMBI Lecanemab Eisai GmbH Update of sections 4.2 and 5.1 of the SmPC in order to introduce a new posology regimen based on model-based simulations derived from all observed data from intravenous lecanemab studies and long-term safety data. The Package Leaflet has been updated accordingly. No Alexandre Moreau
EMA/VR/0000287898 Variation type II Orencia Abatacept Bristol-Myers Squibb Pharma EEIG A grouped application consisting of: C.I.13: Submission of the final report from study IM101803 listed as a category 3 study in the RMP. This is a nationwide post-marketing study on the safety of abatacept treatment in Denmark using the DANBIO register. The RMP version 29.0 has also been submitted. C.I.13: Submission of the final report from study IM101816 listed as a category 3 study in the RMP. This is a nationwide post-marketing study on the safety of abatacept treatment in Sweden using the ARTIS Register. The RMP version 29.0 has also been submitted. No Kimmo Jaakkola
EMA/VR/0000317563 Variation type II RINVOQ Upadacitinib Abbvie Deutschland GmbH & Co. KG Submission of the final report for study M15-572, listed as a category 3 study in the RMP. This is a Phase 3, randomized, double-blind study comparing upadacitinib (ABT-494) to placebo and to adalimumab in subjects with active psoriatic arthritis who have a history of inadequate response to at least one non-biologic disease modifying anti-rheumatic drug (DMARD) – (SELECT – PsA 1). No Kristina Dunder
EMA/VR/0000322786 Variation type II Yesafili Aflibercept Biosimilar Collaborations Ireland Limited Quality No Christian Gartner
EMA/VR/0000319301 Variation type II Nuvaxovid COVID-19 vaccine (recombinant, adjuvanted) Sanofi Winthrop Industrie Submission of the final report from study 2019nCov-401 listed as a category 3 study in the RMP. This is a post-authorisation effectiveness study titled: “Brand-specific COVID-19 vaccine effectiveness of Novavax’s COVID- 19 Vaccines against severe COVID-19 in Europe: a non-investigational study to continuously monitor COVID-19 vaccine effectiveness of the updated Novavax JN.1 COVID-19 vaccine (NVX-CoV2705) against hospitalisation using a network of hospitals across Europe.” No Patrick Vrijlandt
EMA/VR/0000320544 Variation type II Livmarli Maralixibat Mirum Pharmaceuticals International B.V. A grouped application consisting of: C.I.13: Submission of the final report from study MRX- 503 listed as category 3 study in the RMP. This is a phase 3 study to Evaluate the Long-Term Safety and Efficacy of Maralixibat in the Treatment of Subjects with Progressive Familial Intrahepatic Cholestasis (PFIC). The RMP version 7.2 has also been submitted. C.I.13: Submission of the final report for a retrospective study titled ''Analysis of Clinical Outcomes in PFIC: Comparison of Maralixibat from Studies MRX-502/503 and MRX-801 versus Natural History (NAtural course and Prognosis of PFIC and Effect of biliary Diversion [NAPPED])''. No Janet Koenig Adam Przybylkowski
EMA/VR/0000296462 Variation type II Qalsody Tofersen Biogen Netherlands B.V. Update of sections 4.8, 5.1, and 5.2 of the SmPC to numerically update the summary of safety profile and description of selected adverse reactions, as well as, to update clinical efficacy and pharmacokinetic information based on final integrated analysis from Study 233AS101 and Study 233AS102. Submission of the final results of Study 233AS102 is listed as a specific obligation in the Annex II and a category 2 study in the RMP. Study 233AAS102 was an open label extension study to assess the long-term safety, tolerability, pharmacokinetics, and effect on disease progression of tofersen administered to previously treated adults with amyotrophic lateral sclerosis caused by superoxide dismutase 1 mutation. The RMP version 1.1 has also been submitted. In addition, the MAH took the opportunity to update the Annex II. No Janet Koenig Kimmo Jaakkola
EMA/VR/0000308060 Variation type II FOSAVANCE Adrovance VANTAVO Alendronic acid / Colecalciferol Alendronic acid / Colecalciferol Alendronic acid / Colecalciferol Organon N.V. Quality Yes Christian Gartner
EMA/VR/0000319172 Variation type II Yervoy OPDIVO Ipilimumab Nivolumab Bristol-Myers Squibb Pharma EEIG Update of sections 4.4 and 4.8 of the SmPC in order to add 'Myocarditis-Myositis-Myasthenia Gravis Overlap Syndrome' to the list of adverse drug reactions (ADRs) with frequency 'Uncommon' based on postmarketing data and literature. The Package Leaflet is updated accordingly. The RMP version 46 and 52 respectively, had also been submitted. In addition, the MAH took the opportunity to implement editorial changes to the PI. Yes Peter Mol Bianca Mulder
EMA/VR/0000317879 Variation type II Ryjunea Atropine sulfate Santen Oy Quality No Alexandre Moreau
EMA/VR/0000322591 Variation type II Aucatzyl Obecabtagene autoleucel Autolus GmbH ATMP Quality No Berendina Maria van den Hoorn
EMA/VR/0000319903 Variation type II BUCCOLAM Midazolam Neuraxpharm Pharmaceuticals S.L. Quality No Peter Mol
EMA/VR/0000320140 Variation type II Hepcludex Bulevirtide Gilead Sciences Ireland Unlimited Company A grouped application consisting of: C.I.4: Update of section 4.8 of the SmPC in order to remove a statement regarding bile acid elevations based on results from study MYR301, listed as a Category 3 study in the RMP. This is a Multicenter, Open-label, Randomized Phase 3 Clinical Study to Assess Efficacy and Safety of Bulevirtide in Patients With Chronic Hepatitis Delta to address the safety concern of 'Long-term safety of bile acid elevations' (Missing information). The RMP version 8.0 has also been submitted. C.I.11.b: Submission of an updated RMP version 8.0 in order to propose the removal of Study GS-US-589-6206 as a Category 3 Pharmacovigilance Commitment from the RMP for safety concern of 'Long-term safety of bile acid elevations' (Missing information). No Filip Josephson Adam Przybylkowski
EMA/VR/0000320727 Variation type II Truqap Capivasertib AstraZeneca AB Update of sections 4.2, 4.4, 4.8, and 5.1 of the SmPC in order to change posology recommendations in Table 3, amend an existing warning for Hyperglycaemia, update the summary of safety profile & description of selected adverse reaction, update efficacy based on final results from study CAPItello-291 listed as a PAM Recommendation PAES; this is a phase 3 double-blind randomised study assessing the efficacy and safety of capivasertib + fulvestrant versus placebo + fulvestrant as treatment for locally advanced (inoperable) or metastatic hormone receptor positive, human epidermal growth factor receptor 2 negative (HR+/HER2−) breast cancer following recurrence or progression on or after treatment with an aromatase inhibitor. No Martin Mengel
EMA/VR/0000320745 Variation type II TECFIDERA Dimethyl fumarate Biogen Netherlands B.V. Submission of the final study results from 109MS306 (CONNECT) Part 2 listed as a category 3 study in the RMP; this is a phase 3 efficacy and safety study of BG00012 in pediatric subjects with relapsing-remitting multiple sclerosis (RRMS). The primary objective of Part 2 is to evaluate the long-term safety of BG00012 in subjects who completed Week 96 in Part 1 of Study 109MS306. The secondary objective of Part 2 is to describe the long-term multiple sclerosis outcomes of BG00012 in subjects who completed Week 96 in Part 1 of Study 109MS306. The RMP version 17.1 has also been submitted. No Janet Koenig Dennis Lex
EMA/VR/0000319893 Variation type II Jinarc Tolvaptan Otsuka Pharmaceutical Netherlands B.V. Submission of the final report from study I156-00-003 (Study Drug Use-Results Survey of Samsca in ADPKD in Japan) and fulfilling MEA001 post approval commitment agreed by the CHMP and applicant at the time of authorization. This is a non-interventional study to confirm safety and efficacy in clinical practice, in cases where Samsca was used with the objective of “suppressing the progression of autosomal dominant polycystic kidney disease (ADPKD) in which kidney volume had already enlarged and which had a high rate of increase in kidney volume”. No Paolo Gasparini
EMA/VR/0000321323 Variation type II Qarziba Dinutuximab beta Recordati Netherlands B.V. Quality No Peter Mol
EMA/VR/0000320535 Variation type II XGEVA Denosumab Amgen Europe B.V. Update of section 4.8 of the SmPC in order to add ‘Injection site reactions’ to the list of adverse drug reactions (ADRs) with frequency uncommon, based on a cumulative safety review. The Package Leaflet is updated accordingly. In addition, the MAH took the opportunity to update excipient information regarding polysorbates and to update the list of local representatives in the Package Leaflet. No Kristina Dunder
EMA/VR/0000321355 Variation type II Efmody Hydrocortisone Immedica Netherlands B.V. Quality No Patrick Vrijlandt
EMA/VR/0000314828 Variation type II Tysabri Natalizumab Biogen Netherlands B.V. Quality No Jan Mueller-Berghaus
EMA/VR/0000320244 Variation type II mRESVIA Respiratory syncytial virus mRNA vaccine (nucleoside modified) Moderna Biotech Spain S.L. Update of sections 4.4, 4.8 and 5.1 of the SmPC in order to update clinical efficacy and safety information on the use of mRESVIA in immunocompromised individuals 18 years of age and older, based on interim results from study mRNA-1345-P303 Part B; this is a Phase 3 study to evaluate the immunogenicity and safety of mRNA-1345, an mRNA vaccine targeting respiratory syncytial virus, in high-risk adults. The updated RMP version 6.0 has also been submitted. No Jan Mueller-Berghaus Jean-Michel Dogné
EMA/VR/0000314736 Variation type II Zilbrysq Zilucoplan UCB Pharma Quality No Kristina Dunder
EMA/VR/0000319620 Variation type II Loargys Pegzilarginase Immedica Pharma AB Update of sections 4.2, 4.8, 5.1 and 5.2 of the SmPC in order to update information regarding children below 2 years of age based on final results from study CAEB1102-301A listed as Study 6 in the Loargys PIP (EMEA-001925-PIP02-19-M0). Study 301A is a phase 3 open-label study of safety, pharmacokinetics, and activity of weekly subcutaneous pegzilarginase in subjects <24 months old with arginase 1 deficiency. In addition, the MAH took the opportunity to introduce editorial changes to the PI. No Peter Mol
EMA/VR/0000317924 Variation type II Mayzent Siponimod Novartis Europharm Limited A grouped application consisting of: Type II (C.I.13): Submission of the final report from study CBAF312A2006 listed as a category 3 study in the RMP. This is a survey conducted among healthcare professionals and Multiple Sclerosis patients/caregivers in selected European countries plus Canada to evaluate the knowledge required for the safe use of Mayzent (siponimod). The RMP version 8.0 has also been submitted. Type IB (C.I.11): Submission of an updated RMP version 8.0 in order to update the siponimod exposure data in accordance with the results of the drug-drug interaction study CBAF312A02101 in alignment with the EMA/VR/0000255116 procedure. No Maria del Pilar Rayon
EMA/VR/0000321342 Variation type II Cufence Trientine Univar Solutions B.V. Quality No Daniela Philadelphy
EMA/VR/0000301757 Variation type II Flebogamma DIF Human normal immunoglobulin Instituto Grifols S.A. Quality Yes Jan Mueller-Berghaus
EMA/VR/0000301874 Variation type II Vaxelis diphtheria, tetanus, pertussis acellular component, hepatitis B rDNA, poliomyelitis inactivated and haemophilus type b conjugate vaccine adsorbed MCM Vaccine B.V. Quality No Christophe Focke
EMA/VR/0000317483 Variation type II Beromun Tasonermin Belpharma S.A. Quality No Thalia Marie Estrup Blicher
EMA/VR/0000303437 Variation type II Trixeo Aerosphere Riltrava Aerosphere Formoterol / Glycopyrronium bromide / Budesonide Formoterol / Glycopyrronium bromide / Budesonide AstraZeneca AB Quality Yes Finbarr Leacy
EMA/VR/0000321287 Variation type II PHELINUN Melphalan Adienne S.r.l. Quality No Peter Mol
EMA/VR/0000303441 Variation type II Urorec Silodyx Silodosin Recordati Silodosin Silodosin Silodosin Recordati Ireland Limited Quality Yes Paolo Gasparini
EMA/VR/0000320187 Variation type II Suliqua Insulin glargine / Lixisenatide Sanofi Winthrop Industrie Update of sections 4.2, 4.8, and 5.1 of the SmPC in order to introduce a new posology regimen based on final results from study LPS17008 (SoliSwitch); this is a 24-week, single-arm, phase 4 clinical study to evaluate the efficacy and safety of switching to iGlarLixi in people with type 2 diabetes mellitus uncontrolled on once or twice daily premixed insulin regimen. In addition, the MAH took the opportunity change to update "diabetes mellitus" to "diabetes" throughout the SmPC to reflect latest medical understanding. No Kristina Dunder
EMA/VR/0000315310 Variation type II Pandemic influenza vaccine H5N1 AstraZeneca Fluenz pandemic influenza vaccine (H5N1) (live attenuated, nasal) Influenza vaccine (live, nasal) AstraZeneca AB Quality Yes Christophe Focke
EMA/VR/0000297114 Variation type II Vyndaqel Tafamidis Pfizer Europe MA EEIG Update of sections 4.4 and 4.5 of the SmPC in order to add a new warning on co-administration tafamidis meglumine/tafamidis and BCRP substrates, update drug-drug interaction information with BCRP sustrates following the PRAC PSUR assessment report for procedure no.: EMEA/H/C/PSUSA/00002842/202405. The Package Leaflet is updated accordingly. In addition, the MAH took the opportunity to update the European Medicines Agency website address in line with the latest EU CP QRD template version 10.4. No Zoubida Amimour
EMA/VR/0000319048 Variation type II Erleada Apalutamide Janssen Cilag International Update of section 4.5 of the SmPC in order to include information regarding apalutamide interference with a digoxin laboratory test based on a cumulative safety review, following the PRAC request in procedure PSUSA/00010745/202502. In addition, the MAH took the opportunity to introduce minor editorial changes and to update the list of local representatives in the Package Leaflet. No Tiphaine Vaillant
EMA/VR/0000320259 Variation type II Saphnelo Anifrolumab AstraZeneca AB Update of sections 4.4, 4.8, and 5.1 of the SmPC in order to add new safety and efficacy data, based on final results from the TULIP SC study (D3465C00001); this is a Phase III, randomized, double-blind, multicenter, parallel-group, placebo-controlled study to evaluate the efficacy, safety, and tolerability of anifrolumab 120 mg, administrated weekly via subcutaneous route, added to standard of care in adults with moderate to severe Systemic Lupus Erythematosus; the Package Leaflet is updated accordingly. No Outi Mäki-Ikola
EMA/VR/0000316471 Variation type II Xeloda Capecitabine Cheplapharm Arzneimittel GmbH Quality No Martin Mengel
EMA/VR/0000321500 Variation type II Orserdu Elacestrant Stemline Therapeutics B.V. Update of sections 4.2, 4.4, and 5.2 of the SmPC in order to add a dose recommendation for patients with severe hepatic impairment and update pharmacokinetic information based on the results from study STML-ELA-1023 and PBPK modelling. STML-ELA-1023 is a phase 1, open-label, non-randomized, parallel-group study to evaluate the pharmacokinetics, safety and tolerability of a single oral dose of 200 mg elacestrant in subjects with normal hepatic function or severe hepatic impairment. The MAH is also taking this opportunity to introduce minor editorial corrections in SmPC section 5.2. No Peter Mol
EMA/VR/0000267599 Variation type II Adenuric Febuxostat Menarini International Operations Luxembourg S.A. Quality No Christian Gartner
EMA/VR/0000320718 Variation type II Trumenba Meningococcal group B vaccine (recombinant, adsorbed) Pfizer Europe MA EEIG Quality No Patrick Vrijlandt
EMA/VR/0000302769 Variation type II LEQEMBI Lecanemab Eisai GmbH Submission of an updated RMP version 1.1 in order to propose an update to PASS study deadlines. In addition, the MAH has taken the opportunity to update Annex II accordingly. No Eva Jirsová
EMA/VR/0000323136 Variation type II Taltz Ixekizumab Eli Lilly and Co (Ireland) Limited Update of sections 4.8 and 5.1 of the SmPC in order to update clinical information, following the outcome of the Article 46 procedure EMA/PAM/0000293431, based on the final study data for ixekizumab paediatric psoriasis study I1F-MC-RHCD (IXORA-PEDS). In addition, the MAH took the opportunity to update excipient information in the Labelling section according to the excipient guideline. No Kristina Dunder
EMA/VR/0000312996 Variation type II BIMERVAX COVID-19 vaccine (recombinant, adjuvanted) Hipra Human Health S.L. Quality No Beata Maria Jakline Ullrich
EMA/VR/0000302084 Variation type II Ixiaro japanese encephalitis vaccine (inactivated, adsorbed) Valneva Austria GmbH Quality No Jan Mueller-Berghaus
EMA/VR/0000323076 Variation type II Fulphila Pegfilgrastim Biosimilar Collaborations Ireland Limited Quality No Martin Mengel
EMA/VR/0000319452 Variation type II Puregon Follitropin beta Organon N.V. Quality No Ruth Kieran
EMA/VR/0000322800 Variation type II Palynziq Pegvaliase Biomarin International Limited Update of sections 4.2 Method of administration, 4.4 Special warnings and precautions for use, and 4.8 Undesirable effects of the SmPC with a new warning regarding injection site infection based on data from clinical trials and post-marketing data sources; the Package Leaflet is updated accordingly. No Patrick Vrijlandt
EMA/VR/0000314841 Variation type II Kisunla Donanemab Eli Lilly Nederland B.V. Quality No Peter Mol
EMA/VR/0000308184 Variation type II Urorec Silodyx Silodosin Recordati Silodosin Silodosin Silodosin Recordati Ireland Limited Quality Yes Paolo Gasparini
EMA/VR/0000321361 Variation type II NUBEQA Darolutamide Bayer AG Quality No Alexandre Moreau
EMA/VR/0000317322 Variation type II Keytruda Pembrolizumab Merck Sharp & Dohme B.V. Update of section 4.4 of the SmPC in order to add a new warning on myocarditis-myositis-myasthenia gravis overlap based on pembrolizumab clinical trial data and global safety data; the Package Leaflet is updated accordingly. No Paolo Gasparini
EMA/VR/0000320240 Variation type II Neoatricon Dopamine hydrochloride BrePco Biopharma Limited Quality No Janet Koenig
EMA/VR/0000321439 Variation type II LEQEMBI Lecanemab Eisai GmbH Update of section 5.1 of the SmPC in order to update immunogenicity information based on Study 301 Core data re-analyzed using an optimized ADA assay. No Alexandre Moreau
EMA/VR/0000316588 Variation type II Iclusig Ponatinib Incyte Biosciences Distribution B.V. Quality No Filip Josephson
EMA/VR/0000317918 Variation type II SARCLISA Isatuximab Sanofi Winthrop Industrie Quality No Peter Mol
EMA/VR/0000320262 Variation type II Ferriprox Deferiprone Chiesi Farmaceutici S.p.A. Quality No Alexandre Moreau
EMA/VR/0000308587 Variation type II Forxiga Xigduo Qtern Edistride Ebymect Dapagliflozin Dapagliflozin / Metformin Saxagliptin / Dapagliflozin Dapagliflozin Dapagliflozin / Metformin AstraZeneca AB Submission of the final report from the Cancer PASS study D1690R00007 listed as a category 3 study in the RMP. This is a post-authorisation observational study, final (120-month) report: comparison of the risk of cancer between patients with type 2 diabetes exposed to dapagliflozin and those exposed to other antidiabetic treatments. The RMP versions 32.0 for Forxiga & Edistride, 16.0 for Xigduo & Ebymect and 11.0 for Qtern have also been submitted. Yes Mari Thorn
EMA/VR/0000315465 Variation type II Kisqali Ribociclib Novartis Europharm Limited Update of section 5.3 of the SmPC in order to non-clinical information based on the final results from study the juvenile toxicity studies 2070096 and 2070095. Study 2070096 is listed as study 2 of the PIP EMEA-002765-PIP02-21-M01 in neuroblastoma for Kisqali. No Filip Josephson
EMA/VR/0000332852 Variation type II Flucelvax influenza vaccine (surface antigen, inactivated, prepared in cell cultures) Seqirus Netherlands B.V. Update of section 4.8 of the SmPC in order to add ‘febrile convulsion’ to the list of adverse drug reactions (ADRs) with frequency not known, based on a safety review. The Package Leaflet is updated accordingly. No Sol Ruiz

Named provisions

Committee for medicinal products for human use (CHMP) Annex to 23-26 March 2026 CHMP Agenda

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Classification

Agency
EMA
Published
March 23rd, 2026
Instrument
Notice
Legal weight
Non-binding
Stage
Final
Change scope
Minor
Document ID
EMA/CHMP/49808/2026

Who this affects

Applies to
Drug manufacturers Pharmaceutical companies
Industry sector
3254 Pharmaceutical Manufacturing
Activity scope
Drug Approval Pharmacovigilance
Geographic scope
European Union EU

Taxonomy

Primary area
Pharmaceuticals
Operational domain
Regulatory Affairs
Compliance frameworks
FDA 21 CFR Part 11 GxP
Topics
Drug Approval Regulatory Procedures

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