Примери за използване на Alcover на Английски и техните преводи на Български
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What are Alcover granules?
Alcover syrup is available in Austria and Italy.
This decision only concerns the marketing authorisation application for Alcover granules and does not affect Alcover syrup.
Why were Alcover granules reviewed?
These data are therefore considered insufficient to establish the efficacy of Alcover, granules in sachets, in the proposed indications;
Alcover granules in sachet contains the active substance sodium oxybate, which is the sodium salt of Gamma-hydroxybutyric acid(GHB), a derivative of gamma-aminobutyric acid(GABA).
The Committee recommends the refusal of the marketing authorisation for Alcover and associated names, 750 mg, 1250 mg, 1750 mg granules in sachets.
On 22 June 2017, the European Medicines Agency completed an arbitration procedure following a disagreement among Member States of the European Union(EU)regarding the authorisation of Alcover granules.
The Committee concluded that in the absence of demonstration of efficacy for Alcover granules in sachets, the benefit-risk balance of this medicinal product is not favourable in the proposed indications.
Alcover granules are a medicine that was expected to be used to treat acute alcohol withdrawal syndrome and to support medium to long-term abstinence in alcohol-dependent adults with a very high level of alcohol consumption.
In light of the above and the identified risks related to the product,the CHMP was of the opinion that the benefit-risk balance for Alcover granules in sachets, and associated names is not favourable.
However, the CHMP concluded that, since the benefits of Alcover granules were not clearly demonstrated, the marketing authorisation could not be granted in the reference and concerned Member States.
Based on evaluation of the currently available data and the scientific discussion within the Committee,the CHMP concluded that the data submitted in support of the marketing authorisation application for Alcover granules were insufficient and of inadequate quality to demonstrate that the medicine would be effective in the proposed uses.
The Commission of the European Communities,by A. Alcover San Pedro and J.-B. Laignelot, acting as Agents, after hearing the Opinion of the Advocate General at the sitting on 30 April 2008.
The Committee considered the notification of the referral initiated by Austria under Article 29(4) of Directive 2001/83/EC, where Denmark, Spain, Finland, France, Ireland, the Netherlands, Portugal, Sweden andthe United Kingdom raised objections to the marketing authorisation application for Alcover and associated names, 750 mg, 1250 mg, 1750 mg granules in sachets, which were considered to be a potential serious risk to public health;
One of the experts with extensive experience with the use of marketed Alcover liquid considered the efficacy of sodium oxybate to be clinically shown and suggested to perform a study in the post-approval setting.
The active substance in Alcover granules, sodium oxybate, attaches to receptors(targets) on nerve cells of the brain and spinal cord for a substance called gammaaminobutyric acid(GABA), leading to a calming of the activity of these cells.
The grounds for the referral were concerns raised by several Member States that the benefits of Alcover granules were not clearly demonstrated and there were various risks including the risk of dependence, misuse and side effects.
With regards to the identified andpotential risks related to the use of Alcover granules, in particular the risks of diversion, abuse, switch of addiction and toxicity if co-administered with alcohol, the Committee considered that the feasibility, proportionality and effectiveness of the proposed risk minimisation measures cannot be deemed evident in the absence of a demonstrated efficacy in the claimed indications.
The results of the submitted efficacy studies cannot be considered to provide sufficiently robust evidence to establish the efficacy of Alcover(sodium oxybate) granules in the maintenance of alcohol abstinence and treatment of alcohol withdrawal syndrome(AWS).
Since it targets these receptors in the same way as alcohol, Alcover granules were to be used to treat the effects of stopping alcohol use in alcohol-dependent patients, including agitation, tremor(shaking) and problems sleeping, and to support continued abstinence.
The Committee was of the view that the data submitted in support of the efficacy of Alcover granules in sachets in the claimed indications suffers from relevant methodological limitations relating to the design of the studies(such as insufficient sample size, selection of the patient population, post-hoc analyses).
With regards to the identified andpotential risks related to the use of Alcover granules in sachets, the Committee considered the proposed risk minimisation measures, mainly to mitigate the potential risk of abuse, switch of addiction/ dependence and withdrawal in the light of the proposed indications;
The Agency's Committee for Medicinal Products for Human Use(CHMP)concluded that the benefits of Alcover granules did not outweigh their risks, and the marketing authorisation could not be granted in Austria or in the following Member States of the EU: Denmark, Finland, France, Ireland, the Netherlands, Poland, Portugal, Spain, Sweden and the United Kingdom.
The applicant Debrégeas& Associés(D& A)submitted an application for marketing authorisation(MAA) for Alcover 750 mg, 1250 mg and 1750 mg through the Decentralised Procedure(DCP) under the legal basis of Article 8(3) of Directive 2001/83/EC, as a full-mixed application for the treatment of long-term maintenance of alcohol abstinence and alcohol withdrawal syndrome in alcohol-dependent adult patients.
The CHMP thoroughly assessed the detailed grounds for re-examination submitted by the applicant for the use of Alcover granules in the long-term maintenance of alcohol abstinence in AD patients with a very high Drinking Risk Level(VH-DRL) and the treatment of acute alcohol withdrawal syndrome(AWS) and took into consideration the outcome of the consultation of an ad-hoc expert group on 4 October 2017.