Примери за използване на Tobramycin VVB на Английски и техните преводи на Български
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What is Tobramycin VVB?
Tobramycin VVB is to be available as a nebuliser solution(300 mg/5 ml) to be inhaled.
CHMP also noted the differences in terms of inhalation time between Tobramycin VVB and Tobi Podhaler.
Why was Tobramycin VVB reviewed?
The Committee reviewed the responses submitted by the applicant to address the issues raised with regard to the claim for clinical superiority of Tobramycin VVB vs. TOBI Podhaler;
UAB VVB submitted Tobramycin VVB to the Lithuanian medicines regulatory agency for a decentralised procedure.
The Committee therefore considered that, in the context of Article 8(3) of Regulation(EC) No 141/2000, clinical superiority of Tobramycin VVB over TOBI Podhaler in a substantial portion of the target population can be established.
The active substance in Tobramycin VVB, tobramycin, belongs to the group of antibiotics known as‘aminoglycosides'.
To substantiate the relevance of difference in the incidenceof adverse events(e.g. cough, discontinuation, etc.) between Tobramycin VVB and the orphan-designated medicinal product TOBI Podhaler based on own and/or published data.
Tobramycin VVB is a‘hybrid medicine' that has been developed to be comparable to a‘reference medicine' containing tobramycin called Tobi(300 mg/5 ml nebuliser solution).
The reason for the referral was a disagreement over whether Tobramycin VVB is clinically superior to Tobi Podhaler, another medicine containing tobramycin.
Tobramycin VVB is an antibiotic for treating long-term lung infection caused by the bacteria Pseudomonas aeruginosa in patients aged 6 years and older who have cystic fibrosis.
In the light of the above, to further justify why the applicant considers Tobramycin VVB clinically superior in a substantial portion of the target population to the orphan-designated medicinal product TOBI Podhaler.
Overall, in the context of the claim of clinical superiority based on a greater safety according to Article 8(3)(c)of Regulation(EC) No 141/2000 read in combination with Article 3(3)(d)(2) of Regulation(EC) No 847/2000, CHMP considered that a substantial portion of the target population experiences greater safety(in terms of tolerability) with Tobramycin VVB in terms of the incidence of cough and treatment discontinuation, as compared to TOBI Podhaler.
The CHMP therefore recommended that Tobramycin VVB be granted marketing authorisation in Lithuania as well as in the other concerned Member States.
The applicant of Tobramycin VVB has applied for a derogation from the market exclusivity of TOBI Podhaler 28 mg inhalation powder claiming that Tobramycin VVB 300 mg/5 ml nebuliser solution is clinically superior to the authorised orphan medicinal product(TOBI Podhaler 28 mg inhalation powder) in terms of providing greater safety in a substantial portion of the target population.
The Agency's Committee for Medicinal Products for Human Use(CHMP)concluded that Tobramycin VVB can be granted marketing authorisation in Lithuania and in the following Member States of the EU: Bulgaria, Estonia, Hungary, Latvia.
RMS and CMSs agreed that Tobramycin VVB is comparable to TOBI 300 mg/5 ml nebuliser solution and therefore available efficacy and safety data for TOBI can be extrapolated to Tobramycin VVB.
Based on the evaluation of the currently available data and the scientific discussion within the Committee,the CHMP concluded that Tobramycin VVB is clinically superior to Tobi Podhaler because a substantial proportion of patients are intolerant to Tobi Podhaler but can be treated with Tobramycin VVB.
The proposed therapeutic indication for Tobramycin VVB 300 mg/5 ml nebuliser solution is the same as for TOBI Podhaler(EU/1/10/652,Tobramycin, inhalation powder) and identical to that of TOBI 300 mg/5ml nebuliser solution:“suppressive therapy of chronic pulmonary infection due to Pseudomonas aeruginosa in adults and children aged 6 years and older with cystic fibrosis.”.
This means that during the period of market exclusivity similar products,such as Tobramycin VVB, cannot be placed on the market; there are, however, exceptions such as where clinically superiority over Tobi Podhaler can be shown.
A Marketing Authorisation for Tobramycin VVB can therefore only be granted with the currently proposed indication if at least one of the derogation grounds set out in Article 8(3) of Regulation(EC) No 141/2000 is fulfilled.
Therefore the CHMP concluded that the clinical relevance of the abovementioned differences between Tobramycin VVB and TOBI Podhaler demonstrates the clinical superiority of Tobramycin VVB over TOBI Podhaler based on greater safety in a substantial portion of the target population.
Poland considered that the clinical superiority of Tobramycin VVB vs. the orphan-designated medicinal product TOBI Podhaler 28 mg inhalation powder(hereinafter“TOBI Podhaler”) was not demonstrated, therefore derogation as per Article 8(3) of Regulation(EC) No 141/2000 was not fulfilled and a marketing authorisation as proposed by the RMS could not be granted.
During the assessment of the marketing authorisation application for Tobramycin VVB and in the context of the abovementioned Article, a similarity assessment was performed concluding that Tobramycin VVB was similar to Tobi Podhaler.
The Committee was of the view that the data support the claim for clinical superiority of Tobramycin VVB versus TOBI Podhaler based on greater safety in a substantial portion of the target population, as per Article 8(3)(c) of Regulation(EC) No 141/2000 read in combination with Article 3(3)(d)(2) of Regulation(EC) No 847/2000;