MedPath
EMA Approval

Eribulin Baxter

L01XX41

eribulin

Antineoplastic agents

eribulin

Breast NeoplasmsLiposarcoma

Basic Information

L01XX41

eribulin

Antineoplastic agents

Therapeutic indication

Eribulin Baxter is indicated for the treatment of adult patients with locally advanced or metastatic breast cancer who have progressed after at least one chemotherapeutic regimen for advanced disease. Prior therapy should have included an anthracycline and a taxane in either the adjuvant or metastatic setting unless patients were not suitable for these treatments.

Eribulin Baxter is indicated for the treatment of adult patients with unresectable liposarcoma who have received prior anthracycline containing therapy (unless unsuitable) for advanced or metastatic disease

Overview Summary

Eribulin Baxter is a cancer medicine used to treat locally advanced or metastatic breast cancer which has continued to spread after at least one previous treatment for advanced cancer. Previous treatment should have included cancer medicines of the types known as anthracyclines and taxanes, unless these treatments were not suitable. ‘Metastatic’ means that the cancer has spread to other parts of the body.

Eribulin Baxter is also used to treat adults with advanced or metastatic liposarcoma (a type of cancer of the soft tissues that develops from fat cells) that cannot be surgically removed. It is used in patients who have already been treated with anthracyclines (unless this treatment was not suitable).

Eribulin Baxter contains the active substance eribulin and is a ‘generic medicine’. This means that Eribulin Baxter contains the same active substance and works in the same way as a ‘reference medicine’ already authorised in the EU. The reference medicine for Eribulin Baxter is Halaven. For more information on generic medicines, see the question-and-answer document here.

Authorisations (2)

EMEA/H/C/006191

Baxter Holding B.V.,Kobaltweg 49,3542 CE,Utrecht,Netherlands

Authorised

June 27, 2024

EMEA/H/C/006191

Baxter Holding B.V.,Kobaltweg 49,3542 CE,Utrecht,Netherlands

Authorised

June 27, 2024

Active Substances (2)

Eribulin mesylate

Eribulin mesylate

Documents (9)

Eribulin Baxter : EPAR - Public assessment report

July 9, 2024

INITIAL_MARKETING_AUTHORISATION_DOCUMENTS

CHMP summary of positive opinion for Eribulin Baxter

April 26, 2024

INITIAL_MARKETING_AUTHORISATION_DOCUMENTS

Eribulin Baxter : EPAR - Procedural steps taken and scientific information after the authorisation

December 2, 2024

CHANGES_SINCE_INITIAL_AUTHORISATION

Eribulin Baxter : EPAR - Product information

July 9, 2024

DRUG_PRODUCT_INFORMATION

Eribulin Baxter : EPAR - Public assessment report

July 9, 2024

CHANGES_SINCE_INITIAL_AUTHORISATION

CHMP summary of positive opinion for Eribulin Baxter

April 26, 2024

CHANGES_SINCE_INITIAL_AUTHORISATION

Eribulin Baxter : EPAR - Risk management plan

July 9, 2024

RISK_MANAGEMENT_PLAN_SUMMARY

Eribulin Baxter : EPAR - Medicine overview

July 9, 2024

OVERVIEW_DOCUMENT

Eribulin Baxter : EPAR - All authorised presentations

July 9, 2024

AUTHORISED_PRESENTATIONS

Overview Q&A (7)

Question

How is Eribulin Baxter used?

Answer

Eribulin Baxter can only be obtained with a prescription and treatment should be given under the supervision of a doctor experienced in the use of cancer medicines.

Eribulin Baxter is given as intravenous (into a vein) injections over 21‑day cycles. The dose to be given is calculated using the patient’s height and weight. The calculated dose is given into a vein over two to five minutes on days 1 and 8 of each cycle. Doctors should consider giving patients an antiemetic (a medicine that prevents nausea and vomiting) as Eribulin Baxter may cause nausea or vomiting.

Doses may be delayed or reduced if patients have very low levels of neutrophils (a type of white blood cell) and platelets (components that help the blood to clot) in their blood or if liver or kidney function is impaired.

For more information about using Eribulin Baxter, see the package leaflet or contact your doctor or pharmacist.

Question

How does Eribulin Baxter work?

Answer

The active substance in Eribulin Baxter, eribulin, is similar to an anticancer substance called halichondrin B, which is found in the marine sponge Halichondria okadai. It attaches to a protein in cells called tubulin, which is important in the formation of the internal ‘skeleton’ that cells need to assemble when they divide. By attaching to tubulin in cancer cells, eribulin disrupts the formation of the skeleton, preventing the division and spread of the cancer cells.

Question

How has Eribulin Baxter been studied?

Answer

Studies on the benefits and risks of the active substance in the authorised uses have already been carried out with the reference medicine, Halaven, and do not need to be repeated for Eribulin Baxter.

As for every medicine, the company provided studies on the quality of Eribulin Baxter. There was no need for ‘bioequivalence’ studies to investigate whether Eribulin Baxter is absorbed similarly to the reference medicine to produce the same level of the active substance in the blood. This is because Eribulin Baxter is given by injection into a vein, so the active substance is delivered straight into the bloodstream.

Question

What are the benefits and risks of Eribulin Baxter?

Answer

Because Eribulin Baxter is a generic medicine and is bioequivalent to the reference medicine, its benefits and risks are taken as being the same as the reference medicine’s.

Question

Why is Eribulin Baxter authorised in the EU?

Answer

The European Medicines Agency concluded that, in accordance with EU requirements, Eribulin Baxter has been shown to have comparable quality and to be bioequivalent to Halaven. Therefore, the Agency’s view was that, as for Halaven, the benefits of Eribulin Baxter outweigh the identified risks and it can be authorised for use in the EU.

Question

What measures are being taken to ensure the safe and effective use of Eribulin Baxter?

Answer

Recommendations and precautions to be followed by healthcare professionals and patients for the safe and effective use of Eribulin Baxter have been included in the summary of product characteristics and the package leaflet.

Any additional measures in place for Halaven also apply to Eribulin Baxter where appropriate.

As for all medicines, data on the use of Eribulin Baxter are continuously monitored. Suspected side effects reported with Eribulin Baxter are carefully evaluated and any necessary action taken to protect patients.

Question

Other information about Eribulin Baxter

Answer

Eribulin Baxter received a marketing authorisation valid throughout the EU on 27 June 2024.

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