MedPath
EMA Approval

Ibandronic Acid Teva

M05BA06

ibandronic acid

Drugs for treatment of bone diseases

ibandronic acid

Breast NeoplasmsNeoplasm MetastasisFractures, BoneOsteoporosis, Postmenopausal

Basic Information

M05BA06

ibandronic acid

Drugs for treatment of bone diseases

Therapeutic indication

Ibandronic acid 50mg

Ibandronic Acid Teva is indicated for the prevention of skeletal events (pathological fractures, bone complications requiring radiotherapy or surgery) in patients with breast cancer and bone metastases.

Ibandronic acid 150mg

Treatment of osteoporosis in postmenopausal women at increased risk of fracture. A reduction in the risk of vertebral fractures has been demonstrated, efficacy on femoral neck fractures has not been established.

Overview Summary

This is a summary of the European public assessment report (EPAR) for Ibandronic Acid Teva. It explains how the Committee for Medicinal Products for Human Use (CHMP) assessed the medicine to reach its opinion in favour of granting a marketing authorisation and its recommendations on the conditions of use for Ibandronic Acid Teva.

Authorisations (1)

EMEA/H/C/001195

Teva Pharma B.V.,Computerweg 10,NL-3542 DR Utrecht,The Netherlands

Authorised

September 17, 2010

Active Substances (2)

ibandronic acid

ibandronic acid

Documents (9)

Ibandronic Acid Teva : EPAR - Summary for the public

October 12, 2010

OVERVIEW_DOCUMENT

Ibandronic Acid Teva : EPAR - Procedural steps taken and scientific information after authorisation

September 12, 2011

CHANGES_SINCE_INITIAL_AUTHORISATION

Ibandronic Acid Teva : EPAR - Public assessment report

October 12, 2010

INITIAL_MARKETING_AUTHORISATION_DOCUMENTS

CHMP positive summary of opinion for Ibandronic Acid Teva

June 24, 2010

INITIAL_MARKETING_AUTHORISATION_DOCUMENTS

Ibandronic Acid Teva : EPAR - Product Information

October 12, 2010

DRUG_PRODUCT_INFORMATION

Ibandronic Acid Teva : EPAR - Public assessment report

October 12, 2010

CHANGES_SINCE_INITIAL_AUTHORISATION

CHMP positive summary of opinion for Ibandronic Acid Teva

June 24, 2010

CHANGES_SINCE_INITIAL_AUTHORISATION

Ibandronic Acid Teva : EPAR - All Authorised presentations

October 12, 2010

AUTHORISED_PRESENTATIONS

Ibandronic Acid Teva-H-C-1195-A20-0001 : EPAR - Assessment Report - Article-20

September 12, 2011

CHANGES_SINCE_INITIAL_AUTHORISATION

Overview Q&A (8)

Question

Other information about Ibandronic Acid Teva

Answer

The European Commission granted a marketing authorisation valid throughout the EU for Ibandronic Acid Teva on 17 September 2010.

For more information about treatment with Ibandronic Acid Teva, read the package leaflet (also part of the EPAR) or contact your doctor or pharmacist.

Question

How is Ibandronic Acid Teva used?

Answer

For the prevention of skeletal events, one 50?mg tablet is taken once a day. The tablets must always be taken after the patient has fasted overnight for at least six hours and at least 30 minutes before the first food or drink of the day.

For treating osteoporosis, one 150?mg tablet is taken once a month. The tablet must always be taken after an overnight fast, one hour before any food or drink except for water. Patients should also take vitamin D and calcium supplements if they do not get enough from their diet.

Ibandronic Acid Teva must be taken with a full glass of plain water (but not mineral water) while standing or sitting up, and the tablets should not be chewed, sucked or crushed. The patient must also not lie down for one hour after taking the tablets.

Question

How does Ibandronic Acid Teva work?

Answer

The active substance in Ibandronic Acid Teva, ibandronic acid, is a bisphosphonate. It stops the action of osteoclasts, the cells in the body that are involved in breaking down the bone tissue. This leads to less bone loss. The reduction of bone loss helps to make bones less likely to break, which is useful in preventing fractures in cancer patients with bone metastases and in women with osteoporosis.

Question

What is Ibandronic Acid Teva?

Answer

Ibandronic Acid Teva is a medicine that contains the active substance ibandronic acid. It is available as tablets (50 and 150 mg).

Ibandronic Acid Teva is a ‘generic medicine’. This means that Ibandronic Acid Teva is similar to a ‘reference medicine’ already authorised in the European Union (EU). The reference medicines for Ibandronic Acid Teva are Bondronat and Bonviva.

Question

What is Ibandronic Acid Teva used for?

Answer

Ibandronic Acid Teva 50 mg is used to prevent ‘skeletal events’ (fractures [broken bones] or bone complications requiring treatment) in patients with breast cancer and bone metastases (when the cancer has spread to the bone).

Ibandronic Acid Teva 150 mg is used to treat osteoporosis (a disease that makes bones fragile) in women who have been through the menopause and are at risk of developing bone fractures. Its effect in reducing the risk of spine fractures has been shown in studies, but its effect on the risk of fractures of the neck of the femur (the top of the thighbone) has not been established.

The medicine can only be obtained with a prescription.

Question

How has Ibandronic Acid Teva been studied?

Answer

Because Ibandronic Acid Teva is a generic medicine, studies in people have been limited to tests to determine that it is bioequivalent to the reference medicines. Medicines are bioequivalent when they produce the same levels of the active substance in the body.

Question

What are the benefit and risk of Ibandronic Acid Teva?

Answer

Because Ibandronic Acid Teva is a generic medicine and is bioequivalent to the reference medicines, its benefits and risks are taken as being the same as the reference medicines’s.

Question

Why has Ibandronic Acid Teva been approved?

Answer

The CHMP concluded that, in accordance with EU requirements, Ibandronic Acid Teva has been shown to have comparable quality and to be bioequivalent to Bondronat and Bonviva. Therefore, the CHMP’s view was that, as for Bondronat and Bonviva, the benefit outweighs the identified risk. The Committee recommended that Ibandronic Acid Teva be given marketing authorisation.

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