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EMA Approval

Dimethyl fumarate Neuraxpharm

L04AX07

dimethyl fumarate

Immunosuppressants

dimethyl fumarate

Multiple Sclerosis

Basic Information

EMA regulatory identification and product classification information

EMA Identifiers

ATC CodeL04AX07
EMA European Classification

Overview Summary

Comprehensive product overview and regulatory summary

Dimethyl fumarate Neuraxpharm is a medicine used to treat multiple sclerosis (MS), a disease in which inflammation damages the protective insulation around nerves (demyelination) as well as the nerves themselves. It is used in adults and adolescents from 13 years of age with a type of MS known as relapsing-remitting MS, where the patient has flare-ups of symptoms (relapses) followed by periods of recovery (remissions).

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

Authorisations (1)

EMEA/H/C/006500

Neuraxpharm Pharmaceuticals S.L.,Avinguda De Barcelona 69,Poligono Industrialde La Fuensanta,08970 Sant Joan Despi,SPAIN

Authorised

April 22, 2024

Active Substances (1)

dimethyl fumarate

Documents (7)

Dimethyl fumarate Neuraxpharm : EPAR - All authorised presentations

July 11, 2024

AUTHORISED_PRESENTATIONS

Dimethyl fumarate Neuraxpharm : EPAR - Product information

July 11, 2024

DRUG_PRODUCT_INFORMATION

Dimethyl fumarate Neuraxpharm : EPAR - Procedural steps taken and scientific information after authorisation

February 13, 2025

CHANGES_SINCE_INITIAL_AUTHORISATION

Dimethyl fumarate Neuraxpharm : EPAR - Medicine overview

July 11, 2024

OVERVIEW_DOCUMENT

Dimethyl fumarate Neuraxpharm : EPAR - Risk-management-plan

July 11, 2024

RISK_MANAGEMENT_PLAN_SUMMARY

Dimethyl fumarate Neuraxpharm : EPAR - Public assessment report

July 11, 2024

CHANGES_SINCE_INITIAL_AUTHORISATION

CHMP summary of positive opinion for Dimethyl fumarate Neuraxpharm

March 22, 2024

CHANGES_SINCE_INITIAL_AUTHORISATION

Overview Q&A (7)

Question

How is Dimethyl fumarate Neuraxpharm used?

Answer

Dimethyl fumarate Neuraxpharm can only be obtained with a prescription and treatment should be started under the supervision of a doctor experienced in treating MS.

Dimethyl fumarate Neuraxpharm is available as capsules to be taken by mouth, twice a day with food. During the first week of treatment a lower dose is taken, which is then increased from the second week. The dose may be reduced temporarily in patients experiencing side effects of flushing and gastrointestinal (stomach and gut) problems.

For more information about using Dimethyl fumarate Neuraxpharm, see the package leaflet or contact your doctor or pharmacist.

Question

How does Dimethyl fumarate Neuraxpharm work?

Answer

In MS, the immune system (the body’s natural defences) attacks and damages the protective insulation around the nerves and the nerves themselves in the brain, spinal cord and optic nerve of the eye. The active substance in this medicine, dimethyl fumarate, is thought to work by activating a protein called ‘Nrf2’ that regulates certain genes that produce ‘antioxidants’ involved in protecting cells from damage.

Dimethyl fumarate has been shown to reduce inflammation and modulate the activity of the immune system.

Question

How has Dimethyl fumarate Neuraxpharm been studied?

Answer

Studies on the benefits and risks of the active substance in the authorised use have already been carried out with the reference medicine, Tecfidera, and do not need to be repeated for Dimethyl fumarate Neuraxpharm.

As for every medicine, the company provided studies on the quality of Dimethyl fumarate Neuraxpharm. The company also carried out studies that showed that it is ‘bioequivalent’ to the reference medicine. Two medicines are bioequivalent when they produce the same levels of the active substance in the body and are therefore expected to have the same effect.

Question

What are the benefits and risks of Dimethyl fumarate Neuraxpharm?

Answer

Because Dimethyl fumarate Neuraxpharm 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 Dimethyl fumarate Neuraxpharm authorised in the EU?

Answer

The European Medicines Agency concluded that, in accordance with EU requirements, Dimethyl fumarate Neuraxpharm has been shown to have comparable quality and to be bioequivalent to Tecfidera. Therefore, the Agency’s view was that, as for Tecfidera, the benefits of Dimethyl fumarate Neuraxpharm 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 Dimethyl fumarate Neuraxpharm?

Answer

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

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

Question

Other information about Dimethyl fumarate Neuraxpharm

Answer

Dimethyl fumarate Neuraxpharm received a marketing authorisation valid throughout the EU on 22 April 2024.

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