MedPath
EMA Approval

Atazanavir Krka

J05AE08

atazanavir

Antivirals for systemic use

Basic Information

EMA regulatory identification and product classification information

EMA Identifiers

ATC CodeJ05AE08
EMA European Classification

Overview Summary

Comprehensive product overview and regulatory summary

Atazanavir Krka is an HIV medicine used to treat patients infected with human immunodeficiency virus type 1 (HIV-1), a virus that causes acquired immunodeficiency syndrome (AIDS). It is used together with low-dose ritonavir and other antiviral medicines to treat patients aged 6 years and over.

Doctors should prescribe Atazanavir Krka only after they have looked at which medicines the patient has taken and carried out tests to establish that the virus is likely to respond to Atazanavir Krka. The medicine is not expected to work in patients in whom many medicines in the same class as Atazanavir Krka (protease inhibitors) do not work.

Atazanavir Krka contains the active substance atazanavir and is a ‘generic medicine’. This means that Atazanavir Krka contains the same active substance and works in the same way as a ‘reference medicine’ already authorised in the EU called Reyataz.

Authorisations (2)

EMEA/H/C/004859

Krka, d.d., Novo mesto,KRKA d.d., Novo mesto,Šmarješka cesta 6,SI-8501 Novo mesto,Slovenia

Authorised

March 25, 2019

EMEA/H/C/004859

Krka, d.d., Novo mesto,KRKA d.d., Novo mesto,Šmarješka cesta 6,SI-8501 Novo mesto,Slovenia

Authorised

March 25, 2019

Active Substances (1)

atazanavir (as sulfate)

Documents (10)

Atazanavir Krka : EPAR - Risk-management-plan summary

May 15, 2019

RISK_MANAGEMENT_PLAN_SUMMARY

Atazanavir Krka : EPAR - Product information

May 15, 2019

DRUG_PRODUCT_INFORMATION

Atazanavir Krka : EPAR - Procedural steps taken and scientific information after authorisation (archive)

December 9, 2021

CHANGES_SINCE_INITIAL_AUTHORISATION

Atazanavir Krka : EPAR - Public assessment report

May 15, 2019

CHANGES_SINCE_INITIAL_AUTHORISATION

CHMP summary of positive opinion for Atazanavir Krka

February 1, 2019

CHANGES_SINCE_INITIAL_AUTHORISATION

CHMP summary of positive opinion for Atazanavir Krka

February 1, 2019

INITIAL_MARKETING_AUTHORISATION_DOCUMENTS

Atazanavir Krka : EPAR - Medicine overview

May 15, 2019

OVERVIEW_DOCUMENT

Atazanavir Krka : EPAR - Procedural steps taken and scientific information after authorisation

June 3, 2025

CHANGES_SINCE_INITIAL_AUTHORISATION

Atazanavir Krka : EPAR - All authorised presentations

May 15, 2019

AUTHORISED_PRESENTATIONS

Atazanavir Krka : EPAR - Public assessment report

May 15, 2019

INITIAL_MARKETING_AUTHORISATION_DOCUMENTS

Overview Q&A (7)

Question

What are the benefits and risks of Atazanavir Krka?

Answer

Because Atazanavir Krka 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

How is Atazanavir Krka used?

Answer

Atazanavir Krka is available as capsules (150 mg, 200 mg and 300 mg). It can only be obtained with a prescription and treatment should be started by a doctor who has experience in the treatment of HIV infection.

For adults, the recommended dose is 300 mg once a day. In younger patients, the dose of Atazanavir Krka depends on body weight. Each dose must be taken with food.

Atazanavir Krka is normally given with ritonavir to boost its action but doctors can consider stopping ritonavir in adults in some specific situations.

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

Question

How does Atazanavir Krka work?

Answer

The active substance in Atazanavir Krka, atazanavir, is a protease inhibitor. It blocks an enzyme called protease, which is needed for the HIV virus to multiply. Blocking the enzyme prevents the virus from multiplying, slowing down the spread of infection. A small dose of another medicine, ritonavir, is normally given at the same time as a ‘booster’. Ritonavir slows down the break-down of atazanavir, increasing the levels of atazanavir in the blood. This allows a lower dose of atazanavir to be used for the same antiviral effect. Atazanavir Krka, taken in combination with other antiviral medicines, reduces the amount of HIV in the blood and keeps it at a low level. Atazanavir Krka does not cure HIV infection or AIDS but, when used in combination with other antivirals, it holds off the damage to the immune system and the development of infections and diseases associated with AIDS.

Question

Why is Atazanavir Krka authorised in the EU?

Answer

The European Medicines Agency concluded that, in accordance with EU requirements, Atazanavir Krka has been shown to have comparable quality and to be bioequivalent to Reyataz. Therefore, the Agency’s view was that, as for Reyataz, the benefit of Atazanavir Krka outweighs the identified risk and it can be authorised for use in the EU.

Question

What measures are being taken to ensure the safe and effective use of Atazanavir Krka?

Answer

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

As for all medicines, data on the use of Atazanavir Krka are continuously monitored. Side effects reported with Atazanavir Krka are carefully evaluated and any necessary action taken to protect patients.

Question

Other information about Atazanavir Krka

Answer

Atazanavir Krka received a marketing authorisation valid throughout the EU on 25 March 2019.

Question

How has Atazanavir Krka 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, Reyataz, and do not need to be repeated for Atazanavir Krka.

As for every medicine, the company provided studies on the quality of Atazanavir Krka. The company also carried out a study 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.

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