MedPath
EMA Approval

Lenalidomide Krka d.d. Novo mesto (previously Lenalidomide Krka)

L04AX04

lenalidomide

Immunosuppressants

lenalidomide

Multiple MyelomaLymphoma, Follicular

lenalidomide hydrochloride monohydrate

Basic Information

EMA regulatory identification and product classification information

EMA Identifiers

ATC CodeL04AX04
EMA European Classification

Overview Summary

Comprehensive product overview and regulatory summary

Lenalidomide Krka d.d. Novo mesto is a medicine used for the treatment of certain cancers affecting blood cells, namely multiple myeloma and follicular lymphoma.

In multiple myeloma, a cancer of a type of white blood cells called plasma cells, Lenalidomide Krka d.d. Novo mesto is used:

  • in adults with previously untreated (newly diagnosed) multiple myeloma, who have had an autologous stem cell transplant (a procedure where the patient’s bone marrow is cleared of cells and replaced with the patient’s own stem cells to form new bone marrow);
  • in adults with previously untreated multiple myeloma, who cannot have stem cell transplantation. It is used in combination with dexamethasone, or bortezomib and dexamethasone, or melphalan and prednisone;
  • in adults whose disease has been treated at least once. It is used in combination with dexamethasone.

In follicular lymphoma, a blood cancer that affects a type of white blood cell called B lymphocytes, Lenalidomide Krka d.d. Novo mesto. Lenalidomide Krka d.d. Novo mesto is used in adults whose disease has come back after treatment or does not improve with treatment. It is used in combination with rituximab.

Lenalidomide Krka d.d. Novo mesto contains the active substance lenalidomide and is a ‘generic medicine’. This means that Lenalidomide Krka d.d. Novo mesto contains the same active substance and works in the same way as a ‘reference medicine’ already authorised in the EU called Revlimid. For more information on generic medicines, see the question-and-answer document below.

Authorisations (1)

EMEA/H/C/005734

Krka, d.d., Novo mesto,Krka, d.d., Novo mesto,Šmarješka cesta 6,8501 Novo mesto,Slovenia

Authorised

February 11, 2021

Active Substances (1)

lenalidomide hydrochloride monohydrate

Documents (9)

Lenalidomide Krka : EPAR - Public assessment report

February 18, 2021

CHANGES_SINCE_INITIAL_AUTHORISATION

Lenalidomide krka d.d. Novo mesto : EPAR - Procedural steps taken and scientific information after the authorisation

August 31, 2021

CHANGES_SINCE_INITIAL_AUTHORISATION

CHMP summary of positive opinion for Lenalidomide Krka

December 11, 2020

INITIAL_MARKETING_AUTHORISATION_DOCUMENTS

Lenalidomide Krka : EPAR - Public assessment report

February 18, 2021

INITIAL_MARKETING_AUTHORISATION_DOCUMENTS

Lenalidomide Krka d.d. Novo mesto : EPAR - Risk-management plan summary

February 18, 2021

RISK_MANAGEMENT_PLAN_SUMMARY

Lenalidomide krka d.d. Novo mesto : EPAR - All authorised presentations

February 18, 2021

AUTHORISED_PRESENTATIONS

Lenalidomide krka d.d. Novo mesto : EPAR - Medicine overview

February 18, 2021

OVERVIEW_DOCUMENT

CHMP summary of positive opinion for Lenalidomide Krka

December 11, 2020

CHANGES_SINCE_INITIAL_AUTHORISATION

Lenalidomide krka d.d. Novo mesto : EPAR - Product information

February 18, 2021

DRUG_PRODUCT_INFORMATION

Overview Q&A (7)

Question

How is Lenalidomide Krka d.d. Novo mesto used?

Answer

Lenalidomide  Krka d.d. Novo mesto can only be obtained with a prescription and treatment should be supervised by doctors who have experience in the use of cancer medicines.

Lenalidomide  Krka d.d. Novo mesto is available as capsules of various strengths to be taken by mouth. Treatment is given in cycles, with the medicine being used once a day on certain days of the cycles. Treatment cycles are continued until the disease is no longer being controlled or side effects become unacceptable. The dose depends on the disease it is being used for, the patient’s overall health and blood test results. The dose may need to be reduced or treatment interrupted in case of certain side effects.

For more information about using Lenalidomide  Krka d.d. Novo mesto, see the package leaflet or contact your doctor or pharmacist.

Question

How does Lenalidomide Krka d.d. Novo mesto work?

Answer

The active substance in Lenalidomide  Krka d.d. Novo mesto, lenalidomide, is an immunomodulator. This means that it affects the activity of the immune system (the body’s natural defences). Lenalidomide works in several ways: it blocks the development of abnormal cells, prevents the growth of blood vessels within tumours and stimulates specialised cells of the immune system to attack the abnormal cells.

Question

Why is Lenalidomide Krka d.d. Novo mesto authorised in the EU?

Answer

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

Question

What are the benefits and risks of Lenalidomide Krka d.d. Novo mesto?

Answer

Because Lenalidomide Krka d.d. Novo mesto 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

What measures are being taken to ensure the safe and effective use of Lenalidomide Krka d.d. Novo mesto?

Answer

The company that markets Lenalidomide Krka d.d. Novo mesto will provide educational kits for healthcare professionals, and brochures for patients, explaining that the medicine can be harmful to the unborn child and detailing the steps that need to be taken for the medicine to be used safely. It will also supply cards to patients about the safety measures patients should take.

The company has also set up a pregnancy prevention programme and will collect information on the medicine’s use outside its authorised uses. The boxes containing Lenalidomide Krka d.d. Novo mesto capsules also include a warning stating that lenalidomide can be harmful to the unborn child.

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

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

Question

Other information about Lenalidomide Krka d.d. Novo mesto

Answer

Lenalidomide Krka d.d. Novo mesto received a marketing authorisation valid throughout the EU on 11 February 2021.

Question

How has Lenalidomide Krka d.d. Novo mesto 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, Revlimid, and do not need to be repeated for Lenalidomide  Krka d.d. Novo mesto.

As for every medicine, the company provided studies on the quality of Lenalidomide  Krka d.d. Novo mesto. 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.

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