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EMA Approval

Emtricitabine/Tenofovir disoproxil Krka

J05AR03

tenofovir disoproxil and emtricitabine

Antivirals for systemic use

Basic Information

EMA regulatory identification and product classification information

EMA Identifiers

ATC CodeJ05AR03
EMA European Classification

Overview Summary

Comprehensive product overview and regulatory summary

Emtricitabine/Tenofovir disoproxil Krka is an HIV medicine that is used in combination with at least one other HIV medicine to treat adults infected with human immunodeficiency virus type 1 (HIV‑1), a virus that causes acquired immune deficiency syndrome (AIDS). In addition, it may be used in adolescents with HIV who are resistant to first-line treatments or who cannot take them because of side effects.

Emtricitabine/Tenofovir disoproxil Krka is also used to help prevent sexually transmitted HIV-1 infection in adults and adolescents who are at high risk of being infected (pre-exposure prophylaxis or PrEP). It should be used in combination with safer sex practices, such as use of condoms.

Emtricitabine/Tenofovir disoproxil Krka contains two active substances, emtricitabine and tenofovir disoproxil. It is a ‘generic medicine’. This means that it contains the same active substances and works in the same way as a ‘reference medicine’ already authorised in the EU called Truvada.

Authorisations (1)

EMEA/H/C/004215

KRKA, d.d., Novo mesto,Smarjeska cesta 6,8501 Novo mesto,Slovenia

Authorised

December 9, 2016

Active Substances (2)

emtricitabine

tenofovir disoproxil succinate

Documents (14)

Efavirenz/Emtricitabine/Tenofovir disoproxil Krka : EPAR - Product Information

February 19, 2018

DRUG_PRODUCT_INFORMATION

Emtricitabine/Tenofovir disoproxil Krka : EPAR - All Authorised presentations

April 3, 2017

AUTHORISED_PRESENTATIONS

Emtricitabine/Tenofovir disoproxil Krka : EPAR - Risk-management plan summary

February 13, 2020

RISK_MANAGEMENT_PLAN_SUMMARY

Efavirenz/Tenofovir disoproxil Krka : EPAR - Product Information

April 4, 2017

DRUG_PRODUCT_INFORMATION

Emtricitabine/Tenofovir disoproxil Krka : EPAR - Procedural steps taken and scientific information after authorisation

July 3, 2024

CHANGES_SINCE_INITIAL_AUTHORISATION

Emtricitabine/Tenofovir disoproxil Krka : EPAR - Public assessment report

April 3, 2017

INITIAL_MARKETING_AUTHORISATION_DOCUMENTS

CHMP summary of positive opinion for Emtricitabine/Tenofovir disoproxil Krka

October 14, 2016

INITIAL_MARKETING_AUTHORISATION_DOCUMENTS

Emtricitabine/Tenofovir disoproxil Krka : EPAR - Public assessment report

April 3, 2017

CHANGES_SINCE_INITIAL_AUTHORISATION

CHMP summary of positive opinion for Emtricitabine/Tenofovir disoproxil Krka

October 14, 2016

CHANGES_SINCE_INITIAL_AUTHORISATION

Emtricitabine/Tenofovir disoproxil Krka : EPAR - Medicine overview

April 3, 2017

OVERVIEW_DOCUMENT

Emtricitabine/Tenofovir disoproxil Krka : EPAR - Procedural steps taken and scientific information after authorisation

July 3, 2024

CHANGES_SINCE_INITIAL_AUTHORISATION

Emtricitabine/Tenofovir disoproxil Krka : EPAR - Procedural steps taken and scientific information after authorisation (archive)

May 22, 2017

CHANGES_SINCE_INITIAL_AUTHORISATION

Emtricitabine/Tenofovir disoproxil Krka : EPAR - Product information

April 3, 2017

DRUG_PRODUCT_INFORMATION

Emtricitabine/Tenofovir disoproxil Krka : EPAR - Product Information

April 4, 2017

DRUG_PRODUCT_INFORMATION

Overview Q&A (7)

Question

Other information about Emtricitabine/Tenofovir disoproxil Krka

Answer

Emtricitabine/Tenofovir disoproxil Krka received a marketing authorisation valid throughout the EU on 9 December 2016.

Question

Why is Emtricitabine/Tenofovir disoproxil Krka authorised in the EU?

Answer

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

Question

How is Emtricitabine/Tenofovir disoproxil Krka used?

Answer

Emtricitabine/Tenofovir disoproxil Krka can only be obtained with a prescription and treatment should be started by a doctor who has experience in the management of HIV infection.

Emtricitabine/Tenofovir disoproxil Krka is available as tablets (200 mg emtricitabine and 245 mg tenofovir disoproxil). The recommended dose for treating or preventing HIV-1 infection is one tablet once a day, preferably taken with food. If patients need to stop taking emtricitabine or tenofovir, or need to take different doses, they will need to take medicines containing emtricitabine or tenofovir disoproxil separately.

For more information about using Emtricitabine/Tenofovir disoproxil Krka, see the package leaflet or contact your doctor or pharmacist.

Question

How does Emtricitabine/Tenofovir disoproxil Krka work?

Answer

Emtricitabine/Tenofovir disoproxil Krka contains two active substances: emtricitabine, which is a nucleoside reverse transcriptase inhibitor; and tenofovir disoproxil, which is a ‘prodrug’ of tenofovir. This means that it is converted into tenofovir in the body. Tenofovir is a nucleotide reverse transcriptase inhibitor. Both emtricitabine and tenofovir work in similar ways by blocking the activity of reverse transcriptase, an enzyme produced by HIV that allows it to reproduce itself in the cells it has infected.

For the treatment of HIV-1 infection, Emtricitabine/Tenofovir disoproxil Krka, taken in combination with at least one other antiviral medicine, reduces the amount of HIV in the blood and keeps it at a low level. Emtricitabine/Tenofovir disoproxil Krka does not cure HIV infection or AIDS, but it holds off the damage to the immune system and the development of infections and diseases associated with AIDS.

For pre-exposure prophylaxis of HIV-1 infection, it is expected that Emtricitabine/Tenofovir disoproxil Krka in the blood will stop the virus from multiplying and spreading from the site of infection in case the individual is exposed to the virus.

Question

What measures are being taken to ensure the safe and effective use of Emtricitabine/Tenofovir disoproxil Krka?

Answer

The company that markets Emtricitabine/Tenofovir disoproxil Krka will provide an information pack to doctors which covers the potential harmful effects of Emtricitabine/Tenofovir disoproxil Krka on kidney function, and information about use for pre-exposure prophylaxis. Healthcare professionals will also receive a brochure and reminder card to hand out to individuals receiving the medicine for pre-exposure prophylaxis.

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

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

Question

What are the benefits and risks of Emtricitabine/Tenofovir disoproxil Krka?

Answer

Because Emtricitabine/Tenofovir disoproxil 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 has Emtricitabine/Tenofovir disoproxil Krka been studied?

Answer

Studies on the benefits and risks of the active substances in the authorised uses have already been carried out with the reference medicine, Truvada, and do not need to be repeated for Emtricitabine/Tenofovir disoproxil Krka.

As for every medicine, the company provided studies on the quality of Emtricitabine/Tenofovir disoproxil 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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