This is a summary of the European public assessment report (EPAR) for Benepali. It explains how the Agency assessed the medicine to recommend its authorisation in the EU and its conditions of use. It is not intended to provide practical advice on how to use Benepali. For practical information about using Benepali, patients should read the package leaflet or contact their doctor or pharmacist.
Therapeutic Indication
**Rheumatoid arthritis** Benepali in combination with methotrexate is indicated for the treatment of moderate to severe active rheumatoid arthritis in adults when the response to disease\-modifying antirheumatic drugs, including methotrexate (unless contraindicated), has been inadequate. Benepali can be given as monotherapy in case of intolerance to methotrexate or when continued treatment with methotrexate is inappropriate. Benepali is also indicated in the treatment of severe, active and progressive rheumatoid arthritis in adults not previously treated with methotrexate. Benepali, alone or in combination with methotrexate, has been shown to reduce the rate of progression of joint damage as measured by X\-ray and to improve physical function. **Juvenile idiopathic arthritis** Treatment of polyarthritis (rheumatoid factor positive or negative) and extended oligoarthritis in children and adolescents from the age of 2 years who have had an inadequate response to, or who have proved intolerant of, methotrexate. Treatment of psoriatic arthritis in adolescents from the age of 12 years who have had an inadequate response to, or who have proved intolerant of, methotrexate. Treatment of enthesitis\-related arthritis in adolescents from the age of 12 years who have had an inadequate response to, or who have proved intolerant of, conventional therapy. Etanercept has not been studied in children aged less than 2 years. **Psoriatic arthritis** Treatment of active and progressive psoriatic arthritis in adults when the response to previous disease\-modifying antirheumatic drug therapy has been inadequate. Etanercept has been shown to improve physical function in patients with psoriatic arthritis, and to reduce the rate of progression of peripheral joint damage as measured by X\-ray in patients with polyarticular symmetrical subtypes of the disease. **Axial spondyloarthritis** **Ankylosing spondylitis** Treatment of adults with severe active ankylosing spondylitis who have had an inadequate response to conventional therapy. **Non\-radiographic axial spondyloarthritis** Treatment of adults with severe non\-radiographic axial spondyloarthritis with objective signs of inflammation as indicated by elevated C\-reactive protein (CRP) and/or magnetic resonance imaging (MRI) evidence, who have had an inadequate response to nonsteroidal anti\-inflammatory drugs (NSAIDs). **Plaque psoriasis** Treatment of adults with moderate to severe plaque psoriasis who failed to respond to, or who have a contraindication to, or are intolerant to other systemic therapy, including ciclosporin, methotrexate or psoralen and ultraviolet\-A light (PUVA). **Paediatric plaque psoriasis** Treatment of chronic severe plaque psoriasis in children and adolescents from the age of 6 years who are inadequately controlled by, or are intolerant to, other systemic therapies or phototherapies.
Therapeutic Area (MeSH)
ATC Code
L04AB01
ATC Item
N/A
Pharmacotherapeutic Group
Immunosuppressants
Active Substance (Summary)
INN / Common Names
EMA Name
Benepali
Medicine Name
Benepali
Aliases
N/ANo risk management plan link.
