MedPath
EMA Approval

Dimethyl fumarate Mylan

L04AX07

dimethyl fumarate

Immunosuppressants

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 Mylan 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 Mylan contains the active substance dimethyl fumarate and is a ‘generic medicine’. This means that Dimethyl fumarate Mylan 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 Mylan is Tecfidera. For more information on generic medicines, see the question-and-answer document here.

Authorisations (1)

EMEA/H/C/006397

Mylan Ireland Limited,Unit 35/36,Grange Parade,Baldoye,Industrial Estate,Dublin 13,Ireland

Authorised

April 22, 2024

Active Substances (1)

dimethyl fumarate

Documents (8)

CHMP summary of positive opinion for Dimethyl fumarate Mylan

March 22, 2024

CHANGES_SINCE_INITIAL_AUTHORISATION

Dimethyl fumarate Mylan : EPAR - Risk-management-plan

July 11, 2024

RISK_MANAGEMENT_PLAN_SUMMARY

Dimethyl fumarate Mylan : EPAR - Medicine overview

July 11, 2024

OVERVIEW_DOCUMENT

Dimethyl fumarate Mylan : EPAR - All authorised presenations

July 11, 2024

AUTHORISED_PRESENTATIONS

Dimethyl fumarate Mylan : EPAR - Product information

July 11, 2024

DRUG_PRODUCT_INFORMATION

Dimethyl fumarate Mylan : EPAR - Public assessment report

July 11, 2024

CHANGES_SINCE_INITIAL_AUTHORISATION

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

May 12, 2025

CHANGES_SINCE_INITIAL_AUTHORISATION

Dimethyl fumarate Mylan : EPAR - Procedural steps taken and scientific information after authorisation (archive)

February 13, 2025

CHANGES_SINCE_INITIAL_AUTHORISATION

Overview Q&A (7)

Question

How is Dimethyl fumarate Mylan used?

Answer

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

Dimethyl fumarate Mylan 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 Mylan, see the package leaflet or contact your doctor or pharmacist.

Question

How does Dimethyl fumarate Mylan 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 Mylan 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 Mylan.

As for every medicine, the company provided studies on the quality of Dimethyl fumarate Mylan. 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 Mylan?

Answer

Because Dimethyl fumarate Mylan 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 Mylan authorised in the EU?

Answer

The European Medicines Agency concluded that, in accordance with EU requirements, Dimethyl fumarate Mylan 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 Mylan 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 Mylan?

Answer

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

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

Question

Other information about Dimethyl fumarate Mylan

Answer

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

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