Basic Information
EMEA/H/C/004068
Viatris LimitedDamastown Industrial Park Dublin 15Ireland
Authorised
January 3, 2017
September 14, 2016
J05AE10
darunavir
Antivirals for systemic use
Therapeutic indication
Darunavir, co-administered with low dose ritonavir is indicated in combination with other antiretroviral medicinal products for the treatment of patients with human immunodeficiency virus (HIV-1) infection (see section 4.2).
Darunavir Viatris 75 mg, 150 mg, 300 mg and 600 mg tablets may be used to provide suitable dose regimens (see section 4.2):
- For the treatment of HIV-1 infection in antiretroviral treatment (ART)-experienced adult patients, including those that have been highly pre-treated.
- For the treatment of HIV-1 infection in paediatric patients from the age of 3 years and at least 15 kg body weight.
In deciding to initiate treatment with darunavir co-administered with low dose ritonavir, careful consideration should be given to the treatment history of the individual patient and the patterns of mutations associated with different agents. Genotypic or phenotypic testing (when available) and treatment history should guide the use of darunavir (see sections 4.2, 4.4 and 5.1).
Darunavir co-administered with low dose ritonavir is indicated in combination with other antiretroviral medicinal products for the treatment of patients with human immunodeficiency virus (HIV-1) infection.
Darunavir co-administered with cobicistat is indicated in combination with other antiretroviral medicinal products for the treatment of human immunodeficiency virus (HIV-1) infection in adults and adolescents (aged 12 years and older, weighing at least 40 kg) (see section 4.2).
Darunavir Viatris 400 mg and 800 mg tablets may be used to provide suitable dose regimens for the treatment of HIV-1 infection in adult and paediatric patients from the age of 3 years and at least 40 kg body weight who are:
- antiretroviral therapy (ART)-naïve (see section 4.2).
- ART-experienced with no darunavir resistance associated mutations (DRV-RAMs) and who have plasma HIV-1 RNA < 100,000 copies/ml and CD4+ cell count ? 100 cells x 10?/L. In deciding to initiate treatment with darunavir in such ART-experienced patients, genotypic testing should guide the use of darunavir (see sections 4.2, 4.3, 4.4 and 5.1).
Special Designations
Overview Summary
This is a summary of the European public assessment report (EPAR) for Darunavir Mylan. 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 Darunavir Mylan.
For practical information about using Darunavir Mylan, patients should read the package leaflet or contact their doctor or pharmacist.
Active Substances (2)
darunavir
darunavir
Documents (14)
Darunavir Mylan : EPAR - Risk-management-plan summary
February 16, 2021
RISK_MANAGEMENT_PLAN_SUMMARY
Darunavir Viatris (previously Darunavir Mylan) : EPAR - All Authorised presentations
February 2, 2017
AUTHORISED_PRESENTATIONS
Darunavir Mylan : EPAR - Public assessment report
February 2, 2017
CHANGES_SINCE_INITIAL_AUTHORISATION
CHMP summary of positive opinion for Darunavir Mylan
November 11, 2016
CHANGES_SINCE_INITIAL_AUTHORISATION
Darunavir Viatris : EPAR - Medicine overview
February 2, 2017
OVERVIEW_DOCUMENT
Darunavir Mylan : EPAR - Procedural steps taken and scientific information after authorisation
July 4, 2017
CHANGES_SINCE_INITIAL_AUTHORISATION
Darunavir Viatris : EPAR - Product Information
February 2, 2017
DRUG_PRODUCT_INFORMATION
Darunavir Mylan : EPAR - Product Information
February 2, 2017
DRUG_PRODUCT_INFORMATION
Darunavir Mylan : EPAR - All Authorised presentations
February 2, 2017
AUTHORISED_PRESENTATIONS
Darunavir Mylan : EPAR - Public assessment report
February 2, 2017
INITIAL_MARKETING_AUTHORISATION_DOCUMENTS
Darunavir Mylan : EPAR - Summary for the public
February 2, 2017
OVERVIEW_DOCUMENT
CHMP summary of positive opinion for Darunavir Mylan
November 11, 2016
INITIAL_MARKETING_AUTHORISATION_DOCUMENTS
Darunavir Viatris (previously Darunavir Mylan) : EPAR - Procedural steps taken and scientific information after authorisation
May 24, 2024
CHANGES_SINCE_INITIAL_AUTHORISATION
Darunavir Mylan : EPAR - Procedural steps taken and scientific information after authorisation (archive)
July 4, 2017
CHANGES_SINCE_INITIAL_AUTHORISATION
Overview Q&A (15)
Question
How has Darunavir Mylan been studied?
Answer
Studies on the benefits and risks of the active substance in the approved use have already been carried out with the reference medicine, Prezista, and do not need to be repeated for Darunavir Mylan.
As for every medicine, the company provided studies on the quality of Darunavir 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 Darunavir Mylan?
Answer
Because Darunavir 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
How is Darunavir Mylan used?
Answer
Darunavir Mylan can only be obtained with a prescription and treatment should be started by a healthcare professional who has experience in the management of HIV infection.
Darunavir Mylan is available as tablets (75, 150, 300, 400, 600 and 800 mg). The medicine is always taken either with cobicistat (in adults) or with low-dose ritonavir (in adults and children) and with other HIV medicines, and should be taken with food.
For adults who have not been treated before, the recommended dose is 800 mg once a day. For adults who have been treated before, the dose is 600 mg twice a day. Previously treated patients can also take a dose of 800 mg once a day provided that their HIV infection is well controlled and is not likely to be resistant to darunavir.
For children aged 3 to 17 years and weighing at least 15 kg who have not be treated before, the recommended dose varies between 600 and 800 mg once daily depending on their weight. For previously treated children the usually recommended dose varies between 375 and 600 mg twice a day depending on their weight.
For further information, see the package leaflet.
Question
How does Darunavir Mylan work?
Answer
The active substance in Darunavir Mylan, darunavir, is a protease inhibitor. It blocks protease, an enzyme involved in the reproduction of HIV. When the enzyme is blocked, the virus does not reproduce normally, slowing down its multiplication in the body. Darunavir Mylan is always given with ritonavir or cobicistat. Ritonavir and cobicistat reduce the breakdown of darunavir, increasing the levels of darunavir in the blood. This allows effective treatment while avoiding a higher dose of darunavir.
Darunavir Mylan, taken in combination with other HIV medicines, reduces the amount of HIV in the blood and keeps it at a low level. Darunavir Mylan does not cure HIV infection or AIDS, but HIV treatment may hold off the damage to the immune system and the development of infections and diseases associated with AIDS.
Question
What measures are being taken to ensure the safe and effective use of Darunavir Mylan?
Answer
Recommendations and precautions to be followed by healthcare professionals and patients for the safe and effective use of Darunavir Mylan have been included in the summary of product characteristics and the package leaflet.
Question
Other information about Darunavir Mylan
Answer
The European Commission granted a marketing authorisation valid throughout the European Union for Darunavir Mylan on 04 January 2017.
For more information about treatment with Darunavir Mylan, read the package leaflet (also part of the EPAR) or contact your doctor or pharmacist.
Question
Why is Darunavir Mylan approved?
Answer
The Agency’s Committee for Medicinal Products for Human Use (CHMP) concluded that, in accordance with EU requirements, Darunavir Mylan has been shown to have comparable quality and to be bioequivalent to Prezista. Therefore, the CHMP’s view was that, as for Prezista, the benefit outweighs the identified risk. The Committee recommended that Darunavir Mylan be approved for use in the EU.
Question
What is Darunavir Mylan and what is it used for?
Answer
Darunavir Mylan is an antiviral medicine used with other HIV medicines to treat patients with human immunodeficiency virus type 1 (HIV-1), a virus that causes acquired immune deficiency syndrome (AIDS). It is given with low-dose ritonavir or, in adults, with cobicistat. Darunavir Mylan may be given to adults or children from 3 years of age and weighing at least 15 kg.
Darunavir Mylan contains the active substance darunavir.
Darunavir Mylan is a ‘generic medicine’. This means that Darunavir Mylan contains the same active substance and works in the same way as a ‘reference medicine’ already authorised in the European Union (EU) called Prezista.
Question
How is Darunavir Viatris used?
Answer
Darunavir Viatris can only be obtained with a prescription and treatment should be started by a healthcare professional who has experience in the management of HIV infection.
Darunavir Viatris is available as tablets. The medicine is always taken either with cobicistat (in adults) or with low-dose ritonavir (in adults and children) and with other HIV medicines, and should be taken with food.
For more information about using Darunavir Viatris, see the package leaflet or contact your doctor or pharmacist
Question
How does Darunavir Viatris work?
Answer
The active substance in Darunavir Viatris, darunavir, is a protease inhibitor. It blocks protease, an enzyme involved in the reproduction of HIV. When the enzyme is blocked, the virus does not reproduce normally, slowing down its multiplication in the body. Darunavir Viatris is always given with ritonavir or cobicistat. Ritonavir and cobicistat reduce the breakdown of darunavir, increasing the levels of darunavir in the blood. This allows effective treatment while avoiding a higher dose of darunavir.
Darunavir Viatris, taken in combination with other HIV medicines, reduces the amount of HIV in the blood and keeps it at a low level. Darunavir Viatris does not cure HIV infection or AIDS, but HIV treatment may hold off the damage to the immune system and the development of infections and diseases associated with AIDS.
Question
How has Darunavir Viatris been studied?
Answer
Studies on the benefits and risks of the active substance in the approved use have already been carried out with the reference medicine, Prezista, and do not need to be repeated for Darunavir Viatris.
As for every medicine, the company provided studies on the quality of Darunavir Viatris. 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 Darunavir Viatris?
Answer
Because Darunavir Viatris 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 Darunavir Viatris?
Answer
Recommendations and precautions to be followed by healthcare professionals and patients for the safe and effective use of Darunavir Viatris have been included in the summary of product characteristics and the package leaflet. Any additional measures in place for Prezista also apply to Duranavir Viatris where appropriate.
As for all medicines, data on the use of Duranavir Viatris are continuously monitored. Suspected side effects reported with Duranavir Viatris are carefully evaluated and any necessary action taken to protect patients.
Question
Why is Darunavir Viatris authorised in the EU?
Answer
The European Medicines Agency concluded that, in accordance with EU requirements, Darunavir Viatris has been shown to have comparable quality and to be bioequivalent to Prezista. Therefore, the Agency’s view was that, as for Prezista, the benefit outweighs the identified risk and it can be authorised for use in the EU.
Question
Other information about Darunavir Viatris
Answer
The European Commission granted a marketing authorisation valid throughout the European Union for Darunavir Mylan on 4 January 2017.
The name of the medicine was changed to Duranavir Viatris on 5 July 2024.