Introduction TAMIFLU 12 mg/ml, powder for oral suspension 1 vial of 30 g (CIP code: 359 963-5) TAMIFLU 75 mg, capsule B/10 (CIP code: 359 962-9) TAMIFLU 45 mg, capsule B/10 (CIP code: 382 016-9) TAMIFLU 30 mg, capsule B/10 (CIP code: 382 015-2) Posted on Nov 02 2011 Active substance (DCI) oseltamivir phosphate Infectiologie - Mise au point Intérêt clinique faible dans le traitement curatif de la grippe sévère ou compliquée d’emblée, ou en cas de facteurs de risque de complications TAMIFLU a l’AMM en prophylaxie post-exposition de la grippe et en traitement curatif de la grippe, s’il est administré dans les premières 48 heures après le début des symptômes.Chez l’enfant de moins de 1 an, il est indiqué uniquement en période de pandémie.En traitement curatif de la grippe, son intérêt clinique est faible dans les formes cliniques sévères ou compliquées d’emblée ou en cas de facteur de risque de gravité.Cette synthèse ne concerne que le traitement curatif de la grippe. Pour en savoir plus, téléchargez la synthèse ou l'avis complet TAMIFLU. ATC Code J05AH02 Laboratory / Manufacturer ROCHE TAMIFLU 12 mg/ml, powder for oral suspension 1 vial of 30 g (CIP code: 359 963-5) TAMIFLU 75 mg, capsule B/10 (CIP code: 359 962-9) TAMIFLU 45 mg, capsule B/10 (CIP code: 382 016-9) TAMIFLU 30 mg, capsule B/10 (CIP code: 382 015-2) Posted on Nov 02 2011
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The legally binding text is the original French versionTRANSPARENCY COMMITTEE
OPINION 2 November 2011 TAMIFLU 12 mg/ml, powder for oral suspension 1 vial of 30 g (CIP code: 359 963-5) TAMIFLU 75 mg, capsule B/10 (CIP code: 359 962-9) TAMIFLU 45 mg, capsule B/10 (CIP code: 382 016-9) TAMIFLU 30 mg, capsule B/10 (CIP code: 382 015-2) Applicant: ROCHE Oseltamivir phosphate ATC code: J05AH02 List I Date of Marketing Authorisation (centralised European procedure): TAMIFLU 12 mg/ml, powder for oral suspension and 75 mg capsule: 20/06/2002TAMIFLU 30 mg and 45 mg capsule: 19 September 2007 Extension of indication to children under 12 months of age during an influenza pandemic: 23 October 2009 Reason for request:- Re-assessment of the actual benefit (AB) as a curative influenza treatment during periods of virus circulation and during an influenza pandemic in accordance with article R 163-12 of the Social Security Code. - Extension of indication to children less than 1 year of age during an influenza pandemic outbreak as curative and prophylactic treatment of influenza. Medical, Economic and Public Health Assessment Division
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TC assessment
Curative treatment
Post-contact prophylaxis
Exceptional situation
Previous assessments from the Transparency Committee: AB, IAB
Opinion dated 21 June 2006 Opinion dated 3 January 2007 Inclusion request Submission of new studies: Opinion from 5 December 2007 Opinion dated 11 February 2004 preventative in children Extension of the treated population Inclusion of 30 mg and 45 mg capsules (extension of indication) + (Ministry of Health referral) and curative Revision of the AB Confirmation ofiInsufficient of rmationAB in all situations frominsufficientAB in all 12monthsofageaalglesituationsfronmsu1ff2icimeonntm12monthsofageisuttaoisnforofonfiChtsniBA InsufficientAB in the adolescent andInsufficientAB in children and adults adult without comorbidityInsufficient without comorbidityAB in children without comorbidityLowAB in the following high-risk patients: Low childrenAB in the adolescent and adultover 1 year of age with comorbidity,with comorbidity and in subjects overLowAB in children with adults from 13 to 64 years of age with 65 years of age comorbidityLowAB in the following populations comorbidity and adults over 65 years of age. gModerateAB in the particular case of at-risk unable to under o influenza ModerateAB in the adolescent andModerate vaccinationAB in children with subjects: for medical reasons: adult with comorbidity and in subjects comorbidity in particular situations: - Patients with asthma and chronic - subjects living in institutions( over 65 years of age in particular institutionalised patients, obstructive pulmonary disease, institutionalised patients) situations: contraindication to the vaccine, - Persons staying in medium or long- - subjects with contraindication to the - institutionalised patients, immunocompromised subjects, term stay facilities of whatever age- vaccine contraindication to the vaccine, incomplete vaccine protection children and adolescents (from 1 to - immunocompromised subjects(in immunocompromised subjects, compared to the circulating strain. 18 years) whose health status particular AIDS subjects, transplant incomplete vaccine protection requires prolonged treatment by recipients or patients receiving compared to the circulating strain. IAB V in the management of post- acetylsalicylic acid. immunosuppressive drugs) exposure prophylaxis children - situations in which the vaccine only om 1 to 12 years provides limited protection against the fr IAB III relative to Mantadix circulating strain SubstantialAB (conditional) in the seasonal prophylaxis in an exceptional situation: epidemic situation with - - -mismatch between the vaccine and circulating strains, pandemic situation
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TC assessment
Curative treatment
Post-contact prophylaxis
Exceptional situation
Opinion dated 16 April 2008 Re-assessment of the AB at the request of the Ministry of Health COSMOS observational study + other data provided
Confirmation ofinsufficientAB in all situations from 12 months age
Opinion dated 21 October 2009 Re-inclusion Submission of six new studies
Confirmation ofinsufficientAB in all situations from 12 months of age
InsufficientAB in children and adults without comorbiditycCoomnfiorrmbiadtiitoynofinsufficientAB in children and adults without LowAB in the following high-risk populations: children over 1 year of age with comorbidity, adultsfrom13to64yearsofagewithcChoilndfriremnaotivoenro1fyleoawrkofcomplicatio:nfoeaghtiwmocibroytid64ot31morfstluda,iABpoethnnoitalupsirtas comorbidity and adults over 65 years of age. Moderateand adults over 65 years of age.AB in the particular case of at-risk years of age with comorbidity subjects: Confirmation ofmoderateAB in the particular case of at-risk . - subjects living in institutions( institutionalised subjects: -psatuiebjnetcst)swithcontraindicationtothevaccin--ssuubbjjeeccttsslwivitinhgcionnitrnasitintduitcioatniso(nintostitthuetiovnaaclciisneedpatients)e - immunocompromised subjects (in particular AIDS subjects, -AIiDmSmsuunbojceoctms,prtroamnisspeldantsurebjceipcitesnt(isnorpparattiiceunltasrtransplantrecipientsorpatientsreceivingimmunosuppressivedrugs)receiving immunosuppressive drugs) - situations in which the vaccine only provides limited protection e only provides against the circulating strain - situations in which the vaccin limited prot tion against the circulating strai ec n