Competact

pioglitazone / metformin

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This is a summary of the European public assessment report (EPAR) for Competact. It explains how the Committee for Medicinal Products for Human Use (CHMP) assessed the medicine to reach its opinion in favour of granting a marketing authorisation and its recommendations on the conditions of use for Competact.

What is Competact?

Competact is a medicine that is available as white oblong tablets containing two active substances, pioglitazone (15 mg) and metformin hydrochloride (850 mg).

What is Competact used for?

Competact is used in adults (particularly those who are overweight) who have type-2 diabetes. Competact is used in patients who are not satisfactorily controlled on metformin (an antidiabetes medicine) used on its own and at the maximum possible dose.

Competact can only be obtained with a prescription.

How is Competact used?

The usual dose of Competact is one tablet taken twice a day. Patients changing from metformin only to Competact may need to slowly introduce pioglitazone until a dose of 30 mg per day is reached. It is possible to change to Competact directly from metformin if appropriate. Taking Competact with or just after food may reduce any stomach problems caused by metformin. Elderly patients should have their kidney function monitored regularly.

How does Competact work?

Type-2 diabetes is a disease in which the pancreas does not make enough insulin to control the level of glucose in the blood or when the body is unable to use insulin effectively. Competact contains two active substances which each have a different mode of action. Pioglitazone makes cells (fat, muscle and liver) more sensitive to insulin, which means that the body makes better use of the insulin it produces. Metformin works mainly by inhibiting glucose production and reducing its absorption in the gut. As a result of the action of both active substances, the blood glucose is reduced and this helps to control type-2 diabetes.

How has Competact been studied?

Pioglitazone on its own has been approved by the EU under the name Actos, can be used with metformin in type-2 diabetes patients who are not satisfactorily controlled on metformin alone. Three studies of Actos used with metformin as separate tablets were used to support the use of Competact in the same indication. The studies lasted from four months to two years and involved 1,305 patients who took the combination. They measured the level in the blood of a substance (HbA1c), which gives an indication of how well the blood glucose is controlled.

Treatment with Competact should be reviewed after three to six months, and discontinued in patients who are not deriving sufficient benefit. At subsequent reviews prescribers should confirm that benefits to patients are maintained.

What benefit has Competact shown during the studies?

In all studies, adding pioglitazone 30 mg to metformin gave an improvement in the control of blood glucose, with levels of HbA1c which were further decreased by 0.64 to 0.89% compared to the levels on metformin alone.

What is the risk associated with Competact?

At the start of treatment, abdominal pain (stomach ache), diarrhoea, loss of appetite, nausea (feeling sick) and vomiting may occur. These side effects are very common but disappear on their own in most cases. Lactic acidosis (a build-up of lactic acid in the body) is a side effect which may occur in less than 1 in 10,000 patients. Other side effects such as bone fracture, increased weight and oedema (swelling) may occur in less than 1 in 10 patients. For the full list of side effects reported with Competact, see the package leaflet.

Competact should not be used in people who may be hypersensitive (allergic) to pioglitazone, metformin or any of the other ingredients, and in patients who have heart failure, or problems with their liver or their kidneys. Competact should not be used in patients who have a disease that causes lack of oxygen to the tissues such as a recent heart attack or shock. Competact should not be used where there is alcohol intoxication, diabetic ketoacidosis (high levels of ketones) or conditions that may effects the kidneys, or during breast-feeding. It must also not be used in patients who have or have had bladder cancer or those with blood in the urine that has not yet been investigated. For the full list of restrictions, see the package leaflet.

Why has Competact been approved?

The CHMP concluded that the effectiveness of pioglitazone and metformin in type-2 diabetes had been shown, and that Competact simplifies treatment and improves compliance when a combination of the active substances is required. The Committee decided that Competact’s benefits are greater than its risks and recommended that it be given marketing authorisation.

Other information about Competact

The European Commission granted a marketing authorisation valid throughout the European Union, for Competact on 28 July 2006.

For more information about treatment with Competact, read the package leaflet (also part of the EPAR) or contact your doctor or pharmacist.

Name Language First published Last updated
Competact : EPAR - Summary for the public BG = bălgarski 31/05/2007 07/05/2012
Competact : EPAR - Summary for the public ES = español 31/05/2007 07/05/2012
Competact : EPAR - Summary for the public CS = čeština 31/05/2007 07/05/2012
Competact : EPAR - Summary for the public DA = dansk 31/05/2007 07/05/2012
Competact : EPAR - Summary for the public DE = Deutsch 31/05/2007 07/05/2012
Competact : EPAR - Summary for the public ET = eesti keel 31/05/2007 07/05/2012
Competact : EPAR - Summary for the public EL = elliniká 31/05/2007 07/05/2012
Competact : EPAR - Summary for the public EN = English 31/05/2007 07/05/2012
Competact : EPAR - Summary for the public FR = français 31/05/2007 07/05/2012
Competact : EPAR - Summary for the public IT = italiano 31/05/2007 07/05/2012
Competact : EPAR - Summary for the public LV = latviešu valoda 31/05/2007 07/05/2012
Competact : EPAR - Summary for the public LT = lietuvių kalba 31/05/2007 07/05/2012
Competact : EPAR - Summary for the public HU = magyar 31/05/2007 07/05/2012
Competact : EPAR - Summary for the public MT = Malti 31/05/2007 07/05/2012
Competact : EPAR - Summary for the public NL = Nederlands 31/05/2007 07/05/2012
Competact : EPAR - Summary for the public PL = polski 31/05/2007 07/05/2012
Competact : EPAR - Summary for the public PT = português 31/05/2007 07/05/2012
Competact : EPAR - Summary for the public RO = română 31/05/2007 07/05/2012
Competact : EPAR - Summary for the public SK = slovenčina 31/05/2007 07/05/2012
Competact : EPAR - Summary for the public SL = slovenščina 31/05/2007 07/05/2012
Competact : EPAR - Summary for the public FI = suomi 31/05/2007 07/05/2012
Competact : EPAR - Summary for the public SV = svenska 31/05/2007 07/05/2012

This EPAR was last updated on 29/09/2014 .

Authorisation details

Product details

Product details for Competact
NameCompetact
Agency product numberEMEA/H/C/000655
Active substance

pioglitazone / metformin hydrochloride

International non-proprietary name (INN) or common name

pioglitazone / metformin

Therapeutic area Diabetes Mellitus, Type 2
Anatomical therapeutic chemical (ATC) code A10BD05

Publication details

Publication details for Competact
Marketing-authorisation holder

Takeda Pharma A/S

Revision13
Date of issue of marketing authorisation valid throughout the European Union28/07/2006

Contact address:

Takeda Pharma A/S
Langebjerg 1
DK-4000 Roskilde
Denmark

Product information

Product information

23/07/2014  Competact -EMEA/H/C/000655 -IB/0047/G

Name Language First published Last updated
Competact : EPAR - Product Information SV = svenska 05/10/2009 29/09/2014
Competact : EPAR - Product Information SV = svenska 05/10/2009 29/09/2014
Competact : EPAR - Product Information SV = svenska 05/10/2009 29/09/2014
Competact : EPAR - Product Information SV = svenska 05/10/2009 29/09/2014
Competact : EPAR - Product Information SV = svenska 05/10/2009 29/09/2014
Competact : EPAR - Product Information SV = svenska 05/10/2009 29/09/2014
Competact : EPAR - Product Information SV = svenska 05/10/2009 29/09/2014
Competact : EPAR - Product Information SV = svenska 05/10/2009 29/09/2014
Competact : EPAR - Product Information SV = svenska 05/10/2009 29/09/2014
Competact : EPAR - Product Information SV = svenska 05/10/2009 29/09/2014
Competact : EPAR - Product Information SV = svenska 05/10/2009 29/09/2014
Competact : EPAR - Product Information SV = svenska 05/10/2009 29/09/2014
Competact : EPAR - Product Information SV = svenska 05/10/2009 29/09/2014
Competact : EPAR - Product Information SV = svenska 05/10/2009 29/09/2014
Competact : EPAR - Product Information SV = svenska 05/10/2009 29/09/2014
Competact : EPAR - Product Information SV = svenska 05/10/2009 29/09/2014
Competact : EPAR - Product Information SV = svenska 05/10/2009 29/09/2014
Competact : EPAR - Product Information SV = svenska 05/10/2009 29/09/2014
Competact : EPAR - Product Information SV = svenska 05/10/2009 29/09/2014
Competact : EPAR - Product Information SV = svenska 05/10/2009 29/09/2014
Competact : EPAR - Product Information SV = svenska 05/10/2009 29/09/2014
Competact : EPAR - Product Information SV = svenska 05/10/2009 29/09/2014
Competact : EPAR - Product Information SV = svenska 05/10/2009 29/09/2014
Competact : EPAR - Product Information SV = svenska 05/10/2009 29/09/2014
Competact : EPAR - Product Information SV = svenska 05/10/2009 29/09/2014

Contents

  • Annex I - Summary of product characteristics
  • Annex IIA - Manufacturing-authorisation holder responsible for batch release
  • Annex IIB - Conditions of the marketing authorisation
  • Annex IIIA - Labelling
  • Annex IIIB - Package leaflet

Please note that the size of the above document can exceed 50 pages.

You are therefore advised to be selective about which sections or pages you wish to print.


Name Language First published Last updated
Competact : EPAR - All Authorised presentations SV = svenska 31/05/2007 06/07/2011
Competact : EPAR - All Authorised presentations SV = svenska 31/05/2007 06/07/2011
Competact : EPAR - All Authorised presentations SV = svenska 31/05/2007 06/07/2011
Competact : EPAR - All Authorised presentations SV = svenska 31/05/2007 06/07/2011
Competact : EPAR - All Authorised presentations SV = svenska 31/05/2007 06/07/2011
Competact : EPAR - All Authorised presentations SV = svenska 31/05/2007 06/07/2011
Competact : EPAR - All Authorised presentations SV = svenska 31/05/2007 06/07/2011
Competact : EPAR - All Authorised presentations SV = svenska 31/05/2007 06/07/2011
Competact : EPAR - All Authorised presentations SV = svenska 31/05/2007 06/07/2011
Competact : EPAR - All Authorised presentations SV = svenska 31/05/2007 06/07/2011
Competact : EPAR - All Authorised presentations SV = svenska 31/05/2007 06/07/2011
Competact : EPAR - All Authorised presentations SV = svenska 31/05/2007 06/07/2011
Competact : EPAR - All Authorised presentations SV = svenska 31/05/2007 06/07/2011
Competact : EPAR - All Authorised presentations SV = svenska 31/05/2007 06/07/2011
Competact : EPAR - All Authorised presentations SV = svenska 31/05/2007 06/07/2011
Competact : EPAR - All Authorised presentations SV = svenska 31/05/2007 06/07/2011
Competact : EPAR - All Authorised presentations SV = svenska 31/05/2007 06/07/2011
Competact : EPAR - All Authorised presentations SV = svenska 31/05/2007 06/07/2011
Competact : EPAR - All Authorised presentations SV = svenska 31/05/2007 06/07/2011
Competact : EPAR - All Authorised presentations SV = svenska 31/05/2007 06/07/2011
Competact : EPAR - All Authorised presentations SV = svenska 31/05/2007 06/07/2011
Competact : EPAR - All Authorised presentations SV = svenska 31/05/2007 06/07/2011
Competact : EPAR - All Authorised presentations SV = svenska 31/05/2007 06/07/2011
Competact : EPAR - All Authorised presentations SV = svenska 31/05/2007 06/07/2011

Name Language First published Last updated
Competact : EPAR - Conditions imposed on member states for safe and effective use SV = svenska 06/07/2012  
Competact : EPAR - Conditions imposed on member states for safe and effective use SV = svenska 06/07/2012  
Competact : EPAR - Conditions imposed on member states for safe and effective use SV = svenska 06/07/2012  
Competact : EPAR - Conditions imposed on member states for safe and effective use SV = svenska 06/07/2012  
Competact : EPAR - Conditions imposed on member states for safe and effective use SV = svenska 06/07/2012  
Competact : EPAR - Conditions imposed on member states for safe and effective use SV = svenska 06/07/2012  
Competact : EPAR - Conditions imposed on member states for safe and effective use SV = svenska 06/07/2012  
Competact : EPAR - Conditions imposed on member states for safe and effective use SV = svenska 06/07/2012  
Competact : EPAR - Conditions imposed on member states for safe and effective use SV = svenska 06/07/2012  
Competact : EPAR - Conditions imposed on member states for safe and effective use SV = svenska 06/07/2012  
Competact : EPAR - Conditions imposed on member states for safe and effective use SV = svenska 06/07/2012  
Competact : EPAR - Conditions imposed on member states for safe and effective use SV = svenska 06/07/2012  
Competact : EPAR - Conditions imposed on member states for safe and effective use SV = svenska 06/07/2012  
Competact : EPAR - Conditions imposed on member states for safe and effective use SV = svenska 06/07/2012  
Competact : EPAR - Conditions imposed on member states for safe and effective use SV = svenska 06/07/2012  
Competact : EPAR - Conditions imposed on member states for safe and effective use SV = svenska 06/07/2012  
Competact : EPAR - Conditions imposed on member states for safe and effective use SV = svenska 06/07/2012  
Competact : EPAR - Conditions imposed on member states for safe and effective use SV = svenska 06/07/2012  
Competact : EPAR - Conditions imposed on member states for safe and effective use SV = svenska 06/07/2012  
Competact : EPAR - Conditions imposed on member states for safe and effective use SV = svenska 06/07/2012  
Competact : EPAR - Conditions imposed on member states for safe and effective use SV = svenska 06/07/2012  
Competact : EPAR - Conditions imposed on member states for safe and effective use SV = svenska 06/07/2012  
Competact : EPAR - Conditions imposed on member states for safe and effective use SV = svenska 06/07/2012  
Competact : EPAR - Conditions imposed on member states for safe and effective use SV = svenska 06/07/2012  

Pharmacotherapeutic group

Drugs used in diabetes

Therapeutic indication

Competact is indicated in the treatment of type-2-diabetes-mellitus patients, particularly overweight patients, who are unable to achieve sufficient glycaemic control at their maximally tolerated dose of oral metformin alone.

Assessment History

Changes since initial authorisation of medicine

Initial marketing-authorisation documents

Name Language First published Last updated
Competact : EPAR - Procedural steps taken before authorisation SV = svenska 31/05/2007  
Competact : EPAR - Scientific Discussion SV = svenska 31/05/2007