Tepadina

thiotepa

  • Email
  • Help

About

This is a summary of the European public assessment report (EPAR) for Tepadina. 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 Tepadina.

What is Tepadina?

Tepadina is a powder that is made up into a solution for infusion (drip into a vein). It contains the active substance thiotepa.

What is Tepadina used for?

Tepadina is used in combination with chemotherapy (medicines to treat cancer) in two ways:

  • as a ‘conditioning’ (preparative) treatment before transplantation of haematopoietic progenitor cells (the cells that make blood cells). This type of transplant is used in patients who need to replace their blood-making cells because they have a blood disease such as a cancer of the blood (including leukaemia) or diseases causing low red blood cell counts (including thalassaemia or sickle-cell anaemia);
  • during the treatment of solid tumours when high-dose chemotherapy followed by transplantation of haematopoietic progenitor cells is needed.

Tepadina can be used for transplantation of cells from a donor and for transplantation of cells derived from the patient’s own body.

Because the number of patients in the European Union (EU) that undergo this type of conditioning and transplant is low, Tepadina was designated an ‘orphan medicine’ (a medicine used in rare diseases) on 29 January 2007.

The medicine can only be obtained with a prescription.

How is Tepadina used?

Tepadina treatment must be supervised by a doctor who has experience in treatments given before transplantation. It must be given as an infusion into a large vein lasting two to four hours.

The dose of Tepadina depends on the type of blood disease or solid tumour that the patient has and the type of transplantation to be carried out. The dose also depends on the patient’s body surface area (calculated using the height and weight of the patient). In adults, the daily dose ranges from 120 to 481 mg per square metre (m2) given for up to five days before transplantation. In children, the daily dose ranges from 125 to 350 mg/m2 given for up to three days before transplantation. For further information, see the summary of product characteristics (also part of the EPAR).

How does Tepadina work?

The active substance in Tepadina, thiotepa, belongs to a group of medicines called ‘alkylating agents’. These substances are ‘cytotoxic’. This means that they kill cells, especially cells that multiply rapidly, such as cancer or progenitor (or ‘stem’) cells (cells that can develop into different types of cell). Tepadina is used with other medicines before transplantation to destroy the abnormal cells and the patient’s existing blood-making cells. This allows new cells to be transplanted, by creating space for the new cells and reducing the risk of rejection.

Thiotepa has been used to prepare patients for transplantation of blood-making cells in the European Union (EU) since the late 1980s.

How has Tepadina been studied?

Because thiotepa has been used for many years in the EU, the company presented data from the published literature. This included 109 studies involving around 6,000 adults and 900 children with blood diseases or solid tumours, who were having a transplant of blood-making cells. The studies looked at the number of patients with successful transplantations, how long it took for the diseases to come back and how long the patients survived.

What benefit has Tepadina shown during the studies?

The published studies showed that thiotepa used in combination with other chemotherapy medicines is beneficial to adults and children being treated for blood diseases and solid tumours. It helps to destroy the patient’s existing blood-making cells, resulting in the successful transplantation of new cells, improved survival and a reduced risk of the diseases coming back.

What is the risk associated with Tepadina?

The most common side effects seen with Tepadina when used with other medicines are infections, cytopenia (low number of cells in the blood), graft-versus-host disease (when the transplanted cells attack the body), disorders of the gut, haemorrhagic cystitis (bleeding and inflammation in the bladder) and mucosal inflammation (inflammation of the moist body surfaces). For the full list of all side effects reported with Tepadina in adults and children, see the package leaflet.

Tepadina should not be used in people who may be hypersensitive (allergic) to thiotepa or any of the other ingredients. It must not be used in women who are pregnant or breast-feeding. It must also not be used together with the vaccine against yellow fever or vaccines containing live viruses or bacteria.

Why has Tepadina been approved?

The Committee for Medicinal Products for Human Use (CHMP) noted that the active substance in Tepadina, thiotepa, has a well established used. This means that it has been used for many years and that there was sufficient information on its effectiveness and safety. The Committee decided that, based on available published information, Tepadina’s benefits are greater than its risks and recommended that it be given marketing authorisation.

Other information about Tepadina:

The European Commission granted a marketing authorisation valid throughout the European Union for Tepadina to Adienne S.r.l. on 15 March 2010. The marketing authorisation is valid for five years, after which it can be renewed.

Name Language First published Last updated
Tepadina : EPAR - Summary for the public BG = bălgarski 06/05/2010  
Tepadina : EPAR - Summary for the public ES = español 06/05/2010  
Tepadina : EPAR - Summary for the public CS = čeština 06/05/2010  
Tepadina : EPAR - Summary for the public DA = dansk 06/05/2010  
Tepadina : EPAR - Summary for the public DE = Deutsch 06/05/2010  
Tepadina : EPAR - Summary for the public ET = eesti keel 06/05/2010  
Tepadina : EPAR - Summary for the public EL = elliniká 06/05/2010  
Tepadina : EPAR - Summary for the public EN = English 06/05/2010  
Tepadina : EPAR - Summary for the public FR = français 06/05/2010  
Tepadina : EPAR - Summary for the public IT = italiano 06/05/2010  
Tepadina : EPAR - Summary for the public LV = latviešu valoda 06/05/2010  
Tepadina : EPAR - Summary for the public LT = lietuvių kalba 06/05/2010  
Tepadina : EPAR - Summary for the public HU = magyar 06/05/2010  
Tepadina : EPAR - Summary for the public MT = Malti 06/05/2010  
Tepadina : EPAR - Summary for the public NL = Nederlands 06/05/2010  
Tepadina : EPAR - Summary for the public PL = polski 06/05/2010  
Tepadina : EPAR - Summary for the public PT = português 06/05/2010  
Tepadina : EPAR - Summary for the public RO = română 06/05/2010  
Tepadina : EPAR - Summary for the public SK = slovenčina 06/05/2010  
Tepadina : EPAR - Summary for the public SL = slovenščina 06/05/2010  
Tepadina : EPAR - Summary for the public FI = suomi 06/05/2010  
Tepadina : EPAR - Summary for the public SV = svenska 06/05/2010  

This EPAR was last updated on 18/03/2014 .

Authorisation details

Product details

Product details for Tepadina
NameTepadina
Agency product numberEMEA/H/C/001046
Active substance

thiotepa

International non-proprietary name (INN) or common name

thiotepa

Therapeutic area Hematopoietic Stem Cell Transplantation
Anatomical therapeutic chemical (ATC) code L01AC01
Treatment of rare diseases

This medicine has an "orphan designation" which means that it is used to treat life-threatening or chronically debilitating conditions that affect no more than five in 10,000 people in the European Union, or are medicines which, for economic reasons, would be unlikely to be developed without incentives.

Publication details

Publication details for Tepadina
Marketing-authorisation holder

ADIENNE S.r.l.

Revision3
Date of issue of marketing authorisation valid throughout the European Union15/03/2010

Contact address:

ADIENNE S.r.l.
Via Galileo Galilei, 19
20867 Caponago (MB) Italy

Product information

Product information

21/02/2014  Tepadina -EMEA/H/C/001046 -IAIN/0014

Name Language First published Last updated
Tepadina : EPAR - Product Information SV = svenska 06/05/2010 18/03/2014
Tepadina : EPAR - Product Information SV = svenska 06/05/2010 18/03/2014
Tepadina : EPAR - Product Information SV = svenska 06/05/2010 18/03/2014
Tepadina : EPAR - Product Information SV = svenska 06/05/2010 18/03/2014
Tepadina : EPAR - Product Information SV = svenska 06/05/2010 18/03/2014
Tepadina : EPAR - Product Information SV = svenska 06/05/2010 18/03/2014
Tepadina : EPAR - Product Information SV = svenska 06/05/2010 18/03/2014
Tepadina : EPAR - Product Information SV = svenska 06/05/2010 18/03/2014
Tepadina : EPAR - Product Information SV = svenska 06/05/2010 18/03/2014
Tepadina : EPAR - Product Information SV = svenska 06/05/2010 18/03/2014
Tepadina : EPAR - Product Information SV = svenska 06/05/2010 18/03/2014
Tepadina : EPAR - Product Information SV = svenska 06/05/2010 18/03/2014
Tepadina : EPAR - Product Information SV = svenska 06/05/2010 18/03/2014
Tepadina : EPAR - Product Information SV = svenska 06/05/2010 18/03/2014
Tepadina : EPAR - Product Information SV = svenska 06/05/2010 18/03/2014
Tepadina : EPAR - Product Information SV = svenska 06/05/2010 18/03/2014
Tepadina : EPAR - Product Information SV = svenska 06/05/2010 18/03/2014
Tepadina : EPAR - Product Information SV = svenska 06/05/2010 18/03/2014
Tepadina : EPAR - Product Information SV = svenska 06/05/2010 18/03/2014
Tepadina : EPAR - Product Information SV = svenska 06/05/2010 18/03/2014
Tepadina : EPAR - Product Information SV = svenska 06/05/2010 18/03/2014
Tepadina : EPAR - Product Information SV = svenska 06/05/2010 18/03/2014
Tepadina : EPAR - Product Information SV = svenska 06/05/2010 18/03/2014
Tepadina : EPAR - Product Information SV = svenska 06/05/2010 18/03/2014
Tepadina : EPAR - Product Information SV = svenska 06/05/2010 18/03/2014

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
Tepadina : EPAR - All Authorised presentations SV = svenska 06/05/2010  
Tepadina : EPAR - All Authorised presentations SV = svenska 06/05/2010  
Tepadina : EPAR - All Authorised presentations SV = svenska 06/05/2010  
Tepadina : EPAR - All Authorised presentations SV = svenska 06/05/2010  
Tepadina : EPAR - All Authorised presentations SV = svenska 06/05/2010  
Tepadina : EPAR - All Authorised presentations SV = svenska 06/05/2010  
Tepadina : EPAR - All Authorised presentations SV = svenska 06/05/2010  
Tepadina : EPAR - All Authorised presentations SV = svenska 06/05/2010  
Tepadina : EPAR - All Authorised presentations SV = svenska 06/05/2010  
Tepadina : EPAR - All Authorised presentations SV = svenska 06/05/2010  
Tepadina : EPAR - All Authorised presentations SV = svenska 06/05/2010  
Tepadina : EPAR - All Authorised presentations SV = svenska 06/05/2010  
Tepadina : EPAR - All Authorised presentations SV = svenska 06/05/2010  
Tepadina : EPAR - All Authorised presentations SV = svenska 06/05/2010  
Tepadina : EPAR - All Authorised presentations SV = svenska 06/05/2010  
Tepadina : EPAR - All Authorised presentations SV = svenska 06/05/2010  
Tepadina : EPAR - All Authorised presentations SV = svenska 06/05/2010  
Tepadina : EPAR - All Authorised presentations SV = svenska 06/05/2010  
Tepadina : EPAR - All Authorised presentations SV = svenska 06/05/2010  
Tepadina : EPAR - All Authorised presentations SV = svenska 06/05/2010  
Tepadina : EPAR - All Authorised presentations SV = svenska 06/05/2010  
Tepadina : EPAR - All Authorised presentations SV = svenska 06/05/2010  

Pharmacotherapeutic group

L01 Antineoplastic agents

Therapeutic indication

In combination with other chemotherapy medicinal products:

1) with or without total body irradiation (TBI), as conditioning treatment prior to allogeneic or autologous haematopoietic progenitor cell transplantation (HPCT) in haematological diseases in adult and paediatric patients;

2) when high dose chemotherapy with HPCT support is appropriate for the treatment of solid tumours in adult and paediatric patients.". It is proposed that Tepadina must be prescribed by physicians experienced in conditioning treatment prior to haematopoietic progenitor cell transplantation.

Assessment History

Changes since initial authorisation of medicine

Name Language First published Last updated
Tepadina : EPAR - Procedural steps taken and scientific information after authorisation SV = svenska 29/09/2011 18/03/2014

Initial marketing-authorisation documents

Name Language First published Last updated
Tepadina : EPAR - Public assessment report SV = svenska 06/05/2010  
CHMP summary of positive opinion for Tepadina SV = svenska 17/12/2009  

Authorised

This medicine is approved for use in the European Union

Related information