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On 21 July 2011 the Committee for Medicinal Products for Human Use (CHMP) adopted a positive opinion, recommending the granting of a marketing authorisation for the medicinal product Vyndaqel, 20mg, capsule intended for the treatment of transthyretin amyloidosis in adult patients with stage 1 symptomatic polyneuropathy to delay neurologic impairment. Vyndaqel was designated as an orphan medicinal product on 28 August 2006. The applicant for this medicinal product is Pfizer Specialty UK Ltd. They may request a re-examination of any CHMP opinion, provided they notify the European Medicines Agency in writing of their intention within 15 days of receipt of the opinion.

The active substance of Vyndaqel is tafamidis, a novel specific stabilizer of transthyretin, ATC code: N07XX08.

The benefits with Vyndaqel are its ability to stabilise transthyretin and thereby inhibit amyloid formation and progression of the transthyretin amyloidosis. Following 18 months of treatment in a pivotal clinical study, more patients treated with Vyndaqel met the definition of response with respect to the Neuropathy Impairment Score of the Lower Limb than patients on placebo. Less deterioration of neurologic function as measured by other endpoints and improved nutritional status were also observed in patients treated with Vyndaqel.

The most common side effects are urinary tract infection, diarrhoea, vaginal infection and upper abdominal pain.

A pharmacovigilance plan for Vyndaqel will be implemented as part of the marketing authorisation.

The approved indication is: “Vyndaqel is indicated for the treatment of transthyretin amyloidosis in adult patients with stage 1 symptomatic polyneuropathy to delay peripheral neurologic impairment.”

Treatment should be initiated by and remain under the supervision of a physician knowledgeable in the management of patients with transthyretin amyloid polyneuropathy.

Detailed recommendations for the use of this product will be described in the summary of product characteristics (SmPC), which will be published in the European public assessment report (EPAR), and will be available in all official European Union languages after the marketing authorisation has been granted by the European Commission.

The CHMP, on the basis of quality, safety and efficacy data submitted, considers there to be a favourable benefit to risk balance for Vyndaqel and therefore recommends the granting of the marketing authorisation under exceptional circumstances.

Name Language First published Last updated
CHMP summary of positive opinion for Vyndaqel (English only) 2011-07-22  

Key facts

Product details for Vyndaqel
INN or common name


Therapeutic area Amyloidosis
Active substance


Date opinion adopted21/07/2011
Company name

Pfizer Specialty UK Ltd.

Application typeInitial authorisation