Jylamvo

methotrexate

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

For practical information about using Jylamvo, patients should read the package leaflet or contact their doctor or pharmacist.

What is Jylamvo and what is it used for?

Jylamvo is an anti-inflammatory and cancer medicine used to treat the following conditions:

  • active rheumatoid arthritis (a disease causing inflammation in joints) in adults;
  • severe juvenile idiopathic arthritis (inflammation of joints in children) in patients from 3 years of age when NSAIDs (non-steroidal anti-inflammatory drugs) have not worked well enough;
  • severe disabling psoriasis (a disease causing red, scaly patches on the skin) in adults when other treatments have not worked well enough;
  • severe psoriatic arthritis (inflammation of joints that occurs in patients with psoriasis) in adults;
  • acute lymphoblastic leukaemia (ALL), a cancer of white blood cells, in adults and children over the age of 3 years.

Jylamvo is a ‘hybrid medicine’. This means that it is similar to a ‘reference medicine’ (in this case Methotrexat Lederle) containing the same active substance (methotrexate). The difference between Jylamvo and Methotrexat Lederle is that, whereas the latter is a solution for injection, Jylamvo is available as a solution to be taken by mouth.

How is Jylamvo used?

Jylamvo can only be obtained with a prescription and should be prescribed by doctors with experience with methotrexate and the way it works.

Jylamvo is available as an oral solution. When used for inflammatory conditions it is taken once a week, on the same day each week. The dose depends on the condition it is being used to treat, how the patient responds to treatment and, in the case of children, on the body surface area. In most cases, Jylamvo is used for long-term treatment.

When used for ALL, the dose of Jylamvo depends on body surface area (calculated using the patient’s height and weight). How often methotrexate is given depends on the other medicines it is used with.

For more information on how to use Jylamvo, see the package leaflet.

How does Jylamvo work?

The active substance in Jylamvo, methotrexate, stops cells from growing by interfering with the production of DNA. This especially affects fast-growing cells such as cancer cells. The way methotrexate works in patients with arthritis and psoriasis is not completely understood, but the benefits of methotrexate are thought to be due to its ability to reduce inflammation and suppress an overactive immune system.

How has Jylamvo been studied?

The company provided data from the published literature on the benefits and risks of methotrexate in the approved uses.

As for every medicine, the company provided studies on the quality of Jylamvo. The company also carried out studies that showed that it is ‘bioequivalent’ to other methotrexate medicines used to treat inflammatory conditions and ALL (Methotrexat Lederle and Ebetrexat tablets). 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.

What are the benefits and risks of Jylamvo?

Because Jylamvo is a hybrid medicine and is bioequivalent to Methotrexat Lederle and Ebetrexat tablets, its benefits and risks are taken as being the same as the benefits and risks of those medicines.

In addition, there is a risk that patients may make mistakes when measuring the amount of solution they need to take and educational material will be provided to prevent this.

Why is Jylamvo approved?

The Agency’s Committee for Medicinal Products for Human Use (CHMP) decided that Jylamvo has shown to have comparable quality and to be bioequivalent to the methotrexate-containing medicines Methotrexat Lederle and Ebetrexat. Therefore, the CHMP’s view was that the benefit outweighs the identified risk. The Committee recommended that Jylamvo be approved for use in the EU.

What measures are being taken to ensure the safe and effective use of Jylamvo?

The company that markets Jylamvo will supply a guide for healthcare professionals to help them prescribe the medicine correctly and advise their patients on the correct use of the medicine to avoid medication errors.

Recommendations and precautions to be followed by healthcare professionals and patients for the safe and effective use of Jylamvo have also been included in the summary of product characteristics and the package leaflet.

Other information about Jylamvo

The European Commission granted a marketing authorisation valid throughout the European Union for Jylamvo on 29 March 2017.

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

Name Language First published Last updated
Jylamvo : EPAR - Summary for the public BG = bălgarski 2017-04-19  
Jylamvo : EPAR - Summary for the public ES = español 2017-04-19  
Jylamvo : EPAR - Summary for the public CS = čeština 2017-04-19  
Jylamvo : EPAR - Summary for the public DA = dansk 2017-04-19  
Jylamvo : EPAR - Summary for the public DE = Deutsch 2017-04-19  
Jylamvo : EPAR - Summary for the public ET = eesti keel 2017-04-19  
Jylamvo : EPAR - Summary for the public EL = elliniká 2017-04-19  
Jylamvo : EPAR - Summary for the public EN = English 2017-04-19  
Jylamvo : EPAR - Summary for the public FR = français 2017-04-19  
Jylamvo : EPAR - Summary for the public IT = italiano 2017-04-19  
Jylamvo : EPAR - Summary for the public LV = latviešu valoda 2017-04-19  
Jylamvo : EPAR - Summary for the public LT = lietuvių kalba 2017-04-19  
Jylamvo : EPAR - Summary for the public HU = magyar 2017-04-19  
Jylamvo : EPAR - Summary for the public MT = Malti 2017-04-19  
Jylamvo : EPAR - Summary for the public NL = Nederlands 2017-04-19  
Jylamvo : EPAR - Summary for the public PL = polski 2017-04-19  
Jylamvo : EPAR - Summary for the public PT = português 2017-04-19  
Jylamvo : EPAR - Summary for the public RO = română 2017-04-19  
Jylamvo : EPAR - Summary for the public SK = slovenčina 2017-04-19  
Jylamvo : EPAR - Summary for the public SL = slovenščina 2017-04-19  
Jylamvo : EPAR - Summary for the public FI = suomi 2017-04-19  
Jylamvo : EPAR - Summary for the public SV = svenska 2017-04-19  
Jylamvo : EPAR - Summary for the public HR = Hrvatski 2017-04-19  

This EPAR was last updated on 19/04/2017 .

Authorisation details

Product details

Product details for Jylamvo
NameJylamvo
Agency product numberEMEA/H/C/003756
Active substance

methotrexate

International non-proprietary name (INN) or common name

methotrexate

Therapeutic area ArthritisArthritis, RheumatoidArthritis, PsoriaticPrecursor Cell Lymphoblastic Leukemia-LymphomaPsoriasis
Anatomical therapeutic chemical (ATC) code L01BA01

Publication details

Publication details for Jylamvo
Marketing-authorisation holder

Therakind Limited

Revision0
Date of issue of marketing authorisation valid throughout the European Union29/03/2017

Contact address:

314 Regents Park Road
London N3 2JX
United Kingdom

Product information

Product information

29/03/2017  Jylamvo -EMEA/H/C/003756 --

Name Language First published Last updated
Jylamvo : EPAR - Product Information HR = Hrvatski 2017-04-19  
Jylamvo : EPAR - Product Information HR = Hrvatski 2017-04-19  
Jylamvo : EPAR - Product Information HR = Hrvatski 2017-04-19  
Jylamvo : EPAR - Product Information HR = Hrvatski 2017-04-19  
Jylamvo : EPAR - Product Information HR = Hrvatski 2017-04-19  
Jylamvo : EPAR - Product Information HR = Hrvatski 2017-04-19  
Jylamvo : EPAR - Product Information HR = Hrvatski 2017-04-19  
Jylamvo : EPAR - Product Information HR = Hrvatski 2017-04-19  
Jylamvo : EPAR - Product Information HR = Hrvatski 2017-04-19  
Jylamvo : EPAR - Product Information HR = Hrvatski 2017-04-19  
Jylamvo : EPAR - Product Information HR = Hrvatski 2017-04-19  
Jylamvo : EPAR - Product Information HR = Hrvatski 2017-04-19  
Jylamvo : EPAR - Product Information HR = Hrvatski 2017-04-19  
Jylamvo : EPAR - Product Information HR = Hrvatski 2017-04-19  
Jylamvo : EPAR - Product Information HR = Hrvatski 2017-04-19  
Jylamvo : EPAR - Product Information HR = Hrvatski 2017-04-19  
Jylamvo : EPAR - Product Information HR = Hrvatski 2017-04-19  
Jylamvo : EPAR - Product Information HR = Hrvatski 2017-04-19  
Jylamvo : EPAR - Product Information HR = Hrvatski 2017-04-19  
Jylamvo : EPAR - Product Information HR = Hrvatski 2017-04-19  
Jylamvo : EPAR - Product Information HR = Hrvatski 2017-04-19  
Jylamvo : EPAR - Product Information HR = Hrvatski 2017-04-19  
Jylamvo : EPAR - Product Information HR = Hrvatski 2017-04-19  
Jylamvo : EPAR - Product Information HR = Hrvatski 2017-04-19  
Jylamvo : EPAR - Product Information HR = Hrvatski 2017-04-19  

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
Jylamvo : EPAR - All Authorised presentations HR = Hrvatski 2017-04-19  
Jylamvo : EPAR - All Authorised presentations HR = Hrvatski 2017-04-19  
Jylamvo : EPAR - All Authorised presentations HR = Hrvatski 2017-04-19  
Jylamvo : EPAR - All Authorised presentations HR = Hrvatski 2017-04-19  
Jylamvo : EPAR - All Authorised presentations HR = Hrvatski 2017-04-19  
Jylamvo : EPAR - All Authorised presentations HR = Hrvatski 2017-04-19  
Jylamvo : EPAR - All Authorised presentations HR = Hrvatski 2017-04-19  
Jylamvo : EPAR - All Authorised presentations HR = Hrvatski 2017-04-19  
Jylamvo : EPAR - All Authorised presentations HR = Hrvatski 2017-04-19  
Jylamvo : EPAR - All Authorised presentations HR = Hrvatski 2017-04-19  
Jylamvo : EPAR - All Authorised presentations HR = Hrvatski 2017-04-19  
Jylamvo : EPAR - All Authorised presentations HR = Hrvatski 2017-04-19  
Jylamvo : EPAR - All Authorised presentations HR = Hrvatski 2017-04-19  
Jylamvo : EPAR - All Authorised presentations HR = Hrvatski 2017-04-19  
Jylamvo : EPAR - All Authorised presentations HR = Hrvatski 2017-04-19  
Jylamvo : EPAR - All Authorised presentations HR = Hrvatski 2017-04-19  
Jylamvo : EPAR - All Authorised presentations HR = Hrvatski 2017-04-19  
Jylamvo : EPAR - All Authorised presentations HR = Hrvatski 2017-04-19  
Jylamvo : EPAR - All Authorised presentations HR = Hrvatski 2017-04-19  
Jylamvo : EPAR - All Authorised presentations HR = Hrvatski 2017-04-19  
Jylamvo : EPAR - All Authorised presentations HR = Hrvatski 2017-04-19  
Jylamvo : EPAR - All Authorised presentations HR = Hrvatski 2017-04-19  
Jylamvo : EPAR - All Authorised presentations HR = Hrvatski 2017-04-19  
Jylamvo : EPAR - All Authorised presentations HR = Hrvatski 2017-04-19  
Jylamvo : EPAR - All Authorised presentations HR = Hrvatski 2017-04-19  

Pharmacotherapeutic group

Antineoplastic agents

Therapeutic indication

In rheumatological and dermatological diseases

  • Active rheumatoid arthritis in adult patients.
  • Polyarthritic forms of active, severe juvenile idiopathic arthritis (JIA) in adolescents and children aged 3 years and over when the response to non-steroidal anti-inflammatory drugs (NSAIDs) has been inadequate.
  • Severe, treatment-refractory, disabling psoriasis which does not respond sufficiently to other forms of treatment such as phototherapy, psoralen and ultraviolet A radiation (PUVA) therapy and retinoids, and severe psoriatic arthritis in adult patients.

In oncology

  • Maintenance treatment of acute lymphoblastic leukaemia (ALL) in adults, adolescents and children aged 3 years and over.

Assessment History

Changes since initial authorisation of medicine

Name Language First published Last updated

Initial marketing-authorisation documents

Name Language First published Last updated
Jylamvo : EPAR - Public assessment report HR = Hrvatski 2017-04-19  
CHMP summary of positive opinion for Jylamvo HR = Hrvatski 2017-01-27 2017-02-01

Authorised

This medicine is approved for use in the European Union

Preventing medication errors