Seasonique and associated names

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On 26 June 2014, the European Medicines Agency completed an arbitration procedure following a disagreement among Member States of the European Union (EU) regarding the authorisation of the oral contraceptive Seasonique. The Agency’s Committee for Medicinal Products for Human Use (CHMP) concluded that the benefits of Seasonique outweigh its risks and that marketing authorisation should be granted in France and in the following EU Member States: Austria, Belgium, Germany, Italy, Poland, Romania, Slovakia and Slovenia.

What is Seasonique?

Seasonique is an oral contraceptive for women. It is available as blister packs containing 91 tablets to be taken once a day in the order shown on the pack. For 84 days the woman takes the tablets containing levonorgestrel and ethinylestradiol and then for the remaining 7 days she takes tablets containing only ethinylestradiol.

Levonorgestrel (a progestogen) and ethinylestradiol (an oestrogen) are both hormones and Seasonique is what is known as a ‘combined hormonal contraceptive’. Combined hormonal contraceptives work by stopping the release of eggs from the ovaries and by causing changes in the cervix and the lining of the womb that make it harder for a sperm to reach an egg and for a fertilised egg to implant in the womb.

Because the treatment cycle of 91 days is longer than that of most other combined contraceptives (which is normally 28 days), Seasonique is known as an extended cycle oral contraceptive. Women taking Seasonique will have longer intervals between withdrawal bleeding but may experience more irregular bleeding.

Why was Seasonique reviewed?

Teva Pharma submitted an application to the French medicines agency (ANSM) for Seasonique to be authorised in a decentralised procedure. This is a procedure where one Member State (the ‘reference Member State’, in this instance France) assesses a medicine with a view to granting a marketing authorisation that will be valid in that country as well as in other Member States (the ‘concerned Member States’, in this instance Austria, Belgium, Germany, Italy, Poland, Romania, Slovakia and Slovenia). However, the Member States were not able to reach an agreement and the French medicines agency referred the matter to the CHMP for arbitration on 3 February 2014.

The grounds for the referral related to concerns raised by the German medicines agency about the effectiveness of Seasonique in preventing pregnancy and the irregular bleeding experienced by women taking the contraceptive.

What are the conclusions of the CHMP?

After evaluating data from studies and post-marketing data from outside the EU, the CHMP was of the view that there was adequate evidence that Seasonique is an effective contraceptive. The Committee also noted that the irregular bleeding reported with Seasonique has not made women less likely to keep to their treatment and adequate information about the risk of irregular bleeding is included in the package leaflet.

The Committee therefore concluded that the benefits of Seasonique outweigh its risks and recommended that marketing authorisation be granted in the reference and concerned Member States.

The European Commission issued an EU-wide legally binding decision on 12 January 2015.

Name Language First published Last updated
Questions and answers on Seasonique and associated names (levonorgestrel / ethinylestradiol) BG = bălgarski 2014-06-27 2015-01-29
Questions and answers on Seasonique and associated names (levonorgestrel / ethinylestradiol) ES = español 2014-06-27 2015-01-29
Questions and answers on Seasonique and associated names (levonorgestrel / ethinylestradiol) CS = čeština 2014-06-27 2015-01-29
Questions and answers on Seasonique and associated names (levonorgestrel / ethinylestradiol) DA = dansk 2014-06-27 2015-01-29
Questions and answers on Seasonique and associated names (levonorgestrel / ethinylestradiol) DE = Deutsch 2014-06-27 2015-01-29
Questions and answers on Seasonique and associated names (levonorgestrel / ethinylestradiol) ET = eesti keel 2014-06-27 2015-01-29
Questions and answers on Seasonique and associated names (levonorgestrel / ethinylestradiol) EL = elliniká 2014-06-27 2015-01-29
Questions and answers on Seasonique and associated names (levonorgestrel / ethinylestradiol) EN = English 2014-06-27 2015-01-29
Questions and answers on Seasonique and associated names (levonorgestrel / ethinylestradiol) FR = français 2014-06-27 2015-01-29
Questions and answers on Seasonique and associated names (levonorgestrel / ethinylestradiol) IT = italiano 2014-06-27 2015-01-29
Questions and answers on Seasonique and associated names (levonorgestrel / ethinylestradiol) LV = latviešu valoda 2014-06-27 2015-01-29
Questions and answers on Seasonique and associated names (levonorgestrel / ethinylestradiol) LT = lietuvių kalba 2014-06-27 2015-01-29
Questions and answers on Seasonique and associated names (levonorgestrel / ethinylestradiol) HU = magyar 2014-06-27 2015-01-29
Questions and answers on Seasonique and associated names (levonorgestrel / ethinylestradiol) MT = Malti 2014-06-27 2015-01-29
Questions and answers on Seasonique and associated names (levonorgestrel / ethinylestradiol) NL = Nederlands 2014-06-27 2015-01-29
Questions and answers on Seasonique and associated names (levonorgestrel / ethinylestradiol) PL = polski 2014-06-27 2015-01-29
Questions and answers on Seasonique and associated names (levonorgestrel / ethinylestradiol) PT = português 2014-06-27 2015-01-29
Questions and answers on Seasonique and associated names (levonorgestrel / ethinylestradiol) RO = română 2014-06-27 2015-01-29
Questions and answers on Seasonique and associated names (levonorgestrel / ethinylestradiol) SK = slovenčina 2014-06-27 2015-01-29
Questions and answers on Seasonique and associated names (levonorgestrel / ethinylestradiol) SL = slovenščina 2014-06-27 2015-01-29
Questions and answers on Seasonique and associated names (levonorgestrel / ethinylestradiol) FI = suomi 2014-06-27 2015-01-29
Questions and answers on Seasonique and associated names (levonorgestrel / ethinylestradiol) SV = svenska 2014-06-27 2015-01-29
Questions and answers on Seasonique and associated names (levonorgestrel / ethinylestradiol) HR = Hrvatski 2014-06-27 2015-01-29

Key facts

Approved nameSeasonique and associated names
International non-proprietary name (INN) or common name

levonorgestrel / ethinylestradiol

Associated names
Class
Reference numberEMEA/H/A-29/139
TypeArticle 29(4) referrals

This type of referral is triggered when there is a disagreement between Member States regarding a medicine being evaluated during a mutual-recognition or decentralised procedure, on the grounds of a potential serious risk to public health.

StatusEuropean Commission final decision
Opinion date20/11/2014

All documents

Name Language First published Last updated
Questions and answers on Seasonique and associated names (levonorgestrel / ethinylestradiol) BG = bălgarski 2014-06-27 2015-01-29
Questions and answers on Seasonique and associated names (levonorgestrel / ethinylestradiol) ES = español 2014-06-27 2015-01-29
Questions and answers on Seasonique and associated names (levonorgestrel / ethinylestradiol) CS = čeština 2014-06-27 2015-01-29
Questions and answers on Seasonique and associated names (levonorgestrel / ethinylestradiol) DA = dansk 2014-06-27 2015-01-29
Questions and answers on Seasonique and associated names (levonorgestrel / ethinylestradiol) DE = Deutsch 2014-06-27 2015-01-29
Questions and answers on Seasonique and associated names (levonorgestrel / ethinylestradiol) ET = eesti keel 2014-06-27 2015-01-29
Questions and answers on Seasonique and associated names (levonorgestrel / ethinylestradiol) EL = elliniká 2014-06-27 2015-01-29
Questions and answers on Seasonique and associated names (levonorgestrel / ethinylestradiol) EN = English 2014-06-27 2015-01-29
Questions and answers on Seasonique and associated names (levonorgestrel / ethinylestradiol) FR = français 2014-06-27 2015-01-29
Questions and answers on Seasonique and associated names (levonorgestrel / ethinylestradiol) IT = italiano 2014-06-27 2015-01-29
Questions and answers on Seasonique and associated names (levonorgestrel / ethinylestradiol) LV = latviešu valoda 2014-06-27 2015-01-29
Questions and answers on Seasonique and associated names (levonorgestrel / ethinylestradiol) LT = lietuvių kalba 2014-06-27 2015-01-29
Questions and answers on Seasonique and associated names (levonorgestrel / ethinylestradiol) HU = magyar 2014-06-27 2015-01-29
Questions and answers on Seasonique and associated names (levonorgestrel / ethinylestradiol) MT = Malti 2014-06-27 2015-01-29
Questions and answers on Seasonique and associated names (levonorgestrel / ethinylestradiol) NL = Nederlands 2014-06-27 2015-01-29
Questions and answers on Seasonique and associated names (levonorgestrel / ethinylestradiol) PL = polski 2014-06-27 2015-01-29
Questions and answers on Seasonique and associated names (levonorgestrel / ethinylestradiol) PT = português 2014-06-27 2015-01-29
Questions and answers on Seasonique and associated names (levonorgestrel / ethinylestradiol) RO = română 2014-06-27 2015-01-29
Questions and answers on Seasonique and associated names (levonorgestrel / ethinylestradiol) SK = slovenčina 2014-06-27 2015-01-29
Questions and answers on Seasonique and associated names (levonorgestrel / ethinylestradiol) SL = slovenščina 2014-06-27 2015-01-29
Questions and answers on Seasonique and associated names (levonorgestrel / ethinylestradiol) FI = suomi 2014-06-27 2015-01-29
Questions and answers on Seasonique and associated names (levonorgestrel / ethinylestradiol) SV = svenska 2014-06-27 2015-01-29
Questions and answers on Seasonique and associated names (levonorgestrel / ethinylestradiol) HR = Hrvatski 2014-06-27 2015-01-29
Seasonique Article-29(4) referral - Assessment report (English only) 2015-01-27 2015-01-29
Seasonique Article-29(4) - Annex I BG = bălgarski 2015-01-27 2015-01-29
Seasonique Article-29(4) - Annex I ES = español 2015-01-27 2015-01-29
Seasonique Article-29(4) - Annex I CS = čeština 2015-01-27 2015-01-29
Seasonique Article-29(4) - Annex I DA = dansk 2015-01-27 2015-01-29
Seasonique Article-29(4) - Annex I DE = Deutsch 2015-01-27 2015-01-29
Seasonique Article-29(4) - Annex I ET = eesti keel 2015-01-27 2015-01-29
Seasonique Article-29(4) - Annex I EL = elliniká 2015-01-27 2015-01-29
Seasonique Article-29(4) - Annex I EN = English 2015-01-27 2015-01-29
Seasonique Article-29(4) - Annex I FR = français 2015-01-27 2015-01-29
Seasonique Article-29(4) - Annex I IT = italiano 2015-01-27 2015-01-29
Seasonique Article-29(4) - Annex I LV = latviešu valoda 2015-01-27 2015-01-29
Seasonique Article-29(4) - Annex I LT = lietuvių kalba 2015-01-27 2015-01-29
Seasonique Article-29(4) - Annex I HU = magyar 2015-01-27 2015-01-29
Seasonique Article-29(4) - Annex I MT = Malti 2015-01-27 2015-01-29
Seasonique Article-29(4) - Annex I NL = Nederlands 2015-01-27 2015-01-29
Seasonique Article-29(4) - Annex I PL = polski 2015-01-27 2015-01-29
Seasonique Article-29(4) - Annex I PT = português 2015-01-27 2015-01-29
Seasonique Article-29(4) - Annex I RO = română 2015-01-27 2015-01-29
Seasonique Article-29(4) - Annex I SK = slovenčina 2015-01-27 2015-01-29
Seasonique Article-29(4) - Annex I SL = slovenščina 2015-01-27 2015-01-29
Seasonique Article-29(4) - Annex I FI = suomi 2015-01-27 2015-01-29
Seasonique Article-29(4) - Annex I SV = svenska 2015-01-27 2015-01-29
Seasonique Article-29(4) - Annex I HR = Hrvatski 2015-01-27 2015-01-29
Seasonique Article-29(4) - Annex I IS = Islenska 2015-01-27 2015-01-29
Seasonique Article-29(4) - Annex I NO = Norsk 2015-01-27 2015-01-29
Seasonique Article-29(4) - Annex II BG = bălgarski 2015-01-27 2015-01-29
Seasonique Article-29(4) - Annex II ES = español 2015-01-27 2015-01-29
Seasonique Article-29(4) - Annex II CS = čeština 2015-01-27 2015-01-29
Seasonique Article-29(4) - Annex II DA = dansk 2015-01-27 2015-01-29
Seasonique Article-29(4) - Annex II DE = Deutsch 2015-01-27 2015-01-29
Seasonique Article-29(4) - Annex II ET = eesti keel 2015-01-27 2015-01-29
Seasonique Article-29(4) - Annex II EL = elliniká 2015-01-27 2015-01-29
Seasonique Article-29(4) - Annex II EN = English 2015-01-27 2015-01-29
Seasonique Article-29(4) - Annex II FR = français 2015-01-27 2015-01-29
Seasonique Article-29(4) - Annex II IT = italiano 2015-01-27 2015-01-29
Seasonique Article-29(4) - Annex II LV = latviešu valoda 2015-01-27 2015-01-29
Seasonique Article-29(4) - Annex II LT = lietuvių kalba 2015-01-27 2015-01-29
Seasonique Article-29(4) - Annex II HU = magyar 2015-01-27 2015-01-29
Seasonique Article-29(4) - Annex II MT = Malti 2015-01-27 2015-01-29
Seasonique Article-29(4) - Annex II NL = Nederlands 2015-01-27 2015-01-29
Seasonique Article-29(4) - Annex II PL = polski 2015-01-27 2015-01-29
Seasonique Article-29(4) - Annex II PT = português 2015-01-27 2015-01-29
Seasonique Article-29(4) - Annex II RO = română 2015-01-27 2015-01-29
Seasonique Article-29(4) - Annex II SK = slovenčina 2015-01-27 2015-01-29
Seasonique Article-29(4) - Annex II SL = slovenščina 2015-01-27 2015-01-29
Seasonique Article-29(4) - Annex II FI = suomi 2015-01-27 2015-01-29
Seasonique Article-29(4) - Annex II SV = svenska 2015-01-27 2015-01-29
Seasonique Article-29(4) - Annex II HR = Hrvatski 2015-01-27 2015-01-29
Seasonique Article-29(4) - Annex III BG = bălgarski 2015-01-27 2015-01-29
Seasonique Article-29(4) - Annex III ES = español 2015-01-27 2015-01-29
Seasonique Article-29(4) - Annex III CS = čeština 2015-01-27 2015-01-29
Seasonique Article-29(4) - Annex III DA = dansk 2015-01-27 2015-01-29
Seasonique Article-29(4) - Annex III DE = Deutsch 2015-01-27 2015-01-29
Seasonique Article-29(4) - Annex III ET = eesti keel 2015-01-27 2015-01-29
Seasonique Article-29(4) - Annex III EL = elliniká 2015-01-27 2015-01-29
Seasonique Article-29(4) - Annex III EN = English 2015-01-27 2015-01-29
Seasonique Article-29(4) - Annex III FR = français 2015-01-27 2015-01-29
Seasonique Article-29(4) - Annex III IT = italiano 2015-01-27 2015-01-29
Seasonique Article-29(4) - Annex III LV = latviešu valoda 2015-01-27 2015-01-29
Seasonique Article-29(4) - Annex III LT = lietuvių kalba 2015-01-27 2015-01-29
Seasonique Article-29(4) - Annex III HU = magyar 2015-01-27 2015-01-29
Seasonique Article-29(4) - Annex III MT = Malti 2015-01-27 2015-01-29
Seasonique Article-29(4) - Annex III NL = Nederlands 2015-01-27 2015-01-29
Seasonique Article-29(4) - Annex III PL = polski 2015-01-27 2015-01-29
Seasonique Article-29(4) - Annex III PT = português 2015-01-27 2015-01-29
Seasonique Article-29(4) - Annex III RO = română 2015-01-27 2015-01-29
Seasonique Article-29(4) - Annex III SK = slovenčina 2015-01-27 2015-01-29
Seasonique Article-29(4) - Annex III SL = slovenščina 2015-01-27 2015-01-29
Seasonique Article-29(4) - Annex III FI = suomi 2015-01-27 2015-01-29
Seasonique Article-29(4) - Annex III SV = svenska 2015-01-27 2015-01-29
Seasonique Article-29(4) - Annex III HR = Hrvatski 2015-01-27 2015-01-29
Seasonique Article-29(4) - Annex III IS = Islenska 2015-01-27 2015-01-29
Seasonique Article-29(4) - Annex III NO = Norsk 2015-01-27 2015-01-29

Document description

  • Questions and answers (Q&A) - easy-to-understand summary of key issues and Committee conclusions
  • Summary of Opinion - contains the CHMP opinion of the referred medicine(s)
  • List of the medicines affected by the referral (Annex I)
  • Scientific conclusions of the Committee (Annex II)

The following two documents are sometimes available:

  • Changes to the summary of product characteristics, labeling or package leaflet (also known as Annex III) - available when changes have been recommended by the Committee
  • Conditions of the marketing authorisation (also known as Annex IV) - available when the Committee recommends measures to be taken for the marketing authorisation(s) such as safety measures or extra studies

Current status:
European Commission final decision

More information on Seasonique