Overview

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

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

Accofil is a medicine that is used to stimulate the production of white blood cells in the following situations:

  • to reduce the duration of neutropenia (low levels of neutrophils, a type of white blood cell) and the occurrence of febrile neutropenia (neutropenia with fever) in patients receiving cytotoxic chemotherapy (medicines to treat cancer by killing cells);
  • to reduce the duration of neutropenia in patients undergoing treatment to destroy the bone marrow cells before a bone marrow transplant (such as in some patients with leukaemia) if they are at risk of long-term, severe neutropenia;
  • to help release cells from the bone marrow in patients who are about to donate blood stem cells for transplant;
  • to increase levels of neutrophils and reduce the risk of infections in patients with neutropenia who have a history of severe, repeated infections;
  • to treat persistent neutropenia in patients with advanced Human-Immunodeficiency-Virus (HIV) infection, to reduce the risk of bacterial infections when other treatments are not appropriate.

Accofil, which contains the active substance filgrastim, is a ‘biosimilar medicine’. This means that Accofil is similar to a biological medicine (also known as the ‘reference medicine’) that is already authorised in the European Union (EU). The reference medicine for Accofil is Neupogen.

Accofil is available as a solution for injection or infusion (drip) in pre-filled syringes. It is given by injection under the skin or infusion into a vein. It can only be obtained with a prescription and treatment should be given in collaboration with a centre for cancer treatment.

The way Accofil is given, its dose and the duration of treatment depend on why it is being used, the patient’s body weight and the response to treatment. More information can be found in the summary of product characteristics (also part of the EPAR).

The active substance in Accofil, filgrastim, is very similar to a human protein called granulocyte colony stimulating factor (G-CSF). Filgrastim acts in the same way as naturally produced G-CSF by encouraging the bone marrow to produce more white blood cells. The filgrastim in Accofil is produced by a method known as ‘recombinant DNA technology’: it is made by bacteria into which a gene (DNA) has been introduced that makes them able to produce filgrastim.

Studies were carried out to show that Accofil produces similar levels of the active substance in the body to Neupogen and increases the numbers of neutrophils in a comparable way.

Accofil was studied in one main study involving 120 female adult patients with breast cancer treated with chemotherapy known to cause neutropenia. Patients were given the chemotherapy on day 1 of a three-week cycle, and then received one dose of Accofil the next day and daily for up to 14 days. The main measure of effectiveness was the duration of severe neutropenia. Severe neutropenia lasted on average for 1.4 days. This is comparable with 1.6 days and 1.8 days reported in other studies found in the literature using filgrastim. Data from published studies indicate that the benefits and safety of filgrastim are similar in both adults and children receiving chemotherapy.

The most common side effect with Accofil (seen in more than 1 patient in 10) is musculoskeletal pain (pain in the muscles and bones). Other side effects may be seen in more than 1 patient in 10, depending on the condition that Accofil is being used for. For the full list of all side effects and restrictions reported with Accofil, see the package leaflet.

The Agency’s Committee for Medicinal Products for Human Use (CHMP) decided that, in accordance with EU requirements for biosimilar medicines, Accofil has been shown to have a comparable quality, safety and efficacy profile to Neupogen. Therefore, the CHMP’s view was that, as for Neupogen, the benefit outweighs the identified risks and recommended that it be approved for use in the EU.

A risk management plan has been developed to ensure that Accofil is used as safely as possible. Based on this plan, safety information has been included in the summary of product characteristics and the package leaflet for Accofil, including the appropriate precautions to be followed by healthcare professionals and patients.

Further information can be found in the Accofil : EPAR - Risk-management-plan summary.

The European Commission granted a marketing authorisation valid throughout the European Union for Accofil on 18 September 2014.

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

Accofil : EPAR - Summary for the public

български (BG) (110.2 KB - PDF)
español (ES) (81.67 KB - PDF)
čeština (CS) (107.79 KB - PDF)
dansk (DA) (81.16 KB - PDF)
Deutsch (DE) (82.79 KB - PDF)
eesti keel (ET) (79.71 KB - PDF)
ελληνικά (EL) (111.42 KB - PDF)
français (FR) (81.74 KB - PDF)
hrvatski (HR) (101.71 KB - PDF)
italiano (IT) (80.48 KB - PDF)
latviešu valoda (LV) (103.82 KB - PDF)
lietuvių kalba (LT) (105.07 KB - PDF)
magyar (HU) (100.92 KB - PDF)
Malti (MT) (108.98 KB - PDF)
Nederlands (NL) (80.96 KB - PDF)
polski (PL) (107.54 KB - PDF)
português (PT) (81.52 KB - PDF)
română (RO) (103.05 KB - PDF)
slovenčina (SK) (106.12 KB - PDF)
slovenščina (SL) (101.79 KB - PDF)
Suomi (FI) (80.77 KB - PDF)
svenska (SV) (80.49 KB - PDF)

Accofil : EPAR - Risk-management-plan summary

Product information

Accofil : EPAR - Product Information

български (BG) (1.71 MB - PDF)
español (ES) (1.36 MB - PDF)
čeština (CS) (1.57 MB - PDF)
dansk (DA) (1.32 MB - PDF)
Deutsch (DE) (898.31 KB - PDF)
eesti keel (ET) (1.33 MB - PDF)
ελληνικά (EL) (1.86 MB - PDF)
français (FR) (1.62 MB - PDF)
hrvatski (HR) (1.47 MB - PDF)
íslenska (IS) (1.55 MB - PDF)
italiano (IT) (1.36 MB - PDF)
latviešu valoda (LV) (1.55 MB - PDF)
lietuvių kalba (LT) (1.55 MB - PDF)
magyar (HU) (1.49 MB - PDF)
Malti (MT) (1.71 MB - PDF)
Nederlands (NL) (1.31 MB - PDF)
norsk (NO) (1.44 MB - PDF)
polski (PL) (1.58 MB - PDF)
português (PT) (1.22 MB - PDF)
română (RO) (1.93 MB - PDF)
slovenčina (SK) (1.38 MB - PDF)
slovenščina (SL) (1.67 MB - PDF)
Suomi (FI) (1.29 MB - PDF)
svenska (SV) (1.12 MB - PDF)

Latest procedure affecting product information: IA/0062

14/03/2024

Globe icon

This medicine’s product information is available in all official EU languages.
Select 'available languages' to access the language you need.

Product information documents contain:

  • summary of product characteristics (annex I);
  • manufacturing authorisation holder responsible for batch release (annex IIA);
  • conditions of the marketing authorisation (annex IIB);
  • labelling (annex IIIA);
  • package leaflet (annex IIIB).

Accofil : EPAR - All Authorised presentations

български (BG) (173.5 KB - PDF)
español (ES) (271.79 KB - PDF)
čeština (CS) (153.62 KB - PDF)
dansk (DA) (138.51 KB - PDF)
Deutsch (DE) (132.44 KB - PDF)
eesti keel (ET) (123.49 KB - PDF)
ελληνικά (EL) (136.02 KB - PDF)
français (FR) (138.11 KB - PDF)
hrvatski (HR) (134.02 KB - PDF)
íslenska (IS) (150 KB - PDF)
italiano (IT) (138.55 KB - PDF)
latviešu valoda (LV) (146.36 KB - PDF)
lietuvių kalba (LT) (142.27 KB - PDF)
magyar (HU) (139.26 KB - PDF)
Malti (MT) (279.75 KB - PDF)
Nederlands (NL) (133.2 KB - PDF)
norsk (NO) (141.18 KB - PDF)
polski (PL) (137.8 KB - PDF)
português (PT) (136.7 KB - PDF)
română (RO) (152.07 KB - PDF)
slovenčina (SK) (151.67 KB - PDF)
slovenščina (SL) (140.84 KB - PDF)
Suomi (FI) (123.74 KB - PDF)
svenska (SV) (132.39 KB - PDF)

Product details

Name of medicine
Accofil
Active substance
filgrastim
International non-proprietary name (INN) or common name
filgrastim
Therapeutic area (MeSH)
Neutropenia
Anatomical therapeutic chemical (ATC) code
L03AA02

Pharmacotherapeutic group

Immunostimulants

Therapeutic indication

Accofil is indicated for the reduction in the duration of neutropenia and the incidence of febrile neutropenia in patients treated with established cytotoxic chemotherapy for malignancy (with the exception of chronic myeloid leukaemia and myelodysplastic syndromes) and for the reduction in the duration of neutropenia in patients undergoing myeloablative therapy followed by bone marrow transplantation considered to be at increased risk of prolonged severe neutropenia. The safety and efficacy of Accofil are similar in adults and children receiving cytotoxic chemotherapy.

Accofil is indicated for the mobilisation of peripheral blood progenitor cells (PBPCs).

In patients, children or adults with severe congenital, cyclic, or idiopathic neutropenia with an absolute neutrophil count (ANC) of ? 0.5 x 109/L, and a history of severe or recurrent infections, long term administration of Accofil is indicated to increase neutrophil counts and to reduce the incidence and duration of infection-related events.

Accofil is indicated for the treatment of persistent neutropenia (ANC less than or equal to 1.0 x 109/L) in patients with advanced HIV infection, in order to reduce the risk of bacterial infections when other options to manage neutropenia are inappropriate.

Authorisation details

EMA product number
EMEA/H/C/003956

Biosimilar

This is a biosimilar medicine, which is a biological medicine highly similar to another already approved biological medicine called the ‘reference medicine’. For more information, see Biosimilar medicines.

Marketing authorisation holder
Accord Healthcare S.L.U.

Edificio Este Planta 6a
World Trade Center
Moll De Barcelona S/n
08039 Barcelona
SPAIN

Opinion adopted
24/07/2014
Marketing authorisation issued
17/09/2014
Revision
15

Assessment history

Accofil : EPAR - Procedural steps taken and scientific information after authorisation

Accofil : EPAR - Public assessment report

CHMP summary of positive opinion for Accofil

This page was last updated on

How useful do you find this page?