Overview

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

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

Eklira Genuair is a medicine that is used to relieve the symptoms of chronic obstructive pulmonary disease (COPD) in adults. COPD is a long-term disease in which the airways and air sacs inside the lungs become damaged or blocked, leading to difficulty breathing. Eklira Genuair is used for maintenance (regular) treatment.

Eklira Genuair contains the active substance aclidinium bromide.

Eklira Genuair is available as an inhalation powder in a portable inhaler device. Each inhalation provides 375 micrograms of aclidinium bromide equivalent to 322 micrograms of aclidinium.

The recommended dose of Eklira Genuair is one inhalation twice a day. For detailed information on using the inhaler correctly, see the instructions in the package leaflet.

Eklira Genuair can only be obtained with a prescription.

The active substance in Eklira Genuair, aclidinium bromide, is an antimuscarinic bronchodilator. This means that it widens the airways by blocking muscarinic receptors. Muscarinic receptors control the contraction of muscles and when aclidinium bromide is inhaled, it relaxes the muscles of the airways. This helps to keep the airways open and allows the patient to breathe more easily.

A main study involving 828 patients with COPD found that Eklira Genuair was more effective than placebo (a dummy treatment) at improving how well the lungs work. The study compared two doses of Eklira Genuair (200 and 400 micrograms) inhaled twice a day with placebo. The main measure of effectiveness was how Eklira Genuair improved patients’ forced expiratory volumes (FEV1, the maximum volume of air a person can breathe out in one second). On average, after six months of treatment, the FEV1 in patients who used 200 and 400 micrograms Eklira Genuair increased compared with placebo by 99 ml and 128 ml respectively. The dose of 400 micrograms Eklira Genuair corresponds to an inhalation providing 322 micrograms of aclidinium.

The most common side effects with Eklira Genuair (which may affect more than 5 patients in 100) are headache and nasopharyngitis (inflammation of the nose and throat). Other common side effects (which may affect more than 1 patient in 100) are sinusitis (inflammation of the sinuses), cough, nausea (feeling sick) and diarrhoea. For the full list of all side effects and restrictions with Eklira Genuair, see the package leaflet.

The CHMP noted that Eklira Genuair was shown to be effective at improving the symptoms of COPD, and its beneficial effects are maintained for up to a year. The CHMP also noted that there were no major safety concerns with Eklira Genuair, with side effects being reversible and similar to other antimuscarinic bronchodilator medicines. Therefore, the CHMP decided that Eklira Genuair’s benefits are greater than its risks and recommended that it be given marketing authorisation.

As antimuscarinic bronchodilator medicines may have an effect on the heart and blood vessels, the company will closely monitor the medicine’s cardiovascular effects and will carry out a further study in patients to identify any potential risks.

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

The European Commission granted a marketing authorisation valid throughout the European Union for Eklira Genuair on 20 July 2012.

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

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Product information

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Latest procedure affecting product information: N/0051

09/01/2023

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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).

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Product details

Name of medicine
Eklira Genuair
Active substance
aclidinium bromide
International non-proprietary name (INN) or common name
aclidinium bromide
Therapeutic area (MeSH)
Pulmonary Disease, Chronic Obstructive
Anatomical therapeutic chemical (ATC) code
R03BB

Pharmacotherapeutic group

Drugs for obstructive airway diseases

Therapeutic indication

Eklira Genuair is indicated as a maintenance bronchodilator treatment to relieve symptoms in adult patients with chronic obstructive pulmonary disease (COPD).

Authorisation details

EMA product number
EMEA/H/C/002211

Additional monitoring

This medicine is under additional monitoring, meaning that it is monitored even more intensively than other medicines. For more information, see Medicines under additional monitoring.

Marketing authorisation holder
Covis Pharma Europe B.V.

Gustav Mahlerplein 2
1082 MA Amsterdam
The Netherlands

Marketing authorisation issued
20/07/2012
Revision
20

Assessment history

Topics

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