Overview

Emgality is a medicine used to prevent migraine in adults who have migraines at least 4 days a month. It contains the active substance galcanezumab.

Emgality is injected under the skin using a pre-filled syringe or pen. Patients can inject the medicine themselves after being trained.

Treatment should be started with the injection of the content of 2 syringes (or pens), followed a month later by single injections given every month. Doctors should review treatment after 3 months and only continue it if patients benefit from it.

Emgality can only be obtained with a prescription and treatment should be started by a doctor experienced in the treatment of migraine. For more information about using Emgality, see the package leaflet or contact your doctor or pharmacist.

A substance called CGRP has been shown to be involved in the development of migraine by widening blood vessels in the brain. The active substance of Emgality, galcanezumab, is a monoclonal antibody (a type of protein) designed to attach to and block CGRP, thereby helping blood vessels to return to their normal size. This will stop the symptoms of migraine.

Emgality was shown to be effective at reducing the number of days patients suffer migraines in 3 main studies. Overall, Emgality led to 2 fewer days with migraines per month compared with placebo (a dummy treatment).

In two studies involving 1,784 patients who had migraines between 4 and 14 days a month, those treated with Emgality had 4 or 5 fewer days with migraines per month, compared with 2 to 3 fewer days for patients on a placebo injection.

In a third study of 1,117 patients who had migraines for more than 15 days a month on average (chronic migraine), those treated with Emgality had on average around 5 fewer days with migraines per month compared with around 3 fewer days for patients on placebo.

The most common side effects with Emgality (which may affect more than 1 in 10 people) are reactions at the site of injection such as pain, redness, itching, bruising or swelling.

For the full list of side effects and restrictions of Emgality, see the package leaflet.

Emgality was shown to be more effective than placebo at reducing the number of days of migraine, although the size of the effect is limited particularly for patients with chronic migraine.

The side effects seen with Emgality are considered manageable with most being mild or moderate in severity.

The European Medicines Agency therefore decided that Emgality’s benefits are greater than its risks and it can be authorised for use in the EU.

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

As for all medicines, data on the use of Emgality are continuously monitored. Side effects reported with Emgality are carefully evaluated and any necessary action taken to protect patients.

Emgality received a marketing authorisation valid throughout the EU on 14 November 2018.

Emgality : EPAR - Medicine overview

български (BG) (98.09 KB - PDF)
español (ES) (72.33 KB - PDF)
čeština (CS) (94.36 KB - PDF)
dansk (DA) (71.55 KB - PDF)
Deutsch (DE) (72.95 KB - PDF)
eesti keel (ET) (71.32 KB - PDF)
ελληνικά (EL) (97.63 KB - PDF)
français (FR) (72.65 KB - PDF)
hrvatski (HR) (91.65 KB - PDF)
italiano (IT) (71.79 KB - PDF)
latviešu valoda (LV) (93.25 KB - PDF)
lietuvių kalba (LT) (93.68 KB - PDF)
magyar (HU) (91.07 KB - PDF)
Malti (MT) (95.55 KB - PDF)
Nederlands (NL) (71.88 KB - PDF)
polski (PL) (95.8 KB - PDF)
português (PT) (71.9 KB - PDF)
română (RO) (92.88 KB - PDF)
slovenčina (SK) (94.24 KB - PDF)
slovenščina (SL) (88.43 KB - PDF)
Suomi (FI) (71.99 KB - PDF)
svenska (SV) (72.17 KB - PDF)

Emgality : EPAR - Risk-management plan summary

Product information

Emgality : EPAR - Product information

български (BG) (1.71 MB - PDF)
español (ES) (1.66 MB - PDF)
čeština (CS) (1.52 MB - PDF)
dansk (DA) (1.35 MB - PDF)
Deutsch (DE) (1.66 MB - PDF)
eesti keel (ET) (1.5 MB - PDF)
ελληνικά (EL) (1.52 MB - PDF)
français (FR) (1.29 MB - PDF)
hrvatski (HR) (1.55 MB - PDF)
íslenska (IS) (1.42 MB - PDF)
italiano (IT) (1.49 MB - PDF)
latviešu valoda (LV) (1.62 MB - PDF)
lietuvių kalba (LT) (2.2 MB - PDF)
magyar (HU) (1.52 MB - PDF)
Malti (MT) (966.96 KB - PDF)
Nederlands (NL) (1.46 MB - PDF)
norsk (NO) (1.42 MB - PDF)
polski (PL) (1.63 MB - PDF)
português (PT) (1.51 MB - PDF)
română (RO) (1.24 MB - PDF)
slovenčina (SK) (1.57 MB - PDF)
slovenščina (SL) (1.43 MB - PDF)
Suomi (FI) (1.85 MB - PDF)
svenska (SV) (1.43 MB - PDF)

Latest procedure affecting product information: R/0023

01/09/2023

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).

Emgality : EPAR - All authorised presentations

български (BG) (55.57 KB - PDF)
español (ES) (17.66 KB - PDF)
čeština (CS) (38.79 KB - PDF)
dansk (DA) (17.57 KB - PDF)
Deutsch (DE) (20.25 KB - PDF)
eesti keel (ET) (20.22 KB - PDF)
ελληνικά (EL) (38.17 KB - PDF)
français (FR) (18.05 KB - PDF)
hrvatski (HR) (29.35 KB - PDF)
íslenska (IS) (16.48 KB - PDF)
italiano (IT) (19.8 KB - PDF)
latviešu valoda (LV) (40.79 KB - PDF)
lietuvių kalba (LT) (27.83 KB - PDF)
magyar (HU) (35.08 KB - PDF)
Malti (MT) (35.22 KB - PDF)
Nederlands (NL) (19.33 KB - PDF)
norsk (NO) (20.26 KB - PDF)
polski (PL) (37.26 KB - PDF)
português (PT) (20.29 KB - PDF)
română (RO) (52.3 KB - PDF)
slovenčina (SK) (37.46 KB - PDF)
slovenščina (SL) (25.98 KB - PDF)
Suomi (FI) (19.54 KB - PDF)
svenska (SV) (48.21 KB - PDF)

Product details

Name of medicine
Emgality
Active substance
Galcanezumab
International non-proprietary name (INN) or common name
galcanezumab
Therapeutic area (MeSH)
Migraine Disorders
Anatomical therapeutic chemical (ATC) code
N02

Pharmacotherapeutic group

  • Analgesics
  • galcanezumab

Therapeutic indication

Emgality is indicated for the prophylaxis of migraine in adults who have at least 4 migraine days per month.

Authorisation details

EMA product number
EMEA/H/C/004648

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
Eli Lilly Nederland B.V.

Papendorpseweg 83
3528 BJ Utrecht
Netherlands

Opinion adopted
20/09/2018
Marketing authorisation issued
14/11/2018
Revision
10

Assessment history

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

Emgality-H-C-PSUSA-00010733-202109 : EPAR - Scientific conclusions and grounds for the variation to the terms of the marketing authorisation

Emgality-H-C-PSUSA-00010733-202009 : EPAR - Scientific conclusions and grounds for the variation to the terms of the marketing authorisation

Questions and answers on the refusal of a change to the marketing authorisation for Emgality (galcanezumab)

български (BG) (145.79 KB - PDF)
español (ES) (121.79 KB - PDF)
čeština (CS) (144.07 KB - PDF)
dansk (DA) (122.05 KB - PDF)
Deutsch (DE) (124.24 KB - PDF)
eesti keel (ET) (120.02 KB - PDF)
ελληνικά (EL) (147.82 KB - PDF)
français (FR) (123.15 KB - PDF)
hrvatski (HR) (142.49 KB - PDF)
italiano (IT) (120.6 KB - PDF)
latviešu valoda (LV) (162.84 KB - PDF)
lietuvių kalba (LT) (145.98 KB - PDF)
magyar (HU) (171.29 KB - PDF)
Malti (MT) (144.98 KB - PDF)
Nederlands (NL) (121.21 KB - PDF)
polski (PL) (142.94 KB - PDF)
português (PT) (122.76 KB - PDF)
română (RO) (141.83 KB - PDF)
slovenčina (SK) (143.9 KB - PDF)
slovenščina (SL) (140.5 KB - PDF)
Suomi (FI) (120.21 KB - PDF)
svenska (SV) (121.28 KB - PDF)

Emgality-H-C-PSUSA-00010733-201903 : EPAR - Scientific conclusions and grounds for the variation to the terms of the marketing authorisation

Emgality-H-C-04648-X-0004 : EPAR - Refusal public assessment report

Emgality : EPAR - Public assessment report

Summary of opinion for Emgality

Topics

This page was last updated on

How useful do you find this page?