Ciprofloxacin Kabi

  • Procedure started
  • Under evaluation
  • CHMP opinion
  • European Commission final decision
Current status:
European Commission final decision


Ciprofloxacine Kabi and associated names, Solution for infusion, 2 mg/ml, is an antibiotic belonging to the quinolone family effective in vitro against a large number of Gram-negative aerobic bacteria as well as against some Gram-positive organisms.

Fresenius Kabi Nederland B.V. submitted applications for mutual recognition of Ciprofloxacine Kabi and associated names, Solution for infusion, 2 mg/ml on the basis of the marketing authorisation granted by Netherlands on 23 September 2005. The Mutual Recognition Procedure started on 17 December 2005. The Reference Member State was the Netherlands and the Concerned Member States were Austria, Belgium, Cyprus, Czech Republic, Germany, Denmark, Greece, Spain, Finland, Hungary, Italy, Poland, Portugal, Sweden, Slovak Republic and United Kingdom.

These Member States were not able to reach an agreement in respect of the Mutual Recognition of the Marketing Authorisation granted by the Reference Member State. The Netherlands referred the reasons for disagreement to the EMEA on 9 June 2006.

On the basis of the questions raised by the Member States, the points to be considered by the CHMP were the recommended dose in urinary tract infections and of the maximum adult daily dose.

The arbitration procedure started on 28 June 2006 with the adoption of a list of questions. The Rapporteur was Dr Ian Hudson and Co-Rapporteur was Dr Bengt Ljungberg. The Marketing Authorisation Holder provided written explanations on 2 August 2006.

During their November 2006 meeting, the CHMP, in the light of the overall data submitted and the scientific discussion within the Committee, was of the opinion that the benefit/risk ratio is favourable Ciprofloxacine Kabi and associated names, that the objections raised should not prevent the granting of a Marketing Authorisation and that the Summary of Product Characteristics, labelling and package leaflet of the Reference Member State should be amended. A positive opinion was adopted by consensus on 16 November 2006.

The list of the product names concerned is given in Annex I. The scientific conclusions are provided in Annex II, together with the Summary of Product Characteristics in Annex III.

The final opinion was converted into a Decision by the European Commission on 24 January 2007.

Key facts

Approved name
Ciprofloxacin Kabi
International non-proprietary name (INN) or common name
Reference number
Article 29(4) referrals

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

European Commission final decision
Opinion date
EC decision date

All documents

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 havebeen 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

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