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On 23 February 2023, the Committee for Medicinal Products for Human Use (CHMP) adopted a positive opinion, recommending the granting of a marketing authorisation for the medicinal product Bekemv, intended for the treatment of adults and children in paroxysmal nocturnal haemoglobinuria (PNH). 

The applicant for this medicinal product is Amgen Technology (Ireland) Unlimited Company.

Bekemv will be available as a 300 mg concentrate for solution for infusion. The active substance of Bekemv is eculizumab, a selective immunosuppressant (ATC code: L04AA25). Bekemv is a recombinant humanised monoclonal IgG2/4k antibody that binds to the human C5 complement protein and thereby inhibits the activation of terminal complement.

Bekemv is a biosimilar medicinal product. It is highly similar to the reference product Soliris (eculizumab), which was authorised in the EU on 20 June 2007. Data show that Bekemv has comparable quality, safety and efficacy to Soliris.

The full indication is:

Bekemv is indicated in adults and children for the treatment of paroxysmal nocturnal haemoglobinuria (PNH). Evidence of clinical benefit is demonstrated in patients with haemolysis with clinical symptom(s) indicative of high disease activity, regardless of transfusion history (see section 5.1).

Bekemv must be administered by a healthcare professional and under the supervision of a physician experienced in the management of patients with haematological disorders. Unlike the reference product, Bekemv contains sorbitol. It is therefore contraindicated in patients with hereditary fructose intolerance (HFI), in whom sorbitol exposure may cause serious metabolic harms. It is also contraindicated in children under 2 years of age who may not yet be diagnosed with HFI.

Detailed recommendations for the use of this product will be described in the summary of product characteristics (SmPC), which will be published in the European public assessment report (EPAR) and made available in all official European Union languages after the marketing authorisation has been granted by the European Commission.

Key facts

Agency product number
International non-proprietary name (INN) or common name
  • eculizumab
Active substance
  • Eculizumab
Therapeutic area
Hemoglobinuria, Paroxysmal

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.

Date opinion adopted
Company name
Amgen Technology (Ireland) UC
Application type
Initial authorisation

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