Meeting highlights from the Committee for Medicinal Products for Human Use (CHMP) 19-22 June 2023

News 23/06/2023

Two new medicines recommended for approval

EMA’s human medicines committee (CHMP) recommended two medicines for approval at its June 2023 meeting.

The committee recommended granting a marketing authorisation for Aquipta (atogepant), intended for the prophylaxis of migraine in adults who have at least four migraine days per month. It is estimated that approximately 15% of the EU population suffers from migraine, a type of headache characterised by recurrent attacks of moderate to severe throbbing and pulsating pain on one side of the head.

Jesduvroq (daprodustat) received a positive opinion from the CHMP for the treatment of adult patients with anaemia associated with chronic kidney disease, a condition in which the kidneys are damaged and cannot filter the blood as well as they should.

Negative opinion for a new medicine

The CHMP recommended the refusal of a marketing authorisation for Albrioza* (sodium phenylbutyrate/ursodoxicoltaurine) for the treatment of amyotrophic lateral sclerosis, a rare neurological disease affecting nerve cells in the brain and spinal cord that control voluntary muscle movement. For more information on this negative opinion, see the question-and-answer document in the grid below.

Withdrawals of applications

Applications for the biosimilar medicines Dyrupeg and Zefylti were withdrawn. Both of these medicines were intended for the treatment of neutropenia, a condition that affects the immune system, but they were developed as biosimilars of different active substances.

Question-and-answer documents on the withdrawals are available in the grid below.

Recommendations on extensions of therapeutic indication for eight medicines

The committee recommended eight extensions of indication for medicines that are already authorised in the European Union (EU): Comirnaty, Imjudo, Jardiance, Lonsurf, Mircera, Refixia, Soliris* and Trodelvy.

Agenda and minutes

The agenda of the June 2023 CHMP meeting is published on EMA's website. Minutes of the May 2023 CHMP meeting will be published in the coming weeks.

CHMP statistics

Key figures from the June 2023 CHMP meeting are represented in the graphic below.

*This product was designated as an orphan medicine during its development. Orphan designations are reviewed by EMA's Committee for Orphan Medicinal Products (COMP) at the time of approval to determine whether the information available to date allows maintaining the medicine’s orphan status and granting the medicine ten years of market exclusivity.


CHMP highlight figures for June 2023

Positive recommendations on new medicines

Name of medicineAquipta
International non-proprietary name (INN)atogepant
Marketing-authorisation applicantAbbVie Deutschland GmbH & Co. KG
Therapeutic indicationProphylaxis of migraine in adults who have at least 4 migraine days per month
More informationAquipta: Pending EC decision


Name of medicineJesduvroq
Marketing-authorisation applicantGlaxosmithkline Trading Services Limited
Therapeutic indicationTreatment of anaemia associated with chronic kidney disease (CKD) in adults
More informationJesduvroq: Pending EC decision


Negative recommendations on new medicines

Name of medicineAlbrioza
INNsodium phenylbutyrate / ursodoxicoltaurine
Marketing-authorisation applicantAmylyx Pharmaceuticals EMEA B.V.
Therapeutic indicationTreatment of amyotrophic lateral sclerosis (ALS)
More informationAlbrioza: Pending EC decision


Positive recommendations on extensions of indications

Name of medicineComirnaty

tozinameran / riltozinameran and tozinameran / famtozinameran and tozinameran / COVID-19 mRNA Vaccine (nucleoside modified)

Marketing-authorisation holderBioNTech Manufacturing GmbH
More informationComirnaty:  Pending EC decision 


Name of medicineImjudo
Marketing-authorisation holderAstraZeneca AB
More informationImjudo:  Pending EC decision


Name of medicineJardiance
Marketing-authorisation holderBoehringer Ingelheim International GmbH
More informationJardiance: Pending EC decision


Name of medicineLonsurf
INNtrifluridine / tipiracil
Marketing-authorisation holderLes Laboratoires Servier
More informationLonsurf: Pending EC decision


Name of medicineMircera
INNmethoxy polyethylene glycol-epoetin beta
Marketing-authorisation holderRoche Registration GmbH
More informationMircera: Pending EC decision


Name of medicineRefixia
INNnonacog beta pegol 
Marketing-authorisation holderNovo Nordisk A/S
More informationRefixia: Pending EC decision


Name of medicineSoliris 
Marketing-authorisation holderAlexion Europe SAS
More informationSoliris: Pending EC decision


Name of medicineTrodelvy
INNsacituzumab govitecan 
Marketing-authorisation holderGilead Sciences Ireland UC
More informationTrodelvy: Pending EC decision


Withdrawals of initial marketing authorisation applications

Name of medicineDyrupeg
Marketing-authorisation applicantCuraTeQ Biologics s.r.o
More informationQuestions and answers on Dyrupeg


Name of medicineZefylti
Marketing-authorisation applicantCuraTeQ Biologics s.r.o
More informationQuestions and answsers on Zefylti


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