Meeting highlights from the Committee for Medicinal Products for Human Use (CHMP) 21-24 June 2021

News 25/06/2021

Eight new medicines recommended for approval

EMA’s human medicines committee (CHMP) recommended eight medicines for approval at its June 2021 meeting.

The Committee recommended granting a conditional marketing authorisation for Abecma* (idecabtagene vicleucel) for the treatment of adult patients with relapsed and refractory multiple myeloma who have received at least three previous therapies, including an immunomodulatory agent, a proteasome inhibitor and an anti-CD38 antibody, and whose cancer has worsened since receiving the last treatment. As Abecma is a gene therapy, the CHMP’s positive opinion is based on an assessment by EMA’s Committee for Advanced Therapies (CAT). See more details in the news announcement in the grid below.

The Committee adopted a positive opinion for Voxzogo* (vosoritide) for the treatment of achondroplasia in patients two years of age and above whose epiphyses are not closed. Achondroplasia is a condition that impairs bone growth and causes dwarfism. See more details in the news announcement in the grid below.

The Committee recommended granting a conditional marketing authorisation for Minjuvi* (tafasitamab) for the treatment of adult patients with relapsed or refractory diffuse large B‑cell lymphoma (DLBCL) who are not eligible for autologous stem-cell transplant (ASCT).

The Committee adopted a positive opinion, recommending the granting of a marketing authorisation for Bimzelx (bimekizumab) for the treatment of moderate to severe plaque psoriasis.

Byooviz (ranibizumab) was granted a positive opinion by the Committee for the treatment of neovascular (wet) age-related macular degeneration, visual impairment due to diabetic macular oedema, proliferative diabetic retinopathy, visual impairment due to macular oedema secondary to retinal vein occlusion (branch RVO or central RVO), and visual impairment due to choroidal neovascularisation.

Evrenzo (roxadustat) was granted a positive opinion for the treatment of anaemia symptoms in patients with chronic kidney disease.

The CHMP recommended granting marketing authorisations for two generic medicines: Abiraterone Mylan (abiraterone acetate) for the treatment of metastatic prostate cancer and Fingolimod Mylan (fingolimod) for the treatment of relapsing-remitting multiple sclerosis with high disease activity.

Negative recommendation on a new medicine

The CHMP adopted a negative opinion on the marketing authorisation application for Flynpovi (eflornithine / sulindac). Flynpovi was developed as a medicine to treat adults with familial adenomatous polyposis (FAP).

For more information on this negative opinion, see the question-and-answer documents in the grid below.

Six recommendations on extensions of therapeutic indication

The Committee recommended extensions of indication for Edistride, Forxiga, Galafold, Opdivo, Rinvoq and Xeljanz.

Withdrawal of application

An application to extend the use of Esbriet (pirfenidone) to include the treatment of unclassifiable interstitial lung disease (UILD) was withdrawn by the company. More information is available in the question-and-answer document in the grid below.

EMA starts review of anxiety medicine Stresam

EMA started a review of Stresam (etifoxine), a medicine authorised in some EU countries for the treatment of anxiety disorders. For more information, see the start-of-referral document in the grid below.

Agenda and minutes

The agenda of the June 2021 CHMP meeting is published on EMA's website. Minutes of the May 2021 CHMP meeting will be published in the coming weeks.

CHMP statistics

Key figures from the June 2021 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 June 2021

** This figure was corrected on 12 July 2021 as a withdrawn application for an extension of indication was wrongly counted as a withdrawn application for a new medicine.

***This figure was corrected on 15 July 2021 as a biosimilar product was wrongly counted as a new [non-orphan] medicine.

Positive recommendations on new medicines

Name of medicine Abecma
International non-proprietary name (INN) idecabtagene vicleucel
Marketing-authorisation applicant Celgene Europe BV
Therapeutic indication Treatment of adult patients with relapsed and refractory multiple myeloma
More information

Abecma: Pending EC decision

News announcement: First cell-based gene therapy to treat adult patients with multiple myeloma

Name of medicine Bimzelx
INN bimekizumab
Marketing-authorisation applicant UCB Pharma S.A.
Therapeutic indication Treatment of moderate to severe plaque psoriasis
More information Bimzelx: Pending EC decision

Name of medicine Evrenzo
INN roxadustat
Marketing-authorisation applicant Astellas Pharma Europe B.V.
Therapeutic indication Treatment of anaemia symptoms in patients with chronic kidney disease
More information Evrenzo: Pending EC decision

Name of medicine Minjuvi
INN tafasitamab
Marketing-authorisation applicant Incyte Biosciences Distribution B.V.
Therapeutic indication Treatment of adult patients with relapsed or refractory diffuse large B cell lymphoma (DLBCL) who are not eligible for autologous stem-cell transplant (ASCT)
More information Minjuvi: Pending EC decision

Name of medicine Voxzogo
INN vosoritide
Marketing-authorisation applicant BioMarin International Limited
Therapeutic indication Treatment of achondroplasia in patients aged 2 years and above whose epiphyses are not closed
More information

Voxzogo: Pending EC decision

News announcement: New treatment for people with dwarfism

Negative recommendation on new medicine

Name of medicine Flynpovi
INN eflornithine / sulindac
Marketing-authorisation applicant Cancer Prevention Pharma (Ireland) Limited
Therapeutic indication Treatment of adult patients with familial adenomatous polyposis
More information Flynpovi: Questions and answers

Positive recommendation on new biosimilar medicine

Name of medicine Byooviz
INN ranibizumab
Marketing-authorisation applicant Samsung Bioepis NL B.V.
Therapeutic indication Treatment of neovascular (wet) age-related macular degeneration, visual impairment due to diabetic macular oedema, proliferative diabetic retinopathy, visual impairment due to macular oedema secondary to retinal vein occlusion (branch RVO or central RVO), and visual impairment due to choroidal neovascularisation
More information Byooviz: Pending EC decision

Positive recommendations on new generic medicines

Name of medicine Abiraterone Mylan
INN abiraterone acetate
Marketing-authorisation applicant Mylan IRE Healthcare Limited
Therapeutic indication Treatment of metastatic prostate cancer
More information Abiraterone Mylan: Pending EC decision

Name of medicine Fingolimod Mylan 
INN fingolimod
Marketing-authorisation applicant Mylan Ireland Limited
Therapeutic indication Treatment of relapsing-remitting multiple sclerosis with high disease activity
More information Fingolimod Mylan: Pending EC decision

Positive recommendations on extensions of indications

Name of medicine Edistride
INN dapagliflozin
Marketing-authorisation holder AstraZeneca AB
More information Edistride: Pending EC decision}

Name of medicine Forxiga
INN dapagliflozin
Marketing-authorisation holder AstraZeneca AB
More information Forxiga: Pending EC decision

Name of medicine Galafold
INN migalastat
Marketing-authorisation holder Amicus Therapeutics Europe Limited
More information Galafold: Pending EC decision

Name of medicine Opdivo
INN nivolumab
Marketing-authorisation holder Bristol-Myers Squibb Pharma EEIG
More information Opdivo: Pending EC decision

Name of medicine Rinvoq
INN upadacitinib
Marketing-authorisation holder AbbVie Deutschland GmbH & Co. KG
More information Rinvoq: Pending EC decision

Name of medicine Xeljanz
INN tofacitinib
Marketing-authorisation holder Pfizer Europe MA EEIG
More information Xeljanz: Pending EC decision

Start of referral

Name of medicine Stresam
INN etifoxine
More information Etifoxine-containing medicinal products

Withdrawal of application

Name of medicine Esbriet
INN pirfenidone
More information

Esbriet: Withdrawn application

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