PASSIFLORA Herb Capsules - Medicines and Healthcare products
Transcription
PASSIFLORA Herb Capsules - Medicines and Healthcare products
PASSIFLORA Herb Capsules THR 00904/0001 UKPAR TABLE OF CONTENTS Lay summary Page 2 Scientific discussion Page 3 Steps taken for assessment Page 10 Summary of Product Characteristics Page 11 Product Information Leaflet Page 14 Labelling Page 17 MHRA PAR; PASSIFLORA HERB CAPSULES, THR 00904/0001 1 PASSIFLORA HERB CAPSULES THR 00904/0001 LAY SUMMARY The Medicines and Healthcare products Regulatory Agency (MHRA) granted Kerbina Limited a Traditional Herbal Registration Certificate for the traditional herbal medicinal product PASSIFLORA Herb Capsules (Traditional Herbal Registration number: THR 00904/0001). This product is available without prescription and can be bought from pharmacies and other outlets. PASSIFLORA Herb Capsules is a traditional herbal medicinal product used for the temporary relief of mild anxiety and to aid sleep. The active ingredient in PASSIFLORA Herb Capsules comes from the herb of the Passion Flower plant, which is also known as Passiflora incarnata L. This registration is based exclusively upon evidence of the use of Passion Flower herb as a traditional herbal medicine and not upon data generated from clinical trials. There is no requirement under the Traditional Herbal Registration (THR) Scheme to prove scientifically that the product works. No new or unexpected safety concerns arose from this application and it was, therefore, decided that a THR Certificate could be granted. MHRA PAR; PASSIFLORA HERB CAPSULES, THR 00904/0001 2 PASSIFLORA HERB CAPSULES THR 00904/0001 SCIENTIFIC DISCUSSION TABLE OF CONTENTS Introduction Page 4 Pharmaceutical assessment Page 5 Preclinical assessment Page 7 Clinical assessment Page 8 Overall conclusions and risk assessment Page 9 MHRA PAR; PASSIFLORA HERB CAPSULES, THR 00904/0001 3 INTRODUCTION The MHRA granted a THR Certificate for the traditional herbal medicinal product PASSIFLORA Herb Capsules (THR 00904/001) to Kerbina Limited on 5 August 2011. This product is on the general sales list (GSL). A Marketing Authorisation (Product Licence) was granted to Kerbina Limited for this product on 28 April 1988 (PL 00904/5045R). Confirmation is given that PL 00904/5045R will be cancelled after the THR is granted. This THR application was made under Article 16.c of Directive 2001/83 EC in accordance with arrangements to transfer certain herbal products with a Marketing Authorisation to a THR (according to MHRA Guidance dated January 2009). The application falls within the simplified THR application Category A, as no significant changes have been made to the formulation of the product. No new data were submitted, nor was it necessary for this application, as the data are essentially identical to those of the existing product. MHRA PAR; PASSIFLORA HERB CAPSULES, THR 00904/0001 4 PHARMACEUTICAL ASSESSMENT HERBAL SUBSTANCE (PREPARATION): PASSION FLOWER HERB Scientific name of the plant: Passiflora incarnata L. Family: Passifloraceae The herbal substance complies with the Ph. Eur. monograph, it is, therefore, acceptable. In this product the herbal substance and herbal preparation is the same thing, as no processing of the herbal substance is carried out prior to it being used to make the herbal product. HERBAL PRODUCT: PASSIFLORA HERB CAPSULES Description and Composition of the Herbal Product The product comprises 300 mg of Passion Flower herb enclosed in a clear, size 0, hard hypromellose capsule. The product formulation is similar to that of the already licensed product. It is, therefore, acceptable. Manufacture The manufacturing process is in line with that of the already licensed product and is satisfactory. Finished Product Specification The finished product specification is in line with that of the already licensed product and is satisfactory. Container Closure System The capsules are stored in Duma 110ml HDPE plastic containers with a tamper evident threaded Duma cap. Each pack contains 60 capsules. This type of packaging has been used to store the already licensed product and is satisfactory. Stability The product shelf-life of 3 years was applied to the already licensed product and is appropriate when the storage precautions ‘Store below 25°C’ and ‘Store in the original package’ are applied. Summary of Product Characteristics, labelling and Patient Information Leaflet All product literature is in line with that of the already licensed product, with some details amended in line with other products containing Passion Flower herb that are registered under the THR scheme. A package leaflet has been submitted to the MHRA along with results of consultations with target patient groups ("user testing"), in accordance with Article 59 of Council Directive 2001/83/EC. The results indicate that the package leaflet is well-structured MHRA PAR; PASSIFLORA HERB CAPSULES, THR 00904/0001 5 and organised, easy to understand and written in a comprehensive manner. The test shows that the patients/users are able to act upon the information that it contains. ASSESSOR’S OVERALL CONCLUSION It is recommended that a THR can be granted. MHRA PAR; PASSIFLORA HERB CAPSULES, THR 00904/0001 6 PRECLINICAL ASSESSMENT INTRODUCTION No new preclinical data have been supplied with this application and none are required for an application of this type. Assurance has been given that the results of genotoxicity testing will be provided by the renewal date of the THR. PRODUCT LITERATURE All product literature is satisfactory from a preclinical point of view. ASSESSOR’S OVERALL CONCLUSION It is recommended that a THR can be granted. MHRA PAR; PASSIFLORA HERB CAPSULES, THR 00904/0001 7 CLINICAL ASSESSMENT INTRODUCTION The clinical particulars for PASSIFLORA Herb Capsules are in line with those for the already licensed product. This is satisfactory. PRODUCT LITERATURE All product literature is medically satisfactory. ASSESSOR’S OVERALL CONCLUSION It is recommended that a THR can be granted. MHRA PAR; PASSIFLORA HERB CAPSULES, THR 00904/0001 8 OVERALL CONCLUSION AND BENEFIT-RISK ASSESSMENT QUALITY PASSIFLORA Herb Capsules are identical to an already licensed product. They are, therefore, pharmaceutically satisfactory. PRECLINICAL No new preclinical data were submitted and none are required for an application of this type. The results of genotoxicity testing will be provided before the THR is renewed. EFFICACY No clinical efficacy data are required for registration of traditional herbal medicinal products. SAFETY No new or unexpected safety concerns arose from this application. BENEFIT-RISK ASSESSMENT The quality of the product is acceptable and no new preclinical or clinical safety concerns have been identified. The benefit: risk balance is acceptable and a THR should be granted. MHRA PAR; PASSIFLORA HERB CAPSULES, THR 00904/0001 9 PASSIFLORA HERB CAPSULES THR 00904/0001 STEPS TAKEN FOR ASSESSMENT 1 The MHRA received the THR application on 4 February 2011 2 Following standard checks and communication with the applicant the MHRA considered the application valid on 28 February 2011 3 Following assessment of the application the MHRA requested further information relating to the dossier on 9 May 2011 4 The applicant responded to the MHRA’s requests, providing further information on the dossier on 4 August 2011 5 A THR was granted on 5 August 2011 MHRA PAR; PASSIFLORA HERB CAPSULES, THR 00904/0001 10 SUMMARY OF PRODUCT CHARACTERISTICS 1 NAME OF THE MEDICINAL PRODUCT PASSIFLORA Herb Capsules 2 QUALITATIVE AND QUANTITATIVE COMPOSITION Each capsule contains 300mg of Passion Flower herb (Passiflora incarnata L.) For list of excipients see section 6.1. 3 PHARMACEUTICAL FORM Hard capsules. Clear size 0 hard capsules. 4 CLINICAL PARTICULARS 4.1 Therapeutic indications PASSIFLORA Herb is a traditional herbal medicinal product used for the temporary relief of mild anxiety and to aid sleep, based on traditional use only. 4.2 Posology and method of administration For oral, short term use only use only. For adults and the elderly. For the temporary relief of symptoms of mild anxiety take 1-2 capsules 3 times a day. To aid sleep, take 2 capsules 30 minutes before bedtime with an earlier dose of 2 capsules earlier in the evening if necessary. Swallow the capsules with a glass of water. Maximum daily dose: 8 single doses Duration of use:If symptoms persist, worsen or do not improve after 4 weeks during the use of the product, a doctor or a qualified healthcare care practitioner should be consulted. The use of this product in children and adolescents under 18 years of age is not recommended (see section 4.4 Special warnings and precautions for use). 4.3 Contraindications Hypersensitivity to Passion Flower or any of the excipients. 4.4 Special warnings and precautions for use Do not exceed the stated dose. If symptoms persist, worsen or do not improve after 4 weeks during the use of the product, a doctor or a qualified healthcare practitioner should be consulted. The use of the product in children and adolescents under 18 years of age is not recommended as data is not sufficient and medical advice should be sought. MHRA PAR; PASSIFLORA HERB CAPSULES, THR 00904/0001 11 4.5 Interaction with other medicinal products and other forms of interaction Concomitant use with synthetic sedatives such as benzodiazepines is not recommended unless advised by a doctor. 4.6 Fertility, pregnancy and lactation The safety of the product during pregnancy and lactation has not been established. In the absence of sufficient data, the use during pregnancy and lactation is not recommended. Tests on the effects on fertility have not been performed. 4.7 Effects on ability to drive and use machines The product may impair the ability to drive ands use machines. Affected patients should not drive or operate machinery. 4.8 Undesirable effects One case of hypersensitivity (vasculitis) and one case of nausea and tachycardia have been reported. The frequency is not known. If other adverse reactions not mentioned above occur, a doctor or qualified health care practitioner should be consulted. 4.9 Overdose No case of overdose has been reported. Symptomatic and supportive measures should be taken as appropriate. 5 PHARMACOLOGICAL PROPERTIES 5.1 Pharmacodynamic properties Not required as per Article 16c (1) (a) (iii) of Directive 2001/83/EC as amended. 5.2 Pharmacokinetic properties Not required as per Article 16c (1) (a) (iii) of Directive 2001/83/EC as amended. 5.3 Preclinical safety data Test on reproductive toxicity, genotoxicity and carcinogenicity have not been performed. 6 PHARMACEUTICAL PARTICULARS 6.1 List of excipients Hypromellose (capsule shell) 6.2 Incompatibilities Not Applicable. MHRA PAR; PASSIFLORA HERB CAPSULES, THR 00904/0001 12 6.3 Shelf life 3 years. 6.4 Special precautions for storage Store below 25°C. Store in the original package. 6.5 Nature and contents of container Duma 110ml HDPE plastic container and tamper evident threaded Duma cap. PASSIFLORA pack contains 60 Capsules. 6.6 Special precautions for disposal There are no special precautions for disposal of PASSIFLORA capsules. When the container is empty the label should be removed and the container placed in a recycling bin. 7 MARKETING AUTHORISATION HOLDER Kerbina Limited, Trading as: Bio-Health Limited Culpeper Close Medway City Estate Rochester Kent ME2 4HU 8 MARKETING AUTHORISATION NUMBER(S) THR 00904/001 9 DATE OF FIRST AUTHORISATION/RENEWAL OF THE AUTHORISATION 05/08/2011 10 DATE OF REVISION OF THE TEXT 05/08/2011 MHRA PAR; PASSIFLORA HERB CAPSULES, THR 00904/0001 13 PRODUCT INFORMATION LEAFLET MHRA PAR; PASSIFLORA HERB CAPSULES, THR 00904/0001 14 MHRA PAR; PASSIFLORA HERB CAPSULES, THR 00904/0001 15 MHRA PAR; PASSIFLORA HERB CAPSULES, THR 00904/0001 16 LABELLING MHRA PAR; PASSIFLORA HERB CAPSULES, THR 00904/0001 17