August 2015
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Australian Public Assessment Report for Insulin glargine
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Proprietary Product Name: Abasria / Abasria KwikPen
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Sponsor: Eli Lilly Australia Pty Ltd
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About the Therapeutic Goods Administration (TGA)
The Therapeutic Goods Administration (TGA) is part of the Australian Government Department of Health and is responsible for regulating medicines and medical devices.
The TGA administers the Therapeutic Goods Act 1989 (the Act), applying a risk management approach designed to ensure therapeutic goods supplied in Australia meet acceptable standards of quality, safety and efficacy (performance), when necessary.
The work of the TGA is based on applying scientific and clinical expertise to decision-making, to ensure that the benefits to consumers outweigh any risks associated with the use of medicines and medical devices.
The TGA relies on the public, healthcare professionals and industry to report problems with medicines or medical devices. TGA investigates reports received by it to determine any necessary regulatory action.
To report a problem with a medicine or medical device, please see the information on the TGA website .
About AusPARs
An Australian Public Assessment Record (AusPAR) provides information about the evaluation of a prescription medicine and the considerations that led the TGA to approve or not approve a prescription medicine submission.
AusPARs are prepared and published by the TGA.
An AusPAR is prepared for submissions that relate to new chemical entities, generic medicines, major variations, and extensions of indications.
An AusPAR is a static document, in that it will provide information that relates to a submission at a particular point in time.
A new AusPAR will be developed to reflect changes to indications and/or major variations to a prescription medicine subject to evaluation by the TGA.
Copyright
© Commonwealth of Australia 2015
This work is copyright. You may reproduce the whole or part of this work in unaltered form for your own personal use or, if you are part of an organisation, for internal use within your organisation, but only if you or your organisation do not use the reproduction for any commercial purpose and retain this copyright notice and all disclaimer notices as part of that reproduction. Apart from rights to use as permitted by the Copyright Act 1968 or allowed by this copyright notice, all other rights are reserved and you are not allowed to reproduce the whole or any part of this work in any way (electronic or otherwise) without first being given specific written permission from the Commonwealth to do so. Requests and inquiries concerning reproduction and rights are to be sent to the TGA Copyright Officer, Therapeutic Goods Administration, PO Box 100, Woden ACT 2606 or emailed to .
Contents
List of the most common abbreviations used in this AusPAR 4
I. Introduction to product submission 5
Submission details 5
Product background 5
Regulatory status 7
Product information 7
II. Quality findings 7
Drug substance (active ingredient) 7
Drug product 8
Biopharmaceutics 8
Quality summary and conclusions 9
III. Nonclinical findings 9
Introduction 9
Pharmacology 9
Pharmacokinetics 10
Toxicology 10
Nonclinical summary and conclusions 11
IV. Clinical findings 11
Introduction 11
Clinical rationale 11
Guidance 12
Contents of the clinical dossier 13
Pharmacokinetics 13
Pharmacodynamics 16
Dosage selection for the pivotal studies 17
Efficacy 17
Safety 18
First round benefit-risk assessment 22
First round recommendation regarding authorisation 22
Clinical questions 22
Second round evaluation of clinical data submitted in response to questions 22
V. Pharmacovigilance findings 23
Risk management plan 23
VI. Overall conclusion and risk/benefit assessment 28
Quality 28
Nonclinical 28
Clinical 29
Risk management plan 34
Risk-benefit analysis 34
Outcome 38
Attachment 2. Extract from the Clinical Evaluation Report 39
List of the most common abbreviations used in this AusPAR
Abbreviation
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Meaning
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ACE
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angiotensin converting enzyme
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ALAT
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alanine aminotransferase
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ASR
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annual safety report
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CCDS
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company core data sheet
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CHMP
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Committee for Medicinal Products for Human Use
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DCCT
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Diabetes Control and Complications Trial
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DSUR
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development safety update report
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EEA
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European Economic Area
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EMA
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European Medicines Agency
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EU
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European Union
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FDA
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Food and Drug Administration
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GLP-1
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glucagon-like peptide-1
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GPRD
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General Practice Research Database
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GW
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gestational week
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HMEC
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human mammary epithelial cells
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HIV
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human immunodeficiency virus
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IBD
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international birth date
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ICH
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International Conference on Harmonisation
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L6-hIR
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L6 myoblasts from ATTC transfected with human insulin receptors
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MAH
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market authorisation holder
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MAOI
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monoamine oxidase inhibitors
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MedDRA
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Medical Dictionary for Regulatory Activities
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NPH
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neutral protamine Hagedorn
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NYHA
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New York Heart Association
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PD
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pharmacodynamics
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PK
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pharmacokinetics
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PSUR
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periodic safety update report
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PT
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preferred term
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PYE
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patient years of exposure
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RR
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reporting rate
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RMP
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risk management plan
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RSI
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request for supplementary information
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SmPC
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summary of product characteristics
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SMQ
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standardised MedDRA query
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TZD
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thiazolidinedione
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WHO
|
World Health Organization
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