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EMA/202139/2010 European Medicines Agency decision P/59/2010 of 29 March 2010 on the granting of a product specific waiver for esomeprazole magnesium/acetylsalisylic acid (EMEA-000682-PIP01-09) in accordance with Regulation (EC) No 1901/2006 of the European Parliament and of the Council Only the English text is authentic. 7 Westferry Circus Canary Wharf London E14 4HB United Kingdom Telephone +44 (0)20 7418 8400 Facsimile +44 (0)20 7418 8670 E-mail info@ema.europa.eu Website www.ema.europa.eu An agency of the European Union

European Medicines Agency decision P/59/2010 of 29 March 2010 on the granting of a product specific waiver for esomeprazole magnesium/acetylsalisylic acid (EMEA-000682-PIP01-09) in accordance with Regulation (EC) No 1901/2006 of the European Parliament and of the Council The European Medicines Agency, Having regard to the Treaty on the Functioning of the European Union, Having regard to Regulation (EC) No 1901/2006 of the European Parliament and of the Council of 12 December 2006 on medicinal products for paediatric use and amending Regulation (EEC) No. 1768/92, Directive 2001/20/EC, Directive 2001/83/EC and Regulation (EC) No 726/2004 1, Having regard to Regulation (EC) No 726/2004 of the European Parliament and of the Council of 31 March 2004 laying down Community procedures for the authorisation and supervision of medicinal products for human and veterinary use and establishing a European Medicines Agency 2, Having regard to the application submitted by AstraZeneca AB on 14 July 2009 under Article 13 of Regulation (EC) No 1901/2006, Having regard to the opinion of the Paediatric Committee of the European Medicines Agency, issued on 19 March 2010 in accordance with Article 13 of Regulation (EC) No 1901/2006, Having regard to Article 25 of Regulation (EC) No 1901/2006, Whereas: (1) The Paediatric Committee has given, following a re-examination procedure of the Paediatric Committee s opinion according to Article 25(3) of Regulation (EC) No 1901/2006, an opinion on the granting of a product specific waiver, (2) It is therefore appropriate to adopt a decision granting a waiver. 1 OJ L 378, 27.12.2006, p.1. 2 OJ L 136, 30.4.2004, p. 1. European Medicines Agency decision EMA/202139/2010 Page 2/7

Has adopted this decision: Article 1 A waiver for Esomeprazole magnesium/acetylsalisylic acid, capsule, oral use, the details of which are set out in the opinion of the Paediatric Committee of the European Medicines Agency annexed hereto, together with its appendices, is hereby granted. Article 2 This decision is addressed to AstraZeneca AB, S-151 85 Södertälje, Sweden. Done at London, 29 March 2010 For the European Medicines Agency Thomas Lönngren Executive Director (Signature on file) European Medicines Agency decision EMA/202139/2010 Page 3/7

EMA/PDCO/177942/2010 Opinion of the Paediatric Committee on the granting of a product specific waiver (after re-examination) EMEA-000682-PIP01-09 Scope of the application Active substance(s): Esomeprazole magnesium/acetylsalisylic acid Condition(s): Gastric Ulcer Duodenal Ulcer Pharmaceutical form(s): Capsule Route(s) of administration: Oral use Name/corporate name of the PIP applicant: AstraZeneca AB Basis for opinion Pursuant to Article 13 of Regulation (EC) No 1901/2006 as amended, AstraZeneca AB submitted for agreement to the European Medicines Agency on 14 July 2009 an application for a product-specific waiver on the grounds set out in Article 11(1) of said Regulation for the above mentioned medicinal product. An Opinion was adopted by the Paediatric Committee on 15 January 2010, recommending the refusal of a waiver for all subsets of the paediatric population and all the above mentioned condition(s) for the above mentioned product. AstraZeneca AB received the Paediatric Committee Opinion on 19 January 2010. AstraZeneca AB submitted written notice including detailed grounds to the European Medicines Agency on 17 February 2010 to request a re-examination of the Opinion. The re-examination procedure started on 18 February 2010. 7 Westferry Circus Canary Wharf London E14 4HB United Kingdom Telephone +44 (0)20 7418 8400 Facsimile +44 (0)20 7523 7040 E-mail info@ema.europa.eu Website www.ema.europa.eu An agency of the European Union

Final Opinion 1. The Paediatric Committee, having assessed the detailed grounds for re-examination request in accordance with Article 25(3) of Regulation (EC) No 1901/2006 as amended, revises its opinion and recommends, as set out in the appended summary report: to grant a product-specific waiver for all subsets of the paediatric population and all the above mentioned condition(s) in accordance with Article 11(1)(c) of said Regulation, on the grounds that the specific medicinal product does not represent a significant therapeutic benefit over existing treatments for paediatric patients. The Norwegian Paediatric Committee member agrees with the above-mentioned recommendation of the Paediatric Committee. 2. The grounds for the granting of the waiver are set out in Annex I. This opinion is forwarded to the applicant(s) and the Executive Director of the European Medicines Agency, together with its annex and appendix. London, 19 March 2010 On behalf of the Paediatric Committee, Dr Daniel Brasseur, Chairman (Signature on file) Opinion of the Paediatric Committee on the granting of a product specific waiver (after re-examination) EMA/PDCO/177942/2010 Page 5/7

Annex I Grounds for the granting of the waiver Opinion of the Paediatric Committee on the granting of a product specific waiver (after re-examination) EMA/PDCO/177942/2010 Page 6/7

1. Grounds for the granting of the waiver 1.1. Condition Gastric ulcer Duodenal ulcer The waiver applies to: All subsets of the paediatric population from birth to less than 18 years of age. for capsule, oral use on the grounds that the specific medicinal product does not represent a significant therapeutic benefit over existing treatments. Opinion of the Paediatric Committee on the granting of a product specific waiver (after re-examination) EMA/PDCO/177942/2010 Page 7/7