European Medicines Agency decision

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EMA/459054/2017 European Medicines Agency decision P/0208/2017 of 9 August 2017 on the granting of a product specific waiver for H-Tyr-Gly-Arg-Lys-Lys-Arg-Arg-Gln-Arg-Arg-Arg-Lys- Leu-Ser-Ser-Ile-Glu-Ser-Asp-Val-OH (YGRKKRRQRRRKLSSIESDV), (EMEA-002108-PIP01-16) in accordance with Regulation (EC) No 1901/2006 of the European Parliament and of the Council Only the English text is authentic. 30 Churchill Place Canary Wharf London E14 5EU United Kingdom Telephone +44 (0)20 3660 6000 Facsimile +44 (0)20 3660 5555 Contact EMA www.ema.europa.eu/contact An agency of the European Union

European Medicines Agency decision P/0208/2017 of 9 August 2017 on the granting of a product specific waiver for H-Tyr-Gly-Arg-Lys-Lys-Arg-Arg-Gln-Arg-Arg-Arg-Lys- Leu-Ser-Ser-Ile-Glu-Ser-Asp-Val-OH (YGRKKRRQRRRKLSSIESDV), (EMEA-002108-PIP01-16) 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 NoNO Inc. on 17 March 2017 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 23 June 2017 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 an opinion on the granting of a product specific waiver. (2) It is therefore appropriate to adopt a decision granting a waiver. Has adopted this decision: Article 1 A waiver for H-Tyr-Gly-Arg-Lys-Lys-Arg-Arg-Gln-Arg-Arg-Arg-Lys-Leu-Ser-Ser-Ile-Glu-Ser-Asp-Val-OH (YGRKKRRQRRRKLSSIESDV), solution for infusion, intravenous 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 NoNO Inc., 8KD-406 Leonard Avenue, M5T 2S8 - Toronto, Canada. 1 OJ L 378, 27.12.2006, p.1. 2 OJ L 136, 30.4.2004, p. 1. European Medicines Agency decision EMA/459054/2017 Page 2/2

EMA/PDCO/226217/2017 London, 23 June 2017 Opinion of the Paediatric Committee on the granting of a product-specific waiver EMEA-002108-PIP01-16 Scope of the application Active substance(s): H-Tyr-Gly-Arg-Lys-Lys-Arg-Arg-Gln-Arg-Arg-Arg-Lys-Leu-Ser-Ser-Ile-Glu-Ser-Asp-Val-OH (YGRKKRRQRRRKLSSIESDV) Condition(s): Treatment of acute ischaemic stroke Pharmaceutical form(s): Solution for infusion Route(s) of administration: Intravenous use Name/corporate name of the PIP applicant: NoNO Inc. Basis for opinion Pursuant to Article 13 of Regulation (EC) No 1901/2006 as amended, NoNO Inc. submitted to the European Medicines Agency on 17 March 2017 an application for a product-specific waiver on the grounds set out in Article 11 of said Regulation for the above mentioned medicinal product. The procedure started on 25 April 2017. 30 Churchill Place Canary Wharf London E14 5EU United Kingdom Telephone +44 (0)20 3660 6000 Facsimile +44 (0)20 3660 5510 Send a question via our website www.ema.europa.eu/contact An agency of the European Un on

Opinion 1. The Paediatric Committee, having assessed the waiver application in accordance with Article 13 of Regulation (EC) No 1901/2006 as amended, recommends as set out in the appended summary report: to grant a product-specific waiver for all subsets of the paediatric population and the above mentioned condition 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 and the Executive Director of the European Medicines Agency, together with its annex and appendix. Opinion of the Paediatric Committee on the granting of a product-specific waiver EMA/PDCO/226217/2017 Page 2/4

Annex I Grounds for the granting of the waiver Opinion of the Paediatric Committee on the granting of a product-specific waiver EMA/PDCO/226217/2017 Page 3/4

1. Waiver 1.1. Condition: Treatment of acute ischaemic stroke The waiver applies to: all subsets of the paediatric population from birth to less than 18 years of age; for solution for infusion for intravenous use; on the grounds that the specific medicinal product does not represent a significant therapeutic benefit as clinical studies(s) are not feasible. Opinion of the Paediatric Committee on the granting of a product-specific waiver EMA/PDCO/226217/2017 Page 4/4