- for? Fablyn is used for the treatment of osteoporosis (a disease that makes bones fragile) in
- How is Fablyn used?
- How has Fablyn been studied?
- How does Fablyn work?
- What benefit has Fablyn shown during the studies?
- What is the risk associated with Fablyn?
- Why has Fablyn been approved?
- What measures are being taken to ensure the safe use of Fablyn?
Committee for Medicinal Products for Human Use (CHMP) assess d the medicine to reach its opinion in favour of granting a marketing authorisation and its recomme dations on the conditions of use for Fablyn.
for? Fablyn is used for the treatment of osteoporosis (a disease that makes bones fragile) in
elsewhere in the body, but not in the hip.
postmenopausalMedicinalwomen (women who have been through the menopause). It is used in women who are at risk of fracture (broken bones). Fablyn has been shown to reduce fractures in the spine and
When decid ng whether to prescribe Fablyn or other treatments, doctors should consider whether the patient has any symptoms of the menopause, and the possible effects of treatment on the womb, the breast, and the heart and blood vessels.
The medicine can only be obtained with a prescription.
How is Fablyn used?
The recommended dose of Fablyn is one tablet once a day. It can be taken at any time of day. Patients may also receive calcium and vitamin D supplements if they do not get enough from their diet. Fablyn is intended for
© European Medicines Agency, 2012. Reproduction is authorised provided the source is acknowledged.
How has Fablyn been studied?
Fablyn should be used with caution in women with severe liver or kidney problems.
How does Fablyn work?
Osteoporosis happens when not enough new bone grows to replace the bone that is naturally broken down. Gradually, the bones become thin and fragile, and more likely to break (fracture). Osteoporosis is more common in women after the menopause, when the levels of the female hormone oestrogen fall: oestrogen slows down bone breakdown and makes the bones less likely to fracture.
The active substance in Fablyn, lasofoxifene, is a selective oestrogen receptor modulator (SERM). Lasofoxifene acts as an ‘agonist’ of the oestrogen receptor (a substance thatauthorisedstimulates the receptor had a new fracture in the spine as seen on
for oestrogen) in some tissues in the body. Lasofoxifene has the same effect as oestrogen in the bone.
The effects of Fablyn were first tested in experimental models before being studied in humans.
Two doses of Fablyn (250 and 500 micrograms once a day) have been compared with placebo (a dummy treatment) in one main study involving almost 9,000 postmenop s l women with
What benefit has Fablyn shown during the studies?
osteoporosis aged 60 to 80 years. The main measure of effectiveness w s the number of women who that got worse, new fractures in other parts of the bodylongerand the d nsity of bones throughout the body.
Fablyn was more effective than placebo at reducing the number of new fractures. Over five years, 6% of the women taking Fablyn 500 micrograms hadnoa new spine fracture (155 out of 2,748), compared
with 9% of those taking placebo (255 out of 2,744). Also, results with the
outside the spine and there were greater in reases in bone density. Fablyn did not reduce the number of hip fractures to a level that would be relevant for patients.
What is the risk associated with Fablyn?
The most common side effect with Fablyn (seen in more than 1 patient in 10) is muscle cramps. For theMedicinalfull list of all side effects reported with Fablyn, see the package leaflet.
Fablyn must not be used in people who are hypersensitive (allergic) to lasofoxifene or any of the other ingredients. It must not be used in patients who have had problems with venous thromboembolism including deep vein thrombosis (DVT), pulmonary embolism (a blood clot in the lungs) and retinal vein thrombosis (a blood clot at the back of the eye). It must not be used in women with unexplained bleeding from the womb. Fablyn is only for use in women who have been through the menopause, so it must not be used in women who could become pregnant, or women who are pregnant or breast- feeding.
Why has Fablyn been approved?
The CHMP decided that Fablyn’s benefits are greater than its risks and recommended that it be given marketing authorisation.
What measures are being taken to ensure the safe use of Fablyn?
The company that makes Fablyn will make sure that an educational programme is available in all Member States for all healthcare workers who will prescribe Fablyn or order pelvic ultrasound scans for women taking the medicine. The programme will include information about the risk of venous thromboembolism, changes in the womb that may occur when taking the medicine, and the need to investigate unexplained bleeding from the womb.
Other information about Fablyn
The European Commission granted a marketing authorisation valid throughout the European Union for Fablyn on 24 February 2009.
The full EPAR for Fablyn can be found on the Agency’s website: ema.europa.eu/Find med c ne/Human medicines/European public assessment reports. For more information about treatment with Fablyn, read the package leaflet (also part of the EPAR) or contact your doctor or pharmacist.