Search This Blog

Friday, 27 March 2020

Updates from the European Medicines Agency re Covid-19: advice to continue use of ACE inhibitors and ARBs

27.3.20: Briefing from the European Medicines Agency

EMA reports that it is aware of recent media reports and publications which question whether some medicines, for instance angiotensin converting enzyme (ACE) inhibitors and angiotensin receptor blockers (ARBs, or sartan medicines), could worsen coronavirus disease (COVID-19). ACE inhibitors and ARBs are most commonly used for treating patients with high blood pressure, heart failure or kidney disease. 
The EMA has providing the following advice from its Public and Stakeholders Engagement Department.
"It is important that patients do not interrupt their treatment with ACE inhibitors or ARBs and there is no need to switch to other medicines. There is currently no evidence from clinical or epidemiological studies that establishes a link between ACE inhibitors or ARBs and the worsening of COVID-19. Experts in the treatment of heart and blood pressure disorders, including the European Society of Cardiology, have already issued statements along those lines. To gather more evidence, EMA is proactively reaching out to researchers working to generate further evidence in epidemiological studies.
As the public health crisis rapidly extends across the globe, scientific research is ongoing to understand how the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) reproduces in the body, interacts with the immune system and causes disease, and whether ongoing treatment with medicines such as ACE-inhibitors and ARBs could impact the prognosis of COVID-19.
The speculation that ACE-inhibitors or ARBs treatment can make infections worse in the context of COVID-19 is not supported by clinical evidence. These medicines work by affecting the renin-angiotensin-aldosterone system (RAAS). Because the virus uses a target called angiotensin converting enzyme 2 (ACE2), which is part of this system, to enter human cells, and the medicines can increase ACE2, one of the suggestions among others is that they could also increase virus activity. However, the interactions of the virus with the RAAS in the body are complex and not completely understood.
EMA is monitoring the situation closely and is collaborating with stakeholders to coordinate epidemiological studies on the effects of ACE inhibitors and ARBs in people with COVID-19.
EMA is helping to coordinate urgent ongoing research and is fully committed to keep the public up to date with any development in this field. EMA is also aware of reports questioning whether other medicines such as corticosteroids and non-steroidal anti-inflammatories (NSAIDs) could worsen COVID-19, and has recently issued a communication on NSAIDs medicines. It is important that patients who have any questions or are uncertain about their medicines speak to their doctor or pharmacist and do not stop their regular treatment without speaking to their healthcare professional first.
Medicines should be prescribed and used in line with clinical judgement, taking due note of any warnings and other information provided in the summary of product characteristics (SmPC) and thepackage leaflet, as well as guidance issued by the WHO and relevant national and international bodies.
Within the EU medicines regulatory network, evidence on the safe use of medicines is reviewed as it emerges. Any new advice that arises is disseminated appropriately through EMA and national competent authorities.
EMA will provide further information as appropriate.
This information and related content are published here. Please check EMA’s dedicated webpage on COVID-19 for the latest updates."

Wednesday, 25 September 2019

Updates from the European Medicines Agency: from vaccines to repurposing medicines and pharmacovigilance



24th-25th September
The European  Medicines Agency has hosted its first meetings in Amsterdam  for its Healthcare Professional Working Party and Patient and Consumers Working Party since the move of the Agency from its former Canary Wharf headquarters in London. The sessions coincided with the launch of a further three year work programme agreed between the EMA and its working parties.

Papers from the meetings will be available on the EMA website. 

Key themes in the new work programme will include secure supply of medicines, digital media for health, public health strategy on antibiotic resistance, addressing vaccine hesitancy, early access to medicines, pharmacovigilance, and encouraging patient engagement.

Central Amsterdam
Major topics discussed during the current Amsterdam meetings included initiatives to address vaccine hesitancy, updates on pharmacovigilance and initiatives on repurposing of medicines. In addition, the EMA provided updates from its major standing committees, including the Committee for Orphan Medicinal Products (COMP), Pharmacovigilance Risk Assessment Committee (PRAC), Committee for Advanced Therapies (CAT), Committee for Medicinal Products for Human Use (CHMP), Paediatric Committee (PDCO) and Committee on Herbal Medicinal Products (HMPC).

Isabel de la Mata, Principal Advisor on Public Health and Crisis Management at the European Commission discussed current initiatives to address vaccine hesitancy, an early priority of EU President-elect Ursula van der Leyer.

De la Mata noted that vaccine coverage is below 95% in many EU member states. A 2019 Eurobarometer on vaccine confidence had highlighted several key points of misinformation, for example with 48% of respondents thinking that vaccines often produce serious side effects, 38% that vaccines can cause the disease they prevent and 55% considering that vaccines overload and weaken the immune system.

A Global Vaccination Summit had been held on 12th September with around 400 delegates political, technical, patients and other - and with WHO collaboration. This led to a 10 point document including new focus on reliable access to vaccines, safety and transparent, clear, independent information.

Actions by member states are to include developing national and regional plans, better access to vaccines, increased public health communications, more training of health professionals, accurate digital information on vaccination status and increased support for vaccine research and innovation.

European level actions are to include a new European Vaccination portal coordinated by ECDC (European Centre for Disease Control) with support from the EMA (EVIS - European Vaccine Information Sharing). Other work will consider dissemination of vaccine schedules, focus on the supply chain, including mitigating shortages and identifying and overcoming barriers to access.

A new coalition of healthcare workers for vaccination, launched on 5th March in Brussels, aims to address and reverse reasons for outbreaks of measles and other vaccine-preventable infections in health workers as recently as 2017 and 2018, with transmission in the healthcare setting even in countries with high vaccination coverage.

John Kinsman, Expert in Social and Behavioural Change Communication at the ECDC, outlined Development of the European Vaccination information Portal. This is due to be piloted in December 2019 and launched in April 2020 during European Immunisation week.

The portal has a legal basis, arising from a 2016 European Commission call for the ECDC to work with EMA to develop the portal.  Issues include the reality that the majority of the public do not have a scientific background and making sure through content, language and accessibility that the portal is as widely available as possible.

The EMA is seeing an exponential increase in reporting by patients of suspected adverse drug reactions.  A pressing aim of the EMA is how best to learn from patient reporting of possible ADR. This will benefit from previous experience of patient reporting to national competent authorities  (e.g. US FDA and UK MHRA [patient reporting since September 2005]) and international agencies (e.g. the WHO Uppsala Monitoring Centre).

Plans for future meetings include proposals for further discussion of initiatives on vaccine uptake.

Monday, 8 July 2019

Hear from Prof Harry Sokol why gut microbiota are so important for human diseases and their treatments

The 14th EACPT Congress was held from 29th June to 2nd July in 2019 in Stockholm as a partnership between the EACPT and the Swedish Society for Pharmacology, Clinical Pharmacology and Therapeutics.

The term gut microbiota describes the population of microbes living in our intestines. Gut microbiota are being increasingly recognised as important contributors to a wide range of human diseases, from disorders of the gut to cancers and neurological disease.
Gut microbiota also contribute to drug response and to risk of adverse drug effects. Gut microbiota also provide a source of potential treatments.

In this short video you can hear keynote EACPT Congress speaker Professor Harry Sokol from Paris discuss the importance for clinical pharmacologists, other health professionals and patients of understanding emerging key roles for gut microbiota in serious diseases and their treatments.



Discussants  
Professor Harry Sokol, Hôpital Saint-Antoine and Sorbonne University, Paris, France
in discussion with
Professor
Tabassome Simon, EACPT Past-President

The next EACPT Congress

The next EACPT biennial congress will be held in Athens in June 2019. The programme will provide an international scientific and educational forum for discussion of clinical pharmacology and therapeutics, including personalised pharmacotherapy. See more on our website.

Joining the EACPT
Anyone from anywhere in the world with a professional interest in clinical pharmacology and therapeutics can now join the EACPT as an Individual Associate member.

Membership benefits include:

* Discounted registration fees for EACPT meetings
* Online subscription to the EACPT Official journal: the European Journal of Clinical Pharmacology
* Access to the EACPT’s worldwide network of Individual Associate Members
* Active involvement in EACPT 

25th Anniversary

The EACPT was founded 25 years ago and now includes as members all major national organisations for clinical pharmacology in Europe, as well as organisations from further afield internationally. The EACPT aims to provide educational and scientific support for the more than 4000 individual professionals interested in clinical pharmacology and therapeutics throughout the European region, with its congresses attended by a global audience. The EACPT also advises policy makers on how the specialty can contribute to human health and wealth. Find out more about the EACPT ...


Future EACPT Congresses

2021  Athens
2023  Rotterdam
2025  Helsinki

Wednesday, 3 July 2019

Meeting global health challenges: Karolinska President discusses how Clinical Pharmacologists can help

The 14th EACPT Congress was held from 29th June to 2nd July in 2019 in Stockholm as a partnership between the EACPT and the Swedish Society for Pharmacology, Clinical Pharmacology and Therapeutics.

Keynote opening speaker at the EACPT Congress Professor Ole Petter Ottersen discusses how Clinical Pharmacologists in Europe and beyond can help to meet current global health challenges. In particular he notes that 14 of the 17 current WHO strategic development goals are relevant to safe, effective and equitable use of medicines. He also stresses the need to be aware of and address 'sticky institutions', whether governmental, NGO or commercial as barriers to improving global health policy and its implementation.
Professor Ottersen chaired the international Lancet Commission that studied the political determinants of global health inequalities (The Lancet-University of Oslo Commission on Global Governance for Health).

Discussants  
Professor Ole
Petter Ottersen
, President, Karolinska Institute
Professor Donald Singer: co-opted member of the Executive Committee of the EACPT.

The next EACPT Congress
The next EACPT biennial congress will be held in Athens. The programme will provide an international scientific and educational forum for discussion of clinical pharmacology and therapeutics, including personalised pharmacotherapy. See more on our website.

Joining the EACPT
Anyone from anywhere in the world with a professional interest in clinical pharmacology and therapeutics can now join the EACPT as an Individual Associate member.

Membership benefits include:
* Discounted registration fees for EACPT meetings
* Online subscription to the EACPT Official journal: the European Journal of Clinical Pharmacology
* Access to the EACPT’s worldwide network of Individual Associate Members
* Active involvement in EACPT 

25th Anniversary

The EACPT was founded 25 years ago and now includes as members all major national organisations for clinical pharmacology in Europe, as well as organisations from further afield internationally. The EACPT aims to provide educational and scientific support for the more than 4000 individual professionals interested in clinical pharmacology and therapeutics throughout the European region, with its congresses attended by a global audience. The EACPT also advises policy makers on how the specialty can contribute to human health and wealth. Find out more about the EACPT ...


Future EACPT Congresses


2021  Athens

2023  Rotterdam

2025  Helsinki

Ubiquitous Pharmacogenomcs - adopting testing for genetic variability in drug response in clinical practice

The 14th EACPT Congress was held from 29th June to 2nd July in 2019 in Stockholm as a partnership between the EACPT and the Swedish Society for Pharmacology, Clinical Pharmacology and Therapeutics.

Understanding how genetic variability influences both the desired response to medicines and risk of adverse drug reactions has the potential improve the benefits and reduce the risks of treatment with medicines. In this short video you can hear keynote EACPT Congress speaker
Professor Henk-Jan Guchelaar discuss how clinical pharmacologists can implement these pharmacogenetic tests into clinical practice..
Professor Guchelaar coordinates a European Horizon 2020 project - U-PGx: Ubiquitous Pharmacogenomics - about implementation of pharmacogenetics in routine health care. 

Discussants  
Professor Henk-Jan Guchelaar, Head of the Department of Clinical Pharmacy & Toxicology Leiden University Medical Centre.
Professor Donald Singer: co-opted member of the Executive Committee of the EACPT.

 

The next EACPT Congress
The next EACPT biennial congress will be held in Athens. The programme will provide an international scientific and educational forum for discussion of clinical pharmacology and therapeutics, including personalised pharmacotherapy. See more on our website.

Joining the EACPT
Anyone from anywhere in the world with a professional interest in clinical pharmacology and therapeutics can now join the EACPT as an Individual Associate member.

Membership benefits include:
* Discounted registration fees for EACPT meetings
* Online subscription to the EACPT Official journal: the European Journal of Clinical Pharmacology
* Access to the EACPT’s worldwide network of Individual Associate Members
* Active involvement in EACPT 

25th Anniversary

The EACPT was founded 25 years ago and now includes as members all major national organisations for clinical pharmacology in Europe, as well as organisations from further afield internationally. The EACPT aims to provide educational and scientific support for the more than 4000 individual professionals interested in clinical pharmacology and therapeutics throughout the European region, with its congresses attended by a global audience. The EACPT also advises policy makers on how the specialty can contribute to human health and wealth. Find out more about the EACPT ...


Future EACPT Congresses

2021  Athens
2023  Rotterdam
2025  Helsinki

Monday, 1 July 2019

Markus Zeitlinger in Stockholm at EACPT Congress discussing better use of antibiotics

The 14th EACPT Congress is being held from 29th June to 2nd July in 2019 in Stockholm as a partnership between the EACPT and the Swedish Society for Pharmacology, Clinical Pharmacology and Therapeutics.

Failure to respond to antibiotics is a major international concern. In this short video you can hear keynote EACPT Congress speaker Professor Markus Zeitlinger discuss how clinical pharmacologists can help to improve the effects of antibiotics by careful monitoring of drug levels and the patient's response to these powerful medicines.


Discussants  
Professor Markus Zeitlinger, Head of the Department of Clinical Pharmacology, Medical University of Vienna
Professor Donald Singer: co-opted member of the Executive Committee of the EACPT.

 

The next EACPT Congress
The next EACPT biennial congress will be held in Athens. The programme will provide an international scientific and educational forum for discussion of clinical pharmacology and therapeutics, including personalised pharmacotherapy. See more on our website.

Joining the EACPT
Anyone from anywhere in the world with a professional interest in clinical pharmacology and therapeutics can now join the EACPT as an Individual Associate member.

Membership benefits include:
* Discounted registration fees for EACPT meetings
* Online subscription to the EACPT Official journal: the European Journal of Clinical Pharmacology
* Access to the EACPT’s worldwide network of Individual Associate Members
* Active involvement in EACPT 

25th Anniversary

The EACPT was founded 25 years ago and now includes as members all major national organisations for clinical pharmacology in Europe, as well as organisations from further afield internationally. The EACPT aims to provide educational and scientific support for the more than 4000 individual professionals interested in clinical pharmacology and therapeutics throughout the European region, with its congresses attended by a global audience. The EACPT also advises policy makers on how the specialty can contribute to human health and wealth. Find out more about the EACPT ...


Future EACPT Congresses

2021  Athens
2023  Rotterdam
2025  Helsinki

Delegates at 14th EACPT Congress in early morning Stockholm run

The 14th EACPT Congress is being held from 29th June to 2nd July in 2019 in Stockholm as a partnership between the EACPT and the Swedish Society for Pharmacology, Clinical Pharmacology and Therapeutics. 

Beating the summer heat by a 7am start, delegates from a wide range of countries took part in a run along the quiet streets of the Swedish capital city. 

You can see below some of the delegates who took part, in photos provided by runner Professor Gerard Rongen, lead organiser of the 6th EACPT Congress, to be held in 2023 in Rotterdam.







Opportunities for EACPT Individual Associate Members include
* discounted registration fees for EACPT meetings
* networking with colleagues worldwide through the global EACPT network of Individual Associate Members
* active involvement in EACPT Working Parties and other activities  

 
Find out how to become an Associate Member of the EACPT 

Future EACPT Congresses will be held in:
- 2021 Athens
- 2023 Rotterdam