Regulatory Decision Summary for PRALUENT

Review decision

The Regulatory Decision Summary explains Health Canada’s decision for the product seeking market authorization. The Regulatory Decision Summary includes the purpose of the submission and the reason for the decision.


Product type:

Drug

Medicinal ingredient(s):

alirocumab

Therapeutic area:

Proprotein convertase subtilisin kexin type 9 (PCSK9) inhibitor

Type of submission:

New Drug Submission

Control number:

183116
What was the purpose of this submission?

The purpose of this NDS was to seek the market authorization of Praluent to reduce low density lipoprotein cholesterol (LDL-C) in patients with familial hypercholesterolemia or in patients with clinical atherosclerotic cardiovascular disease.

Why was the decision issued?

 

The efficacy and safety of Praluent were evaluated in 5 placebo-controlled phase 3 clinical trials. The results obtained from these trials showed that the treatment with Praluent as adjunct to diet and exercise and maximally tolerated statin therapy reduced LDL-C levels in adult patients with heterozygous familial hyperlipidemia (HeFH) or patients with non-familial hyperlipidemia and with history clinical atherosclerotic cardiovascular disease (CVD).

The effect of Praluent on cardiovascular morbidity and mortality has not been determined.

Praluent is supplied as solution in prefilled syringes and in prefilled pens for subcutaneous injection at the concentration of 75 mg/mL and 150 mg/mL. The recommended dose of Praluent is 75 mg once every 2 weeks. If the LDL-C response is inadequate, the dosage may be increased to the maximum dosage of 150 mg administered every 2 weeks.

Praluent should not be used in patients with a history of hypersensitivity reaction to Praluent.

The safety profile of Praluent is acceptable for the target population to be treated. In order to ensure that this benefit continues to outweigh any risk after authorization, Health Canada has required several post-approval activities to be carried out and a Risk Management Plan.

For more information on Health Canadas decision, please view the Summary Basis of Decision.

 

Decision issued

Approved; issued Notice of Compliance in accordance with the Food and Drug Regulations.