Overview
Fycompa is an epilepsy medicine for treating:
- partial seizures (fits starting in one specific part of the brain), including those followed by generalised seizures affecting all of the brain, in patients from 4 years of age;
- primary generalised tonic-clonic seizures (major fits fit affecting most or all of the brain) in patients from 7 years of age when the causeof epilepsy is unknown.
Fycompa must only be used as an ‘add-on’ therapy to other anti-epileptic medicines. It contains the active substance perampanel.
Fycompa is taken by mouth once a day at bedtime. Fycompa tablets can be taken with or without food and should not be chewed, crushed or split. Fycompa oral suspension can be taken with or without food and should always be taken in the same way (i.e. always with food or always without food).
For patients above 12 years of age, the recommended dose at the start of treatment is 2mg per day, and if it is well tolerated the doctor may progressively increase it by increments of 2mg/day to a maximum dose of 12mg per day. For younger patients the dose depends on their weight.
Fycompa can only be obtained with a prescription. For more information about using Fycompa, see the package leaflet or contact your doctor or pharmacist.
The active substance in Fycompa, perampanel, is an anti-epileptic medicine. Epilepsy is caused by excessive electrical activity in the brain. Although the precise mechanism by which Fycompa works is not fully understood, it is thought to block the action of the neurotransmitter glutamate. Neurotransmitters are naturally-occurring chemicals in the nervous system that allow nerve cells to communicate with each other. Glutamate is the main stimulatory neurotransmitter in nerve cells that can trigger and maintain seizures. Therefore, by blocking glutamate’s actions, Fycompa is thought to stop epileptic seizures from occurring.
Three main studies involving a total of 1,491 patients aged 12 years and older showed that Fycompa was more effective than placebo (a dummy treatment) in reducing the frequency of partial seizures. In the first study, the percentage of patients who experienced a decrease in seizure frequency of at least 50% was 37.6% for patients taking 8 mg Fycompa and 36.1% for patients taking 12 mg Fycompa, compared with 26.4% of patients taking placebo. In the second study, 33.3% and 33.9% of patients taking 8 mg and 12 mg Fycompa respectively showed a decrease in seizure frequency of at least 50%, compared with 14.7% of patients taking placebo. The third study showed a significant decrease in seizure frequency only in patients taking 4 mg and 8 mg Fycompa but not in patients taking a dose of 2 mg.
A fourth study in 164 patients with generalised epilepsy of unknown cause also showed that Fycompa was more effective than placebo: 47 of 81 patients (58%) given Fycompa had at least a 50% reduction in frequency of seizures, compared with 29 of 81 (36%) of those given the dummy treatment. Supportive evidence from patients treated for up to 2 years suggested that the benefit was maintained with longer treatment and that some patients could benefit from doses up to 12mg.
Additional data indicate that Fycompa is as effective in younger children as in those above 12 years of age.
The most common side effects with Fycompa (seen in more than 1 patient in 10) are dizziness and somnolence (sleepiness). For the full list of all side effects and restrictions with Fycompa, see the package leaflet.
Studies showed that Fycompa, taken together with other anti-epileptic medicines, showed a consistent reduction in the frequency of epileptic fits and its side effects are manageable.The European Medicines Agency decided that Fycompa’s benefits are greater than its risks and it can be authorised for use in the EU.
Recommendations and precautions to be followed by healthcare professionals and patients for the safe and effective use of Fycompa have been included in the summary of product characteristics and the package leaflet.
As for all medicines, data on the use of Fycompa are continuously monitored. Side effects reported with Fycompa are carefully evaluated and any necessary action taken to protect patients.
Fycompa received a marketing authorisation valid throughout the EU on 23 July 2012.
Fycompa : EPAR - Medicine overview
Reference Number: EMA/697784/2020
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Fycompa : EPAR - Risk-management-plan
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Product information
Fycompa : EPAR - Product Information
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Latest procedure affecting product information: PSUSA/00009255/202207
27/04/2023
This medicine’s product information is available in all official EU languages.
Select 'available languages' to access the language you need.
Product information documents contain:
- summary of product characteristics(annex I);
- manufacturing authorisationholder responsible for batch release (annex IIA);
- conditions of themarketing authorisation(annex IIB);
- labelling(annex IIIA);
- package leaflet(annex IIIB).
Fycompa : EPAR - All Authorised presentations
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italiano (IT) (32.82 KB - PDF)
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Product details
- Name of medicine
Fycompa
- Active substance
perampanel
- International non-proprietary name (INN) or common name
perampanel
- Therapeutic area (MeSH)
Epilepsies, Partial
- Anatomical therapeutic chemical (ATC) code
N03AX22
Pharmacotherapeutic group
- Antiepileptics
- Other antiepileptics
Therapeutic indication
Fycompa is indicated for the adjunctive treatment of partial-onset seizures with or without secondarily generalised seizures in adult and adolescent patients from 12 years of age with epilepsy.
Fycompa is indicated for the adjunctive treatment of primary generalised tonic-clonic seizures in adult and adolescent patients from 12 years of age with idiopathic generalised epilepsy.
Authorisation details
- EMA product number
EMEA/H/C/002434
- Marketing authorisation holder
Eisai GmbH
Edmund-Rumpler-Straße 3
60549 Frankfurt am Main
Germany- Opinion adopted
24/05/2012
- Marketing authorisation issued
23/07/2012
- Revision
32
Assessment history
Fycompa : EPAR - Procedural steps taken and scientific information after authorisation
English (EN) (227.29 KB - PDF)
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Fycompa-H-C-002434-P46-027 : EPAR - Assessment Report
AdoptedReference Number: EMA/483426/2023
English (EN) (2.04 MB - PDF)
First published:
Fycompa-H-C-PSUSA-00009255-202207 : EPAR - Scientific conclusions and grounds for the variation to the terms of the marketing authorisation
Reference Number: EMA/151418/2023
English (EN) (144.98 KB - PDF)
First published:
Fycompa-H-C-002434-P46-025 : EPAR - Assessment Report
AdoptedReference Number: EMA/79794/2023
English (EN) (2.28 MB - PDF)
First published: Last updated:
Fycompa-H-C-002434-P46-024 : EPAR - Assessment Report
AdoptedReference Number: EMA/736888/2022
English (EN) (1.12 MB - PDF)
First published:
Fycompa-H-C-PSUSA-00009255-202107: EPAR - Scientific conclusions and grounds for the variation to the terms of the marketing authorisation
Reference Number: EMA/248596/2022
English (EN) (139.79 KB - PDF)
First published:
Fycompa-H-C-002434-P46-020: EPAR - Assessment report
AdoptedReference Number: EMA/437972/2021
English (EN) (1.16 MB - PDF)
First published:
Fycompa-H-C-002434-P46-019 : EPAR - Assessment report
AdoptedReference Number: EMA/114809/2021
English (EN) (1.55 MB - PDF)
First published:
Fycompa-H-C-PSUSA-00009255-202007: EPAR - Scientific conclusions and grounds for the variation to the terms of the marketing authorisation
Reference Number: EMA/256140/2021
English (EN) (98.27 KB - PDF)
First published:
Fycompa-H-C-2434-II-0047 : EPAR - Assessment Report - Variation
AdoptedReference Number: EMA/695418/2020
English (EN) (3.81 MB - PDF)
First published:
CHMP post-authorisation summary of positive opinion for Fycompa (II-47)
AdoptedReference Number: EMA/CHMP/471522/2020
English (EN) (141.66 KB - PDF)
First published:
Fycompa-H-C-PSUSA-00009255-201907 : EPAR - Scientific conclusions and grounds for the variation to the terms of the marketing authorisation
Reference Number: EMA/CHMP/165665/2020
English (EN) (124.9 KB - PDF)
First published:
Fycompa-H-C-002434-P46-0017 : EPAR - Assessment Report
AdoptedReference Number: EMA/16999/2019
English (EN) (452 KB - PDF)
First published:
Fycompa-H-C-002434-P46-0016 : EPAR - Assessment Report
AdoptedReference Number: EME/340381/2017
English (EN) (370.46 KB - PDF)
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Fycompa-H-C-002434-P46-0014 : EPAR - Assessment Report
AdoptedReference Number: EMA/CHMP/733238/2015
English (EN) (636.35 KB - PDF)
First published: Last updated:
Fycompa-H-C-002434-P46-012.1 : EPAR - Assessment Report
AdoptedReference Number: EMA/CHMP/732770/2015
English (EN) (2.04 MB - PDF)
First published: Last updated:
Fycompa-H-C-2434-II-0016 : EPAR - Assessment Report - Variation
AdoptedReference Number: EMA/518002/2015
English (EN) (9.99 MB - PDF)
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CHMP post-authorisation summary of positive opinion for Fycompa
AdoptedReference Number: EMA/CHMP/324690/2015
English (EN) (67.06 KB - PDF)
First published: Last updated:
Fycompa-H-C-2434-PSUV-0009 : EPAR - Scientific conclusions and grounds recommending the variation to the terms of the marketing authorisation
AdoptedReference Number: EMA/764026/2013
English (EN) (52.85 KB - PDF)
First published: Last updated:
Fycompa : EPAR - Public assessment report
AdoptedReference Number: EMA/424476/2012
English (EN) (2.29 MB - PDF)
First published: Last updated:
CHMP summary of positive opinion for Fycompa
AdoptedReference Number: EMA/CHMP/242764/2012
English (EN) (71.89 KB - PDF)
First published: Last updated:
News on Fycompa
Meeting highlights from the Committee for Medicinal Products for Human Use (CHMP) 14-17 September 2020
Meeting highlights from the Committee for Medicinal Products for Human Use (CHMP) 18-21 May 2015
More information on Fycompa
- EMEA-000467-PIP01-08-M15 - paediatric investigation plan
Topics
Medicines
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