ADVICE FROM CMDv
For general information on how requests to CMDv will be processed, please consult the “Best Practice Guide for advice from CMDv on regulatory matters”, which is available in the Q&A section.
Current Advice
Article 141(1) procedure: Quarter-based selective dry cow therapy
The European Medicines Agency (EMA) has recently concluded a scientific review of quarter-based selective antibiotic dry cow therapy. In the context of prudent use of antibiotics, the EMA’s veterinary medicines committee (CVMP) received a request from a member state to assess whether it is scientifically justified to generally allow quarter-based selective dry cow therapy with antibiotic intramammary veterinary medicines. The request also sought clarity on whether the product information (summary of product characteristics, package leaflet and labelling) for these veterinary medicines should be updated to reflect this practice. CVMP considered how this approach could be reflected in the product information of intramammary antibiotic dry cow veterinary medicines and made recommendations for possible amendments, see https://www.ema.europa.eu/en/medicines/veterinary/referrals/quarter-based-selective-dry-cow-therapy
Translations of the wording can be found here: Translations
After discussion at the CMDv April 2026 meeting the Member States recommend to amend the product information with a VRA G.I.4.b. However a VNRA C.8 may be used in case no deletions regarding the current wording of the product literature are necessary and only the sentences exactly as proposed for SPC section 3.4/4.4 and/or 3.9/4.9 (depending on the QRD version) and corresponding section(s) of the package leaflet have to be added. The MAHs are asked to liaise with the RMS/NCA, as necessary, to confirm the classification. The proposed timeframe for submission of the variations is 6 months after publication of this notice, 02.06.2026.
The MAHs are reminded of their duty to, according to Article 58(4) of Regulation (EU) 2019/6, ensure that the summary of product characteristics, package leaflet and labelling is kept up to date with current scientific knowledge. The NCAs may apply Article 130(3)(a) if the MAH does not comply with the requirements set out in Article 58.
SPECIAL PRECAUTIONS FOR USE OF VETERINARY MEDICINAL PRODUCTS CONTAINING FLORFENICOL – NUFLOR 300 SOLUTION FOR INJECTION FOR CATTLE AND SHEEP AND ITS GENERICS
During a recent variation of a marketing authorisation for a generic product of the already authorized veterinary medicinal product (VMP) ‘NUFLOR 300 solution for injection for cattle and sheep’ a potential serious risk for the environment was identified. Consequently, the EU Member States decided to add warning sentences concerning the precautions for the use of the VMP. The sentences were discussed between EU Member States involved in the procedure, the CMDv including experts on environmental risk assessment. As a result, the Member States achieved an agreement on warning sentences that should be mentioned in the SPC/PI of all the VMPs concerned. Indeed, the active substance contained in the VMP may pose a risk for terrestrial plants, cyanobacteria and groundwater organisms and as such, the VMP should not enter water courses.
REQUEST FOR WORK-SHARING WHEN SEVERAL MEMBER STATES HAVE ALREADY APPROVED THE VARIATION
In accordance with Art. 65 of the ‘Regulation’, it is mandatory to submit a work-sharing application to the NCAs in all relevant Member States where one or more VRAs identically apply to one or several marketing authorisations which are held by the same MAH, and which have been granted by different NCAs or by the Commission. Industry is reminded to follow this principle whenever applicable.
In case the above requirement is not followed, the NCAs will request the MAHs to withdraw the procedure from all Member States and to re-submit the VRA in a work-sharing procedure. Furthermore, in case one or several marketing authorisations were not included in the work-sharing procedure or in case the VRA was already approved nationally in a Member State then the procedure must be re-submitted as a work-sharing procedure to all Member States including those ones where the variation is already approved.
For more information on the work-sharing procedure including the rules for the submission of such procedures, please see the CMDv website.
IMPLEMENTATION OF CVMP REFERRAL ART. 82 REGULATION (EU) 2019/6 FOR VMPS CONTAINING PROCAINE BENZYLPENICILLIN AS A SINGLE SUBSTANCE, SUSPENSION FOR INJECTION (EMEA/V/A/145)
Following the outcome of the above-mentioned referral procedure the final Commission decision proposes amendments to relevant sections of the product information as stated in Annex III (please find below). Generally, the implementation ofthe changes is done by submitting a variation not requiring assessment.
After having received several requests from Marketing Authorisation Holders it has been recognised that, unfortunately, two aspects of Annex III concerning section 3.4/4.4 as well as section 3.12/4.11 seem to leave room for different interpretations, which could lead to different outcomes of VNRAs depending on the MAH and the responsible NCA.
To avoid disharmonisation the CMDv wants to provide advice with regard to the respective sections of the product information.
- Advice on section “Special warnings” - Warnings due to low susceptibility/possible resistances (3.4/4.4)
- Advice on section “Withdrawal periods” (3.12/4.11)
Link to the Commission decision
In case of doubt, it is recommended that the relevant reference Member State or national competent authority is consulted prior to submission of a C.2 VNRA to implement the Commission decision in order to avoid rejection of the VNRA due to the proposed amendments not being appropriate/acceptable. The change can also be submitted as variation requiring assessment (VRA code G.I.1.z).
In case of further questions please be advised to refer to the respective Reference Member State or National Competent Authority of your product.
