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EMA Opens Safety Review of Levamisole Over Reported Brain Injury Risk

The PRAC launched an Article 31 referral at Romania’s request following reports of leukoencephalopathy, including one death.

Overview

  • The assessment, formally started on 4 September, will examine the risk of leukoencephalopathy and cases describing central nervous system demyelination linked to levamisole use.
  • PRAC will evaluate all available evidence and current risk minimisation measures to reassess the medicines’ benefit–risk balance.
  • Possible outcomes include maintaining the current authorisations or varying, suspending, or withdrawing them across the EU.
  • Levamisole is an oral single‑dose anthelmintic authorised in Hungary, Lithuania, Latvia and Romania under the trade names Decaris and Levamisol Arena for treating specific worm infections in adults and children.
  • Any PRAC recommendation will go to the CMDh for a position and, if needed, to the European Commission for a final binding decision, with EMA noting no timeline has been set for conclusions.