FDA Confirms a PDUFA Goal Date of August 30, 2026 for the sBLA Submission of Ropeginterferon Alfa-2b-njft in Essential Thrombocythemia (ET)
Potential expansion of the BESREMi® (ropeginterferon alfa-2b-njft) product label to include adult patients with essential thrombocythemia (ET)
The FDA has completed its filing review of the Company’s sBLA and determined that the submission is sufficiently complete to proceed with a substantive review. The FDA’s correspondence did not identify any filing review issues.
“ET is a rare blood cancer driven by excessive platelet production that can result in severe complications like organ damage and stroke. Despite these serious risks, no new therapies have been approved by the FDA for over two decades,” said
The sBLA under review is supported by statistically significant and clinically meaningful results from the global Phase 3 SURPASS-ET clinical trial (NCT04285086) as well as confirmatory evidence from the North American Phase 2b EXCEED-ET clinical trial (NCT05482971). The potential final approved indication and changes to the Prescribing Information will be addressed during the review process.
“Living with ET can be exhausting—physically and emotionally—for patients who must navigate a chronic cancer with limited treatment choices,” said
About
For more information about
About Essential Thrombocythemia (ET)
Essential thrombocythemia is a rare blood disorder and type of myeloproliferative neoplasm (MPN). It is characterized by the bone marrow overproducing platelets. Patients with ET are at an increased risk of blood clots, abnormal bleeding and enlarged spleens. ET is often caused by genetic mutations such as a JAK2 genetic mutation.
About BESREMi® (ropeginterferon alfa-2b-njft)
Ropeginterferon alfa-2b-njft is currently FDA-approved and marketed as BESREMi® for the treatment of adults with polycythemia vera (PV). The Company plans to seek a ropeginterferon alfa-2b-njft label expansion to include ET and has submitted a sBLA with the
BESREMi® holds orphan drug designation in
INDICATION
BESREMi® is indicated for the treatment of adults with polycythemia vera.
IMPORTANT SAFETY INFORMATION
WARNING: RISK OF SERIOUS DISORDERS
Interferon alfa products may cause or aggravate fatal or life-threatening neuropsychiatric, autoimmune, ischemic, and infectious disorders. Patients should be monitored closely with periodic clinical and laboratory evaluations. Therapy should be withdrawn in patients with persistently severe or worsening signs or symptoms of these conditions. In many, but not all cases, these disorders resolve after stopping therapy.
CONTRAINDICATIONS
Existence of or history of severe depression, suicidal ideation, or suicide attempt
Hypersensitivity to interferons or any inactive ingredients
Moderate or severe hepatic impairment
History or presence of active serious or untreated autoimmune disease
History of transplantation and receiving immunosuppressant agents
WARNINGS AND PRECAUTIONS
Patients exhibiting the following events should be closely monitored and may require dose reduction or discontinuation of therapy:
- Depression and Suicide: Monitor closely for symptoms and need for treatment.
- Endocrine Toxicity: Discontinue if endocrine disorders occur that cannot be medically managed.
- Cardiovascular Toxicity: Avoid use in patients with severe, acute or unstable cardiovascular disease. Monitor patients with history of cardiovascular disorders more frequently.
- Decreased Peripheral Blood Counts: Perform blood counts at baseline, every 2 weeks during titration, and at least every 3-6 months during maintenance treatment.
- Hypersensitivity Reactions: Stop treatment and immediately manage reaction.
- Pancreatitis: Consider discontinuation if confirmed pancreatitis
- Colitis: Discontinue if signs or symptoms of colitis
- Pulmonary Toxicity: Discontinue if pulmonary infiltrates or pulmonary function impairment
- Ophthalmologic Toxicity: Advise patients to have eye examinations before and during treatment. Evaluate eye symptoms promptly and discontinue if new or worsening eye disorders.
- Hyperlipidemia: Monitor serum triglycerides before BESREMi® treatment and intermittently during therapy and manage when elevated.
- Hepatotoxicity: Monitor liver enzymes and hepatic function at baseline and during treatment. Reduce dose or discontinue depending on severity.
- Renal Toxicity: Monitor serum creatinine at baseline and during therapy. Discontinue if severe renal impairment develops.
- Dental and Periodontal Toxicity: Advise patients on good oral hygiene and to have regular dental examinations.
- Dermatologic Toxicity: Consider discontinuing if clinically significant dermatologic toxicity.
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Driving and
Operating Machinery : Advise patients to avoid driving or using machinery if they experience dizziness, somnolence, or hallucination.
Please see full Prescribing Information, including Boxed Warning.
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