Aubagio Approval Reflects FDA’s Evolving View On Multiple Sclerosis Drugs

Sanofi’s teriflunomide is indicated broadly for treating relapsing forms of MS. The claim marks a departure from previously approved MS drugs, in which the specific effects seen in clinical trials are described in the Indications section. FDA said the Aubagio claim more closely reflects how physicians actually use the drugs and represents a more flexible regulatory approach that enabled approval of a second, lower dose.

When it received FDA approval in September 2012, Sanofi’s oral multiple sclerosis therapy Aubagio (teriflunomide) faced a market already occupied by another oral therapy, a host of well-entrenched injectables, and several promising investigational treatments on the horizon.

Despite its late-comer status, Aubagio marked a regulatory milestone in FDA’s approval of MS treatments. It is the first disease-modifying...

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