Approvals


Imlunestrant, Depomokimab In Latest Batch Of Japan Approval Recommendations

 
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Several global products have been granted approval recommendations in Japan, while two Japan-originated drugs received a preliminary nod in their home country after being approved first elsewhere through licensees.

New EU Approvals

 

The Pink Sheet's list of EU centralized approvals of new active substances has been updated to include two new products, one of which is Lynkuet, Bayer's treatment for moderate to severe vasomotor symptoms associated with menopause or endocrine therapy for breast cancer.

Eight African Agencies Finalizing Reliance Mechanism To Speed Drug Approvals

 

A new reliance pathway under which regulators will rely on each other’s assessment reports strengthens the goals of key continental health initiatives, including the newly formed African Medicines Agency.

New EU Filings

 

Denecimig, Novo Nordisk’s prophylaxis treatment for hemophilia A, is among the latest products that have been filed for review by the European Medicines Agency for potential EU marketing approval.

Complete Response Letters


Do US FDA Complete Response Letters Suggest Turn To Less Flexibility In Rare Disease?

 

A cluster of CRLs for rare disease applications based on one trial plus confirmatory evidence may represent a shift away from the regulatory flexibility that had come to characterize ultra-rare drug development

Biohaven’s Troriluzole And The Era Of Real-Time Complete Response Letters

 

US FDA’s rejection of Biohaven’s troriluzole is a huge disappointment for patients with SCA and the company. But it is also a notable example of how communication strategies are changing now that FDA is making its ‘complete response’ letters public.

Tidmarsh’s Efficiencies: CDER Director Changes Dispute Resolution, IND Processes

 

Meeting minute clarifications also are undergoing some modifications as part of Tidmarsh’s plans to increase efficiency and reduce workload with hiring slow going.

US FDA Complete Response Letters Offer ‘Path Forward’ To Approval

 
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Recently released CRLs for unapproved products contain recommendations for new studies, including design element details and advice to consider in different submission pathways.

Drug Review Profiles


Patient Perception-Of-Change Videos Not Efficacy Evidence For Stealth Barth Syndrome Drug

 
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FDA reviewers cited several limitations of the videos, including a lengthy recall period, use of the term “today” in questions, and a lack of standardization in interview conduct.

Forzinity Chronology: Stealth’s Barth Syndrome Drug Bounced Around US FDA Review Divisions

 
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The Pink Sheet’s Drug Review Profile looks at the clinical development and US FDA review timeline for Stealth's elamipretide for Barth syndrome.

With Forzinity, US FDA Accelerated Approval Still Can Precede Confirmatory Trial Enrollment

 
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Stealth BioTherapeutics' diligent response to the FDA’s accelerated approval suggestion, its justification for proposed confirmatory trial milestones, and the rarity of Barth syndrome gave the agency confidence to grant approval before the postmarketing study began.

Former US FDA CDER Director Says He Played Key Role In Stealth’s Elamipretide Approval

 

Recently departed CDER Director George Tidmarsh publicly touted his own role in reviewing Stealth's elamipretide data and guiding the division on the last-minute accelerated approval, though his name is absent from the review documents.

EU CHMP


New EU Filings

 

Denecimig, Novo Nordisk’s prophylaxis treatment for hemophilia A, is among the latest products that have been filed for review by the European Medicines Agency for potential EU marketing approval.

New EU Filings Include Incyte’s Povorcitinib & Sanofi’s SP0087, US Next In Line

 

The European Medicines Agency has begun evaluating the EU marketing applications for a new batch of drugs, including products from Incyte, Sanofi and Novo Nordisk that target hidradenitis suppurativa, rabies and hemophilia A, respectively.

EU CHMP Opinions And MAA Updates

 

This is an update of recommendations from the European Medicines Agency's Committee for Medicinal Products for Human Use on the authorization of new medicines in the EU, and updates on EU marketing authorization changes recommended by the CHMP.

Europe Not A Priority For MSD/Verona’s COPD Drug Ohtuvayre

 
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Ohtuvayre is off to a great start in the US but Verona's new owner MSD has pulled the EU marketing application from the European Medicines Agency for the closely-watched chronic obstructive pulmonary disease drug.

Post-Marketing Regulation & Studies


US FDA Approves First Reformulated Rx Ranitidine, Five Years After Withdrawal

 

The FDA included storage and handling instructions common in labeling in its approval announcement, suggesting concerns remain about the potential for NDMA to form after products are distributed.

Pharma Needs Incentives To Optimize Cancer Drugs, EMA Oncology Chair Says

 

Incentives are “probably the only solution” to encouraging companies to optimize cancer drugs, but this will require funding and systemic changes, the chair of the European Medicines Agency’s oncology working party says.

US FDA Reviewing Data To Determine Need For Biosimilar Suffixes

 

After 10 years of adding suffixes to all new biologic and biosimilar nonproprietary names, FDA officials are considering whether it is still necessary for pharmacovigilance purposes.

Sarepta’s Elevidys Limited To Ambulatory DMD Patients; Study In Non-Ambulatory Patients Planned

 
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After two deaths tied to the gene therapy, Sarepta and the FDA agreed to new labeling for Elevidys, adding a black box warning about liver injury along with suggested liver and cardiac monitoring.

US Advisory Committees


Høeg Doubles Down On Prasad’s US FDA Vaccine Overhaul

 

At a CDC vaccine advisory committee criticized for “promoting an anti-vaccine agenda,” the new CDER director championed the committee’s plans and suggested the FDA would make more frequent vaccine label updates due to revised safety frameworks.

Ex-CDC Official: ACIP Hep B Decision Could Destabilize Access To Other Children’s Vaccines

 

Because combination vaccines remain in the US childhood vaccine schedule, ACIP's reconsideration of hepatitis B vaccine dose timing could impact uptake of other immunizations, Demetre Daskalakis told the Pink Sheet.

What US FDA’s Pazdur’s Long Oncology Track Record Portends For CDER

 

From how he will interact with industry to his staff, to a possible advisory committee revival and dangling accelerated approval crackdowns, Pink Sheet looks at how Rick Pazdur's oncology track record could translate to CDER.

With US FDA Adcomm Meetings Disappearing, Sponsors Seek Other Outlets For Patient Voice

 

Formal meetings like application orientation sessions or patient listening sessions are becoming increasingly important as the FDA schedules fewer advisory committee meetings for applications, experts said.