Regulation & Policy

Donanemab, an Alzheimer’s disease drug developed by Eli Lilly and Co, is set for a review by the US Food and Drug Administration in the wake of a recommendation by the agency’s outside panel of advisers on 10 June that the drug is both safe and effective. Neither the FDA nor Lilly would comment to MedNous on a date for the final review. Nevertheless analysts who followed discussions by the panel – the Peripheral and Central Nervous System Drugs Advisory Committee – expect that whatever the timing, a formal approval is likely.

The Roche Group has received a ‘breakthrough therapy designation’ from the US Food and Drug Administration for a new breast cancer treatment intended for patients with a PIK3CA mutation. The PIK3CA gene makes an enzyme which is involved in many important functions in a cell. Mutations can cause the enzyme to become overactive and cancer cells to grow. 

The World Health Organization has designated the European Medicines Regulatory Network, a group of institutions that include the European Medicines Agency, as a WHO Listed Authority. The list, which was launched in March 2022, essentially gives the WHO access to the expertise of qualified regulators across the globe to help it improve the availability of safe and effective vaccines and medicines to people across geographies. This includes conducting evidence-based medicine assessments in situations where this expertise might not otherwise be available.

A new bispecific antibody drug has been approved for extensive-stage small cell lung cancer, marking an advance in the treatment of a disease with high relapse rates and very few therapy options. The drug, Imdelltra (tarlatamab), was given an accelerated approval by the US Food and Drug Administration on 16 May following a Phase 2 trial in patients with small cell lung cancer who had failed two or more prior lines of treatment. The developer is Amgen Inc.

Small and medium-sized enterprises (SMEs) saw a 33% increase in the success rate for their marketing authorisation applications in 2023, according to a new report by the European Medicines Agency. SMEs are broadly defined as companies with a staff headcount of between 10 and 250 people and a turnover ranging from less than €2 million to up to €50 million. Despite their small size, they represent the backbone of the European life science industry with activity in nine distinctive sectors. There were 1,925 registered SMEs on 31 December 2023. 

The US Food and Drug Administration has approved a new treatment for uncomplicated urinary tract (UTI) infections in women. Approximately one-half of all women experience at least one type of infection at least once in their lifetime. The drug, Pivya (pivmecillinam) is a narrow spectrum antibiotic which has been shown to be effective against infections caused by susceptible isolates of Escherichia coli, Proteus mirabilis and Staphylococcus saprophyticus.

A new blood test for Alzheimer’s disease has received a ‘breakthrough device designation’ from the US Food and Drug Administration for its promise as a way of identifying the disease early, and distinguishing it from other neurodegenerative disorders. The device, Elecsys pTau217 is an in vitro immunoassay intended for the quantitative determination of the protein phospho-tau (217P) in human plasma. 

The European Medicines Agency has issued a positive opinion for Fabhalta (iptacopan), a monotherapy for a rare genetic blood disorder which has shown superior activity to the standard of care. The disorder is paroxysmal nocturnal haemoglobinuria (PNH) which causes the premature breakdown of red blood cells in the body leading to fatigue, shortness of breath and often requiring blood cell transfusions.

A group of medicines approved to treat type 2 diabetes and obesity, which include semaglutide, have passed a safety review by the European Medicines Agency. The review was triggered by reports linking use of the drugs, which are glucagon-like peptide-1 receptor agonists (GLP-1), to suicidal and self-harm thoughts and behaviour. On 12 April, the agency’s pharmacovigilance risk assessment committee (PRAC) said an investigation could not establish a causal association between the medicines and the health risks.

Carvykti (ciltacabtagene autoleucel), a chimeric antigen receptor (CAR) T cell therapy, has been given a more prominent position for the treatment of multiple myeloma following a Phase 3 trial showing it reduced the risk of disease progression or death by 59% compared with standard therapies. On 5 April, a new indication as a second-line therapy was approved by the US Food and Drug Administration. This followed a recommendation for an upgrade by the agency’s oncologic drugs advisory committee.