Product Reviews & Approvals
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Approvals
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Lilly’s Kisunla: Labeling Allows For Stopping Treatment Based On Amyloid Plaque Reduction
However, the US FDA’s approval of donanemab comes with little guidance on when to stop treatment or when the anti-amyloid agent may need to be restarted in Alzheimer’s patients.
![](/-/media/editorial/pink-sheet/00_regular-column-images/eu_chmp_opinions_1401450965_1200.jpg?rev=00673ea88e184380a0910a4af4154876&w=350&hash=D9D55BEF36EB3DD6105D2E8FACC44C49)
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.
![](/-/media/editorial/pink-sheet/2024/06/ps2406_yes_no_shutterstock_1668176986_1200.jpg?rev=a592212e645d4a32aaacaf209de6ea6a&w=350&hash=5006111E7E34BE7F905CDD9BDC1885E4)
First Nasal Adrenaline Spray Among 10 Products Heading For EU-Wide Approval
The June meeting of the European Medicines Agency's human medicines committee brought mixed fortunes for companies. 10 new products were recommended for pan-EU approval, two drugs were rejected, while the conditional approval of one drug is set to be revoked. PTC Therapeutics again faced disappointment regarding its Duchenne muscular dystrophy drug Translarna, but has vowed to fight back.
![](/-/media/editorial/pink-sheet/2024/06/ps2406_-pills-question-mark_shutterstock_707687416_1200.jpg?rev=ad12736b53a845a99250c66132aa3794&w=350&hash=C34A2C469B9834023C51870AA6DB649B)
US Rejected Drug Odronextamab Among 11 EU Marketing Hopefuls
Regeneron, whose blood cancer treatment odronextamab was recently turned down by the US regulator but not for reasons relating to efficacy or safety, could soon learn whether its product will be among the drugs to get the thumbs up from the CHMP, the European Medicines Agency’s human medicines committee.
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Déjà Vu: CBER Director’s Intervention Saves Sarepta’s Elevidys Again
Failure of the EMBARK confirmatory trial convinced US FDA reviewers the Duchenne muscular dystrophy gene therapy did not show clinical benefit, but biologics center director Peter Marks invoked totality of evidence to grant full approval.
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US FDA Vaccine Approvals Set Up CDC Votes On Merck’s Capvaxive, Moderna’s mResvia
Advisory Committee on Immunization Practices expected to vote 26-28 June on use of Merck’s 21-valent pneumococcal vaccine, Moderna’s mRNA vaccine for RSV, and an expanded age range for GlaxoSmithKline’s Arexvy RSV vaccine.
![](/-/media/editorial/pink-sheet/00_regular-column-images/eu_filings_1988890409_1200.jpg?rev=143b787c004f4e099db5abb68c932530&w=350&hash=8FDCD65EE156A8507A5AC0286851E62F)
New EU Filings
Sepiapterin, PTC Therapeutics' treatment for hyperphenylalaninemia in adult and pediatric patients with phenylketonuria, is among the latest products that have been filed for review by the European Medicines Agency for potential EU marketing approval.
![](/-/media/editorial/pink-sheet/2024/06/ps2406_myopia_shutterstock_2246315497_1200.jpg?rev=ddf9389b65414ed6bd63e8084e890c25&w=350&hash=927F98CE2537E6EB0EB0E062B73EA4DC)
First Drug Treatment For Myopia Among 14 New EU Filings
Vyluma’s eyedrop for treating myopia in children and Vertex’s next-generation triple combination treatment for cystic fibrosis are among the latest drugs that the European Medicines Agency has begun reviewing for potential EU marketing approval.
![](/-/media/editorial/pink-sheet/2024/06/ps2406-pill-and-powder--shutterstock2108520374-11200.jpg?rev=f4444a101c554398989d7bff13f434c7&w=350&hash=317F79E2DB431D880FD9377FD91218C3)
EU Regulators Clarify How ‘Super-Grouping’ Under New Variations Rules Will Work
Feedback is being sought on revised guidelines that tell companies how they should make post-authorization changes to their drug approvals once new rules take effect in January 2025.
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EU Launches New Mechanisms To Boost Quality Of Clinical Trial And Marketing Applications
As of today, drug developers can apply to take part in two pilot programs that will involve regulators across the EU strengthening their coordination when it comes to providing companies with advice on their applications for clinical trials and marketing authorization.
![](/-/media/editorial/pink-sheet/2024/06/ps2406--canada-pills-in-hand-shutterstock106101035-11200.jpg?rev=567e20682d83448db1b3dc674f01ea0c&w=350&hash=05A889EB171F20FACBEE90DE4DFD3494)
A Success But Room For Improvement: Canada’s Conditional Approval Pathway
Ninety-two approvals, seven revocations and myriad standard-of-care treatments are all discussed in a first-of-its kind study examining the data and nuances of oncology submissions processed under Health Canada’s 26-year-old notice of compliance with conditions (NOC/c) pathway.
New EU Approvals
The Pink Sheet's list of EU centralized approvals of new active substances has been updated to add three new products, including Qalsody, Biogen's treatment for amyotrophic lateral sclerosis associated with a mutation in the superoxide dismutase 1 gene.
Drug Reviews
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![](/-/media/editorial/pink-sheet/2024/07/ps2407_stop_light_2172112451_1200.jpg?rev=eaddd7375a004288a9d58072ea08ab71&w=350&hash=ACE172340B4750F1256A8A6182614199)
Lilly’s Kisunla: Labeling Allows For Stopping Treatment Based On Amyloid Plaque Reduction
However, the US FDA’s approval of donanemab comes with little guidance on when to stop treatment or when the anti-amyloid agent may need to be restarted in Alzheimer’s patients.
![](/-/media/editorial/pink-sheet/00_regular-column-images/eu_chmp_opinions_1401450965_1200.jpg?rev=00673ea88e184380a0910a4af4154876&w=350&hash=D9D55BEF36EB3DD6105D2E8FACC44C49)
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.
![](/-/media/editorial/pink-sheet/2024/06/ps2406_drug_manufacturing_2094914923_1200.jpg?rev=87a7222df1df4161a79daa60187e81d8&w=350&hash=E8F72C18152DC3737A88D7AC70A3545B)
Quality Issues Star In US FDA Complete Response Letter Trio
Rocket Pharmaceuticals’ gene therapy Kresladi, Daiichi Sankyo/Merck’s patritumab deruxtecan, and AbbVie’s foscarbidopa/foslevodopa (ABBV-951) received CRLs because of manufacturing concerns.
![](/-/media/editorial/pink-sheet/2024/06/ps2406_yes_no_shutterstock_1668176986_1200.jpg?rev=a592212e645d4a32aaacaf209de6ea6a&w=350&hash=5006111E7E34BE7F905CDD9BDC1885E4)
First Nasal Adrenaline Spray Among 10 Products Heading For EU-Wide Approval
The June meeting of the European Medicines Agency's human medicines committee brought mixed fortunes for companies. 10 new products were recommended for pan-EU approval, two drugs were rejected, while the conditional approval of one drug is set to be revoked. PTC Therapeutics again faced disappointment regarding its Duchenne muscular dystrophy drug Translarna, but has vowed to fight back.
![](/-/media/editorial/pink-sheet/2024/06/ps2406_ai_hand_2252763175_1200.jpg?rev=28d49ebed2e14ec98acd6fa1e688528d&w=350&hash=B9441877CB75ACD2832BFD3EF2B4442D)
AI In Drug Development: Avoid The ‘Flashiness,’ And Simply Ask ‘Does It Fit?’ – US FDA’s ElZarrad
The Center for Drug Evaluation and Research’s medical policy chief says artificial intelligence can aid patient recruitment and increase trial diversity, but warned of “unique” potential pitfalls for sponsors.
![](/-/media/editorial/pink-sheet/2024/06/ps2406_-pills-question-mark_shutterstock_707687416_1200.jpg?rev=ad12736b53a845a99250c66132aa3794&w=350&hash=C34A2C469B9834023C51870AA6DB649B)
US Rejected Drug Odronextamab Among 11 EU Marketing Hopefuls
Regeneron, whose blood cancer treatment odronextamab was recently turned down by the US regulator but not for reasons relating to efficacy or safety, could soon learn whether its product will be among the drugs to get the thumbs up from the CHMP, the European Medicines Agency’s human medicines committee.
![](/-/media/editorial/pink-sheet/2024/06/ps2406_international_cooperation_1152095789_1200.jpg?rev=4343691178a94cf485e5f5532c49a979&w=350&hash=AB151EF5722478E21096CDE8C42D6D16)
Anti-Globalism Policy Cannot Stifle International Cooperation, US FDA’s Califf Says
The FDA commissioner said that supply chains will remain interconnected no matter how much nationalism dominates the political landscape, meaning international cooperation will still be necessary.
![](/-/media/editorial/pink-sheet/2024/06/ps2406_diverging_paths_1880971855_1200.jpg?rev=080217619c4240c39022f3ffc0b49fa0&w=350&hash=14C4642526E265525B00751806FB3460)
Advisory Committees: US FDA Should Explain Divergent Decisions But Keep The Vote
Agency should be more proactive in issuing communications after advisory committee meetings, stakeholders advised; public interest group and industry representatives said the voting process is important for transparency and accountability.
![](/-/media/editorial/pink-sheet/00_regular-column-images/eu_filings_1988890409_1200.jpg?rev=143b787c004f4e099db5abb68c932530&w=350&hash=8FDCD65EE156A8507A5AC0286851E62F)
New EU Filings
Sepiapterin, PTC Therapeutics' treatment for hyperphenylalaninemia in adult and pediatric patients with phenylketonuria, is among the latest products that have been filed for review by the European Medicines Agency for potential EU marketing approval.
![](/-/media/editorial/pink-sheet/2024/06/ps2406_rolling-money-uphill_139005923-1200.jpg?rev=6462fba444904e2e9e749d86cd1b2ed1&w=350&hash=6D30C24708C06E414F56434CE7D08336)
PDUFA VIII: Continuous Fee Increases May Be Wearing On Sponsors
A Pfizer exec says that the old prescription drug user fee formulas that usually increase funding and staffing for many FDA programs no longer deliver the same return on investment.
![](/-/media/editorial/pink-sheet/2024/06/ps2406_myopia_shutterstock_2246315497_1200.jpg?rev=ddf9389b65414ed6bd63e8084e890c25&w=350&hash=927F98CE2537E6EB0EB0E062B73EA4DC)
First Drug Treatment For Myopia Among 14 New EU Filings
Vyluma’s eyedrop for treating myopia in children and Vertex’s next-generation triple combination treatment for cystic fibrosis are among the latest drugs that the European Medicines Agency has begun reviewing for potential EU marketing approval.
![](/-/media/editorial/pink-sheet/2024/06/ps2406_revenue_growth_2273999575_1200.jpg?rev=680b294351504f99b7d3271096ececc2&w=350&hash=3B2A64E965DB9DFA78A4577BA4C7BBA7)
US FDA User Fee Conundrum: Collections Increase After 25% PDUFA Rate Hike
With likely more fee-paying applications arriving at the agency, sponsors may be wondering whether user fees should have been increased as much as they were at the start of FY 2024.
Advisory Committees
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CDC Advisors Vote For More COVID-19 Vaccines For All Despite Cost-Effectiveness Concerns
The CDC's Advisory Committee on Immunization Practices voted for a universal COVID-19 vaccine recommendation for 2024-2025, but said the decision would have been easier with a lower-cost product.
![](/-/media/editorial/pink-sheet/2024/06/ps2406_rsv_vaccine_2324162019_1200.jpg?rev=337d0d6849c34d6ca5269c9ab6ef439e&w=350&hash=7DF94A015F945B800A730AEA4BF03CFD)
Revising Adult RSV Policy: US CDC Moves Toward Risk-Based Vaccine Recommendation
The unpopular shared clinical decision-making policy for RSV vaccines in adults age 60 and older should be replaced by risk-based criteria in people age 60-74 and a universal age-based recommendation at 75 and older, the CDC’s Advisory Committee on Immunization Practices agrees.
![](/-/media/editorial/pink-sheet/2024/06/ps2406_vaccine_for-older_woman_1852862008_1200.jpg?rev=ad8d9b9410b74a139de646dcd73c1005&w=350&hash=641CD79F68DECF35BC6442FFC8AF8D3D)
US FDA Vaccine Approvals Set Up CDC Votes On Merck’s Capvaxive, Moderna’s mResvia
Advisory Committee on Immunization Practices expected to vote 26-28 June on use of Merck’s 21-valent pneumococcal vaccine, Moderna’s mRNA vaccine for RSV, and an expanded age range for GlaxoSmithKline’s Arexvy RSV vaccine.
![](/-/media/editorial/pink-sheet/2024/06/ps2406_diverging_paths_1880971855_1200.jpg?rev=080217619c4240c39022f3ffc0b49fa0&w=350&hash=14C4642526E265525B00751806FB3460)
Advisory Committees: US FDA Should Explain Divergent Decisions But Keep The Vote
Agency should be more proactive in issuing communications after advisory committee meetings, stakeholders advised; public interest group and industry representatives said the voting process is important for transparency and accountability.
![](/-/media/editorial/pink-sheet/2024/06/ps2406_woman_shopping_2130481811_1200.jpg?rev=22c65b2ed6d14953aec9159d75d6ce42&w=350&hash=BD9B33A69EEC7F185437394C110063D1)
Advisory Committee Consumer Reps Often Fail To Represent Consumer Interests, Groups Tell US FDA
Many positions are vacant or filled by individuals with ties to academia, industry or patient groups, representatives from public interest and consumer groups say during an FDA listening session on advisory committee reforms.
![](/-/media/editorial/pink-sheet/2024/06/ps2406_alzheimers_imaging_677117257_1200.jpg?rev=71f07426796847beb37828481fb42e6b&w=350&hash=564862C511218138AF3317AFDD5CE8B3)
Anti-Amyloid Class Labeling Could See Changes With Lilly’s Donanemab Approval
The US FDA is considering labeling that calls greater attention to the symptoms of amyloid-related imaging abnormalities to ensure proper treatment and avoid misclassification as ischemic stroke.
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Lilly’s Donanemab Set For Broad Indication, No Tau PET Imaging Condition Following US FDA Panel Nod
The advisory committee also hails the treatment-to-amyloid clearance approach used in the Phase III trial as innovative, but questions how it should apply in clinical practice.
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Lykos’ MDMA Trial Conduct Allegations Influence US FDA Advisory Committee
Safety concerns related to MDMA patient suggestibility and impairment troubled the panel reviewing psychedelic therapy for PTSD, although the FDA advised that therapist misconduct is outside its control.
Recent And Upcoming FDA Advisory Committee Meetings
Recent and upcoming US FDA advisory committee meetings and a summary of the topics covered.
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Lilly’s Donanemab: US FDA's Questions Focus On Patient Selection, Dose Cessation
Given the frequent occurrence of ARIA and an imbalance of deaths in the pivotal TRAILBLAZER-ALZ 2 study, the agency also will ask the Peripheral and Central Nervous System Drugs Advisory Committee whether there are patient subgroups where the benefit-risk is more or less favorable.
![](/-/media/editorial/pink-sheet/2024/06/ps2506_tree_trunk_95030080_1200.jpg?rev=b4aa75dbd10a49dda08a5a621424ec07&w=350&hash=B008D18A5E52AE51310A59CC6EFC9424)
COVID-19 Vaccines: Novavax Gets Reprieve With US FDA Panel Supporting JN.1 Formulation
Advisory committee members said having Novavax’s protein-based vaccine available in the fall was important, but would not have been possible if a different variant strain were used. They also worried separate recommendations by vaccine type would cause confusion.
![](/-/media/editorial/pink-sheet/2024/06/ps2406_mdma_brain_1983750938_1200.jpg?rev=d50d62e3d8fa4dbeb53674ae2d5240d0&w=350&hash=B49D3CB38BE5736A96286C0293809390)
Therapy Component Trips Up Lykos’ MDMA At US FDA AdComm For PTSD
Functional unblinding and vague psychotherapy guidance lead to two negative votes for Lykos’ pioneering psychotherapy-assisted psychedelic therapy at the US FDA’s Psychopharmacologic Drugs Advisory Committee.
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