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July 07, 2023
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FDA news: Multiple myeloma, pancreatic cancer therapies receive orphan drug designation

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The FDA announced several regulatory actions the past few weeks.

Here is an overview of decisions that may be relevant to your practice.

Generic FDA News infographic
The FDA granted orphan drug designation, breakthrough designation or priority review to several oncology/hematology therapies this month.

1. The FDA issued a ”safe to proceed” for an investigational new drug application for NY-ESO-1 TCR/IL-15 NK (Syena) — an engineered cell therapy comprised of cord blood-derived natural killer cells — for treatment of advanced synovial sarcoma and myxoid/round cell liposarcoma.

2. The agency granted orphan drug designation to inobrodib (CellCentric) for treatment of multiple myeloma. Inobrodib binds to a specific part of proteins p300 and bromodomain to reduce the expression of key cancer drivers.

3. The FDA granted breakthrough therapy designation to zenocutuzumab (Zeno, Merus) for treatment of certain patients with pancreatic cancer. The antibody-dependent cell-mediated cytotoxicity-enhanced bispecific antibody utilizes the Merus Dock & Block mechanism to inhibit a pathway in solid tumors with NRG1 fusions.

4. The agency granted orphan drug designation to padeliporfin vascular targeted photodynamic therapy (ImPact Biotech) — a minimally invasive oncology platform for the treatment of solid tumors — for treatment of locally advanced pancreatic cancer.

5. The FDA granted priority review to zolbetuximab (Astellas) — an investigational claudin 18.2-targeted monoclonal antibody — for treatment of certain patients with locally advanced resectable or metastatic HER2-negative gastric or gastroesophageal junction adenocarcinoma.

6. The FDA removed the partial clinical hold on the TakeAim Leukemia phase 1/phase 2 study of emavusertib (Curis), a triple target inhibitor, at a recommended phase 2 dose of 300 mg twice a day as monotherapy in patients with acute myelogenous leukemia or myelodysplastic syndromes.

The FDA Office of Orphan Products Development grants orphan drug designation to novel drugs and biologics that are intended for the safe and effective treatment, diagnosis or prevention of rare diseases or disorders that affect fewer than 200,000 people in the United States. The designation allows manufacturers to qualify for various incentives, including tax credits for qualified clinical trials and — upon regulatory approval — 7 years of market exclusivity.

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