Nonhormone Treatment for Menopausal Hot Flashes Receives FDA Approval

The nonhormonal drug fezolinetant is the first of its kind to be approved by the US Food and Drug Administration (FDA) to treat moderate to severe hot flashes—periods of sweating, flushing, and chills—associated with menopause, the agency announced in a statement. Fezolinetant, marketed as Veozah, targets the neurokinin 3 receptor to restore the brain’s regulation of body temperature.

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Giugno 2023

FDA Approves Vilobelimab for Emergency Use in Hospitalized Adults

Vilobelimab, marketed as Gohibic, has received Emergency Use Authorization from the US Food and Drug Administration (FDA) for patients with severe COVID-19 symptoms. The drug, an anti-C5a monoclonal antibody that targets an inflammatory pathway believed to be involved in COVID-19 progression, is authorized for use in hospitalized patients with COVID-19 within 48 hours of starting invasive mechanical ventilation or extracorporeal membrane oxygenation, according to the FDA announcement.

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Maggio 2023

Process of drug registration in Israel: the correlation between the number of discussions within the Ministry of Health and postapproval variations by EMA and/or FDA

Objectives
US FDA and EMA allow facilitated regulatory pathways to expedite access to new treatments. Limited supportive data may result in major postapproval variations. In Israel, partly relying on Food and Drug Administration (FDA) and European Medicines Agency (EMA), clinical data are reviewed independently by the Advisory Committee of Drug Registration (ACDR). In this study, the correlation between the number of discussions at the ACDR and major postapproval variations is examined.

Design
This is an observational retrospective comparative cohort study.

Setting
Applications with FDA and/or EMA approval at time of assessment in Israel were included. The timeframe was chosen to allow a minimum of 3 years of postmarketing approval experience for potential major label variations. Data regarding the number of discussions at ACDR were extracted from protocols. Data on postapproval major variations were extracted from the FDA and EMA websites.

Results
Between 2014 and 2016, 226 (176 drugs) applications, met the study criteria. 198 (87.6%) and 28 (12.4%) were approved following single and multiple discussions, respectively. A major postapproval variation was recorded in 129 (65.2%) compared with 23 (82.1%) applications approved following single and multiple discussions, respectively (p=0.002). Increased risk for major variation was found for medicines approved following multiple discussions (HR=1.98, 95% CI: 1.26 to 3.09) with a median time of 1.2 years, applications approved based on phase II trials (HR=2.58, 95% CI: 1.72 to 3.87), surrogate endpoints (HR=1.99, 95% CI: 1.44 to 2.74) and oncologic indications (HR=2.48, 95% CI: 1.78 to 3.45).

Conclusions
Multiple ACDR discussions associated with limited supportive data are predictive for major postapproval variations. Moreover, our findings demonstrate that approval by the FDA and/or EMA does not pave the way to automatic approval in Israel. In a substantial per cent of the cases, submission of the same clinical data resulted in different safety and efficacy considerations, requiring additional supporting data in some cases or even rejection of the application in others.

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Maggio 2023

FDA Revokes Approval for Preterm Birth Drug Makena

After authorizing Makena, a hydroxyprogesterone caproate injection, under an accelerated approval pathway in 2011, the US Food and Drug Administration (FDA) has pulled approval for the drug. “[T]he touchstone of FDA drug approval is a favorable benefit-risk assessment,” FDA Commissioner Robert M. Califf, MD, said in a statement. “[W]ithout that favorable assessment, the drug should not have the status of being FDA-approved.”

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Maggio 2023