ASH Clinical News March 2015 | Page 19

CLINICAL NEWS Latest & Greatest FDA Approves First Biosimilar Drug Zarxio (filgrastim-sndz), a biosimilar product of filgrastim, was recently approved by the U.S. Food and Drug Administration (FDA). This is the first biosimilar drug – a biological product that is approved based on demonstrations that it is highly similar to an already-approved biological product, known as the reference product – to receive approval. Filgrastim-sndz is approved for all of the indications of the reference product, which was initially licensed in 1991. The FDA’s approval of filgrastim-sndz is based on review of evidence that included structural and functional characterization, animal study data, human pharmacokinetic and pharmacodynamics data, clinical immunogenicity data, and other clinical safety and effectiveness data that demonstrate its similarity to the reference product. “Biosimilars will provide access to important therapies for patients who need them,” said FDA Commissioner Margaret A. Hamburg, MD. “Patients and the health-care community can be confident that biosimilar products approved by the FDA meet the agency’s rigorous safety, efficacy, and quality standards.” Source: FDA News Release FDA Expands Indications for Lenalidomide Lenalidomide plus dexamethasone is now approved for the treatment of patients with newly diagnosed multiple myeloma. The U.S. FDA had previously approved this combination in June 2006 for the treatment of patients with multiple myeloma (MM) who had received at least one prior therapy. The recent decision to expand the treatment’s indication was based on results from multiple phase 3 studies, including the randomized, open-label, three-arm FIRST trial (MM-020/IFM 07-01). In this study, continuous lenalidomide + dexamethasone (Rd Continuous) until disease progression was compared with melphalan, prednisone, and thalidomide (MPT) administered for 18 months. Researchers also evaluated a fixed duration of 18 cycles of lenalidomide + dexamethasone in 1,623 newly diagnosed patients who were not eligible for stem cell transplant. The primary endpoint was median progression-free survival. Comp