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March 05, 2021 05:00am
By Jill Murphy, Associate Editor
THE FDA has approved cladribine (Mavenclad, EMD Serono), a new oral treatment for relapsing forms of multiple sclerosis (MS) in adults including relapsing-remitting disease and active secondary progressive disease.
Officials with the FDA have approved cladribine (Mavenclad, EMD Serono), a new oral treatment for relapsing forms of multiple sclerosis (MS) in adults including relapsing-remitting disease and active secondary progressive disease, according to a press release.
With this approval, cladribine is the first oral MS treatment to provide 2 years of proven efficacy with a maximum of 20 days of treatment, according to manufacturer EMD Serono.
Cladiribine’s approval follows theFDA’s approval of siponimodjust a few days prior. Siponimod was approved as an oral treatment specifically for patients with active secondary progressive MS, as well as other relapsing forms of disease.
The clinical trial program evaluating cladribine included 1976 patients who received therapy for a total of 9509 patient years, of which mean time on study including follow up was approximately 4.8 years and 24% of follow-up was for 8 years.
Overall, the data showed that:
“As an investigator in the clinical trial program, I am pleased Mavenclad will now be available to patients in the US,” Thomas Leist, MD, PhD, director, Comprehensive Multiple Sclerosis at Jefferson University Hospital, said in a statement. “With short treatment courses with pills taken for no more than 10 days in a year and no injections or infusions, Mavenclad is an efficacious new treatment option for MS. Nearly 1 million individuals are afflicted with MS in the US alone, according to a recent National MS Society sponsored study. Mavenclad is a welcome new oral treatment option for this heterogenous and often unpredictable disease.”
The most commonly reported adverse effects in the phase 3 CLARITY trial were upper respiratory tract infection, headache, and lymphopenia.
Cladribine is generally recommended for patients who have had an inadequate response, or are unable to tolerate an alternate drug indicated for the treatment of MS, and is not recommended for use in patients with clinically isolated syndrome. Cladribine has a boxed warning for an increased risk of malignancy and fetal harm.
FDA Approves Mavenclad (Cladribine) Tablets as First and Only Short-Course Oral Treatment for Relapsing-Remitting and Active Secondary Progressive Multiple Sclerosis [news release]. EMD Serono.http://media.emdserono.com/2019-03-29-FDA-Approves-MAVENCLAD-R-Cladribine-Tablets-as-First-and-Only-Short-Course-Oral-Treatment-for-Relapsing-Remitting-and-Active-Secondary-Progressive-Multiple-Sclerosis. Accessed April 1, 2019.