Tysabri resubmission
This article was originally published in Pharmaceutical Approvals Monthly
Executive Summary
Biogen Idec and Elan are requesting a priority review for their resubmission of multiple sclerosis therapyTysabri (natalizumab). The sBLA submission, announced Sept. 26, includes a risk management plan with a patient registry, revised labeling, final two-year data from the Phase III AFFIRM monotherapy trial and SENTINEL add-on study with Avonex (interferon beta-1a), as well as an integrated safety assessment of all patients treated with the biologic in clinical trials. The safety data set includes not only the MS pivotal trials but also Crohn's disease and rheumatoid arthritis trials (1Pharmaceutical Approvals Monthly August 2005, In Brief). Biogen Idec previously stated it expects an advisory committee review of the resubmission. Tysabri was withdrawn from the market in February following reports of progressive multifocal leukoencephalopathy from clinical trials...
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Biogen Idec/Elan's safety analysis of its Crohn's disease and rheumatoid arthritis trials with Tysabri (natalizumab) found no new confirmed cases of progressive multifocal leukoencephalopathy, the firms state Oct. 17. The announcement follows the sponsors' earlier statement that a safety evaluation of their pivotal trials in multiple sclerosis found no new cases of PML. Biogen and Elan resubmitted Tysabri for marketing in September; a priority review has been requested (1Pharmaceutical Approvals Monthly October 2005, In Brief)...
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Biogen Idec/Elan expect to complete their safety review of Tysabri (natalizumab) by late summer and submit a safety data package to FDA by fall, Biogen Idec says Aug. 9. After Tysabri's marketing withdrawal in February, the sponsors had predicted a re-introduction in the fall. The re-launch is dependent on the final safety review and likely advisory panel consideration, according to Biogen Idec. While the safety review of Tysabri patients with multiple sclerosis is complete, Crohn's and rheumatoid arthritis trial reviews should be complete by late summer, the firm says. Based on a preliminary review of the data, "we would indicate to physicians to not include patients in the clinical trial setting or the commercial setting that have significant immune dysfunction," Biogen Idec CEO Jim Mullen noted during a same-day conference call...
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