Dupixent® (dupilumab) approved by European Commission arsenic the archetypal and lone targeted medicine indicated for eosinophilic esophagitis
- Approximately 60% of patients aged 12 years and older treated with Dupixent 300 mg play successful the pivotal proceedings experienced histological illness remission; patients besides importantly improved their quality to swallow compared to placebo
- Dupixent is present an enactment for the astir 50,000 adults and adolescents surviving with terrible uncontrolled eosinophilic esophagitis successful the European Union (EU)
- Dupixent present approved to dainty 5 diseases with underlying benignant 2 inflammation successful the EU
Paris and Tarrytown, N.Y. Jan 30, 2023. The European Commission (EC) has expanded the selling authorization for Dupixent® (dupilumab) successful the European Union (EU) to dainty eosinophilic esophagitis (EoE) successful adults and adolescents 12 years and older, weighing astatine slightest 40 kg, who are inadequately controlled by, are intolerant to, oregon who are not candidates for accepted medicinal therapy. EoE is simply a chronic, progressive inflammatory illness that damages the esophagus and prevents it from moving properly. With this approval, Dupixent is the archetypal and lone targeted medicine specifically indicated to dainty EoE successful Europe and the U.S.
Naimish Patel, M.D.
Head of Global Development, Immunology and Inflammation at Sanofi
“The interaction of EoE connected a patient’s regular beingness cannot beryllium overstated – the narrowing and scarring of the esophagus tin marque thing arsenic elemental arsenic eating a achy and distressing experience, and whitethorn pb to choking and nutrient impaction. With this latest support for Dupixent, adults and adolescents successful the EU suffering from the chronic and often debilitating symptoms of EoE present person the archetypal and lone targeted attraction enactment clinically proven to trim some esophageal inflammation and damage, arsenic good arsenic amended swallowing ability, symptom and health-related prime of life.”
George D. Yancopoulos, M.D., Ph.D.
President and Chief Scientific Officer astatine Regeneron
“This latest support establishes Dupixent arsenic the lone targeted medicine specifically indicated for eosinophilic esophagitis successful the European Union. Dupixent is besides the lone biologic shown successful pivotal trials to assistance patients execute histological remission, trim trouble swallowing and amended health-related prime of beingness – each of which are important to reducing the load of this debilitating disease. Since its archetypal approval, Dupixent has redefined the attraction of certain chronic diseases with underlying benignant 2 inflammation and is present indicated for 5 conditions successful the European Union. We stay committed to investigating Dupixent’s imaginable successful further diseases successful which IL-4 and IL-13 whitethorn play a cardinal role.”
The EC determination is supported by 52-week information from a Phase 3 proceedings consisting of 3 parts (Part A, B and C). Part A and Part B investigated Dupixent 300 mg play (Part A n=42; Part B n=80) compared to placebo (Part A n=39; Part B n=79) for 24 weeks. Part C (n=188) observed patients who had continued connected oregon switched to Dupixent from Parts A and B for an further 28 weeks.
Dupixent patients successful Parts A and B, respectively, experienced:
- An astir 10 times higher complaint of histological illness remission (60% and 59%), a co-primary endpoint, compared to placebo (5% and 6%).
- A 69% and 64% simplification successful illness symptoms compared to 32% and 41% with placebo. Disease symptoms were measured utilizing the Dysphagia Symptom Questionnaire (DSQ), connected which Dupixent patients experienced a 21.9- and 23.8-point clinically meaningful betterment compared to a 9.6- and 13.9-point betterment for placebo, a co-primary endpoint. Swallowing betterment was observed arsenic aboriginal arsenic 4 weeks.
- A greater than seven-fold simplification successful abnormal endoscopic findings from baseline (-3.2 and -4.5 points) compared to placebo (-0.3 and -0.6 points).
- Nominally important improvements successful swallowing-related symptom and health-related prime of life, arsenic good arsenic little predominant non-swallowing symptoms.
Histological illness remission, swallowing betterment and simplification successful abnormal endoscopic findings were accordant with the wide colonisation successful patients who were uncontrolled, oregon not responsive to oregon not eligible for swallowed topical corticosteroids. Longer word efficacy successful Part C was akin to results observed successful Parts A and B.
The information results of the proceedings were mostly accordant with the known information illustration of Dupixent successful its approved indications. The astir communal broadside effects crossed indications see injection tract reactions, conjunctivitis, conjunctivitis allergic, arthralgia, oral herpes and eosinophilia. Adverse events much commonly observed successful EoE patients treated with Dupixent (n=122) compared to placebo (n=117) included infections (32% vs. 25%). An further adverse absorption of injection tract bruising was reported successful the EoE trial. The information illustration done 52 weeks was mostly accordant with the information illustration observed astatine 24 weeks.
About Eosinophilic Esophagitis
EoE is simply a chronic, progressive inflammatory illness that damages the esophagus and prevents it from moving properly. The results seen with Dupixent successful adults and adolescents with EoE show that interleukin-4 (IL-4) and interleukin-13 (IL-13) are cardinal and cardinal drivers of the benignant 2 inflammation underlying this disease. For radical with EoE, swallowing adjacent tiny amounts of nutrient tin beryllium a achy and worrisome choking experience. They are often near to contend with the vexation and anxiousness of a perpetually evolving database of foods to avoid, a mediocre prime of beingness and a higher hazard of depression. In cases wherever EoE causes the esophagus to narrow, forced and perchance achy dilation (physical expansion) of the esophagus whitethorn beryllium needed. In terrible cases, a feeding conduit whitethorn beryllium the lone enactment to guarantee due caloric intake and capable nutrition. In the EU, astir 50,000 adults and adolescents unrecorded with terrible uncontrolled EoE.
About the Dupixent Eosinophilic Esophagitis Trial
The three-part Phase 3 randomized, double-blind, placebo-controlled proceedings evaluated the efficacy and information of Dupixent successful patients aged 12 years and older with EoE. All patients had antecedently not responded to proton pump inhibitors, and, crossed Parts A and B, 74% of patients were antecedently treated with swallowed topical corticosteroids.
At 24 weeks, the co-primary endpoints successful Parts A and B assessed patient-reported measures of trouble swallowing (change from baseline successful the DSQ connected a 0-84 scale) and esophageal inflammation (proportion of patients achieving histological illness remission, defined arsenic highest esophageal intraepithelial eosinophil number of ≤6 eos/hpf).
Additional endpoints included abnormal endoscopic findings (EoE Endoscopic Reference Score [EoE-EREFS] connected a 0-18 scale), swallowing-related symptom (DSQ symptom score), health-related prime of beingness (EoE Impact Questionnaire [EoE-IQ]) and frequence of different non-dysphagia symptoms (EoE Symptom Questionnaire [EoE-SQ]).
About Dupixent
Dupixent is an injection administered nether the tegument (subcutaneous injection) astatine antithetic injection sites. In the EU for adolescents and adults with EoE, Dupixent is administered astatine 300 mg each week. It is disposable arsenic some a pre-filled pen and pre-filled syringe astatine the 300 mg dose. Dupixent is intended for usage nether the guidance of a healthcare nonrecreational and tin beryllium fixed successful a session oregon astatine location by self-administration aft grooming by a healthcare professional.
Dupixent is simply a afloat quality monoclonal antibody that inhibits the signaling of the interleukin-4 (IL-4) and interleukin-13 (IL-13) pathways and is not an immunosuppressant. The Dupixent improvement programme has shown important objective payment and a alteration successful benignant 2 inflammation successful Phase 3 trials, establishing that IL-4 and IL-13 are cardinal and cardinal drivers of the benignant 2 inflammation that plays a large relation successful aggregate related and often co-morbid diseases. These diseases see approved indications for Dupixent, specified arsenic atopic dermatitis, asthma, chronic rhinosinusitis with nasal polyposis (CRSwNP), prurigo nodularis and EoE.
Dupixent has received regulatory approvals successful 1 oregon much countries astir the satellite for usage successful definite patients with atopic dermatitis, asthma, CRSwNP, EoE oregon prurigo nodularis successful antithetic property populations. Dupixent is presently approved for 1 oregon much of these indications successful much than 60 countries, including successful Europe, the U.S. and Japan. More than 500,000 patients person been treated with Dupixent globally.
Dupilumab Development Program
Dupilumab is being jointly developed by Sanofi and Regeneron nether a planetary collaboration agreement. To date, dupilumab has been studied crossed much than 60 objective trials involving much than 10,000 patients with assorted chronic diseases driven successful portion by benignant 2 inflammation.
In summation to the presently approved indications, Sanofi and Regeneron are studying dupilumab successful a wide scope of diseases driven by benignant 2 inflammation oregon different allergic processes successful Phase 3 trials, including pediatric EoE, manus and ft atopic dermatitis, chronic inducible urticaria-cold, chronic spontaneous urticaria, chronic pruritus of chartless origin, chronic obstructive pulmonary illness with grounds of benignant 2 inflammation, chronic rhinosinusitis without nasal polyposis, allergic fungal rhinosinusitis, allergic bronchopulmonary aspergillosis and bullous pemphigoid. These imaginable uses of dupilumab are presently nether objective investigation, and the information and efficacy successful these conditions person not been afloat evaluated by immoderate regulatory authority.
About Regeneron
Regeneron (NASDAQ: REGN) is simply a starring biotechnology institution that invents, develops and commercializes life-transforming medicines for radical with superior diseases. Founded and led for 35 years by physician-scientists, our unsocial quality to repeatedly and consistently construe subject into medicine has led to 9 FDA-approved treatments and galore merchandise candidates successful development, astir each of which were homegrown successful our laboratories. Our medicines and pipeline are designed to assistance patients with oculus diseases, allergic and inflammatory diseases, cancer, cardiovascular and metabolic diseases, pain, hematologic conditions, infectious diseases and uncommon diseases.
Regeneron is accelerating and improving the accepted cause improvement process done our proprietary VelociSuite® technologies, specified arsenic VelocImmune®, which uses unsocial genetically humanized mice to nutrient optimized afloat quality antibodies and bispecific antibodies, and done ambitious probe initiatives specified arsenic the Regeneron Genetics Center, which is conducting 1 of the largest genetics sequencing efforts successful the world.
For much information, delight sojourn www.Regeneron.com oregon travel @Regeneron connected Twitter.
About Sanofi
We are an innovative planetary healthcare company, driven by 1 purpose: we pursuit the miracles of subject to amended people’s lives. Our team, crossed immoderate 100 countries, is dedicated to transforming the signifier of medicine by moving to crook the intolerable into the possible. We supply perchance life-changing attraction options and life-saving vaccine extortion to millions of radical globally, portion putting sustainability and societal work astatine the halfway of our ambitions.
Sanofi is listed connected EURONEXT: SAN and NASDAQ: SNY
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