Celgene’s Idhifa Approved for Leukemia
FDA has approved Celgene’s Idhifa (enasidenib) for treating adult patients with relapsed or refractory acute myeloid leukemia (AML) who have a specific genetic mutation. The drug is approved for use with a companion diagnostic, Abbott’s RealTime IDH2 Assay, which is used to detect specific mutations in the IDH2 gene in patients with AML, according to an agency news release. “The use of Idhifa was associated with a complete remission in some patients and a reduction in the need for both red cell and platelet transfusions,” FDA Oncology Center of Excellence director Richard Pazdur is quoted in the release as saying.
Idhifa is described by FDA as an isocitrate dehydrogenase-2 inhibitor that works by blocking several enzymes that promote cell growth. “The efficacy of Idhifa was studied in a single-arm trial of 199 patients with relapsed or refractory AML who had IDH2 mutations as detected by the RealTime IDH2 Assay,” it says. After six months of treatment, 19% of patients experienced complete remission for a median 8.2 months, and of the 157 patients who required transfusions of blood or platelets due to AML at the start of the study, 34% no longer required transfusions after treatment with Idhifa.