Fast Track Awarded to Polycythemia Vera Drug

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FDA has granted Italfarmaco a fast track designation to givinostat for treating patients with polycythemia vera (PV), a rare hematologic cancer. Givinostat is an orally administered histone deacetylase inhibitor (HDACi)with potential applications in both neuromuscular disorders and oncology, according to the company. “HDACis work by modulating key cellular pathways that regulate gene expression, offering promising therapeutic benefits across a range of diseases,” it says.

PV is described by the company as a rare blood cancer characterized by the overproduction of erythroid, myeloid, and megakaryocytic components in the bone marrow. PV commonly causes symptoms like headache, weakness, and itching, with severe complications including stroke, heart attack, and deep vein thrombosis, and there is the risk of progression to myelofibrosis or acute myeloid leukemia.

Givinostat is designed to target and modulate abnormal gene expression, such as excessive cell proliferation driven by mutations (JAK2V617F) commonly found in PV patients. It is currently being evaluated in a Phase 3 trial (NCT06093672) in Europe, the UK, Israel, and North America.

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