FDA Approves Emflaza Duchenne Drug
FDA has approved Marathon Pharmaceuticals’ Emflaza (deflazacort) tablets and oral suspension to treat patients age 5 and older with Duchenne muscular dystrophy (DMD). An agency news release says that Emflaza is a corticosteroid that works by decreasing inflammation and reducing immune system activity. Although corticosteroids are commonly used to treat DMD across the world, this is the first FDA approval of any corticosteroid to treat DMD and the first approval of deflazacort for any use in the U.S.
The drug’s effectiveness was shown in a clinical study of 196 male patients aged 5 to 15 at the beginning of the trial with documented mutation of the dystrophin gene and onset of weakness before age 5. FDA says that at week 12, patients taking deflazacort had improvements in a clinical assessment of muscle strength across a number of muscles compared to those taking a placebo. An overall stability in average muscle strength was maintained through the end of study at week 52 in deflazacort-treated patients, the release says. In another trial with 28 male patients that lasted 104 weeks, deflazacort demonstrated a numerical advantage over placebo on an assessment of average muscle strength.
Side effects caused by Emflaza are similar to those experienced with other corticosteroids, the agency says. The most common include facial puffiness, weight gain, increased appetite, upper respiratory tract infection, cough, extraordinary daytime urinary tract frequency, unwanted hair growth, and excessive fat around the stomach.
Marathon’s application for Emflaza received fast track designation, priority review, and orphan drug designation. The company is receiving a rare pediatric disease priority review voucher under the program intended to encourage development of new drugs and biologics for preventing and treating rare pediatric diseases.