FDA Approves Valeant Pharma NDA for Psoriasis Drug

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FDA has approved a Valeant Pharmaceuticals NDA for Siliq (brodalumab) to treat adults with moderate-to-severe plaque psoriasis. Siliq is intended for patients who are systemic therapy or phototherapy candidates who have failed to respond, or have stopped responding to other systemic therapies, an agency news release says. Brodalumab works by binding to a protein that causes inflammation, inhibiting the inflammatory response that plays a role in the development of plaque psoriasis, FDA says.

 

Approval is based on data from three randomized, placebo-controlled clinical trials involving 4,373 adult participants with moderate-to-severe plaque psoriasis. “More patients treated with Siliq compared to placebo had skin that was clear or almost clear, as assessed by scoring of the extent, nature and severity of psoriatic changes of the skin,” FDA says.


A Boxed Warning and a Risk Evaluation and Mitigation Strategy restricted-distribution program are required to address suicidal ideation and behavior risks. “Siliq users with a history of suicidality or depression had an increased incidence of suicidal ideation and behavior compared to users without this history,” says. “A causal association between treatment with Siliq and increased risk of suicidal ideation and behavior has not been established.”

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