FDA OKs Expanded Indication for Reblozyl

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FDA has approved a Bristol Myers Squibb BLA supplement for Reblozyl (luspatercept-aamt) for treating anemia in patients with very low- to intermediate-risk myelodysplastic syndromes (MDS) who have not been previously treated with an erythropoiesis stimulating agent (ESA-naïve) and who may require regular red blood cell (RBC) transfusions. The expanded indication to the first-line setting is based on interim results from the Phase 3 COMMANDS trial, in which Reblozyl “demonstrated superior efficacy of concurrent RBC transfusion independence (RBC-TI) and hemoglobin (Hb) increase compared to epoetin alfa, an ESA, regardless of ring sideroblast status,” the company says.

MDS are related blood cancers characterized by ineffective production of healthy red blood cells, white blood cells and platelets, which can lead to anemia and frequent or severe infections. Most MDS patients suffer from chronic anemia and require RBC transfusions, Bristol Myers says. “The approval of Reblozyl in the first-line treatment of anemia for patients with lower-risk MDS represents a crucial step in making transfusion independence possible for more patients,” it adds.

Reblozyl works by promoting late-stage red blood cell maturation, according to the company. Previously, it was approved for treating anemia in adult patients with beta thalassemia, and anemia in those failing an erythropoiesis stimulating agent and requiring two or more RBC units over eight weeks in adults with very low- to intermediate-risk MDS.

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