Janssen NDA for Pediatric Use Xalrelto
Janssen Pharmaceutical has submitted an NDA for Xarelto (rivaroxaban) and its use in pediatric patients. The company says the NDA seeks two pediatric indications: treatment of venous thromboembolism (VTE) and reduction in the risk of recurrent VTE in patients less than 18 years of age after at least five days of initial parenteral anticoagulant treatment; and thromboprophylaxis in patients aged two years and older with congenital heart disease who have undergone the Fontan procedure. If approved, Xarelto would be the first oral Factor Xa inhibitor indicated in the U.S. for use in pediatric patients, it says.
The submission is based on data from two Phase 3 clinical trials in pediatric populations: EINSTEIN-Jr, which examined pediatric patients with previously diagnosed VTE, and UNIVERSE, which evaluated pediatric patients who are at risk of VTE after recently undergoing the Fontan procedure.
Xarelto was originally approved in 2011 to reduce the risk of stroke and blood clots in people who have atrial fibrillation that is not caused by a heart valve problem.