Medexus Pharma Refiles NDA for Treosulfan
Medexus Pharmaceuticals says its medac licensor has resubmitted its NDA for treosulfan, indicated for combination use with fludarabine as a preparative regimen for allogeneic hematopoietic stem cell transplantation (allo-HSCT). The current submission includes updates to data files and supporting information in response to an FDA information request in May when the company filed the resubmission.
The 2021 complete response letter provided recommendations specific to additional clinical/statistical data and analyses about the primary and secondary endpoints of the completed pivotal Phase 3 study, the company said at the time. Then, company officials expressed surprise at receiving the letter given treosulfan’s approval by Health Canada and the European Medicines Agency and support for it in scientific publications.
Treosulfan is part of a preparative regimen for allo-HSCT to be used in treating eligible patients with acute myeloid leukemia and myelodysplastic syndromes, according to the company. “Final study results and analysis of the pivotal Phase 3 clinical trial of treosulfan conducted by medac, which was accepted for publication with American Journal of Hematology, concluded that the study demonstrates clinically relevant superiority of treosulfan over a widely applied 'reduced-intensity conditioning' busulfan regimen with regard to its primary endpoint, event-free survival,” it says. “The publication also includes favorable conclusions on two key secondary endpoints, finding that overall survival with treosulfan was superior compared to busulfan and that non-relapse mortality for patients in the treosulfan arm was lower than for patients in the busulfan arm.”