NDA for Myelodysplastic Syndromes Anemia

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FDA has accepted for review a Geron NDA for imetelstat, a potential first-in-class telomerase inhibitor for treating transfusion-dependent anemia in patients with lower-risk myelodysplastic syndromes (MDS). Geron says imetelstat targets telomerase to inhibit the uncontrolled proliferation of malignant stem and progenitor cells in myeloid hematologic malignancies resulting in malignant cell apoptosis and potential disease-modifying activity.

The submission is based on data from the IMerge Phase 3 study, in which the “primary endpoint of 8-week transfusion independence (TI) was significantly higher with imetelstat vs. placebo (p<0.001), with median TI duration approaching one year for imetelstat 8-week TI responders,” according to the company. It says that mean hemoglobin levels in imetelstat-treated patients increased significantly over time compared to those on placebo. “Statistically significant and clinically meaningful efficacy results were achieved across key MDS subgroups irrespective of ring sideroblast (RS) status, baseline transfusion burden and IPSS [International Prognostic Scoring System] risk category,” it adds.

Geron says imetelstat targets telomerase to inhibit the uncontrolled proliferation of malignant stem and progenitor cells in myeloid hematologic malignancies resulting in malignant cell apoptosis and potential disease-modifying activity.

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