Novartis Expanded Approval for MS Drug in Children

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FDA has expanded the approval of Novartis’ Gilenya (fingolimod) to treat relapsing multiple sclerosis (MS) in children and adolescents age 10 years and older. Gilenya was first approved by the FDA in 2010 to treat adults with relapsing MS.

 

Approval was based on clinical trial data from 214 patients aged 10 to 17 that compared Gilenya to another MS drug, interferon beta-1a. In the study, 86% of patients receiving Gilenya remained relapse-free after 24 months of treatment, compared to 46% of those receiving interferon beta-1a, according to an agency release.

 

Gilenya must be dispensed with a patient Medication Guide that describes important information about the drug’s uses and risks. “Serious risks include slowing of the heart rate, especially after the first dose,” FDA says. “Gilenya may increase the risk of serious infections. Patients should be monitored for infection during treatment and for two months after discontinuation of treatment. A rare brain infection that usually leads to death or severe disability, called progressive multifocal leukoencephalopathy (PML) has been reported in patients being treated with Gilenya. PML cases usually occur in patients with weakened immune systems.”

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