Novartis’ Mayzent Approved for Multiple Sclerosis

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FDA has approved a Novartis NDA for Mayzent (siponimod) tablets to treat adults with relapsing forms of multiple sclerosis, including clinically isolated syndrome, relapsing-remitting disease, and active secondary progressive disease. Approval is based on data from a 1,651-patient clinical trial that compared Mayzent to placebo in patients with secondary progressive multiple sclerosis (SPMS) who had evidence of disability progression in the prior two years and no relapses in the three months prior to enrollment, according to an agency release. The primary endpoint was the time to three-month confirmed progression in disability.

“The fraction of patients with confirmed progression of disability was statistically significantly lower in the Mayzent group than in the placebo group,” FDA says. “Mayzent also decreased the number of relapses experienced by these patients. In the subgroup of patients with non-active SPMS, the results were not statistically significant.”

FDA’s approval also requires Mayzent to be dispensed with a patient Medication Guide that describes important information about its uses and risks. “Mayzent may increase the risk of infections, so patients should have a complete blood count taken before treatment is initiated,” FDA says. “The drug may cause macular edema, so patients should contact their physician if they experience a change in vision. Mayzent may cause transient decreases in heart rate and may cause a decline in lung function. Liver enzymes should be checked before initiation of the drug and health care professionals should closely monitor patients with severe liver impairment. Health care professionals should monitor the patient’s blood pressure during treatment.”

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