Rituxan Approved for Granulomatosis in Children
FDA has approved Genentech’s Rituxan (rituximab) injection to treat granulomatosis with polyangiitis and microscopic polyangiitis in children two years of age and older in combination with glucocorticoids. An FDA release says it is the first approved treatment for children with these rare vasculitis diseases, in which a patient’s small blood vessels become inflamed, which reduces blood flow. “This can cause serious problems and damage to organs, most notably the lungs and the kidneys,” it says, adding that it also can impact the sinuses and skin.
Approval is based on data from an international multicenter, open-label, single-arm, uncontrolled study, and all patients were given methylprednisolone prior to starting treatment, the agency says. After 18 months, all 25 patients in the trial were in remission. The most common side effects in the pediatric study were infections, infusion-related reactions and nausea, FDA says.
The agency notes that Rituxan’s labeling contains a boxed warning to draw attention to increased risks of the following: fatal infusion reactions; potentially fatal severe skin and mouth reactions; hepatitis B virus reactivation that may cause serious liver problems, including liver failure and death; and progressive multifocal leukoencephalopathy. It must also be dispensed with a patient Medication Guide that provides this warning information.