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SK bioscience's coronavirus vaccine, approved in the UK
by
Kim, Jin-Gu
Jun 01, 2023 05:39am
SKYCovione While SKYCovione, a domestic COVID-19 vaccine, obtained approval in the UK, SK bioscience predicted that global expansion would begin in earnest after the WHO EUL listing expected next year. According to the pharmaceutical industry on the 31st, SK bioscience received official approval for SKYCovione from the British MHRA on the 26th (local time). It is a vaccine for primary vaccination (1st and 2nd) for adults over 18 years of age in England, Scotland, and Wales. It is the first overseas approval for a domestic corona vaccine. SK Bioscience is promoting WHO EUL listing and EMA sales permission. It applied for EUL listing to WHO in September of last year, and conditional permission to EMA in August of last year. It is said that the documents are currently being reviewed by both institutions. SK Bioscience expects to register for the WHO EUL next year. When the WHO EUL listing is completed, it plans to apply for permission to countries around the world that need SKYCovione thereafter. In the case of low- and middle-developed countries in Southeast Asia, Central and South America, and Africa, which are considered potential exporters of SKYCovione, it is possible to enter the market depending on whether or not the WHO EUL is listed, SK Bioscience explained. "We have applied for permission to the UK, EMA, and WHO EUL," said an official from SK Bioscience. This official said, "In the case of low- and middle-developed countries, they usually follow the WHO EUL," and added, "We expect the WHO EUL to be listed next year. Once it is listed on the WHO EUL, we can identify the demand for each country and apply for permission. From next year onwards. We expect to be able to increase global sales.” SK Bioscience expects that SKYCovione's global sales will generate enough even after next year in that the possibility of annual vaccination of the corona vaccine increases. There are already active discussions on the annual vaccination of corona vaccines in the United States, Japan, and Australia. The Korean government also announced that it would inoculate the corona vaccine once a year like the flu vaccine. If the corona vaccine is inoculated annually, SKYCovione is expected to have a competitive edge in the market different from mRNA vaccines. It is expected that SKYCovione will be widely used in low- and middle-developed countries markets that do not have cryogenic facilities because it has proven its long-term safety as a synthetic antigen method and is relatively easy to distribute and store.
Company
Keytruda is expected to enter the domestic market
by
Eo, Yun-Ho
Jun 01, 2023 05:38am
Keytruda, an immuno-oncology drug, is aiming to expand indications for early lung cancer in Korea. According to the related industry, MSD Korea is a non-small adult stage 1B (tumor size of 4 cm or more), stage 2 or 3A after surgical excision of the PD-1 inhibitor Keytruda (pembrolizumab) and use of a platinum complex chemotherapy agent. A post-application for cell lung cancer adjuvant therapy was submitted and review is currently underway. The indication received final approval from the US FDA in January. The efficacy of Keytruda in adjuvant therapy for early non-small cell lung cancer was confirmed through a phase 3 clinical trial, KEYNOTE-091. According to the study, Keytruda reduced the risk of disease recurrence or death by 27%, regardless of PD-L1 expression. The median DFS, which was the primary endpoint, was 58.7 months in the Keytruda group and 34.9 months in the placebo group. Keytruda anticipates expanding its scope to adjuvant treatment for non-small cell lung cancer before and after surgery through the combination of chemotherapy. The KEYNOTE-67 study, published in March, compared Keytruda with chemotherapy as adjuvant therapy before and after surgery in patients with stage 2-3B non-small cell lung cancer. The Keytruda group received 'Keytruda + chemotherapy' before surgery and 'Keytruda' alone after surgery, and the placebo group received 'placebo + chemotherapy' before surgery and 'placebo' after surgery. administered alone. As a result, the Keytruda group showed a statistically significant improvement in EFS compared to the control group, and significant improvements were also confirmed in the second evaluation variable pCR, and major pathological response. Keytruda added indications of Keytruda-chemotherapy combination therapy and postoperative adjuvant therapy as adjuvant therapy before surgery for stage 2 or 3 triple-negative breast cancer patients who had no treatment experience in Korea last year.
Company
Lyumjev can be prescribed at general hospitals
by
Eo, Yun-Ho
May 31, 2023 05:37am
According to related industries, Korea Lily's Lyumjev has passed the Drug Committee of medical institutions such as Samsung Seoul Hospital, Seoul National University Hospital, Seoul Asan Hospital, Gangnam Severance Hospital, and Seoul National University Bundang Hospital. This drug was approved in Korea in December 2021, and insurance benefits were applied from September last year. Lyumjev, postprandial insulin, is an 'Insulin Lispro' formulation that shows a quick effect and helps lower blood sugar levels in type 1 and type 2 diabetics who have increased blood sugar after meals or who have difficulty maintaining the target blood sugar range. Domestic approval was made based on data from the PRONTO clinical program targeting adult patients with type 1 and type 2 diabetes. PRONTO-T1D and PRONTO-T2D are phase 3 clinical studies with treatment goals that compare major treatment effects such as hypoglycemia rate, postprandial blood glucose management, and optimal blood sugar maintenance time after each patient group is treated to reach the same blood sugar control level. According to the study results, Lyumjev demonstrated non-inferiority in reducing HbA1c compared to baseline at week 26, the primary endpoint, when administered after meals compared to Lilly's existing short-acting insulin drug Humalog. Humalog showed superiority over Humalog in preventing a rapid rise in blood glucose at 1 hour and 2 hours after eating. In the results of phase 1 clinical trial targeting patients with type 1 diabetes, Humalog was found to be absorbed into the bloodstream faster than Humalog Insulin aspart. Blood glucose results up to the first 3 hours after administration of Lyumjev showed similar patterns to non-diabetic participants.
Company
Samsung Bioepis, Soliris biosimilar approved in Europe
by
Chon, Seung-Hyun
May 31, 2023 05:36am
A view of Samsung Bioepis headquartersSamsung Bioepis announced on the 30th that it has obtained item permission from EC for Episcli, a biosimilar of Soliris, a treatment for rare diseases. On March 30, after obtaining a positive opinion for sales approval from CHMP under the EMA, the final approval was obtained two months later. Episcli is the first biopharmaceutical in hematology developed by Samsung Bioepis. Soliris is an ultra-expensive drug developed by Alexion of the US that is used for intractable rare diseases such as nocturnal hemoglobinuria and atypical hemolytic uremic syndrome. Last year, global sales amounted to about 5 trillion won. Samsung Bioepis demonstrated pharmacokinetic equivalence between Episcli and the original drug in phase 1 clinical trials conducted on healthy volunteers from November 2018 to March 2019. From August 2019 to October 2021, the clinical equivalence of Episcli and the original drug was confirmed through a global phase 3 clinical trial targeting patients with nocturnal hemoglobinuria in 8 countries. “Episcli has proven its equivalence through comparative clinical trials with original drugs, and we expect to contribute to resolving unmet demand for drugs by improving patient accessibility of ultra-high-priced drugs,” said Professor Jang Jun-ho of Samsung Medical Center’s Department of Hematology and Oncology. An official from Samsung Bioepis said, “We have a total of seven biosimilar products in the European market through Episcli approval.” I can do it,” he said.
Company
Verzenio prescribing guideline recommendations
by
Eo, Yun-Ho
May 31, 2023 05:36am
Verzenio is expected to be used in early breast cancer patients with a high risk of recurrence even after surgery. Looking at the recently published domestic and international breast cancer treatment guidelines, the CDK4/6 inhibitor Verzenio was recommended based on a high level of evidence as adjuvant therapy after surgery for patients with high-risk recurrence of early breast cancer with HR+/HER2- positive lymph nodes. In the 10th breast cancer treatment recommendation of the Korean Breast Cancer Society revised in April this year, patients who underwent surgery for HR+/HER2- breast cancer had 4 or more lymph node involvement, 1-3 benign lymph nodes, and tumor size of 5 cm or more or a high-risk tumor of grade 3 In order to reduce the recurrence rate of patients with factors, endocrine therapy and Verzenio combination treatment after breast cancer surgery were recommended as 'evidence level 1' and 'recommendation grade A'. Prior to the Korean Breast Cancer Society, the treatment guidelines of the National Comprehensive Cancer Network in the US were also revised in March. NCCN changed the level of evidence for 2 years of Verzenio + endocrine therapy as adjuvant therapy after surgery in HR+/HER2- high-risk breast cancer patients (the details are the same as in Korea) from category 2A to category 1, the highest grade. Verzenio's most recent data is the results of a 4-year follow-up study of monarchE, presented at the San Antonio Breast Cancer Symposium annual conference in December 2022 and published in The Lancet Oncology in January 2023. In the paper, the patient group treated with Verzenio + endocrine therapy had a reduced risk of recurrence and death compared to the control group until the 4th year after completing 2 years of postoperative adjuvant therapy, and the gap with the control group continued to increase until the 4th year. These results suggest the possibility that the risk of recurrence can be continuously reduced by maintaining endocrine therapy after completing Verzenio + endocrine therapy for 2 years. The monarchE study was a phase 3 study that confirmed the clinical efficacy and safety profile of Verzenio + endocrine therapy as adjuvant therapy after surgery for HR+/ HER2- lymph node-positive early breast cancer patients (N=5,637) at high risk of recurrence, compared to the existing standard endocrine therapy. a clinical study The monarchE cohort 1, which served as the basis for domestic approval, included 5120 patients (91%). The primary evaluation index was Invasive Disease-Free Survival (IDFS), and the secondary evaluation index was DRFS and OS. Looking closely at the results, Verzenio + endocrine therapy in monarchE cohort 1 reduced the risk of recurrence and death by about 35% at 4 years compared to endocrine therapy alone. The absolute difference of Verzenio gradually increased from 3.1% in the second year to 5.0% in the third year and 6.9% in the fourth year. The risk of distant recurrence and death was also reduced by approximately 35%, and OS has not yet been derived. Early breast cancer patients are treated with the goal of a complete cure, but in the case of recurrent or metastatic breast cancer patients, the goal is changed to treatment to prolong life and improve quality of life. Since the risk of recurrence is highest in the first 1 to 2 years after diagnosis, treatment to prevent recurrence after surgery is essential. About 14% to 23% of hormone receptor-positive (HR+) early breast cancer patients still experience recurrence even after surgery and endocrine therapy as an adjuvant treatment after surgery. In particular, according to a real-world study conducted in the United States, patients with recurrence risk factors defined in the IDFS, monarchE study showed about three times greater recurrence risk than breast cancer patients who did not. Among the risk factors for recurrence defined by monarchE, Cohort 1, the domestic approval standard, is ▲4 or more pALN, ▲1 to 3 positive axillary lymph nodes, and ▲ a tumor size of 5cm or more, ▲histological grade 3. While there was an unmet demand for more effective treatment options for the high-risk group for recurrence in the early stage of breast cancer, Verzenio obtained significant results in HR+/HER2- lymph node-positive high-risk early breast cancer with high-risk recurrence through the phase 3 trial of monarchE in 2020. And based on this, in November 2022, for the first time as a CDK4/6 inhibitor, it obtained approval from the Ministry of Food and Drug Safety in Korea as a combination therapy with endocrine therapy as an adjuvant treatment for adult patients with high-risk early breast cancer with HR+/HER2- positive lymph node recurrence. Jihyung Kim, Professor of Oncology at Gangnam Severance Hospital, said, “As a strategy to lower the risk of recurrence in early breast cancer patients, the introduction of new adjuvant drug therapy after surgery can improve the patient’s long-term treatment prognosis as well as reduce the possibility of recurrence or metastatic breast cancer. There are also benefits from the national fiscal perspective,” Kim said. Kim emphasized, “We hope that more domestic early breast cancer patients at high risk of recurrence can enjoy the treatment benefits of Verzenio through the application of domestic health insurance benefits for Verzenio, which has shown clinical usefulness for early breast cancer patients at high risk of recurrence.”
Company
2 K-biosimilars are approved in the US and Europe per year
by
Chon, Seung-Hyun
May 31, 2023 05:36am
Biosimilar drugs that were developed in Korea are accelerating entry into the global market. Over the past decade, 13 and 10 biosimilars developed by Celltrion and Samsung Bioepis have been approved in Europe and the US, respectively. After Celltrion's Remsima received EMA approval in 2013, an average of 2 biosimilars have passed European and US review every year. According to industry sources on the 31st, Samsung Bioepis has obtained approval from the European Commission (EC) for 'Epysqli', a biosimilar of the rare disease treatment 'Soliris.’ Epysqli is the first biological drug developed by Samsung Bioepis in the field of hematology. Soliris is an ultra-high-priced drug developed by Alexion in the U.S. that is used for intractable rare diseases such as nocturnal hemoglobinuria and atypical hemolytic uremic syndrome. Last year, its global sales amounted to about KRW 5 trillion. With Epysqli’s approval, Samsung Bioepis has now been approved for 7 biosimilars in the European market. Samsung Bioepis started entry into the global market in earnest after receiving approval for its Enbrel biosimilar Benepali in Europe in January 2016. Then, in May 2016, the company also received approval for Flixabi, its biosimilar of the autoimmune disease treatment Remicade, in Europe. Also, the company received approval for biosimilars of the anticancer drug Herceptin and autoimmune disease treatment Humira in Europe in 2017. In 2020, it also acquired marketing authorization for its Avastin biosimilar, and then for the biosimilar of the eye disease treatment Lucentis in Europe in 2021. K-Biosimilars approved in the US and Euope Celltrion has acquired approval for 6 biosimilars in Europe. In August 2013, Celltrion first received approval for Remsima, the ‘world’s first biosimilar monoclonal antibody.’ Then, Celltrion received approval for Truxima and Herzuma in Europe in 2017 and 2018, respectively. Truxima and Herzuma are biosimilars of the anticancer drugs Mabthera and Herceptin. In November 2019, Celltrion received approval for its subcutaneous injection type of Remicade biosimilar Remsima SC in Europe and started market entry in earnest. Remsima SC is a biological drug developed by Celltrion. The company changed the intravenous formulation of its currently marketed Remsima into a subcutaneous injection (SC). In February 2021, Celltrion obtained European marketing authorization for Uplima, a biosimilar of Humira. In August of last year, Celltrion succeeded in obtaining European sales approval for Humira's biosimilar, Yuflyma. In 10 years since Celltrion received the approval for Remsima in Europe in 2013, a total of 13 biosimilars from Celltrion and Samsung Bioepis have been approved in Europe. Celltrion and Samsung Bioepis each received approval for 5 biosimilars in the US. In 2016, Celltrion’s Remicade biosimilar Inflectra became the first to pass the US barriers of approval. The company also received marketing authorization from the FDA for its Truxima and Herzuma in 2018. Celltrion received FDA approval for its Avastin biosimilar Vegzelma in September last year, and then for its Humira biosimilar Yuflyma on the 24th of this month. At Samsung Bioepis, its Remicade biosimilar ‘Renflexis’ became the first to receive FDA approval in April 2017. Since then, the company received approval for its Herceptin, Enbrel, and Humira biosimilars in 2019 from the FDA. In January 2019, its Herceptin biosimilar Ontruzant was approved in the U.S., followed by the approvals of Eticovo and Hadlima in April and July of the same year. The original products of the biosimilars Eticovo and Hadlima are Enbrel and Humira. Samsun Bioepis also received approval for its Lucentis biosimilar Byooviz in September 2021.
Company
Sales of Keytruda rose 117%
by
Chon, Seung-Hyun
May 30, 2023 06:59pm
Immuno-oncology drug Keytruda continued its high-altitude march in the domestic pharmaceutical market. Last year, Health Insurance 2 sales more than doubled as the number of recipients of the leading water-based benefits expanded for 13 consecutive quarters since the first quarter of 2020. Keytruda further strengthened its solo system by more than doubling the gap with second place. According to IQVIA, a drug research agency on the 22nd, Keytruda took the lead with sales of 87.8 billion won in the first quarter. Sales increased by 117.1% in one year from 40.4 billion won in the first quarter of last year. Released in Korea in 2015, Keytruda is an immune checkpoint inhibitor that inhibits the PD-1 protein on the surface of T-cells of immune cells to prevent binding to the PD-L1 receptor and activates immune cells to treat cancer. In Korea, 24 indications were approved for 16 cancer types, including melanoma, lung cancer, and head and neck cancer. Currently, the cancers for which Keytruda can be used are ▲lung cancer ▲head and neck cancer ▲Hodgkin's lymphoma ▲urothelial cancer (bladder cancer) ▲esophageal cancer ▲melanoma ▲renal cell cancer (kidney cancer) ▲endometrial cancer ▲stomach cancer ▲small intestine cancer ▲ovarian cancer ▲ Pancreatic cancer, biliary tract cancer, colorectal cancer (colorectal cancer), triple-negative breast cancer, and cervical cancer reached 16 cases. It can be used in the largest number of cancer types among immuno-anticancer drugs approved in Korea. Keytruda showed high growth last year thanks to the favorable news of salary expansion. In March of last year, the scope of health insurance coverage for Keytruda was expanded as the first treatment for non-small cell lung cancer. As Keytruda's first-line treatment benefit application effect began in earnest, the growth rate accelerated. Sales increased by 33.4% from 40.4 billion won in the first quarter of last year to 53.9 billion won in the second quarter. In the third and fourth quarters of last year, sales were 67.2 billion won and 78 billion won, respectively, raising more than 10 billion won in sales each quarter. Considering Keytruda's drug price cut, the increase in prescriptions is analyzed to be even greater. In March of last year, Keytruda's insurance cap was lowered by 25.6% as the benefits range expanded. In the aftermath of drug price cuts, sales in the first quarter of last year decreased by 26.0% compared to the previous quarter. However, despite the drug price cut, and the upward trends, Keytrua increased since the second quarter of last year. It is calculated that the amount used has more than doubled in one year since the first treatment benefit was applied. It has maintained its lead position for 13 consecutive quarters since taking first place overall in the first quarter of 2020. The gap with 2nd place Lipitor widened more than twice, establishing a solid solo system. New drug products recently introduced by multinational pharmaceutical companies continued to be strong at the top of pharmaceutical sales. Amgen's Prolia recorded sales of 35.5 billion won in the first quarter, up 41.6% from the same period last year, ranking third overall. Released in Korea in November 2016, Prolia is a biopharmaceutical osteoporosis treatment that targets RANKL, an essential protein for the formation, activation, and survival of osteoclasts that destroy the bone. Since 2017, Prolia began to enjoy an upward trend in sales after benefits were applied only to secondary treatment. From April 2019, sales of Prolia soared even more as insurance benefits were recognized for primary treatment. Prolia surpassed 100 billion won in annual sales last year, six years after entering the country. Prolia is jointly sold by Chong Kun Dang. Ono Pharmaceutical's immuno-oncology drug Opdivo recorded sales of KRW 33.9 billion in the first quarter, up 35.4% from the previous year. Opdivo, which was licensed in 2015, stayed in the 10 billion won range until the second quarter of 2021. It exceeded 20 billion won in the third quarter of 2021 and exceeded 30 billion won in the fourth quarter of last year. Opdivo recorded a high growth rate of 64.7% in two years from 66.7 billion won in 2020, and stepped on the 100 billion won mark in annual sales for the first time last year. Sanofi's atopic dermatitis treatment Dupixent recorded sales of 30.9 billion won in the first quarter, up 29.4% from the previous year. Dupixent is the first targeted biological agent developed for the treatment of moderate to severe atopic dermatitis where topical treatments are not recommended or symptoms are not adequately controlled. .Dupixent, which received domestic approval in March 2018, received coverage for severe atopic dermatitis from January 2020, and sales expanded rapidly.
Company
Imfinzi for liver cancer is expected to land in Korea soon
by
Eo, Yun-Ho
May 30, 2023 05:33am
According to related industries, the Ministry of Food and Drug Safety is in the process of final review for approval of Imjudo, a CTLA-4 inhibitor. Final approval is expected in the second half of the year. The first indication for Imfinzi and Imjudo combination therapy is liver cancer. The combination therapy is the only dual immunotherapy that has been approved for the first-line treatment of liver cancer and was approved by the US FDA in October last year as a treatment for unresectable hepatocellular carcinoma. In addition, it obtained marketing approval from Japan's Ministry of Health, Labor and Welfare in December last year and EMA in Europe in February. The combination therapy is a STRIDE (Single Tremelimumab Regular Interval Durvalumab) strategy in which Imfinzi is additionally administered at regular intervals every 4 weeks after administering 1500 mg of Imfinzi and 300 mg of Imjudo once. In the HIMALAYA study, a phase 3 clinical trial, the combination therapy reduced the risk of death by 22% compared to the control group, Nexavar monotherapy, and demonstrated OS benefit. The 3-year overall survival rate was 31% in the Imfinzi and Imjudo combination therapy group and 20% in the sorafenib monotherapy group. Imjudo combination therapy recently added indications for lung cancer in the United States. In the phase 3 clinical POSEIDON study, which served as the basis for approval, the patient group who received the Imfinzi/Imjudo/platinum-based chemotherapy combination showed a 23% lower risk of death compared to the various chemotherapy control groups. The 2-year overall survival rate was 33% in the combination group and 22% in the control group. Imjudo is conducting a phase 3 study of combination therapy with Imfinzi in several types of carcinoma, including the EMERALD-3 study, the ADRIATIC study, and the VOLGA and NILE studies.
Company
Reimb in progress for 1st endometrial cancer immunotherapy
by
Jung, Sae-Im
May 30, 2023 05:33am
Pic of Jemperli Will the latecomer cancer immunotherapy ‘Jemperli (dostarlimab)’ from GSK be reimbursed as the first cancer immunotherapy in endometrial cancer? With cancer immunotherapies changing the treatment paradigm for the first time in decades, the demand in the field to speed up the reimbursement progress has also been increasing. in the field. According to industry sources on the 30th, GSK has applied for the reimbursement of Jemperli to the Health Insurance Review and Assessment Service and is awaiting the application to be deliberated by the Cancer Disease Deliberation Committee. Therefore, whether the agenda will be deliberated by the CDDC is receiving attention. Jemperli is the 7th approved cancer immunotherapy in Korea. The drug received marketing authorization from the Ministry of Food and Drug Safety in December last year. The drug is a PD-1 inhibitor like Keytruda and Opdivo. Unlike the other PD-1 immunotherapies, Jemperli was first approved for use as a second-line treatment in patients with recurrent or advanced endometrial cancer that has progressed on or following prior treatment with a platinum-containing chemotherapy regimen who have a specific biomarker. The biomarker approved in the indication is ‘microsatellite instability-high or mismatch repair deficient (dMMR).' As a latecomer in the cancer immunotherapy market, Jemperli sought to clearly distinguish itself from the other drugs. Its strategy was to solidify its position in endometrial cancer, an area that has almost no existing immuno-oncology drugs in the market. In fact, only Keytruda among the existing cancer immunotherapy has indications for endometrial cancer. Jemperli entered as the second immuno-oncology drug in the field and started a one-on-one competition with Keytruda. Endometrial cancer is a cancer that occurs in the endometrium, which constitutes the inner wall of the uterus and accounts for the majority of cervical cancers. Approximately 1 out of 4 endometrial cancer patients are diagnosed in the advanced stage or experience recurrence, and there is no effective treatment available if the condition recurs after platinum-based chemotherapy. When using chemotherapy in the second line, the known average survival rate is less than 1 year, and the 5-year survival rate is only 10%. No new treatment has been introduced for relapsed or advanced endometrial cancer for around 30 years. The immunotherapies that have been introduced after decades have been evaluated to have transformed the endometrial cancer treatment paradigm. MSI-H/dMMR, which is considered a major biomarker for endometrial cancer treatment, is known to be present in up to 26% of patients. This is the highest among solid cancers. This means that the use of cancer immunotherapies can be relatively large in the area. Jemperli’s approval was based on the cohort A1 analysis results of Phase I multicohort GARNET trial that included a cohort of patients with relapsed or advanced dMMR/MSI-H endometrial cancer who progressed on or following prior treatment with a platinum-containing regimen. In particular, this study had the largest cohort among PD-1 inhibitor monotherapy studies for dMMR/MSI-H endometrial cancer patients among those that have been conducted so far. As a result of analyzing a total of 108 patients with a median follow-up of 16.3 months, Jemperli demonstrated durable antitumor activity with a manageable safety profile. In the cohort, the ORR was 43.5% (95% CI, 34.0-53.4) and the median DOR was not yet reached. 83.7% of the patients that showed response continued treatment for over 2 years. Overall survival (OS) estimates at 12 months and 24 months were 73.3% and 60.5%, respectively. Patients did not reach the median OS even with a long-term follow-up of more than 2 years. Recently, a possibility had risen for expanding the use of cancer immunotherapies as a first-line treatment for recurrent and advanced endometrial cancer. In the first quarter of this year, Jemperli and Keytruda each announced clinical results showing that the drugs were effective when used in combination with chemotherapy in the first line. In the Phase III RUBY study, Jemperli lowered the risk of disease progression and death by 36% compared to the placebo group. This is significant as the trial included patients without MSI-H/dMMR biomarkers. In the MSI-H/dMMR patient group, the risk of disease progression and death decreased by 72%. Keytruda reduced the risk of disease progression and death by 70% in patients with MSI-H/dMMR in a clinical trial. With the performance of cancer immunotherapies gaining prominence and data to change the standard treatment, and chemotherapy, increasing, the demand for the reimbursement of cancer immunotherapies in clinical settings has also been rising. No cancer immunotherapy is currently approved for reimbursement in endometrial cancer yet. In the global market, cancer immunotherapy is already being reimbursed in five of the major A8 countries - the US, Germany, the UK, Switzerland, and Italy. Currently, only Jemperli has applied for reimbursement for endometrial cancer. However, an unmet demand exists as the agenda has not been presented for CDDC review for some while. Seob Jeon, Director of the Insurance Committee at the Korean Society of Gynecologic Oncology (Gynecology, Soonchunhyang University Cheonan), said, “The introduction of a new cancer immunotherapy option that can be used as monotherapy in recurrent endometrial cancer, an area that had a 5-year survival rate below 10%, has brought new hope to the patients. However, we need collaborative efforts from the government and pharmaceutical companies for the patients who are waiting for reimbursement for cancer immunotherapy because they have no other alternative than cytotoxic chemotherapy. I hope that the policy grounds will be laid so that the benefits of the treatment can be applied in the field."
Company
Ebixa 20mg may be prescribed at general hospitals in Korea
by
Eo, Yun-Ho
May 26, 2023 06:47am
The high-dose formulation of the Alzheimer’s treatment ‘Ebixa’ has landed at general hospitals in Korea. According to industry sources, Lundbeck Korea’s ‘Ebixa (memantine) tablet 20mg’ passed the drug committees of medical institutions in Korea, including Seoul National University Hospital, Seoul Asan Medical Center, Sinchon Severance Hospital, and Seoul National University Bundang Hospital. The drug has stably established a prescription environment in Korea since its launch in August last year. Ebixa is an NMDA receptor antagonist approved for the treatment of moderate-to-severe Alzheimer’s disease. It blocks glutamate, a neurotransmitter involved in learning and memory, to prevent or slow down the progression of the disease. It is used to treat Alzheimer’s disease in patients with an MMSE total score of 20 or lower and CDR2-3 or GDS 4-7 accompanied by cerebrovascular disease. Ebixa 20mg is a new formulation that increased the dose by 2 times from the existing 10mg dose. If the original Ebixate 10mg had to be administered twice a day based on the maintenance dose for healthy adults, the 20mg can be orally administered once a day, improving the patient's medication compliance through simplification of the regimen. However, the 20mg dose should be administered at the same time every day and can be administered up to twice a day if necessary. Pharmacokinetic tests and comparative trials that administered Ebixa 20mg once a day showed that its safety and efficacy were similar to the twice-a-day oral administration of the existing Ebixa 10mg formulation. As a result, Ebixa 20mg reduces the burden of dementia patients having to remember the time and frequency of taking medications and reduces the possibility of them taking incorrect medications. Ebixa 20mg’s safety and efficacy have been confirmed through pharmacokinetic tests and comparative clinical trials. In May 2008, the drug was approved for once-daily use by the EMA and approved for use as once-daily use in 30 European countries, Argentina, Mexico, Turkey, Singapore, Japan, and Australia.
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