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FDA approves Lupus treatment for children
The U.S. Food and Drug Administration for the first time approved belimumab intravenous (IV) infusion for treatment of systemic lupus erythematosus (SLE) in children.Benlysta has now been approved for paediatric population although it has been approved for use in adults since 2011.The FDA granted the approval of Benlysta to GlaxoSmithKline.
SLE is a serious chronic disease that causes inflammation and damage to various body tissues and organs.Childhood-onset SLE is rare but it is generally more active in children and adolescents than adult patients in affecting the kidneys and central nervous system. Since the disease starts early in life, pediatric patients with SLE are at a higher risk for developing increased organ damage and complications from the disease as well as adverse events from the life-long treatments usually required.
The warning about belimumab ,Benlysta’s use includes a warning for mortality, serious infections, hypersensitivity and depression, based on data from the clinical studies in adults with SLE. Also the drug should not be administered with live vaccines.
The most common side effects in patients included nausea, diarrhea and fever. Patients also commonly experienced infusion reactions, so healthcare professionals are advised to pre-treat patients with an antihistamine.
“The agency expedited the review and approval of this application because Benlysta IV fulfils an unmet need for therapies, specifically in pediatric patients with SLE. While there is no cure for lupus, treatment can help our youngest patients control their disease with the hope of improving their quality of life and lowering their risk of long-term organ damage and disability,” said Janet Woodcock, M.D., director of the FDA’s Center for Drug Evaluation and Research.
The efficacy of Benlysta IV for the treatment of SLE in pediatric patients was studied over 52 weeks in 93 pediatric patients with SLE. The proportion of pediatric patients achieving the composite primary endpoint, the SLE response index (SRI-4), was higher in pediatric patients receiving Benlysta IV plus standard therapy compared to placebo plus standard therapy. Pediatric patients who received Benlysta IV plus standard therapy also had a lower risk of experiencing a severe flare, as well as longer duration of time until a severe flare (160 days versus 82 days). The drug’s safety and pharmacokinetic profiles in pediatric patients were consistent with those in adults with SLE.
The FDA granted this application a Priority Review designation. .
belimumabBenlystachildrendesignationFDAgrantedlupuspatientsPriorityreviewserious infectionsSLESystematic Lupus erythrometosisthe SLE response index (SRI-4)treatment
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