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The FDA’s acceptance of the application paves the way for an early review time.
The FDA has accepted a supplemental New Drug Application (sNDA) for ivosidenib (Tibsovo, Agios Pharmaceuticals) for patients with newly diagnosed acute myeloid leukemia (AML) with an isocitrate dehydrogenase 1 (IDH1) mutation who are not eligible for standard therapy.1
The sNDA was granted Priority Review and has been given a Prescription Drug User Fee Act (PDUFA) action date of June 21, 2019. The FDA’s Priority Review status expedites the review time from the initial 10 months to a potential 6 months from the day of filing acceptance.1 It is typically given to drugs that may offer major advances in treatment or may provide a treatment where no adequate therapy exists.
According to the press release, the FDA accepted the ivosidenib sNDA under its Real-Time Oncology Review pilot program, whose goal is to streamline reviews for oncology drugs by allowing the agency access to clinical trial data before a formal submission.
AML begins in the myeloid, or bone marrow, cells, but frequently transmits into the blood. The fast-growing cells can potentially spread to other parts of the body including lymph nodes, liver, spleen, central nervous system, and testicles, according to the American Cancer Society.2
Ivosidenib is a first-in-class, oral, targeted inhibitor of mutant IDH1. According to the press release, the sNDA submission is based on results from the untreated AML patients from the Phase 1 dose-escalation and expansion study of ivosidenib in patients with newly diagnosed AML ineligible for standard treatment.1
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