FDA Advisory Committee Recommends Approval of Endari for Sickle Cell Disease

Emmaus Life Sciences announced the Oncologic Drugs Advisory Committee of the U.S. Food and Drug Administration (FDA) voted 10 to 3 that the overall Benefit-Risk profile of Endari for the treatment of sickle cell disease (SCD) is favorable. The FDA has set a PDUFA target action date for July 7, 2017.

Oncologic Drugs Advisory Committee of the U.S. Food and Drug Administration

"We are encouraged by the positive outcome of today's Advisory Committee meeting and thank the committee members and FDA for their time to discuss Endari's potential as a treatment for patients with sickle cell disease. We also appreciate and thank the patients, caregivers and advocates for the important real-world perspective they provided during the Open Public Hearing," Yutaka Niihara, MD, MPH, Chairman and Chief Executive Officer of Emmaus Life Sciences said. "We look forward to continuing work with the FDA as the agency completes its review of the Endari New Drug Application."

If approved, Endari would be the first FDA-approved treatment for pediatric patients with SCD, and the first new treatment in almost 20 years for adult patients. The therapy is an orally-administered pharmaceutical grade L-glutamine.

The FDA is not bound by the Committee's recommendation, but takes its advice into consideration when reviewing New Drug Applications. Endari has received Orphan Drug designation in the U.S., Orphan Medicinal Product designation in the EU and Fast Track designation from the FDA.

Sickle cell disease is an inherited blood disorder characterized by the production of an altered form of hemoglobin which polymerizes and becomes fıbrous, causing red blood cells to become rigid and change form so that they appear sickle shaped instead of soft and rounded. Patients with sickle cell disease suffer from episodes of sickle cell crises, which occur when the rigid, adhesive and inflexible red blood cells occlude blood vessels. Sickle cell crises cause excruciating pain as a result of insufficient oxygen being delivered to tissue, referred to as tissue ischemia, and inflammation. These events may lead to organ damage, stroke, pulmonary complications, skin ulceration, infection and a variety of other adverse outcomes. Sickle cell disease is an orphan disease, affecting approximately 100,000 patients in the U.S. and millions worldwide with significant unmet medical needs.

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