Committee for Orphan Medicinal Products (COMP)



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11 October 2010 EMA/COMP/586816/2010 Human Medicines Development and Evaluation Monthly report 6-7 October 2010 The Committee for Orphan Medicinal Products held its 116 th plenary meeting on 6-7 October 2010. Orphan medicinal product designation The COMP adopted 15 positive opinions recommending the following medicines for designation as orphan medicinal products to the European Commission: For the following medicines the review began on 12 July 2010 with an active review time of 88 days: Ovine anti-colchicine polyclonal antibody fragments for treatment of colchicine poisoning; Laboratoires SERB. Para-aminosalicylic acid for treatment of tuberculosis; Lucane Pharma SAS. Lomitapide for treatment of familial chylomicronaemia; Dimensione Ricerca S.r.l. For the following medicines the review began on 13 August 2010 with an active review time of 56 days: 1H-Benzimidazole-7-carboxamide, 2-[(2R)-2-methyl-2-pyrrolidinyl] for treatment of ovarian cancer; Abbott Laboratories. 7-beta-hydroxycholesteryl-3-beta-oleate for treatment of glioma; Intsel Chimos SA. Adeno-associated viral vector containing DNA encoding an RNAi targeting rhodopsin / adeno-associated viral vector containing a rhodopsin gene; treatment of rhodopsin-linked retinitis pigmentosa, Genable Technologies Ltd. Human heterologous liver cells (for infusion), treatment of hyperargininaemia; Cytonet GmbH & Co. KG. Human heterologous liver cells (for infusion), treatment of argininosuccinic aciduria; Cytonet GmbH & Co. KG. 7 Westferry Circus Canary Wharf London E14 4HB United Kingdom Telephone +44 (0)20 7418 8400 Facsimile +44 (0)20 7523 7040 E-mail info@ema.europa.eu Website www.ema.europa.eu An agency of the European Union European Medicines Agency, 2010. Reproduction is authorised provided the source is acknowledged.

Human heterologous liver cells (for infusion), treatment of citrullinaemia type 1; Cytonet GmbH & Co. KG. Human heterologous liver cells (for infusion), treatment of carbamoyl-phosphate synthetase- 1 deficiency; Cytonet GmbH & Co. KG. Lentiviral vector carrying the Fanconi anaemia-a (FANCA) gene, treatment of Fanconi anaemia type A; Center for Biomedical Network Research on Rare Diseases (CIBERER). N-[(2S)-2,3-dihydroxypropyl]-3-[(2-fluoro-4-iodophenyl) amino] isonicotinamide hydrochloride, treatment of acute myeloid leukaemia; Merck KGaA. Recombinant human lysosomal acid lipase, treatment of lysosomal acid lipase deficiency; HungaroTrial Ltd. Silibinin-C-2,3-dihydrogensuccinate, disodium salt, prevention of recurrent hepatitis C in liver transplant recipients; Rottapharm S.p.A. Tesetaxel, treatment of gastric cancer; Genta Development Ltd. Other information on the orphan medicinal product designation Lists of questions The COMP adopted 9 lists of questions on initial applications. These applications will be discussed again at the next COMP meeting prior to adoption of the opinion. Oral hearings 5 oral hearings took place. Withdrawals of applications for orphan medicinal product designation The COMP noted that 3 applications for orphan medicinal product designation were withdrawn. Detailed information on the orphan designation procedure An overview of orphan designation procedures since 2000 is provided in Annex 1. The list of medicinal products for which decisions on orphan designation 1 have been given by the European Commission since the last COMP meeting is provided in Annex 2. Applications for marketing authorisation for orphan medicinal products Details of those designated orphan medicinal products that have been subject of a new European Union marketing authorisation application through the centralised procedure since the last COMP plenary meeting are provided in Annex 3. Details on the opinions for marketing authorisation for orphan medicinal products adopted by the Committee for Medicinal Products for Human Use (CHMP) can be found in the CHMP monthly report on the Agency s website. 1 Details of all orphan designations granted to date by the European Commission are entered in the Community Register of Orphan Medicinal Products http://ec.europa.eu/enterprise/sectors/pharmaceuticals/documents/communityregister/html/index_en.htm EMA/COMP/586816/2010 Page 2/8

Article 5 (12) of Regulation (EC) No 141/2000 of the European Parliament and of the Council In line with its responsibility to review whether or not a designated orphan medicinal product still fulfils the designation criteria prior to the granting of a marketing authorisation, the COMP adopted 1 opinion recommending to the European Commission that the following orphan medicinal product be kept in the Community registry of orphan medicinal products: TOBI Podhaler (tobramycin) for treatment of Pseudomonas aeruginosa lung infection in cystic fibrosis; Novartis Europharm Limited. Upcoming meetings The 117 th meeting of the COMP will be held on 9-10 November 2010. Other matters The main topics addressed during the meeting related to: 2 Protocol Assistance letters were adopted. Note This monthly report, together with other information on the work of the European Medicines Agency, can be found on the Agency's website: www.ema.europa.eu Contact our press officer Monika Benstetter Tel. +44 (0)20 7418 8427 E-mail: press@ema.europa.eu EMA/COMP/586816/2010 Page 3/8

Annex 1 Overview for orphan medicinal product designation procedure since 2000 Year Applications submitted Applications discussed in reporting year Positive COMP opinions Applications withdrawn Final negative COMP opinions Designations granted by Commission 2010 136 131 105 (80%) 40 (31%) 3 (2%) 86 2009 164 137 113 (82%) 23 (17%) 1 (1%) 106 2008 119 118 86 (73%) 31 (26%) 1 (1%) 73 2007 125 117 97 (83%) 19 (16%) 1 (1%) 98 2006 104 103 81 (79%) 20 (19%) 2 (2%) 80 2005 118 118 88 (75%) 30 (25%) 0 (0%) 88 2004 108 101 75 (74%) 22 (22%) 4 (4%) 72 2003 87 96 54 (56%) 41 (43%) 1 (1%) 55 2002 80 76 43 (57%) 30 (39%) 3 (4%) 49 2001 83 92 64 (70%) 27 (29%) 1 (1%) 64 2000 72 32 26 (81%) 6 (19%) 0 (0%) 14 Total 1196 1121 832 (74%) 289 (26%) 17 (2%) 785 EMA/COMP/586816/2010 Page 4/8

Annex 2 Medicinal products granted a European Union designation as orphan medicinal product by the European Commission since the September 2010 COMP monthly report 1-[2-(Benzo[1,2,5]thiadiazol-5-ylamino)-6-(2,6-dichloro-phenyl)- pyrido[2,3-d]pyrimidin-7-yl]-3-tert-butyl-urea Sanofi Aventis Treatment of acute myeloid leukaemia Abarelix Speciality European Pharma Ltd Treatment of low-flow priapism Adenovirus-associated viral vector serotype 10 carrying the human N-sulfoglucosamine sulfohydrolase and sulfatase modifying factor 1 cdnas SANFILIPPO Therapeutics SAS Orphan Indication Treatment of mucopolysaccharidosis type IIIA (Sanfilippo A syndrome) Orphan Designation date 20/09/2010 Allogeneic T cells encoding an exogenous TK gene LTKFarma SAS Treatment of acute myeloid leukaemia Allogeneic human dermal fibroblasts Intercytex Ltd Treatment of epidermolysis bullosa EMA/COMP/586816/2010 Page 5/8

Autologous bone marrow-derived mononuclear cell fraction t2cure GmbH Treatment of thromboangiitis obliterans (Buerger's disease) Autologous dendritic cells pulsed with recombinant human-fusion protein (mucin 1 - glutathione S transferase) coupled to oxidised polymannose Prima Biomed Europe Ltd Treatment of ovarian cancer Cyclic pyranopterin monophosphate Orphatec Pharmaceuticals GmbH Treatment of molybdenum cofactor deficiency type A Cysteamine bitartrate (gastroresistant) Raptor Pharmaceuticals Europe BV Treatment of cystinosis Eflornithine Cancer Prevention Pharma Ltd Treatment of familial adenomatous polyposis Forodesine Mundipharma Research Limited Treatment of chronic lymphocytic leukaemia EMA/COMP/586816/2010 Page 6/8

Glutathione-pegylated liposomal doxorubicin hydrochloride to-bbb Technologies BV Treatment of glioma Nafamostat mesilate Mucokinetica Ltd Treatment of cystic fibrosis Recombinant fusion protein consisting of human coagulation factor VIII attached to the Fc domain of human IgG1 Biogen Idec Limited Treatment of haemophilia A Recombinant porcine factor VIII (B domain deleted) Inspiration Biopharmaceuticals EU Limited Treatment of haemophilia A Vorinostat Merck Sharp & Dohme Limited Treatment of malignant mesothelioma Heat-killed Mycobacterium vaccae (whole cell) Immodulon Therapeutics Ltd Treatment of tuberculosis EMA/COMP/586816/2010 Page 7/8

Annex 3 Designated orphan medicinal products that have been subject of a new European Union marketing authorisation application under the centralised procedure since the September 2010 COMP monthly report Active substance Invented name /applicant EU designation number Designated orphan indication N-methyl D- (2,3,4,5,6- pentahydroxy- hexyl)- ammonium; 2- (3,5-dichloro- phenyl)- benzoxazole-6- carboxylate Tafamidis meglumine FoldRx Pharmaceuticals Limited EU/3/06/401 Treatment of familial amyloid polyneuropathy EMA/COMP/586816/2010 Page 8/8