The USA's EpiCept Corp says that the Food and Drug Administration has the necessary pivotal data to file a New Drug Application for Ceplene (histamine dihydrochloride) in conjunction with interleukin-2 as a remission maintenance treatment of acute myeloid leukemia.
At a pre-NDA meeting held last week, the FDA provided guidance that it would accept the clinical data along with other analyses, some of which had been submitted as part of the Ceplene Marketing Authorization Application, which was approved in the European Union in October 2008.
At the pre-NDA meeting, the FDA requested that EpiCept provide additional information to the submission package. The requested information includes statistical data further supporting the incremental effectiveness of Ceplene given in conjunction with low-dose IL-2 and data showing the lack of significant efficacy of IL-2 as a monotherapy for remission maintenance of AML. The FDA also requested data supporting leukemia-free survival as an appropriate endpoint in the pivotal Phase III study for Ceplene, as compared with overall survival. Much of the requested data already has been generated in connection with the European MAA filing.
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