Oct 10 (Reuters) - The U.S. Food and Drug Administration
approved on Friday labeling changes for the blood cancer therapy
of Johnson & Johnson ( JNJ ) and its partner Legend Biotech ( LEGN )
to include a warning for a potentially fatal
gastrointestinal condition.
Such a warning appears on the medicine's label and is the
most serious issued by the FDA.
The FDA said it received reports that some patients treated
with Carvykti developed a serious gut inflammation called
IEC-EC, which in some cases led to life-threatening
complications like bowel perforation and sepsis.
Reports were received from clinical trials and postmarketing
adverse event data, the FDA said.
IEC-EC is a form of inflammation of the intestines triggered
by the immune system. It was observed weeks to months after
CAR-T therapy treatment with Carvykti in both clinical trials
and after approval, the regulator said.
Symptoms included persistent diarrhea, stomach pain and
weight loss, often requiring intensive care and
immune-suppressing drugs.
A spokesperson for Johnson & Johnson ( JNJ ) said: "With more than
8,500 patients treated, the overall benefit/risk for Carvykti
continues to be favorable, demonstrating durable responses with
statistically significant progression-free survival and overall
survival benefits.
"The Carvykti label was also updated to include data showing
a superior overall survival benefit versus standard therapies...
at nearly three years of follow-up in patients receiving one to
three prior lines of therapy."
Carvykti was first approved in February 2022 and received
expanded approval in April 2024 for adults with relapsed or
refractory multiple myeloma who had received at least one prior
line of therapy.
Multiple myeloma is an incurable blood cancer that affects a
type of white blood cell called plasma cells, found in the bone
marrow.
The FDA also updated the "clinical studies" section of the
drug's prescribing information to include overall survival data
from the late-stage trial.
The interim data of the late-stage study showed a
statistically significant improvement in survival for patients
receiving Carvykti compared to those on standard therapy, with a
median follow-up of 33.6 months.
Despite the new safety concerns, the FDA said the overall
benefit of Carvykti continues to outweigh the risks for its
approved use.
(Reporting by Siddhi Mahatole in Bengaluru; Editing by Alan
Barona and Muralikumar Anantharaman)