June 27 (Reuters) - The U.S. Food and Drug
Administration said on Friday it had eliminated risk evaluation
and mitigation strategies (REMS), a safety program to protect
patients from risky drugs, for currently approved CAR-T cell
immunotherapies.
REMS is required by the FDA to ensure a drug's benefits
outweigh its risks by managing serious safety concerns.
The FDA said risks linked to CAR-T cell therapies can be
effectively communicated through existing labeling, including
boxed warnings for cytokine release syndrome and neurological
toxicities, and medication guides.
The cancer therapies include Bristol-Myers Squibb's ( BMY )
Breyanzi and Abecma, Johnson & Johnson's ( JNJ ) unit Janssen
and Legend Biotech's ( LEGN ) Carvykti, Novartis AG's
Kymriah, and Gilead Sciences' ( GILD ) unit Kite's Tecartus and
Yescarta.
Gilead said it has updated the labels for Yescarta and
Tecartus reflect the FDA's removal of the REMS requirement.
"We are pleased that they will help lessen the burden on
HCPs and patients, enabling more people to receive these
potentially curative treatments," Gilead added.
These are gene therapies that are currently approved to
treat blood cancers, such as multiple myeloma and certain types
of leukemia and lymphoma, the health regulator said.
CAR-T treatment generally involves extracting
disease-fighting white blood cells known as T-cells from a
patient, re-engineering them to attack cancer and infusing them
back into the body.
"CAR T cell therapy is a transformational, potentially
life-saving option for patients living with blood cancers, and
we are working to challenge current practices, assumptions and
barriers that limit access," said Lynelle Hoch, president of
Cell Therapy Organization at Bristol-Myers Squibb ( BMY ).
In January 2024, the FDA
asked several drugmakers
to add a serious warning on the label of their cancer
therapies that use CAR-T technology after reports of T-cell
malignancies and adverse events identified since approval.
The FDA earlier said the risk of T-cell malignancies
including leukemia and lymphoma applies to all therapies in the
class and can lead to hospitalization and death.