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treatment of people with<br />

relapsed or refractory (R/R)<br />

diffuse large B-cell lymphoma<br />

(DLBCL).<br />

The GO29365, a global,<br />

phase Ib/II randomized study,<br />

showed that polatuzumab<br />

vedotin plus BR improved<br />

median overall survival<br />

compared to BR alone in<br />

people with R/R DLBCL not<br />

eligible for a hematopoietic<br />

stem cell transplant. The<br />

study also showed that 40<br />

percent of people treated with<br />

polatuzumab vedotin plus BR<br />

achieved a complete response<br />

(CR), while only 18 percent of<br />

people treated with BR alone<br />

achieved a CR.<br />

Polatuzumab is developed<br />

by Genentech, a member of<br />

the Roche Group.<br />

Renexus to treat<br />

macular disease<br />

The US FDA has granted<br />

Fast Track designation<br />

for NT-501 or Renexus for<br />

the treatment of macular<br />

telangiectasia type 2<br />

(MacTel), Neurotech<br />

Pharmaceuticals said.<br />

Renexus is a novel<br />

cell-based drug delivery<br />

system. Human-derived<br />

cells encapsulated in a<br />

semipermeable hollow fibre<br />

membrane device release<br />

US FDA panel okays esketamine<br />

nasal spray for depression<br />

The Janssen<br />

Pharmaceutical<br />

Companies of Johnson<br />

& Johnson announced<br />

that the US Food and<br />

Drug Administration (FDA)<br />

recommended the use<br />

of esketamine (Spravato)<br />

for treatment resistant<br />

depression.<br />

The<br />

psychopharmacologic<br />

drug advisory committee<br />

and drug safety and risk<br />

management advisory<br />

committee of US FDA jointly<br />

voted that data support<br />

the favorable benefit-risk<br />

profile of esketamine nasal<br />

spray CIII for adults living<br />

with treatment-resistant<br />

depression.<br />

Esketamine is thought<br />

to work differently than<br />

currently approved therapies<br />

for major depressive<br />

disorder (MDD). If approved,<br />

esketamine would provide<br />

the first new mechanism of<br />

action in 30 years to treat<br />

this debilitating mental<br />

illness.<br />

ciliary neurotrophic factor<br />

(CNTF) demonstrated to<br />

reduce photoreceptor cell loss<br />

in animal models of retinal<br />

degeneration.<br />

The implanted Renexus<br />

device results in sustained<br />

The committees based<br />

their support on the safety<br />

and efficacy data from five<br />

phase 3 studies in patients<br />

with treatment-resistant<br />

depression: three short-term<br />

studies; one maintenance<br />

of effect study; and one<br />

long-term safety study. In<br />

addition, the esketamine<br />

research programme<br />

provided supportive data<br />

from three Phase 2 studies<br />

and 19 phase 1 studies in<br />

patients with treatmentresistant<br />

depression and<br />

healthy volunteers.<br />

Esketamine is a<br />

glutamate receptor<br />

modulator, thought to help<br />

restore synaptic connections<br />

in brain cells in people<br />

with the major depressive<br />

disorder.<br />

The US FDA has granted<br />

Breakthrough Therapy<br />

Designations for esketaine<br />

for treatment-resistant<br />

depression and for a second<br />

indication, major depressive<br />

disorder with imminent risk<br />

for suicide.<br />

delivery of CNTF localized to<br />

the retina, the light-sensing<br />

tissue in the back of the<br />

eye. MacTel is a rare macular<br />

degenerative disease typically<br />

diagnosed in middle age.<br />

Patients rarely experience total<br />

vision loss, but the disease<br />

nonetheless has a significant<br />

impact, through visual loss, on<br />

a patient’s quality of life.<br />

Based on the positive<br />

phase 2 results, two parallel<br />

phase 3 studies were initiated.<br />

Macular telangiectasia<br />

(MacTel), or idiopathic<br />

juxtafoveal macular<br />

telangiectasia, is a rare<br />

neurodegenerative disease<br />

with characteristic alterations<br />

of the retinal vasculature and<br />

localized retinal degeneration.<br />

Triclabendazole<br />

to treat<br />

fascioliasis<br />

N<br />

ovartis said triclabendazole<br />

(Egaten) has won approval<br />

from the US FDA for the<br />

treatment of fascioliasis in<br />

patients six years of age and<br />

older.<br />

Triclabendazole is<br />

currently the only medicine<br />

for fascioliasis recommended<br />

by the WHO and is on the<br />

WHO Model List of Essential<br />

Medicines.<br />

Fascioliasis, commonly<br />

known as liver fluke infestation,<br />

is a neglected tropical disease<br />

that infects 2.4 million people<br />

worldwide, with an additional<br />

180 million at risk of infection.<br />

It is caused by two species<br />

<strong>March</strong> <strong>2019</strong> / FUTURE MEDICINE / 33

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