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phenylalanine. It is widely<br />
used as a spice or flavouring<br />
material for food. It activates<br />
PPARa, which enhances<br />
production of transcription<br />
factor EB (TFEB). TFEB then<br />
binds to the promoter of<br />
genes involved in lysosome<br />
biogenesis and activates their<br />
production. PLX-300 also has<br />
additional activities, such as<br />
reducing inflammation and<br />
preventing apoptosis.<br />
EMA panel<br />
recommends<br />
dolutegravir<br />
to treat HIV<br />
in children<br />
ViiV Healthcare announced<br />
that the Committee for<br />
Medicinal Products for Human<br />
Use (CHMP) of the European<br />
Medicines Agency (EMA) has<br />
issued a positive opinion<br />
recommending marketing<br />
authorisation for dolutegravir<br />
(Tivicay) 5mg dispersible<br />
tablets, which are used in<br />
combination with other<br />
antiretroviral agents for the<br />
treatment of HIV-1 infection in<br />
paediatric patients (treatmentnaïve<br />
or -experienced but<br />
INSTI- naïve) aged at least four<br />
weeks and weighing at least<br />
3kg.<br />
The CHMP positive<br />
opinion includes updated<br />
dosing recommendations,<br />
for dolutegravir film-coated<br />
tablets (10mg, 25mg and<br />
50mg) for children 6 years and<br />
older and weighing at least<br />
14kg, bringing these in line<br />
with the WHO weight bands.<br />
The CHMP’s positive<br />
opinion is based on data<br />
from the ongoing P1093 and<br />
ODYSSEY (PENTA20) studies,<br />
which are being conducted in<br />
collaboration with international<br />
paediatric research networks,<br />
IMPAACT and PENTA-ID. Earlier<br />
this year, the dispersible-tablet<br />
formulation of dolutegravir<br />
was approved.<br />
Baloxavir to treat<br />
influenza in Europe<br />
Roche announced that the European<br />
Medicines Agency’s (EMA) Committee for<br />
Medicinal Products for Human Use (CHMP)<br />
has recommended the approval of baloxavir<br />
marboxil (Xofluza) for the treatment of<br />
uncomplicated influenza in patients aged 12<br />
years and above.<br />
In addition, baloxavir has been<br />
recommended for approval as a preventive<br />
treatment (post-exposure prophylaxis) of<br />
influenza in individuals aged 12 years and<br />
above.<br />
The CHMP recommendation is based<br />
on the results of the phase III CAPSTONE-1,<br />
CAPSTONE-2 and BLOCKSTONE studies.<br />
CAPSTONE-1 was a phase III multicentre,<br />
randomised, double-blind, placebocontrolled<br />
study that evaluated the efficacy<br />
and safety of baloxavir in 1,436 individuals<br />
aged 12 and above in the US and Japan. The<br />
primary endpoint of the study was time to<br />
alleviation of symptoms. The study found the<br />
following results:<br />
The drug met its primary endpoint<br />
compared to placebo: Significantly reduced<br />
the duration of influenza symptoms by more<br />
than one day (median time 53.7 hours versus<br />
80.2 hours; p