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Incyte seeks US FDA approval to market ruxolitinib to treat myelofibrosis
Wilmington, Delaware | Thursday, June 9, 2011, 16:00 Hrs  [IST]

Incyte Corporation announced that it has submitted a New Drug Application (NDA) for its lead investigational compound, ruxolitinib (INCB18424), to the US Food and Drug Administration (FDA). Incyte is seeking US marketing approval of ruxolitinib for the treatment of myelofibrosis (MF), a potentially life-threatening blood cancer for which there are currently no approved therapies in the US. The Company has requested a Priority Review of the application.

Incyte obtained a Special Protocol Assessment (SPA) agreement from the FDA for the pivotal phase III registration trial, Comfort-I. The NDA includes results from both Comfort-I and Comfort-II, a second phase III trial conducted by Novartis in Europe under the Incyte-Novartis worldwide collaboration and license agreement for ruxolitinib. Data from both studies are being presented at the 2011 American Society of Clinical Oncology (ASCO) annual meeting.

Ruxolitinib was granted Fast Track designation by the FDA in October 2009. The Fast Track programme is intended to facilitate the development and expedite the review of drug candidates that demonstrate the potential to address unmet medical needs for serious, life-threatening conditions.

Ruxolitinib, the lead JAK1 and JAK2 inhibitor discovered by Incyte, entered phase I clinical testing in May 2007 and is being investigated in a number of haematology conditions. Ruxolitinib is the first JAK inhibitor to be submitted to the FDA for the treatment of MF.

Upon the submission of the NDA, the FDA determines if the application is considered filed after reviewing the submission for completeness and accepting it for review. This filing decision is typically made within 60 days of receiving an application. Assuming the NDA is considered complete and accepted for review, it will then go through a detailed FDA review process through one of two systems of review times: Priority Review and Standard Review.

A Priority Review designation is given to drugs that offer major advances in treatment, or provide a treatment where no adequate therapy exists. The FDA has a goal to complete the Priority Review in six months. In addition, most drugs that are eligible for Fast Track designation are likely to be considered appropriate to receive a Priority Review.

Standard Review is applied to all other drugs. The FDA has a goal to complete the Standard Review within a ten-month time frame.

Myelofibrosis is a potentially life-threatening blood cancer characterized by bone marrow failure, enlarged spleen (splenomegaly) and debilitating symptoms, such as fatigue, pruritus, night sweats, bone pain and early satiety. It is one of the Philadelphia chromosome-negative Myeloproliferative Neoplasms (MPNs), which also include polycythemia vera and essential thrombocythemia. Aberrant activation of the Janus Kinase (JAK) pathway, which regulates blood cell production, has been associated with the development of the MPNs, including MF.

Incyte Corporation is focused on developing proprietary small molecule drugs for oncology and inflammation.

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