Dupixent® (Dupilumab) Recommended For EU Approval By The CHMP For The Treatment Of Prurigo Nodularis'


(MENAFN- PR Newswire)

Recommendation is based on data from two pivotal trials showing Dupixent significantly improved itch, skin lesions and health-related quality of life in adults with prurigo nodularis

If approved, Dupixent would be the first and only targeted medicine specifically indicated for prurigo nodularis in the European Union

TARRYTOWN, N.Y. and PARIS, Nov. 11, 2022 /PRNewswire/ -- Regeneron Pharmaceuticals, Inc. (NASDAQ: ) and Sanofi today announced that the European Medicines Agency's Committee for Medicinal Products for Human Use (CHMP) has adopted a positive opinion, recommending the approval of Dupixent® (dupilumab) in the European Union (EU) to treat adults with moderate-to-severe prurigo nodularis who are candidates for systemic therapy. The European Commission is expected to announce a final decision on the Dupixent application in the coming months. In September 2022, Dupixent was
by the U.S. Food and Drug Administration for the treatment of adult patients with prurigo nodularis.

Prurigo nodularis is a chronic, debilitating skin disease with underlying type 2 inflammation and has one of the highest impacts on a patient's quality of life among inflammatory skin diseases, due to the extreme itch it causes. Those with prurigo nodularis experience intense, persistent itch with thick skin lesions (called nodules) that can cover most of the body. The disease is often painful – with burning, stinging and tingling of the skin – and can negatively affect mental health, activities of daily living and social interactions. High-potency topical steroids are commonly prescribed but are associated with safety risks if used long-term.

The positive CHMP opinion is supported by data from two Phase 3 trials,
and , showing Dupixent significantly reduced itch (the primary endpoint) and skin lesions compared to placebo. Dupixent also significantly improved health-related quality of life while reducing measures of skin pain and symptoms of anxiety/depression. The safety results of the trial were generally consistent with the known safety profile of Dupixent in its approved dermatology indication. Adverse events more commonly observed with Dupixent compared to placebo included conjunctivitis.

The use of Dupixent in adults with moderate-to-severe prurigo nodularis is investigational in the EU and is not yet approved.

About Dupixent

Dupixent, which was invented using Regeneron's proprietary VelocImmune® technology, is a fully human monoclonal antibody that inhibits the signaling of the interleukin-4 (IL-4) and interleukin-13 (IL-13) pathways and is not an immunosuppressant. The Dupixent development program has shown significant clinical benefit and a decrease in type 2 inflammation in Phase 3 trials, establishing that IL-4 and IL-13 are key and central drivers of the type 2 inflammation that plays a major role in multiple related and often co-morbid diseases. These diseases include approved indications for Dupixent, such as atopic dermatitis, asthma and chronic rhinosinusitis with nasal polyposis (CRSwNP), as well as investigational diseases prurigo nodularis and eosinophilic esophagitis (EoE) in the EU.

Dupixent has received regulatory approvals in one or more countries around the world for use in certain patients with atopic dermatitis, prurigo nodularis, asthma, CRSwNP or EoE in different age populations. Dupixent is currently approved across these indications in the U.S. and for one or more of these indications in more than 60 countries, including in the EU and Japan. More than 500,000 patients have been treated with Dupixent globally.

About Regeneron's VelocImmune
Technology

Regeneron's VelocImmune technology utilizes a proprietary genetically engineered mouse platform endowed with a genetically humanized immune system to produce optimized fully human antibodies. When Regeneron's co-Founder, President and Chief Scientific Officer George D. Yancopoulos was a graduate student with his mentor Frederick W. Alt in 1985, they were the first to
making such a genetically humanized mouse, and Regeneron has spent decades inventing and developing VelocImmune and related VelociSuite® technologies. Dr. Yancopoulos and his team have used VelocImmune technology to create approximately one in five of all original, FDA-approved or authorized fully human monoclonal antibodies. This includes REGEN-COV® (casirivimab and imdevimab), Dupixent, Libtayo® (cemiplimab-rwlc), Praluent® (alirocumab), Kevzara® (sarilumab), Evkeeza® (evinacumab-dgnb) and Inmazeb™ (atoltivimab, maftivimab and odesivimab-ebgn).

Dupilumab Development Program

Dupilumab is being jointly developed by Regeneron and Sanofi under a global collaboration agreement. To date, dupilumab has been studied across more than 60 clinical trials involving more than 10,000 patients with various chronic diseases driven in part by type 2 inflammation.

In addition to the currently approved indications, Regeneron and Sanofi are studying dupilumab in a broad range of diseases driven by type 2 inflammation or other allergic processes in Phase 3 trials, including pediatric EoE, hand and foot atopic dermatitis, chronic inducible urticaria-cold, chronic spontaneous urticaria, chronic pruritus of unknown origin, chronic obstructive pulmonary disease with evidence of type 2 inflammation, chronic rhinosinusitis without nasal polyposis, allergic fungal rhinosinusitis, allergic bronchopulmonary aspergillosis and bullous pemphigoid. These potential uses of dupilumab are currently under clinical investigation, and the safety and efficacy in these conditions have not been fully evaluated by any regulatory authority.

U.S. INDICATIONS

DUPIXENT
is a
prescription
medicine
used:

  • to treat adults and children 6 months of age and older with moderate-to-severe eczema (atopic dermatitis or AD) that is
    not
    well
    controlled
    with prescription
    therapies
    used on
    the
    skin (topical), or who
    cannot use
    topical therapies.
    DUPIXENT
    can
    be
    used
    with
    or
    without
    topical corticosteroids.
    It is
    not known if
    DUPIXENT
    is
    safe
    and
    effective
    in children
    with atopic
    dermatitis under
    6
    months of
    age.
  • with other asthma medicines for the maintenance treatment of moderate-to-severe eosinophilic or oral
    steroid
    dependent
    asthma
    in
    adults and children 6
    years of age and
    older
    whose
    asthma is not
    controlled
    with
    their
    current asthma
    medicines.
    DUPIXENT
    helps prevent
    severe
    asthma attacks (exacerbations)
    and
    can
    improve
    your breathing. DUPIXENT
    may
    also
    help
    reduce
    the amount
    of
    oral
    corticosteroids you
    need while
    preventing
    severe
    asthma
    attacks and
    improving your breathing.
    DUPIXENT
    is
    not
    used to treat
    sudden
    breathing
    problems. It
    is
    not
    known if DUPIXENT
    is safe
    and
    effective
    in children with asthma under
    6
    years
    of age.
  • with other medicines for the maintenance treatment of chronic
    rhinosinusitis
    with nasal polyposis (CRSwNP)
    in adults
    whose
    disease is not controlled. It
    is not
    known if
    DUPIXENT
    is
    safe
    and
    effective
    in children with
    chronic rhinosinusitis
    with nasal polyposis under
    18
    years
    of
    age.
  • to treat adults and children 12 years of age and older, who weigh at least 88 pounds (40 kg), with eosinophilic esophagitis (EoE). It is not known if DUPIXENT is safe and effective in children with eosinophilic esophagitis under 12 years of age and who weigh at least 88 pounds (40 kg).
  • to treat adults with prurigo nodularis (PN).
    It is not known if DUPIXENT is safe and effective in children with prurigo nodularis under 18 years of age.

IMPORTANT SAFETY INFORMATION

Do
not
use
if you
are
allergic
to
dupilumab
or
to
any
of the
ingredients
in
DUPIXENT®.

B e fore using
DUPIXENT,
tell
your
healthcare
provider
about
all
your
medical
conditions,
including
if you:

  • have eye problems.
  • have a parasitic (helminth)
    infection.
  • are scheduled to receive any vaccinations.
    You should not receive a 'live vaccine' right before and during treatment with DUPIXENT.
  • are pregnant or plan to become pregnant. It is not known whether
    DUPIXENT
    will
    harm
    your unborn baby.
    • A pregnancy registry for women who take DUPIXENT during pregnancy collects information about the health of you and your baby. To enroll or get more information call 1-877-311-8972 or go to .
  • are breastfeeding
    or plan
    to
    breastfeed.
    It is
    not
    known
    whether
    DUPIXENT
    passes into your breast milk.

Tell your
healthcare
provider
about
all the medicines
you
take,
including
prescription
and
over-the- counter
medicines,
vitamins, and
herbal supplements.

Especially tell your healthcare provider if you are taking oral, topical, or inhaled corticosteroid medicines; have asthma and use an asthma medicine; or have atopic dermatitis, chronic rhinosinusitis with nasal polyposis, eosinophilic esophagitis, or prurigo nodularis and also have asthma. Do not change or stop your corticosteroid medicine or other asthma medicine without talking to your healthcare provider. This may cause other symptoms that were controlled by the corticosteroid medicine or other asthma medicine to come back.

DUPIXENT
can
cause
serious
side
effects,
including
:

  • All e r g i c
    reactions. DUPIXENT can cause allergic reactions that can sometimes be severe.

    Stop
    using DUPIXENT
    and
    tell
    your
    healthcare
    provider
    or get
    emergency
    help
    right
    away
    if
    you
    get
    any
    of
    the following signs or
    symptoms:
    breathing
    problems or wheezing, swelling of the face, lips, mouth, tongue or throat, fainting, dizziness, feeling lightheaded, fast pulse, fever, hives, joint pain, general ill feeling, itching, skin rash, swollen lymph nodes, nausea or vomiting, or cramps in your stomach-area.
  • Eye problems. Tell
    your healthcare
    provider
    if
    you
    have
    any
    new
    or worsening
    eye
    problems, including
    eye
    pain
    or changes
    in
    vision, such as blurred vision. Your healthcare provider may send you to an ophthalmologist for an exam if needed.
  • I n flammation
    of
    your
    blood
    vessels.
    Rarely,
    this can
    happen in
    people
    with
    asthma
    who
    receive DUPIXENT.
    This
    may
    happen
    in
    people
    who
    also
    take
    a
    steroid
    medicine
    by
    mouth
    that
    is being stopped
    or
    the dose
    is
    being
    lowered.
    It is not
    known
    whether
    this is
    caused by
    DUPIXENT.
    Tell
    your healthcare
    provider
    right
    away
    if
    you
    have:
    rash, chest pain, worsening shortness
    of
    breath, a feeling
    of pins and
    needles
    or numbness of
    your arms
    or legs, or persistent fever.
  • Joint aches and pain. Some people who use DUPIXENT have had trouble walking or moving due to their joint symptoms, and in some cases needed to be hospitalized. Tell your healthcare provider about any new or worsening joint symptoms. Your healthcare provider may stop DUPIXENT if you develop joint symptoms.

T h e
most
common
side
effects
include:

  • Eczema: injection
    site
    reactions,
    eye
    and
    eyelid inflammation, including
    redness,
    swelling, and itching, sometimes with blurred vision,
    cold
    sores
    in
    your
    mouth
    or
    on
    your lips, and high count of a certain white blood cell (eosinophilia).
  • Asthma: injection
    site
    reactions, high
    count
    of a
    certain white
    blood
    cell
    (eosinophilia), pain
    in
    the throat
    (oropharyngeal pain), and parasitic (helminth) infections.
  • C h r on i c
    Rhinosinusitis
    with
    Nasal
    Polyposis:
    injection
    site
    reactions, eye
    and
    eyelid
    inflammation, including
    redness,
    swelling, and
    itching, sometimes with blurred vision, high
    count
    of
    a certain
    white
    blood
    cell
    (eosinophilia), gastritis, joint
    pain
    (arthralgia), trouble sleeping
    (insomnia), and toothache.
  • Eosinophilic Esophagitis: injection site reactions, upper respiratory tract infections, cold sores in your mouth or on your lips, and joint pain (arthralgia).
  • Prurigo Nodularis:
    eye and eyelid inflammation, including redness, swelling, and itching, sometimes with blurred vision, herpes virus infections, common cold symptoms (nasopharyngitis), dizziness, muscle pain, and diarrhea.

Tell your healthcare
provider
if you
have
any
side effect
that
bothers
you
or
that
does
not
go
away. These
are
not
all
the possible side effects
of
DUPIXENT. Call your
doctor
for
medical advice
about
side effects.
You
are
encouraged
to
report
negative
side
effects
of prescription
drugs
to the FDA.
Visit ,
or call 1-800-FDA-1088.

Use DUPIXENT exactly as prescribed by your healthcare provider. It's an injection given under the skin (subcutaneous injection). Your healthcare provider will decide if you or your caregiver can inject DUPIXENT. Do not
try to prepare and inject DUPIXENT until you or your caregiver have been trained by your healthcare provider. In children 12 years of age and older, it's recommended DUPIXENT be administered by or under supervision of an adult. In children 6 months to less than 12 years of age, DUPIXENT should be given by a caregiver.

Please
see
accompanying
full

i nc l ud i n g
Patient
Information.

About Regeneron

Regeneron is a leading biotechnology company that invents, develops and commercializes life-transforming medicines for people with serious diseases. Founded and led for nearly 35 years by physician-scientists, our unique ability to repeatedly and consistently translate science into medicine has led to nine FDA-approved treatments and numerous product candidates in development, almost all of which were homegrown in our laboratories. Our medicines and pipeline are designed to help patients with eye diseases, allergic and inflammatory diseases, cancer, cardiovascular and metabolic diseases, pain, hematologic conditions, infectious diseases and rare diseases.

Regeneron is accelerating and improving the traditional drug development process through our proprietary VelociSuite® technologies, such as VelocImmune®, which uses unique genetically humanized mice to produce optimized fully human antibodies and bispecific antibodies, and through ambitious research initiatives such as the Regeneron Genetics Center, which is conducting one of the largest genetics sequencing efforts in the world.

For more information, please visit or follow @Regeneron on Twitter.

About Sanofi We are an innovative global healthcare company, driven by one purpose: we chase the miracles of science to improve people's lives. Our team, across some 100 countries, is dedicated to transforming the practice of medicine by working to turn the impossible into the possible. We provide potentially life-changing treatment options and life-saving vaccine protection to millions of people globally, while putting sustainability and social responsibility at the center of our ambitions.

Sanofi is listed on EURONEXT: SAN andNASDAQ:

Regeneron Forward-Looking Statements and Use of Digital Media

This press release includes forward-looking statements that involve risks and uncertainties relating to future events and the future performance of
Regeneron Pharmaceuticals, Inc.
('Regeneron' or the 'Company'), and actual events or results may differ materially from these forward-looking statements. Words such as 'anticipate,' 'expect,' 'intend,' 'plan,' 'believe,' 'seek,' 'estimate,' variations of such words, and similar expressions are intended to identify such forward-looking statements, although not all forward-looking statements contain these identifying words. These statements concern, and these risks and uncertainties include, among others, the impact of SARS-CoV-2 (the virus that has caused the COVID-19 pandemic) on Regeneron's business and its employees, collaborators, and suppliers and other third parties on which Regeneron relies, Regeneron's and its collaborators' ability to continue to conduct research and clinical programs, Regeneron's ability to manage its supply chain, net product sales of products marketed or otherwise commercialized by Regeneron and/or its collaborators or licensees (collectively, 'Regeneron's Products'), and the global economy; the nature, timing, and possible success and therapeutic applications of Regeneron's Products and product candidates being developed by Regeneron and/or its collaborators or licensees (collectively, 'Regeneron's Product Candidates') and research and clinical programs now underway or planned, including without limitation Dupixent®
(dupilumab); the impact of the opinion adopted by the European Medicines Agency's Committee for Medicinal Products for Human Use discussed in this press release on potential approval by the European Commission of Dupixent to treat adults with moderate-to-severe prurigo nodularis and the timing of any such approval; uncertainty of the utilization, market acceptance, and commercial success of Regeneron's Products and Regeneron's Product Candidates and the impact of studies (whether conducted by Regeneron or others and whether mandated or voluntary), including the studies discussed or referenced in this press release, on any of the foregoing or any potential regulatory approval of Regeneron's Products and Regeneron's Product Candidates; the likelihood, timing, and scope of possible regulatory approval and commercial launch of Regeneron's Product Candidates and new indications for Regeneron's Products, such as
Dupixent for the treatment of pediatric eosinophilic esophagitis, hand and foot atopic dermatitis, chronic inducible urticaria-cold, chronic spontaneous urticaria, chronic pruritis of unknown origin, chronic obstructive pulmonary disease with evidence of type 2 inflammation, chronic rhinosinusitis without nasal polyposis, allergic fungal rhinosinusitis, allergic bronchopulmonary aspergillosis, bullous pemphigoidand, other potential indications; the ability of Regeneron's collaborators, licensees, suppliers, or other third parties (as applicable) to perform manufacturing, filling, finishing, packaging, labeling, distribution, and other steps related to Regeneron's Products and Regeneron's Product Candidates; the ability of Regeneron to manage supply chains for multiple products and product candidates; safety issues resulting from the administration of Regeneron's Products (such as Dupixent) and Regeneron's Product Candidates in patients, including serious complications or side effects in connection with the use of Regeneron's Products and Regeneron's Product Candidates in clinical trials; determinations by regulatory and administrative governmental authorities which may delay or restrict Regeneron's ability to continue to develop or commercialize Regeneron's Products and Regeneron's Product Candidates, including without limitation Dupixent; ongoing regulatory obligations and oversight impacting Regeneron's Products, research and clinical programs, and business, including those relating to patient privacy; the availability and extent of reimbursement of Regeneron's Products from third-party payers, including private payer healthcare and insurance programs, health maintenance organizations, pharmacy benefit management companies, and government programs such as Medicare and Medicaid; coverage and reimbursement determinations by such payers and new policies and procedures adopted by such payers; competing drugs and product candidates that may be superior to, or more cost effective than, Regeneron's Products and Regeneron's Product Candidates; the extent to which the results from the research and development programs conducted by Regeneron and/or its collaborators or licensees may be replicated in other studies and/or lead to advancement of product candidates to clinical trials, therapeutic applications, or regulatory approval; unanticipated expenses; the costs of developing, producing, and selling products; the ability of Regeneron to meet any of its financial projections or guidance and changes to the assumptions underlying those projections or guidance; the potential for any license, collaboration, or supply agreement, including Regeneron's agreements with Sanofi and Bayer (or their respective affiliated companies, as applicable) to be cancelled or terminated; and risks associated with intellectual property of other parties and pending or future litigation relating thereto (including without limitation the patent litigation and other related proceedings relating to EYLEA®
(aflibercept) Injection, Praluent®
(alirocumab), and REGEN-COV®
(casirivimab and imdevimab)), other litigation and other proceedings and government investigations relating to the Company and/or its operations, the ultimate outcome of any such proceedings and investigations, and the impact any of the foregoing may have on Regeneron's business, prospects, operating results, and financial condition. A more complete description of these and other material risks can be found in Regeneron's filings with the
U.S. Securities and Exchange Commission, including its Form 10-K for the year ended
December 31, 2021 and its Form 10-Q for the quarterly period ended September 30, 2022. Any forward-looking statements are made based on management's current beliefs and judgment, and the reader is cautioned not to rely on any forward-looking statements made by Regeneron. Regeneron does not undertake any obligation to update (publicly or otherwise) any forward-looking statement, including without limitation any financial projection or guidance, whether as a result of new information, future events, or otherwise.

Regeneron uses its media and investor relations website and social media outlets to publish important information about the Company, including information that may be deemed material to investors. Financial and other information about Regeneron is routinely posted and is accessible on Regeneron's media and investor relations website ( ) and its Twitter feed ( ).

Sanofi Disclaimers or Forward-Looking Statements

This press release contains forward-looking statements as defined in the Private Securities Litigation Reform Act of 1995, as amended. Forward-looking statements are statements that are not historical facts. These statements include projections and estimates regarding the marketing and other potential of the product, or regarding potential future revenues from the product. Forward-looking statements are generally identified by the words 'expects', 'anticipates', 'believes', 'intends', 'estimates', 'plans' and similar expressions. Although Sanofi's management believes that the expectations reflected in such forward-looking statements are reasonable, investors are cautioned that forward-looking information and statements are subject to various risks and uncertainties, many of which are difficult to predict and generally beyond the control of Sanofi, that could cause actual results and developments to differ materially from those expressed in, or implied or projected by, the forward-looking information and statements. These risks and uncertainties include among other things, unexpected regulatory actions or delays, or government regulation generally, that could affect the availability or commercial potential of the product, the fact that product may not be commercially successful, the uncertainties inherent in research and development, including future clinical data and analysis of existing clinical data relating to the product, including post marketing, unexpected safety, quality or manufacturing issues, competition in general, risks associated with intellectual property and any related future litigation and the ultimate outcome of such litigation, and volatile economic and market conditions, and the impact that COVID-19 will have on us, our customers, suppliers, vendors, and other business partners, and the financial condition of any one of them, as well as on our employees and on the global economy as a whole. Any material effect of COVID-19 on any of the foregoing could also adversely impact us. This situation is changing rapidly and additional impacts may arise of which we are not currently aware and may exacerbate other previously identified risks. The risks and uncertainties also include the uncertainties discussed or identified in the public filings with the SEC and the AMF made by Sanofi, including those listed under 'Risk Factors' and 'Cautionary Statement Regarding Forward-Looking Statements' in Sanofi's annual report on Form 20-F for the year ended December 31, 2021. Other than as required by applicable law, Sanofi does not undertake any obligation to update or revise any forward-looking information or statements.

Regeneron Contacts:

Media Relations

Hannah Kwagh

Tel: +1 914-847-6314

Investor Relations

Vesna Tosic

Tel: +1 914-847-5443



Sanofi Contacts:


Media Relations

Sally Bain

Tel: +1 617-834-6026




Investor Relations

Eva Schaefer-Jansen

Tel: +33 7 86 80 56 39


Arnaud Delepine

Tel: +33 (0)6 73 69 36 93


Corentine Driancourt

Tel: +33 (0)6 40 56 92


Felix Lauscher

Tel: +1 908-612-7239


Priya Nanduri

Tel: +1 617-764-6418


Nathalie Pham

Tel: +33 (0)7 85 93 30 17

SOURCE Regeneron Pharmaceuticals, Inc.

MENAFN11112022003732001241ID1105168794


PR Newswire

Legal Disclaimer:
MENAFN provides the information “as is” without warranty of any kind. We do not accept any responsibility or liability for the accuracy, content, images, videos, licenses, completeness, legality, or reliability of the information contained in this article. If you have any complaints or copyright issues related to this article, kindly contact the provider above.