Neupogen FoB addendum: ODAC not only unanimously endorsed NVS’ FoB for FDA approval, but also opined that the FoB should be approved for all five of Neupogen’s approved indications:
• Cancer Patients Receiving Myelosuppressive Chemotherapy • Patients With Acute Myeloid Leukemia Receiving Induction or Consolidation Chemotherapy • Cancer Patients Receiving Bone Marrow Transplant • Patients Undergoing Peripheral Blood Progenitor Cell Collection and Therapy • Patients With Severe Chronic Neutropenia
The ability to gain FDA approval for multiple indications in one fell swoop is a major advantage of the 351(k) regulatory pathway. If NVS had instead used the conventional BLA pathway for its Neupogen FoB, it would probably have had to conduct one or more phase-3 trials in each of the above indications.