Pharmaceutical Business review

FDA provides definitive guidance to develop EpiCept Ceplene

Ceplene is administered with interleukin-2 (IL-2) for the remission maintenance and prevention of relapse of patients with acute myeloid leukemia (AML) in first complete remission.

The FDA indicated that the patients in the IL-2 monotherapy group receive the same IL-2 dosing regimen as those patients receiving Ceplene/IL-2 in combination.

The primary endpoint of the trial is indicated on overall survival benefit of Ceplene/IL-2 vs. IL-2 monotherapy.

Leukemia-free survival (LFS) can be a secondary endpoint provided that bone marrow samples are collected at pre-specified and regular intervals during the course of the trial.

EpiCept president and CEO Jack Talley said they will incorporate the FDA’s feedback in the design of a new pivotal clinical study with appropriate treatment arms and endpoints, such that, assuming a positive trial result, only one new pivotal study will be sufficient to support the submission of a new drug application.