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| Merck: Regulatory Update on Cladribine Tablets |
Merck KGaA announced that following feedback from regulatory authorities the company has decided to no longer pursue the global approval process of Cladribine Tablets for the treatment of relapsing-remitting multiple sclerosis (MS). Based on discussions with the U.S. Food and Drug Administration (FDA) at the end-of-review meeting for the Cladribine Tablets new drug application, Merck believes that data from ongoing clinical trials are very unlikely to address the FDA requirements and will not provide a basis for approval. Overall the FDA feedback was consistent with the feedback previously received from the European Medicines Agency (EMA).
Attempting to fulfill the FDA and the EMA requirements would necessitate the initiation of a new clinical trial program which would take several years to complete.
"Considering the time it would take to complete a new clinical trial program and the significant risk that even a new program would not result in data sufficient for Cladribine Tablets' approval, and taking into account the changing competitive landscape, we have decided to not pursue further the worldwide approval process of Cladribine Tablets and to focus resources on other projects bringing benefit to patients with multiple sclerosis," said Dr. Stefan Oschmann, member of the Executive Board and head of the Merck Serono division. "We will continue our research and development activities and will actively pursue in-licensing opportunities to further strengthen our pipeline in multiple sclerosis, and we will also continue our product enhancement, educational and patient support activities around Rebif®, to address relevant medical needs for patients with this devastating disease." "We are extremely grateful for the strong support we have received from patients and from physicians during the whole clinical development of Cladribine Tablets," said Dr. Bernhard Kirschbaum, Merck Serono's head of Research and Development. "We intend to complete the core 96-week duration of the ongoing clinical trials with Cladribine Tablets in order to provide study participants with the opportunity to continue the trials and to add knowledge for the scientific community." Merck's decision is not based on a change of the benefit/risk profile of Cladribine Tablets, which remains the same. Merck intends to complete the core 96-week treatment period of the CLARITY extension, ORACLE MS and ONWARD clinical trials. Merck also intends to proceed with the ongoing PREMIERE registry which follows patients who have participated in Cladribine Tablets studies. The company is in the process of informing regulatory agencies and work closely with them to ensure appropriate follow-up of patients. The company is also in the process of informing investigators and providing them instructions for the next steps of the studies. Patients involved in studies who have questions should contact their study investigator. Merck intends to withdraw applications from regulatory review in the limited number of countries where procedures are ongoing. In Australia and Russia, where Cladribine Tablets are approved and available under the trade name Movectro®, Merck intends to withdraw the product from the market and will discuss the timelines and other details with the local regulatory agencies to determine the best solutions for patients currently on Movectro therapy. The decisions on Cladribine Tablets announced today will result in a one-time charge of EUR 20 million which will be recorded in the second quarter financial statements.
About Cladribine Tablets The clinical development program for Cladribine Tablets includes:
About multiple sclerosis
About Merck KGaA |




Merck KGaA announced that following feedback from regulatory authorities the company has decided to no longer pursue the global approval process of Cladribine Tablets for the treatment of relapsing-remitting multiple sclerosis (MS). Based on discussions with the U.S. Food and Drug Administration (FDA) at the end-of-review meeting for the Cladribine Tablets new drug application, Merck believes that data from ongoing clinical trials are very unlikely to address the FDA requirements and will not provide a basis for approval. Overall the FDA feedback was consistent with the feedback previously received from the European Medicines Agency (EMA).
Attempting to fulfill the FDA and the EMA requirements would necessitate the initiation of a new clinical trial program which would take several years to complete.
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