EMA Recommends Extending Indications for Idelalisib

New indications concern the treatment of adult patients with chronic lymphocytic leukaemia in combination with rituximab or ofatumumab

On 25 February 2016, the European Medicines Agency’s (EMA’s) Committee for Medicinal Products for Human Use (CHMP) adopted a positive opinion recommending a change to the terms of the marketing authorisation for the medicinal product idelalisib (Zydelig).

The marketing authorisation holder for this medicinal product is Gilead Sciences International Ltd.

The CHMP adopted an extension to an existing indication as follows:

“Zydelig is indicated in combination with an anti-CD20 monoclonal antibody ( rituximab or ofatumumab) for the treatment of adult patients with chronic lymphocytic leukaemia (CLL):

  • who have received at least one prior therapy, or
  • as first line treatment in the presence of 17p deletion or TP53 mutation in patients unsuitable for chemo-immunotherapy.”

For information, the full indications for Zydelig will be as follows:
“Zydelig is indicated in combination with an anti-CD20 monoclonal antibody (rituximab or ofatumumab) for the treatment of adult patients with chronic lymphocytic leukaemia (CLL):

  • who have received at least one prior therapy, or
  • as first line treatment in the presence of 17p deletion or TP53 mutation in patients unsuitable for chemo-immunotherapy.

Zydelig is indicated as monotherapy for the treatment of adult patients with follicular lymphoma (FL) that is refractory to two prior lines of treatment.”

Detailed recommendations for the use of this product will be described in the updated summary of product characteristics, which will be published in the revised European public assessment report, and will be available in all official European Union languages after a decision on this change to the marketing authorisation has been granted by the European Commission.