EMA Recommends Extension of Therapeutic Indications for Denosumab

Change in indications considers prevention of skeletal related events in adults with advanced malignancies involving bone

On 22 February 2018, 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 denosumab (Xgeva). 

The marketing authorisation holder for this medicinal product is Amgen Europe B.V. 

The CHMP adopted an extension to an existing indication as follows: Prevention of skeletal related events (pathological fracture, radiation to bone, spinal cord compression or surgery to bone) in adults with advanced malignancies involving bone. 

The change in the indication is that previously denosumab was indicated for prevention of skeletal related events in adults with bone metastases from solid tumours. 

For information, the full indications for Xgeva will be as follows: Prevention of skeletal related events (pathological fracture, radiation to bone, spinal cord compression or surgery to bone) in adults with advanced malignancies involving bone.

Treatment of adults and skeletally mature adolescents with giant cell tumour of bone that is unresectable or where surgical resection is likely to result in severe morbidity. 

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.

Summaries of positive opinion are published without prejudice to the Commission decision, which will normally be issued 67 days from adoption of the opinion.