{"id":45483,"date":"2022-06-24T16:01:38","date_gmt":"2022-06-24T14:01:38","guid":{"rendered":"https:\/\/pharma-trend.com\/en\/kyowa-kirin-receives-positive-chmp-opinion-for-use-of-crysvita-%e2%96%bcburosumab-for-the-treatment-of-tumour-induced-osteomalacia-tio\/"},"modified":"2022-06-24T16:01:38","modified_gmt":"2022-06-24T14:01:38","slug":"kyowa-kirin-receives-positive-chmp-opinion-for-use-of-crysvita-%e2%96%bcburosumab-for-the-treatment-of-tumour-induced-osteomalacia-tio","status":"publish","type":"post","link":"https:\/\/pharma-trend.com\/en\/kyowa-kirin-receives-positive-chmp-opinion-for-use-of-crysvita-%e2%96%bcburosumab-for-the-treatment-of-tumour-induced-osteomalacia-tio\/","title":{"rendered":"Kyowa Kirin Receives Positive CHMP Opinion for Use of CRYSVITA\u00ae \u25bc(burosumab) for the Treatment of Tumour-Induced Osteomalacia (TIO)"},"content":{"rendered":"<div>\n<p class=\"bwalignc\">\n<i>CRYSVITA could offer access to the first biologic treatment for EU patients with TIO who cannot undergo surgical removal of tumours<\/i>\n<\/p>\n<p>TOKYO&#8211;(BUSINESS WIRE)&#8211;Kyowa Kirin Co., Ltd. (TSE: 4151, Kyowa Kirin) today announced that the Committee for Medicinal Products for Human Use (CHMP) of the European Medicines Agency (EMA) has recommended that CRYSVITA<sup>\u00ae<\/sup> (burosumab) be approved for the treatment of FGF23-related hypophosphataemia in Tumour-Induced Osteomalacia (TIO) associated with phosphaturic mesenchymal tumours (PMTs) that cannot be curatively resected or localised in children and adolescents aged 1 to 17 years and in adults.<sup>1<\/sup> CRYSVITA is also already licensed for use in the rare disease X-Linked Hypophosphataemia (XLH), for children and adolescents between 1 and 17 years of age with radiographic evidence of bone disease, and in adults.<sup>2<\/sup>\n<\/p>\n<p>\nAlso known as oncogenic osteomalacia, TIO is an acquired disorder caused by typically small, slow-growing, benign PMTs.<sup>3,4<\/sup> It is a rare condition with less than 1000 cases reported in the medical literature,<sup>4<\/sup> which mainly affects adults and with a mean onset age of 40 \u2013 45 years.<sup>3,5<\/sup> TIO is associated with progressive and debilitating musculoskeletal deficits,<sup>6,7<\/sup> ultimately having a detrimental impact on ability to perform daily activities, as well as on physical and social wellbeing.<sup>8<\/sup>\n<\/p>\n<p>\nA cure for TIO can be achieved with complete surgical resection of the causative tumour(s), however, surgical resection is not always possible due to the location and difficulty in detecting tumours.<sup>3,5<\/sup> TIO may recur and persist following incomplete or unsuccessful surgical resection.<sup>9<\/sup>\n<\/p>\n<p>\nIf approved by the European Commission (EC), CRYSVITA will be the first biologic treatment available to European patients with TIO, which blocks the action of FGF23, restoring phosphate homeostasis.<sup>2,10<\/sup>\n<\/p>\n<p>\n\u201cBeing diagnosed with a rare condition, like TIO, does present many challenges for patients and treating physicians, including the diagnostic process and the current lack of specific therapies. The unmet need for people living with TIO is clear, so this positive CHMP opinion is a very important step forward for those who cannot be cured by tumour removal and for the healthcare professionals supporting them,\u201d said Professor Ralf Oheim, Department of Osteology and Biomechanics, University Medical Center Hamburg.\n<\/p>\n<p>\n\u201cFor people diagnosed with TIO in Europe, we are a step closer to being able to deliver the first biologic treatment for those who cannot undergo surgical removal of tumours,\u201d said Abdul Mullick, President of Kyowa Kirin International. \u201cThis positive CHMP opinion is a much welcomed milestone for CRYSVITA, which is currently approved for use in Europe in adults and children with X-Linked Hypophosphataemia. I\u2019m proud that Kyowa Kirin International is helping those living with TIO, as part of our extensive work in supporting those with rare diseases gain access to life changing therapies for their diseases.\u201d\n<\/p>\n<p>\nAdministered by a subcutaneous injection, CRYSVITA is a recombinant fully human monoclonal antibody that binds to and inhibits the activity of FGF23, restoring phosphate homeostasis.<sup>2<\/sup> The efficacy and safety of CRYSVITA have been demonstrated in two Phase II clinical trials published in the disease area of TIO.<sup>11,12<\/sup> CRYSVITA has been approved for clinical use in X-Linked Hypophosphataemia (XLH) across the European Union (EU) and Great Britain (GB) since 2018, and in this indication is presently approved for use in children and adolescents aged 1 and 17 years of age with radiographic evidence of bone disease, and in adults.<sup>2<\/sup>\n<\/p>\n<p>\nThe EC will review the CHMP recommendation and a final decision on the expansion of the recommended use for CRYSVITA for the treatment of FGF23-related hypophosphataemia in TIO associated with phosphaturic mesenchymal tumours (PMTs) that cannot be curatively resected or localised in children and adolescents aged 1 to 17 years and in adults is expected in the coming months. This means that use of CRYSVITA in this TIO indication is not currently approved in the EU or GB.\n<\/p>\n<p>\n\u25bcThis medicinal product is subject to additional monitoring.\n<\/p>\n<p>\n<b>About Tumour-Induced Osteomalacia (TIO)<br \/>\n<br \/><\/b>TIO is characterised by chronic hypophosphataemia caused by tumour(s) secreting excess fibroblast growth factor 23 (FGF23),<sup>3<\/sup> which can lead to issues such as decreased intestinal phosphate absorption and compromised vitamin D activation.<sup>3,4<\/sup>\n<\/p>\n<p>\nThe most common signs and symptoms include bone pain, difficulty walking, pathological fractures, height loss and muscle weakness.<sup>6<\/sup> In TIO, muscle weakness and pain severely interfere with physical functioning, including standing up without assistance, walking and ability to work.<sup>8<\/sup> The pain in TIO also severely interferes with mood and moderately interferes with enjoyment of life for those living with it.<sup>8<\/sup>\n<\/p>\n<p>\nTIO diagnosis is often missed and\/or delayed and testing serum phosphate levels is important for diagnosis.<sup>3 <\/sup>The only cure in TIO is complete removal of the causative tumour(s).<sup>3<\/sup> Pharmacological treatment should be considered in TIO cases where tumour(s) cannot be curatively resected or localised.<sup>3<\/sup> Restoring phosphate homeostasis is essential to improve the health of people living with TIO.<sup>3<\/sup>\n<\/p>\n<p>\n<b>About CRYSVITA<sup>\u00ae<\/sup> (burosumab) in TIO<br \/>\n<br \/><\/b>CRYSVITA (burosumab) was created and developed by Kyowa Kirin and is a recombinant fully human monoclonal antibody that binds to and inhibits the activity of FGF23.<sup>2<\/sup> CRYSVITA blocks the action of FGF23, restoring phosphate homeostasis.<sup>2<\/sup>\n<\/p>\n<p>\nThe efficacy and safety of CRYSVITA have been demonstrated in two Phase 2 clinical trials published in the disease area of TIO.<sup>11,12<\/sup> CRYSVITA was well-tolerated and demonstrated an acceptable safety profile.<sup>11,12<\/sup>\n<\/p>\n<p>\nCRYSVITA is presently indicated for the treatment of XLH in children and adolescents aged 1 to 17 years with radiographic evidence of bone disease, and in adults.<sup>2<\/sup> If approved by the European Commission, CRYSVITA would be indicated for the treatment of FGF23-related hypophosphataemia in TIO associated with PMTs that cannot be curatively resected or localised in children and adolescents aged 1 to 17 years and in adults.<sup>1<\/sup> CRYSVITA is given as a subcutaneous injection, every 4 weeks in adults and every 2 weeks in children and adolescents aged 1 to 17 years.<sup>2<\/sup>\n<\/p>\n<p>\nCRYSVITA is currently approved for use in the treatment of TIO in a number of countries, including the United States<sup>13<\/sup> and Japan.<sup>14<\/sup>\n<\/p>\n<p>\nKyowa Kirin and Ultragenyx Pharmaceutical Inc. (NASDAQ: RARE: Ultragenyx) have been collaborating in the development and commercialisation of CRYSVITA globally, based on the collaboration and licence agreement between Kyowa Kirin and Ultragenyx.\n<\/p>\n<p>\n<b>About Kyowa Kirin<br \/>\n<br \/><\/b>Kyowa Kirin strives to create and deliver novel medicines with life-changing value. As a Japan based global specialty pharmaceutical company with a heritage of more than 70 years, the company applies cutting-edge science, including expertise in antibody research and engineering, to address the needs of patients across multiple therapeutic areas such as nephrology, oncology, immunology\/allergy and neurology. Across its four regions \u2013 Japan, Asia Pacific, North America and EMEA\/International \u2013 Kyowa Kirin focuses on its purpose, to make people smile, and is united by its shared values of commitment to life, teamwork, innovation and integrity.\n<\/p>\n<p>\nYou can learn more about the business of Kyowa Kirin at: <a target=\"_blank\" href=\"https:\/\/cts.businesswire.com\/ct\/CT?id=smartlink&amp;url=https%3A%2F%2Fwww.kyowakirin.com%2F&amp;esheet=52761438&amp;newsitemid=20220624005247&amp;lan=en-US&amp;anchor=https%3A%2F%2Fwww.kyowakirin.com%2F&amp;index=1&amp;md5=1bda2919930bfc83bd917517a51efeb7\" rel=\"nofollow noopener\" shape=\"rect\">https:\/\/www.kyowakirin.com\/<\/a>\n<\/p>\n<p>\n<b>Kyowa Kirin International<br \/>\n<br \/><\/b><a target=\"_blank\" href=\"https:\/\/cts.businesswire.com\/ct\/CT?id=smartlink&amp;url=http%3A%2F%2Fwww.international.kyowa-kirin.com&amp;esheet=52761438&amp;newsitemid=20220624005247&amp;lan=en-US&amp;anchor=http%3A%2F%2Fwww.international.kyowa-kirin.com&amp;index=2&amp;md5=f49fb1be9062ab6185a747f73a8d455c\" rel=\"nofollow noopener\" shape=\"rect\">http:\/\/www.international.kyowa-kirin.com<\/a> \/ <a target=\"_blank\" href=\"https:\/\/cts.businesswire.com\/ct\/CT?id=smartlink&amp;url=http%3A%2F%2Fwww.kyowakirin.com&amp;esheet=52761438&amp;newsitemid=20220624005247&amp;lan=en-US&amp;anchor=www.kyowakirin.com&amp;index=3&amp;md5=f497c5b5df5644d1d3ca404ccff25c56\" rel=\"nofollow noopener\" shape=\"rect\">www.kyowakirin.com<\/a><br \/>Galabank Business Park<br \/>\n<br \/>Galashiels, TD1 1QH<br \/>\n<br \/>United Kingdom\n<\/p>\n<p>\n<b>References<\/b>\n<\/p>\n<p>\n<sup>1<\/sup> European Medicines Agency. CRYSVITA TIO CHMP Opinion. Available at: <a target=\"_blank\" href=\"https:\/\/cts.businesswire.com\/ct\/CT?id=smartlink&amp;url=https%3A%2F%2Fwww.ema.europa.eu%2Fen%2Fdocuments%2Fsmop%2Fchmp-post-authorisation-summary-positive-opinion-crysvita-ii-23_en.pdf&amp;esheet=52761438&amp;newsitemid=20220624005247&amp;lan=en-US&amp;anchor=https%3A%2F%2Fwww.ema.europa.eu%2Fen%2Fdocuments%2Fsmop%2Fchmp-post-authorisation-summary-positive-opinion-crysvita-ii-23_en.pdf&amp;index=4&amp;md5=97c5ff990feee9fc9d499043b03f5fe8\" rel=\"nofollow noopener\" shape=\"rect\">https:\/\/www.ema.europa.eu\/en\/documents\/smop\/chmp-post-authorisation-summary-positive-opinion-crysvita-ii-23_en.pdf<\/a>. Last updated: June 2022. Last accessed: June 2022.\n<\/p>\n<p>\n<sup>2<\/sup> Kyowa Kirin Limited. CRYSVITA (burosumab). Summary of Product Characteristics. 2021.\n<\/p>\n<p>\n<sup>3<\/sup> Brandi ML, et al. Challenges in the management of tumor-induced osteomalacia (TIO). <i>Bone<\/i>. 2021;152:1160-64.\n<\/p>\n<p>\n<sup>4<\/sup> Florenzano P, et al. Tumor-Induced Osteomalacia. <i>Calcified Tissue International<\/i>. 2021;108:128-42.\n<\/p>\n<p>\n<sup>5<\/sup> Dahir K, et al. Diagnosis and Management of Tumor-Induced Osteomalacia: Perspectives from Clinical Experience. <i>Journal of the Endocrine Society<\/i>. 2021;5:1-12.\n<\/p>\n<p>\n<sup>6<\/sup> Feng J, et al. The diagnostic dilemma of tumor induced osteomalacia: a retrospective analysis of 144 cases. <i>Endocrine Journal<\/i>. 2017;64:675-83.\n<\/p>\n<p>\n<sup>7<\/sup> Minisola S, et al. Tumour-induced osteomalacia. <i>Nature Reviews Disease Primers<\/i>. 2017 ;3 :17044.\n<\/p>\n<p>\n<sup>8<\/sup> Jerkovich F, et al. Burden of Disease in Patients with Tumor-Induced Osteomalacia. <i>JBMR Plus<\/i>. 2020;5:e10436.\n<\/p>\n<p>\n<sup>9<\/sup> Cianferotti L, et al. Persistence and recurrence in tumor-induced osteomalacia: A systematic review of the literature and results from a national survey\/case series. <i>Endocrine<\/i>. 2022;76:709-721.\n<\/p>\n<p>\n<sup>10<\/sup> Oe Y, et al<i>. <\/i><i>Medicine<\/i> (Baltimore). 2021;100:e27895.\n<\/p>\n<p>\n<sup>11<\/sup> Imanishi Y, et al. Interim Analysis of a Phase 2 Open-Label Trial Assessing Burosumab Efficacy and Safety in Patients with Tumor-Induced Osteomalacia. <i>Journal of Bone and Mineral Research<\/i>. 2021;36:262-70.\n<\/p>\n<p>\n<sup>12<\/sup> Jan de Beur S, et al. Burosumab for the Treatment of Tumor-Induced Osteomalacia. <i>Journal of Bone and Mineral Research<\/i>. 2021;36:627-35.\n<\/p>\n<p>\n<sup>13<\/sup> Kyowa Kirin. Ultragenyx and Kyowa Kirin Announce US FDA Approval of CRYSVITA (Burosumab) for the Treatment of Tumor-Induced Osteomalacia (TIO). 2020. Available at: <a target=\"_blank\" href=\"https:\/\/cts.businesswire.com\/ct\/CT?id=smartlink&amp;url=https%3A%2F%2Fwww.kyowakirin.com%2Fmedia_center%2Fnews_releases%2F2020%2Fpdf%2Fe20200619_01.pdf&amp;esheet=52761438&amp;newsitemid=20220624005247&amp;lan=en-US&amp;anchor=https%3A%2F%2Fwww.kyowakirin.com%2Fmedia_center%2Fnews_releases%2F2020%2Fpdf%2Fe20200619_01.pdf&amp;index=5&amp;md5=c35cf51940c1f9e446b2a0de3df7b8e8\" rel=\"nofollow noopener\" shape=\"rect\">https:\/\/www.kyowakirin.com\/media_center\/news_releases\/2020\/pdf\/e20200619_01.pdf<\/a>. Last Accessed: June 2022.\n<\/p>\n<p>\n<sup>14<\/sup> Kyowa Kirin. Kyowa Kirin Announces Approval of CRYSVITA (Burosumab) for the Treatment of FGF23-related Hypophosphatemic Rickets and Osteomalacia in Japan. Available at: <a target=\"_blank\" href=\"https:\/\/cts.businesswire.com\/ct\/CT?id=smartlink&amp;url=https%3A%2F%2Fwww.kyowakirin.com%2Fmedia_center%2Fnews_releases%2F2019%2Fe20190920_01.html&amp;esheet=52761438&amp;newsitemid=20220624005247&amp;lan=en-US&amp;anchor=https%3A%2F%2Fwww.kyowakirin.com%2Fmedia_center%2Fnews_releases%2F2019%2Fe20190920_01.html&amp;index=6&amp;md5=0ec92394b3dfb71297a11abb9b706493\" rel=\"nofollow noopener\" shape=\"rect\">https:\/\/www.kyowakirin.com\/media_center\/news_releases\/2019\/e20190920_01.html<\/a>. Last Accessed: June 2022.\n<\/p>\n<p>\nKKI\/INT\/BUR\/1663<br \/>\n<br \/>Date of preparation: June 2022\n<\/p>\n<p> <b>Contacts<\/b> <\/p>\n<p>\n<b>Contacts for Kyowa Kirin Co., Ltd.:<\/b><br \/><b>Media<\/b><br \/>Hiroki Nakamura<br \/>\n<br \/>+81-3-5205-7205<br \/>\n<br \/>Email: <a target=\"_blank\" href=\"https:\/\/cts.businesswire.com\/ct\/CT?id=smartlink&amp;url=mailto%3Amedia%40kyowakirin.com+&amp;esheet=52761438&amp;newsitemid=20220624005247&amp;amp;lan=en-US&amp;anchor=media%40kyowakirin.com&amp;index=7&amp;md5=e62c22ca0ab58ad0e60d865d77e256c6\" rel=\"nofollow noopener\" shape=\"rect\">&#x6d;&#101;&#x64;&#105;a&#x40;&#107;y&#x6f;&#119;&#x61;&#x6b;i&#x72;&#105;n&#x2e;&#99;&#x6f;&#x6d; <\/a>\n<\/p>\n<p>\n<b>Contacts for Kyowa Kirin International:<\/b><br \/><b>Media<\/b><br \/>Stacey Minton<br \/>\n<br \/>+44 (0) 7769 656073<br \/>\n<br \/>Email: <a target=\"_blank\" href=\"&#109;&#x61;&#105;&#x6c;&#116;&#x6f;:&#x53;t&#x61;c&#101;&#x79;&#46;&#x4d;&#105;&#x6e;&#116;&#x6f;n&#x40;k&#x79;o&#119;&#x61;&#107;&#x69;&#114;&#x69;&#110;&#x2e;c&#x6f;m\" rel=\"nofollow noopener\" shape=\"rect\">&#x53;&#116;&#x61;&#x63;&#101;&#x79;&#x2e;&#77;&#x69;&#x6e;&#116;&#x6f;&#x6e;&#64;&#x6b;&#x79;o&#x77;&#97;k&#x69;&#114;i&#x6e;&#46;c&#x6f;&#109;<\/a>\n<\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>CRYSVITA could offer access to the first biologic treatment for EU patients with TIO who cannot undergo surgical removal of tumours TOKYO&#8211;(BUSINESS WIRE)&#8211;Kyowa Kirin Co., Ltd. (TSE: 4151, Kyowa Kirin) today announced that the Committee for Medicinal Products for Human Use (CHMP) of the European Medicines Agency (EMA) has recommended that CRYSVITA\u00ae (burosumab) be approved &#8230; <span class=\"more\"><a class=\"more-link\" href=\"https:\/\/pharma-trend.com\/en\/kyowa-kirin-receives-positive-chmp-opinion-for-use-of-crysvita-%e2%96%bcburosumab-for-the-treatment-of-tumour-induced-osteomalacia-tio\/\">[Read more&#8230;]<\/a><\/span><\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[13],"tags":[],"class_list":["entry","post","publish","author-business","post-45483","format-standard","category-industry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Kyowa Kirin Receives Positive CHMP Opinion for Use of CRYSVITA\u00ae \u25bc(burosumab) for the Treatment of Tumour-Induced Osteomalacia (TIO) - Pharma Trend<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/pharma-trend.com\/en\/kyowa-kirin-receives-positive-chmp-opinion-for-use-of-crysvita-\u25bcburosumab-for-the-treatment-of-tumour-induced-osteomalacia-tio\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Kyowa Kirin Receives Positive CHMP Opinion for Use of CRYSVITA\u00ae \u25bc(burosumab) for the Treatment of Tumour-Induced Osteomalacia (TIO) - Pharma Trend\" \/>\n<meta property=\"og:description\" content=\"CRYSVITA could offer access to the first biologic treatment for EU patients with TIO who cannot undergo surgical removal of tumours TOKYO&#8211;(BUSINESS WIRE)&#8211;Kyowa Kirin Co., Ltd. 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