{"id":48475,"date":"2022-09-16T13:02:27","date_gmt":"2022-09-16T11:02:27","guid":{"rendered":"https:\/\/pharma-trend.com\/en\/chmp-adopts-positive-opinion-to-extend-indication-of-veklury-remdesivir-for-the-treatment-of-pediatric-patients-with-covid-19\/"},"modified":"2022-09-16T13:02:27","modified_gmt":"2022-09-16T11:02:27","slug":"chmp-adopts-positive-opinion-to-extend-indication-of-veklury-remdesivir-for-the-treatment-of-pediatric-patients-with-covid-19","status":"publish","type":"post","link":"https:\/\/pharma-trend.com\/en\/chmp-adopts-positive-opinion-to-extend-indication-of-veklury-remdesivir-for-the-treatment-of-pediatric-patients-with-covid-19\/","title":{"rendered":"CHMP Adopts Positive Opinion to Extend Indication of Veklury\u00ae (Remdesivir) for the Treatment of Pediatric Patients with COVID-19"},"content":{"rendered":"<div>\n<p class=\"bwalignc\">\n<b><i>&#8212; If Granted by the European Commission, Veklury Will Become the First and Only Authorized Antiviral Treatment for Pediatric Patients Under 12 Years of Age in the European Union &#8212;<\/i><\/b>\n<\/p>\n<p>FOSTER CITY, Calif.&#8211;(BUSINESS WIRE)&#8211;Gilead Sciences, Inc. (Nasdaq: GILD) today announced that the Committee for Medicinal Products for Human Use (CHMP) of the European Medicines Agency (EMA) adopted a positive opinion to extend the indication of Veklury<sup>\u00ae<\/sup> (remdesivir) for the treatment of pediatric patients (weighing at least 40 kg) who do not require supplemental oxygen and are at increased risk of progressing to severe COVID-19 and pediatric patients (4 weeks of age and older and weighing at least 3 kg) with SARS-CoV-2 with pneumonia who require supplemental oxygen (low- or high-flow oxygen or other non-invasive ventilation at the start of treatment). The European Commission (EC) will review the CHMP recommendation, and if adopted, Veklury will be the only authorized COVID-19 treatment for adolescents at high risk of progressing to severe COVID-19 and pediatric patients with COVID-19 requiring supplemental oxygen.\n<\/p>\n<p><a href=\"https:\/\/mms.businesswire.com\/media\/20220915006144\/en\/778437\/5\/GCP_Primarylarge_%281%29.jpg\"><img decoding=\"async\" src=\"https:\/\/mms.businesswire.com\/media\/20220915006144\/en\/778437\/21\/GCP_Primarylarge_%281%29.jpg\"><\/a><\/p>\n<p>\n\u201c<!-- no quote -->As the pandemic persists, there remains a critical need for proven and effective antiviral therapies like Veklury that can treat some of the most vulnerable in our society,\u201d said Merdad Parsey, MD, PhD, Chief Medical Officer, Gilead Sciences. \u201c<!-- no quote -->We are proud of today\u2019s CHMP opinion that represents a positive step toward bridging the treatment gap for children and helping them recover from COVID-19 more quickly.\u201d\n<\/p>\n<p>\nThis positive opinion was based on results from the ongoing CARAVAN Phase 2\/3 study, which demonstrated Veklury was generally well-tolerated among pediatric patients hospitalized with COVID-19, with a high proportion of participants showing clinical improvement and recovery, as well as data from trials in adults. Of the 53 pediatric patients enrolled in the CARAVAN study, no new safety signals were apparent for patients treated with Veklury. Overall, 75% and 85% showed clinical improvement (\u22652 point increase on an ordinal scale) at Day 10 and last assessment, respectively, while 60% and 83% were discharged by Day 10 and Day 30, respectively. In the study, 38 patients (72%) experienced adverse events (AEs), with 11 patients (21%) experiencing serious adverse events (SAEs) that were determined not to be study-drug related, including three participant deaths, which were consistent with the patients\u2019 underlying medical conditions prior to study entry or with COVID-19 during hospitalization.\n<\/p>\n<p>\n\u201c<!-- no quote -->As the COVID-19 pandemic evolves, it\u2019s important to have effective treatments with well-established safety profiles, including for the vulnerable groups like children to help them recover faster from COVID-19,\u201d said Pablo Rojo, MD, PhD, Pediatric Infectious Diseases Specialist of Hospital 12 de Octubre, Madrid, Spain and Associate Professor of Complutense University, Madrid, Spain. \u201c<!-- no quote -->Therefore, the medical community welcomes this CHMP positive opinion for Veklury in pediatric patients and looks forward to the EC decision.\u201d\n<\/p>\n<p>\nIn the European Economic Area (EEA), Veklury is the only antiviral indicated for both the treatment of COVID-19 in adult patients who do not require supplemental oxygen and are at increased risk of developing severe COVID-19, as well as adults and adolescents (aged 12 to less than 18 years and weighing at least 40 kg) with pneumonia requiring supplemental oxygen (low- or high-flow oxygen or other non-invasive ventilation at start of treatment).\n<\/p>\n<p>\n<b><span class=\"bwuline\">About Veklury<\/span><\/b>\n<\/p>\n<p>\nVeklury (remdesivir) is a nucleotide analog invented by Gilead, building on more than a decade of the company\u2019s antiviral research. Veklury is a foundation for the treatment of hospitalized patients with COVID-19 and is a recommended treatment for reducing disease progression in non-hospitalized patients at high risk of disease progression. Veklury has an established safety profile and minimal known drug interactions in diverse populations. It can help reduce disease progression across a spectrum of disease severity and enable patients to recover faster, freeing up limited hospital resources and saving healthcare systems money.\n<\/p>\n<p>\nVeklury directly inhibits viral replication inside of the cell by targeting the SARS-CoV-2 viral RNA polymerase. Based on <i>in vitro<\/i> analyses, Veklury retains antiviral activity against Omicron subvariants BA.2.12.2, BA.4 and BA.5, which are currently the most common circulating variants. Data continue to confirm that Veklury retains antiviral activity against all Omicron subvariants analyzed to date. Gilead continuously evaluates the activity of Veklury against new SARS-CoV-2 variants of concern as they emerge around the world.\n<\/p>\n<p>\nVeklury is approved in more than 50 countries worldwide. To date, Veklury and generic remdesivir have been made available to more than 11 million patients around the world, including more than 7 million people in 127 middle- and low-income countries through Gilead\u2019s voluntary licensing program. These licenses currently remain royalty-free, reflecting Gilead\u2019s existing commitment to enabling broad patient access to remdesivir.\n<\/p>\n<p>\n<b><span class=\"bwuline\">U.S. Indication for Veklury<\/span><\/b>\n<\/p>\n<p>\nVeklury<sup>\u00ae<\/sup> (remdesivir 100 mg for injection) is indicated for the treatment of COVID-19 in adults and pediatric patients (\u226528 days old and weighing \u22653 kg) with positive results of SARS-CoV-2 viral testing, who are:\n<\/p>\n<ul class=\"bwlistdisc\">\n<li>\nHospitalized, or\n<\/li>\n<li>\nNot hospitalized and have mild-to-moderate COVID-19 and are at high risk for progression to severe COVID-19, including hospitalization or death.\n<\/li>\n<\/ul>\n<p>\nFor more information, please see the U.S. full Prescribing Information available at <a target=\"_blank\" href=\"https:\/\/cts.businesswire.com\/ct\/CT?id=smartlink&amp;url=http%3A%2F%2Fwww.gilead.com&amp;esheet=52909879&amp;newsitemid=20220915006144&amp;lan=en-US&amp;anchor=www.gilead.com&amp;index=1&amp;md5=b7dca4cf44519b7610868be2ff4c5fab\" rel=\"nofollow noopener\" shape=\"rect\">www.gilead.com<\/a>.\n<\/p>\n<p>\n<b><span class=\"bwuline\">U.S. Important Safety Information for Veklury<\/span><\/b>\n<\/p>\n<p>\n<b>Contraindication<\/b>\n<\/p>\n<p>\nVeklury is contraindicated in patients with a history of clinically significant hypersensitivity reactions to Veklury or any of its components.\n<\/p>\n<p>\n<b>Warnings and precautions<\/b>\n<\/p>\n<ul class=\"bwlistdisc\">\n<li>\nHypersensitivity, including infusion-related and anaphylactic reactions: Hypersensitivity, including infusion-related and anaphylactic reactions, has been observed during and following administration of Veklury; most occurred within one hour. Monitor patients during infusion and observe for at least one hour after infusion is complete for signs and symptoms of hypersensitivity as clinically appropriate. Symptoms may include hypotension, hypertension, tachycardia, bradycardia, hypoxia, fever, dyspnea, wheezing, angioedema, rash, nausea, diaphoresis, and shivering. Slower infusion rates (maximum infusion time up to 120 minutes) can potentially prevent these reactions. If a severe infusion-related hypersensitivity reaction occurs, immediately discontinue Veklury and initiate appropriate treatment (see Contraindications).\n<\/li>\n<li>\nIncreased risk of transaminase elevations: Transaminase elevations have been observed in healthy volunteers and in patients with COVID-19 who received Veklury; these elevations have also been reported as a clinical feature of COVID-19. Perform hepatic laboratory testing in all patients (see Dosage and administration). Consider discontinuing Veklury if ALT levels increase to &gt;10x ULN. Discontinue Veklury if ALT elevation is accompanied by signs or symptoms of liver inflammation.\n<\/li>\n<li>\nRisk of reduced antiviral activity when coadministered with chloroquine or hydroxychloroquine: Coadministration of Veklury with chloroquine phosphate or hydroxychloroquine sulfate is not recommended based on data from cell culture experiments, demonstrating potential antagonism, which may lead to a decrease in antiviral activity of Veklury.\n<\/li>\n<\/ul>\n<p>\n<b>Adverse reactions<\/b>\n<\/p>\n<ul class=\"bwlistdisc\">\n<li>\nThe most common adverse reaction (\u22655% all grades) was nausea.\n<\/li>\n<li>\nThe most common lab abnormalities (\u22655% all grades) were increases in ALT and AST.\n<\/li>\n<\/ul>\n<p>\n<b>Drug interactions<\/b>\n<\/p>\n<ul class=\"bwlistdisc\">\n<li>\nDrug interaction trials of Veklury and other concomitant medications have not been conducted in humans.\n<\/li>\n<\/ul>\n<p>\n<b>Dosage and administration<\/b>\n<\/p>\n<ul class=\"bwlistdisc\">\n<li>\nDosage: For adults and pediatric patients weighing \u226540 kg: 200 mg on Day 1, followed by once-daily maintenance doses of 100 mg from Day 2 administered only via intravenous infusion. For pediatric patients \u226528 days and weighing \u22653 kg: 5 mg\/kg on Day 1, followed by once-daily maintenance doses of 2.5 mg\/kg from Day 2, administered only via intravenous infusion.\n<\/li>\n<li>\nTreatment duration:<\/p>\n<ul class=\"bwlistcircle\">\n<li>\nFor hospitalized patients requiring invasive mechanical ventilation and\/or ECMO, the recommended total treatment duration is 10 days. Veklury should be initiated as soon as possible after diagnosis of symptomatic COVID-19.\n<\/li>\n<li>\nFor hospitalized patients not requiring invasive mechanical ventilation and\/or ECMO, the recommended treatment duration is 5 days. If a patient does not demonstrate clinical improvement, treatment may be extended for up to 5 additional days for a total treatment duration of up to 10 days.\n<\/li>\n<li>\nFor non-hospitalized patients diagnosed with mild-to-moderate COVID-19 who are at high risk for progression to severe COVID-19, including hospitalization or death, the recommended total treatment duration is 3 days. Veklury should be initiated as soon as possible after diagnosis of symptomatic COVID-19 and within 7 days of symptom onset.\n<\/li>\n<\/ul>\n<\/li>\n<li>\nTesting prior to and during treatment: Perform eGFR, hepatic laboratory and prothrombin time testing prior to initiating Veklury and during use as clinically appropriate.\n<\/li>\n<li>\nRenal impairment: Veklury is not recommended in individuals with eGFR &lt;30 mL\/min.\n<\/li>\n<\/ul>\n<p>\n<b>Dose preparation and administration:<\/b>\n<\/p>\n<ul class=\"bwlistdisc\">\n<li>\nThere are two different formulations of Veklury: Veklury for injection (supplied as 100 mg lyophilized powder in vial) and Veklury injection (supplied as 100 mg\/20 mL [5 mg\/mL] solution in vial). The only approved dosage form for pediatric patients weighing 3 kg to \u226440 kg is the lyophilized powder formulation; See full Prescribing Information.\n<\/li>\n<li>\nAdministration should take place only under conditions where management of severe hypersensitivity reactions, such as anaphylaxis, is possible.\n<\/li>\n<\/ul>\n<p>\n<b>Pregnancy and lactation<\/b>\n<\/p>\n<ul class=\"bwlistdisc\">\n<li>\nPregnancy: A pregnancy registry has been established. There are insufficient human data on the use of Veklury during pregnancy. COVID-19 is associated with adverse maternal and fetal outcomes, including preeclampsia, eclampsia, preterm birth, premature rupture of membranes, venous thromboembolic disease and fetal death.\n<\/li>\n<li>\nLactation: It is not known whether Veklury can pass into breast milk. Breastfeeding individuals with COVID-19 should follow practices according to clinical guidelines to avoid exposing the infant to COVID-19.\n<\/li>\n<\/ul>\n<p>\n<b><span class=\"bwuline\">About Gilead Sciences<\/span><\/b>\n<\/p>\n<p>\nGilead Sciences, Inc. is a biopharmaceutical company that has pursued and achieved breakthroughs in medicine for more than three decades, with the goal of creating a healthier world for all people. The company is committed to advancing innovative medicines to prevent and treat life-threatening diseases, including HIV, viral hepatitis and cancer. Gilead operates in more than 35 countries worldwide, with headquarters in Foster City, California.\n<\/p>\n<p>\n<b><span class=\"bwuline\">Forward-Looking Statements<\/span><\/b>\n<\/p>\n<p>\nThis press release includes forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995 that are subject to risks, uncertainties and other factors, including Gilead\u2019s ability to effectively manage the supply and distribution of Veklury; Gilead\u2019s ability to initiate, progress or complete clinical trials within currently anticipated timelines or at all, and the possibility of unfavorable results from ongoing or additional clinical trials, including those involving Veklury; uncertainties relating to regulatory applications and related filing and approval timelines, including the risk that the EC may not grant marketing authorization for Veklury for treatment of pediatric patients with COVID-19 in a timely manner or at all; the risk that any regulatory approvals, if granted, may be subject to significant limitations on use; and any assumptions underlying any of the foregoing. These and other risks, uncertainties and factors are described in detail in Gilead\u2019s Quarterly Report on Form 10-Q for the year ended June 30, 2022, as filed with the U.S. Securities and Exchange Commission. These risks, uncertainties and other factors could cause actual results to differ materially from those referred to in the forward-looking statements. All statements other than statements of historical fact are statements that could be deemed forward-looking statements. The reader is cautioned that any such forward-looking statements are not guarantees of future performance and involve risks and uncertainties and is cautioned not to place undue reliance on these forward-looking statements. All forward-looking statements are based on information currently available to Gilead, and Gilead assumes no obligation and disclaims any intent to update any such forward-looking statements.\n<\/p>\n<p class=\"bwalignc\">\n<i>U.S. full Prescribing Information for Veklury is available at <a target=\"_blank\" href=\"https:\/\/cts.businesswire.com\/ct\/CT?id=smartlink&amp;url=http%3A%2F%2Fwww.gilead.com&amp;esheet=52909879&amp;newsitemid=20220915006144&amp;lan=en-US&amp;anchor=www.gilead.com&amp;index=2&amp;md5=49aaa9b01e54f077efdbe01d3132597d\" rel=\"nofollow noopener\" shape=\"rect\">www.gilead.com<\/a>.<\/i>\n<\/p>\n<p class=\"bwalignc\">\n<i>Veklury, Gilead and the Gilead logo are registered trademarks of Gilead Sciences, Inc., or its related companies.<\/i>\n<\/p>\n<p class=\"bwalignc\">\n<i>For more information about Gilead, please visit the company\u2019s website at <a target=\"_blank\" href=\"https:\/\/cts.businesswire.com\/ct\/CT?id=smartlink&amp;url=http%3A%2F%2Fwww.gilead.com&amp;esheet=52909879&amp;newsitemid=20220915006144&amp;lan=en-US&amp;anchor=www.gilead.com&amp;index=3&amp;md5=cc0ba3ac914fb6c0993322ac4dfaa767\" rel=\"nofollow noopener\" shape=\"rect\">www.gilead.com<\/a>, follow Gilead on Twitter (@Gilead Sciences) or call Gilead Public Affairs at 1-800-GILEAD-5 or 1-650-574-3000.<\/i>\n<\/p>\n<p> <b>Contacts<\/b> <\/p>\n<p>\nJacquie Ross, Investors<br \/>\n<br \/>(408) 656-8793<\/p>\n<p>Nicole Rodriguez, Media<br \/>\n<br \/>(650) 235-2493\n<\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>&#8212; If Granted by the European Commission, Veklury Will Become the First and Only Authorized Antiviral Treatment for Pediatric Patients Under 12 Years of Age in the European Union &#8212; FOSTER CITY, Calif.&#8211;(BUSINESS WIRE)&#8211;Gilead Sciences, Inc. (Nasdaq: GILD) today announced that the Committee for Medicinal Products for Human Use (CHMP) of the European Medicines Agency &#8230; <span class=\"more\"><a class=\"more-link\" href=\"https:\/\/pharma-trend.com\/en\/chmp-adopts-positive-opinion-to-extend-indication-of-veklury-remdesivir-for-the-treatment-of-pediatric-patients-with-covid-19\/\">[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":{"0":"entry","1":"post","2":"publish","3":"author-business","4":"post-48475","6":"format-standard","7":"category-industry"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>CHMP Adopts Positive Opinion to Extend Indication of Veklury\u00ae (Remdesivir) for the Treatment of Pediatric Patients with COVID-19 - 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\/chmp-adopts-positive-opinion-to-extend-indication-of-veklury-remdesivir-for-the-treatment-of-pediatric-patients-with-covid-19\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"CHMP Adopts Positive Opinion to Extend Indication of Veklury\u00ae (Remdesivir) for the Treatment of Pediatric Patients with COVID-19 - Pharma Trend\" \/>\n<meta property=\"og:description\" content=\"&#8212; If Granted by the European Commission, Veklury Will Become the First and Only Authorized Antiviral Treatment for Pediatric Patients Under 12 Years of Age in the European Union &#8212; FOSTER CITY, Calif.&#8211;(BUSINESS WIRE)&#8211;Gilead Sciences, Inc. 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(Nasdaq: GILD) today announced that the Committee for Medicinal Products for Human Use (CHMP) of the European Medicines Agency ... 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