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Erwinase (crisantaspase)

ARTGs
371877
Device/Product name
Erwinase
Active Ingredient
Crisantaspase
Date of decision
Published
Submission type
New biological entity
Decision
Approved
What was the decision based on
The decision was based on quality (chemistry and manufacturing), nonclinical (pharmacology and toxicology), clinical (pharmacology, safety and efficacy) and risk management plan information submitted by the sponsor. The benefit-risk profile of Erwinase was considered favourable for the therapeutic use approved.
What steps were involved in the decision process

Registration timeline

The following table summarises the key steps and dates for this application.

Description

Date

Submission dossier accepted and first round evaluation commenced

 

30 September 2021

 

Delegate’s Overall benefit-risk assessment and request for Advisory Committee advice

31 October 2023

 

Advisory Committee meeting

30 November and 1 December 2023

 

Registration decision (Outcome)

6 February 2024

 

Completion of administrative activities and registration on ARTG

14 February 2024

 

Number of working days from submission dossier acceptance to registration decision*

228

 

*Statutory timeframe for standard applications is 255 working days

Date of entry onto ARTG
Black triangle scheme
Yes
Dose forms
Powder for injection/infusion
Strength
10,000 international units (IU)/3 mL
Containers
Vial
Pack sizes
5
Routes of administration
Intravenous or intramuscular
Dosage

The same dosage recommendations apply to paediatric and adult patients. 

To substitute for a dose of pegaspargase: The recommended dose for each planned dose of pegaspargase is 25,000 international units/m2 administered intramuscularly or intravenously three times a week (Monday/Wednesday/Friday) for six doses.

For further information refer to the Product Information

Pregnancy category
D
Drugs which have caused, are suspected to have caused or may be expected to cause, an increased incidence of human fetal malformations or irreversible damage. These drugs may also have adverse pharmacological effects. Accompanying texts should be consulted for further details.
The use of any medicine during pregnancy requires careful consideration of both risks and benefits by the treating health professional. The pregnancy database must not be used as the sole basis of decision making in the use of medicines during pregnancy. The TGA does not provide advice on the use of medicines in pregnancy for specific cases. More information is available from obstetric drug information services in your state or territory.
What was approved

Erwinase (crisantaspase) was approved for the following therapeutic use:

Erwinase is indicated as a component of a multi-agent chemotherapeutic regimen for the treatment of patients with acute lymphoblastic leukemia (ALL) who have developed hypersensitivity to pegylated asparaginase obtained from E. coli.

What is this medicine and how does it work
Crisantaspase catalyzes the deamidation of asparagine to aspartic acid and ammonia, resulting in a reduction in circulating levels of asparagine. The mechanism of action of Erwinase is thought to be based on the inability of leukemic cells to synthesize asparagine due to lack of asparagine synthetase activity, resulting in cytotoxicity specific for leukemic cells that depend on an exogenous source of amino acid asparagine for their protein metabolism and survival.
What post-market commitments will the sponsor undertake

Erwinase (crisantaspase) is to be included in the Black Triangle Scheme. The PI [Product Information] and CMI [Consumer Medicines Information] for Erwinase must include the black triangle symbol and mandatory accompanying text for five years, which starts from the date that the sponsor notifies the TGA of supply of the product.

The Erwinase EU [European Union] risk management plan (RMP) (version 1.1, dated 10 February 2021, data lock point 30 April 2020), with Australia-specific annex (version 1.2, dated 3 March 2023), included with Submission PM-2021-03236-1-6, and any subsequent revisions, as agreed with the TGA will be implemented in Australia.

An obligatory component of risk management plans is routine pharmacovigilance. Routine pharmacovigilance includes the submission of periodic safety update reports (PSURs).

 

Further information

The latest Product Information (PI) and Consumer Medicines Information (CMI) can be found by searching the Australian Register of Therapeutic Goods (ARTG).

Australian Public Assessment Reports (AusPARs) can be found by searching our AusPAR dataset.

The latest news and updates regarding therapeutic goods regulation can be found on our news page.

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