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Hemgenix (etranacogene dezaparvovec)

Australian Prescription Medicine Decision Summary
Device/Product name
Hemgenix
Active Ingredient
Etranacogene dezaparvovec
Date of decision
Published
Submission type
Type A - New biological entity
ATC codes
B02BD16
Decision
Hemgenix has been provisionally 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 Hemgenix was considered favourable for the therapeutic use approved.
What steps were involved in the decision process

This submission was evaluated under the provisional registration process.

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

DescriptionDate
Submission dossier accepted and first round evaluation commenced31 March 2023
First round evaluation completed30 August 2023
Second round evaluation completed15 November 2023
Delegate’s Overall benefit-risk assessment and request for Advisory Committee advice8 January 2024
Advisory Committee meetingFebruary 2024
Registration decision (Outcome)15 March 2024
Completion of administrative activities and registration on ARTG19 March 2024
Number of working days from submission dossier acceptance to registration decision213
Date of entry onto ARTG
Black triangle scheme
As a provisionally registered product, Hemgenix will remain in the Black Triangle Scheme for the duration of its provisional registration.
Dose forms
Hemgenix is a clear colourless solution.
Strength
10000 genome copies per mL
Other ingredients
  • Sucrose
  • Polysorbate 20
  • Potassium chloride
  • Monobasic potassium phosphate
  • Sodium chloride
  • Dibasic sodium phosphate
  • Hydrochloric acid (pH adjustment)
Containers
Glass vial
Pack sizes
48 × 10 mL multi-vial finished pack
36 × 10 mL multi-vial finished pack
24 X 10 mL multi-vial finished pack
12 × 10 mL multi-vial finished pack
10 mL vial
Routes of administration
Intravenous infusion
Dosage

A single dose of 20000000000000 genome copies per kilogram (kg) of body weight, corresponding to 2.0 mL/kg body weight.

For further information refer to the Product Information.

Pregnancy category
B2
Drugs which have been taken by only a limited number of pregnant women and women of childbearing age, without an increase in the frequency of malformation or other direct or indirect harmful effects on the human fetus having been observed.

Studies in animals are inadequate or may be lacking, but available data show no evidence of an increased occurrence of fetal damage.

The use of any medicine during pregnancy requires careful consideration of both risks and benefits by the treating health professional. This 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

Hemgenix (etranacogene dezaparvovec) was provisionally approved for the following therapeutic use:

Hemgenix is an adeno-associated virus vector-based gene therapy indicated for treatment of adults with haemophilia B (congenital factor IX deficiency), without a history of factor IX inhibitors, who:

  1. currently use factor IX prophylaxis therapy, or
  2. have current or historical life-threatening haemorrhage, or repeated, serious spontaneous bleeding episodes. 

The decision to approve this indication has been made on the basis of short-term efficacy and safety data from the clinical trial program. Continued approval of this indication depends on confirmation of longer-term benefit from ongoing clinical trials. 

What is this medicine and how does it work
Hemgenix is a treatment for haemophilia B, a disease which is caused by a defect in the gene which produces coagulation factor IX protein. This leads to insufficient production of factor IX, a protein that is critical for blood clotting. Hemgenix is composed of a functional Factor IX gene sequence packaged into a virus, which acts as a delivery vehicle for the gene. Hemgenix treats hemophilia B by introducing a copy of the fgactor IX gene into liver cells, which then produce functional factor IX. This increases the levels of functional factor IX protein in the blood. Higher factor IX levels can restore blood clotting, reducing bleeding episodes in people with haemophilia B.
What post-market commitments will the sponsor undertake

Hemgenix (etranacogene dezaparvovec) is to be included in the Black Triangle Scheme. The Product Information (PI) and Consumer Medicine Information (CMI) for Hemgenix 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 Hemgenix Risk Management Plan includes routine pharmacovigilance and the submission of periodic safety update reports.  

More information

The latest Product Information (PI) and Consumer Medicine 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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