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Velsipity (etrasimod)

Australian Prescription Medicine Decision Summary


 
Device/Product name
Velsipity
Active Ingredient
Etrasimod
Date of decision
Published
Submission type
Type A (New chemical entity)
ATC codes
L04AE: Sphingosine-1-phosphate (S1P) receptor modulators
Decision
Approved
What was the decision based on
The decision was based on quality (chemistry and manufacturing), nonclinical (pharmacology and toxicology studies conducted in animal models), clinical (pharmacology, safety and efficacy trials in humans) and risk management plan information submitted by the sponsor.

The main studies submitted for clinical evaluation were two randomised, double-blind, placebo-controlled, Phase 3 pivotal efficacy/safety studies, which were supported by two completed phase II studies.
What steps were involved in the decision process

This submission was evaluated under the standard prescription medicines registration process.

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

Registration process stepDate
Dossier accepted and first round evaluation commenced31 March 2023
First round evaluation completed7 September2023
Second round evaluation completed22 December 2023
Delegate’s Overall benefit-risk assessment and request for Advisory Committee advice 2 January 2024
Sponsor’s pre-Advisory Committee response16 January 2024
ACM Meeting 23 April 2024
Registration decision (Outcome)17 May 2024
Administrative activities and registration in the ARTG completed22 May 2024
Number of working days from submission dossier acceptance to registration decision*246

*Statutory timeframe for standard submissions is 255 working days

Date of entry onto ARTG
Dose forms
Velsipity is a green, round, film-coated tablet
Strength
Each film-coated tablet contains 2.762 mg of etrasimod arginine, equivalent to 2 mg etrasimod.
Other ingredients

• Magnesium stearate
• Mannitol
• Microcrystalline cellulose
• Sodium starch glycollate type A
• Opadry® II Complete Film Coating System 85F110190-CN Green (ID: 144806)

Containers
Velsipity 2 mg film coated tablets are supplied in:
-high-density polyethylene (HDPE) bottles closed with a child-resistant polypropylene cap and packaged inside an outer carton.
-aluminum strip laminated to an oriented polyamine (oPA) film and integrated desiccant layer (HDPE/LDPE) with a paper/aluminum/LDPE backing.
Pack sizes
Blister Packs: 7, 28 or 98 tablets
Bottle: 30 tablets
Routes of administration
Oral
Dosage

2 mg taken orally once daily.

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.

There are no adequate and well-controlled studies on the developmental risk associated with the use of VELSIPITY in pregnant women. VELSIPITY should not be used during pregnancy.

In animal studies, administration of etrasimod during pregnancy produced adverse effects on development, including embryolethality and fetal malformations, in both rats and rabbits at clinically relevant maternal exposures.
What was approved

Velsipity was approved for the treatment of adults with moderately to severely active ulcerative colitis who have had inadequate response, loss of response or intolerance to conventional, biologic or Janus kinase inhibitor therapies.

What is this medicine and how does it work
Velsipity (etrasimod) blocks the function of proteins called sphingosine 1-phosphate (S1P) receptors (specifically S1P 1, 4 and 5). S1P receptors control the migration of lymphocytes. Through its blocking action on S1P receptors, Etrasimod partially and reversibly blocks the capacity of lymphocytes to move from lymph nodes to the intestines. Some types of lymphocytes cause inflammation. The exact mechanism by which etrasimod exerts therapeutic effects in ulcerative colitis is unknown but may involve the reduction of lymphocyte migration into the intestines thereby limiting inflammation.
What post-market commitments will the sponsor undertake

Velsipity is to be included in the Black Triangle Scheme. The PI and CMI for Velsipity 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 Velsipity Risk Management Plan (RMP) as agreed with the TGA will be implemented in Australia. An obligatory component of RMPs is routine pharmacovigilance, which includes the submission of periodic safety update reports (PSURs).

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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