Dextran sulfate low molecular weight for the treatment of amyotrophic lateral sclerosis

Time:2022-03-29 Views:280
13 November 2020
EMADOC-628903358-2745

Public summary of opinion on orphan designation
Dextran sulfate low molecular weight for the treatment of amyotrophic lateral sclerosis


On 21 August 2020, orphan designation EU/3/20/2318 was granted by the European Commission to TikoMed AB, Sweden, for dextran sulfate low molecular weight (also known as ILB) for the treatment of amyotrophic lateral sclerosis.

What is amyotrophic lateral sclerosis?

Amyotrophic lateral sclerosis (ALS) is a progressive disease of the nervous system, where nerve cells in the brain and spinal cord that control voluntary movement gradually deteriorate, causing loss of muscle function and paralysis. The exact causes are unknown but are believed to include genetic and environmental factors. The symptoms of ALS depend on which muscles weaken first, and include loss of balance, loss of control of hand and arm movement, and difficulty speaking, swallowing and breathing. ALS usually starts in midlife and men are more likely to develop the disease than women.
ALS is a debilitating and life-threatening disease because of the gradual loss of function and its paralysing effect on muscles used for breathing, which usually leads to death from respiratory failure.

What is the estimated number of patients affected by the condition?

At the time of designation, amyotrophic lateral sclerosis affected approximately 1 in 10,000 people in the European Union (EU). This was equivalent to a total of around 52,000 people*, and is below the ceiling for orphan designation, which is 5 people in 10,000. This is based on the information provided by the sponsor and the knowledge of the Committee for Orphan Medicinal Products (COMP).

What treatments are available?

At the time of designation, riluzole was authorised in the EU to treat ALS. Patients also received supportive treatment, such as physiotherapy and breathing support, to relieve the symptoms of the disease.

The sponsor has provided sufficient information to show that the medicine might be of significant benefit for patients with amyotrophic lateral sclerosis because early data suggest that the medicine could improve patients’ physical function and symptoms.
This assumption will need to be confirmed at the time of marketing authorisation, in order to maintain the orphan status.

How is this medicine expected to work?

The way the medicine might work in ALS is not fully understood. The medicine is expected to work by increasing the release and activation of growth factors, molecules in the body that stimulate cell growth. This is thought to help regenerate damaged tissues and reduce nerve cell death, thereby improving the symptoms of the disease.

What is the stage of development of this medicine?

The effects of dextran sulfate low molecular weight have been evaluated in experimental models.

At the time of submission of the application for orphan designation, clinical trials with dextran sulfate low molecular weight in patients with amyotrophic lateral sclerosis were ongoing.

At the time of submission, the medicine was not authorised anywhere in the EU for the treatment of amyotrophic lateral sclerosis or designated as an orphan medicinal product elsewhere for this condition.

In accordance with Regulation (EC) No 141/2000, the COMP adopted a positive opinion on 16 July 2020, recommending the granting of this designation.
  • the seriousness of the condition;
  • the existence of alternative methods of diagnosis, prevention or treatment;
  • either the rarity of the condition (affecting not more than 5 in 10,000 people in the EU) or insufficient returns on investment.
Designated orphan medicinal products are products that are still under investigation and are considered for orphan designation on the basis of potential activity. An orphan designation is not a marketing authorisation. As a consequence, demonstration of quality, safety and efficacy is necessary before a product can be granted a marketing authorisation.

For more information
Contact details of the current sponsor for this orphan designation can be found on EMA website. For contact details of patients’ organisations whose activities are targeted at rare diseases see:
  • Orphanet, a database containing information on rare diseases, which includes a directory of patients’ organisations registered in Europe;
Translations of the active ingredient and indication in all official EU languages1, Norwegian and Icelandic

Language

Active ingredient

Indication

English

Dextran sulfate low molecular weight

Treatment of amyotrophic lateral sclerosis

Bulgarian

Нискомолекулярен декстран сулфат

Лечение на амиотрофична латерална склероза

Croatian

Dekstran sulfat niske molekularne mase

Liječenje amiotrofične lateralne skleroze

Czech

Nízkomolekulární dextran sulfát

Léčba amyotrofické laterální sklerózy (ALS)

Danish

Dextransulfat, lavmolekylær

Behandling af amyotrofisk lateralsklerose

Dutch

Dextraansulfaat met laag moleculair gewicht

Behandeling van amyotrofe lateraalsclerose

Estonian

Madalmolekulaarne dekstraan-sulfaat

Amüotroofilise lateraalskleroosi ravi

Finnish

Dekstraanisulfaatti pienimolekyylipainoinen

Amyotrofisen lateraaliskleroosin hoito

French

Sulfate de dextrane de bas poids moléculaire

Traitement de la sclérose latérale amyotrophique

German

Dextransulfat mit niedrigem Molekulargewicht

Behandlung der amyotrophen Lateralsklerose

Greek

Θειική δεξτράνη χαμηλού μοριακού βάρους

Θεραπεία πλάγιας μυοατροφικής σκλήρυνσης

Hungarian

Alacsony molekulasúlyú dextran szulfát

Amyotrophiás lateral sclerosis kezelése

Italian

Destrano solfato a basso peso molecolare

Trattamento della sclerosi laterale amiotrofica

Latvian

Zemas molekulārās masas dekstrāna sulfāts

Amiotrofiskās laterālās sklerozes ārstēšana

Lithuanian

Mažos molekulinės masės dekstrano

sulfatas

Šoninės amiotrofinės sklerozės gydymas

Maltese

Piż molekulari baxx tas-sulfat deżtran

Kura tas-sklerosi laterali amjotrofika

Polish

Siarczan dekstranu o niskiej wadze

cząsteczkowej

Leczenie stwardnienia bocznego zanikowego

Portuguese

Sulfato de dextrano de baixo peso molecular

Tratamento da esclerose lateral amiotrófica

Romanian

Dextran sulfat cu greutate moleculară mică

Tratamentul sclerozei laterale amiotrofice

Slovak

Dextrán sulfát nízka molekulárna

hmotnosť

Liečba amyotrofickej laterálnej sklerózy

Slovenian

Nizkomolekularni dekstransulfat

Zdravljenje amiotrofične lateralne skleroze

Spanish

sulfato de dextrano de bajo peso molecular

Tratamiento de la esclerosis lateral

amiotrófica

Swedish

Dextransulfat låg molekylär vikt

Behandling av amyotrofisk lateralskleros

Norwegian

Dekstransulfat med lav molekylvekt

Behandling av amyotrofisk lateralsklerose


Language

Active ingredient

Indication

Icelandic

Dextransúlfat með lítinn sameindamassa

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