Genentech, Inc. announced today a phased voluntary withdrawal of the
psoriasis drug Raptiva® (efalizumab) from the U.S. market.
The company’s decision is based on the association of Raptiva with an
increased risk of progressive multifocal leukoencephalopathy (PML), a
rare and usually fatal disease of the central nervous system. Raptiva is
indicated for the treatment of chronic moderate-to-severe plaque
psoriasis in adults 18 years or older who are candidates for systemic
therapy or phototherapy.
Effective immediately, physicians should not issue prescriptions for
Raptiva for any new patients and should promptly contact patients
currently receiving Raptiva to assess the most appropriate treatment
alternatives. Raptiva will no longer be available after June 8, 2009.
This transition period is intended to allow patients, who are currently
taking Raptiva, enough time to work with their doctors to appropriately
discontinue use of Raptiva. Because of the potential for severe
psoriasis worsening with abrupt discontinuation of Raptiva, it is
important that patients talk with their doctor before stopping treatment.
Genentech estimates that approximately 2,000 patients in the United
States may currently be receiving Raptiva for chronic plaque psoriasis.
Since FDA approval in 2003, approximately 46,000 patients worldwide have
been treated with Raptiva.
“Our decision to remove Raptiva from the market reflects Genentech’s
commitment to patient safety,” said Hal Barron, M.D., Genentech's senior
vice president, development and chief medical officer. “Although we
believe that many psoriasis patients are benefiting from Raptiva, the
balance between benefit and risk in the psoriasis population for which
Raptiva was approved has significantly changed.”
The Raptiva prescribing information was updated in October 2008 to
include a boxed warning on the risk of serious infections, including
PML, in patients receiving Raptiva. The Raptiva prescribing information
was further updated in March 2009 to include additional information on
the risk of PML and a new Medication Guide for patients.
There have been three cases of diagnosed PML in patients receiving
Raptiva and one patient treated with Raptiva who developed progressive
neurologic symptoms and died of unknown cause. It is not known whether
other, unreported cases have occurred.