Licensing Processes for Gene Therapy Products: Approved and Pending Clinical Trials in the World and Turkey
Buket Gungor (Author), Coskun Silan (Author)
Release Date: 2024-02-12
Gene therapy is a medical technology that aims to treat diseases by alteration, insertion or correction of genes. Gene therapy offers potential in treating many genetic diseases such as cystic fibrosis, blood cancers and neurological disorders. Preclinical processes include laboratory research, vector selection, gene editing studies and animal experiments. Clinical research phases consist of four [...]
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Work Type | Book Chapter |
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Published in | Gene Therapy |
First Page | 153 |
Last Page | 187 |
DOI | https://doi.org/10.69860/nobel.9786053358824.10 |
Page Count | 35 |
Copyright Holder | Nobel Tıp Kitabevleri |
License | https://nobelpub.com/publish-with-us/copyright-and-licensing |
Gene therapy products undergo rigorous clinical research and approval processes. Regulatory bodies make decisions about the safety and effectiveness of products. Approval of gene therapy products is subject to different regulations around the world. . These processes may differ in countries such as the USA, China, the European Union and Türkiye. As of 2023, 6590 clinical trials have been conducted in the field of gene therapy in Turkey, the majority of which are in Phase I and Phase I/II stages. The first approved gene therapy product was launched in 1998, and rapid advances have been made in this field in recent years. In this section, information and examples about clinical research on gene therapies are given. Information about the registration processes of gene therapy products and approved products was presented.
Buket Gungor (Author)
Çanakkale Onsekiz Mart University
https://orcid.org/0000-0002-5802-1635
3Assistant Professor Buket Güngör graduated from Trakya University Faculty of Medicine in 2008. In 2009, she received her specialization in Pharmacology from Canakkale Onsekiz Mart University Faculty of Medicine. She worked at Turkish Medicines and Medical Devices Agency Clinical Research Department between 2014-2017. She worked at Antalya Provincial Health Directorate and same time she completed master’s degree in clinical drug research Dokuz Eylül University Institute of Health Sciences. Since 2022, she has been working at from Canakkale Onsekiz Mart University Faculty of Medicine until today. She has studies on clinical trials.
Coskun Silan (Author)
Professor, Çanakkale Onsekiz Mart University
https://orcid.org/0000-0002-8352-6571
3Professor Coşkun SILAN graduated from Ege University Faculty of Medicine in 1989. In 1994, he received his specialization in Pharmacology from İstanbul University Faculty of Medicine.
He worked at Abant İzzet Baysal University Faculty of Medicine 2000-2008. Since 2008, he has been working at from Canakkale Onsekiz Mart University Faculty of Medicine until today. He has studies on Pharmaceutical Toxicology, Pharmaceutical Chemistry, Life Sciences, Biotechnology and Biomaterials.
Kaji EH, Leiden JM. Gene and stem cell therapies. JAMA. 2001;285(5).
Ginn SL, Amaya AK, Alexander IE, Edelstein M, Abedi MR. Gene therapy clinical trials worldwide to 2017: An update. J Gene Med. 2018;20(5).
Tian X, Gu T, Patel S, Bode AM, Lee MH, Dong Z. CRISPR/Cas9 – An evolving biological tool kit for cancer biology and oncology. Npj Precis Oncol. 2019;3(1).
Freshney RI. Culture of Animal Cells: A Manual of Basic Technique and Specialized Applications: Sixth Edition. Culture of Animal Cells: A Manual of Basic Technique and Specialized Applications: Sixth Edition. 2011.
Chen N, Ehmann DE, Crooker R, Derakhchan K, Fang X, Felice B, et al. Gene therapy for cross-correction of somatic organs and the CNS in mucopolysaccharidosis II in rodents and non-human primates. Mol Ther - Methods Clin Dev. 2023;29.
Zhang WG, Liu SH, Cao XM, Cheng YX, Ma XR, Yang Y, et al. A phase-I clinical trial of active immunotherapy for acute leukemia using inactivated autologous leukemia cells mixed with IL-2, GM-CSF, and IL-6. Leuk Res. 2005;29(1).
Cartier N, Hacein-Bey-Abina S, Bartholomae CC, Veres G, Schmidt M, Kutschera I, et al. Hematopoietic stem cell gene therapy with a lentiviral vector in X-linked adrenoleukodystrophy. Science. 2009;326(5954).
Lu DR, Zhou JM, Zheng B, Qiu XF, Xue JLLH, Wang JM, et al. Stage I clinical trial of gene therapy for hemophilia B. Sci China Sci Sin Ser B. 1993;36(11).
NCT. National Library of Medicine. 2015. Paclitaxel Plus Carboplatin With or Without SCH-58500 in Treating Patients With Newly Diagnosed Stage III Ovarian or Stage III Primary Peritoneal Cancer. Available from: https://clinicaltrials.gov/study/ NCT00003880
Kaski JC, Consuegra-Sanchez L. Evaluation of ASPIRE trial: A Phase III pivotal registration trial, using intracoronary administration of Generx (Ad5FGF4) to treat patients with recurrent angina pectoris. Expert Opin Biol Ther. 2013;13(12).
NCT. National Library of Medicine. 2017. Post Marketing Surveillance on Safety and Effectiveness Evaluation of INVOSSA K Inj. Available from: https://classic.clinicaltrials. gov/ct2/show/NCT03412864
Wiley. Expanded Access use of AAVrh8 Vectors Encoding HEXA and HEXB Delivered Intrathecally for Tay-Sachs and Sandhoff Diseases [Internet]. 2018. Available from: https://a873679.fmphost.com/fmi/webd/GTCT
Wiley. Patient Specific Protocol for Administration of EBV Specific CTLs Expressing HER2/neu Chimeric Receptors for Lung Cancer [Internet]. 2008. Available from: https://a873679.fmphost.com/fmi/webd/GTCT
TİTCK. T.C. Sağlık Bakanlığı Türkiye İlaç ve Tıbbi Cihaz Kurumu. İnsani Amaçlı İlaca Erken Erişim Programı Kılavuzu. Available from: https://www.titck.gov.tr/ mevzuat/insani-amacli-ilaca-erken-erisim-programi-kilavuzu-27122018172818
Viveka D, Schröder-Bäck P, Marodin G, Atik D, Schulz D, Goldim J, et al. Eubios Journal of Asian and International Bioethics. Ejaib. 2007;17(January).
Isasi RM, Knoppers BM NMT. NATIONAL REGULATORY FRAMEWORKS REGARDING HUMAN GENETIC MODIFICATION TECHNOLOGIES (Somatic and Germline Modification). Montréal: A Report for the Genetics and Public Policy Center; 2006 p. 38.
FDA. U.S. Food and Drug Administration. 1993. p. 5 Application of Current Statutory Authorities to Human Somatic Cell Therapy Products and Gene Therapy Products; Notice. Available from: https://www.fda.gov/media/76647/download
EMA. THE EUROPEAN PARLIAMENT AND THE COUNCIL OF THE EUROPEAN UNION. 2004. p. 70 Regulation (EC) No 1394/2007 of the European Parliament and of the Council of 13 November 2007 on advanced therapy medicinal products and amending Directive 2001/83/EC and Regulation (EC) No 726/2004.
19. İLERİ TEDAVİ TIBBİ ÜRÜNLER RUHSATLANDIRMA YÖNETMELİĞİ [Internet]. [cited 2023 Dec 2]. Türkiye İlaç ve Tıbbî Cihaz Kurumundan. Available from: https://www.resmigazete.gov.tr/eskiler/2023/05/20230527-7.htm
Arabi F, Mansouri V, Ahmadbeigi N. Gene therapy clinical trials, where do we go? An overview. Biomed Pharmacother. 2022;153.
Wiley. Journal of Gene Medicine. 2023. Gene Therapy Clinical Trials Worldwide. Available from: https://a873679.fmphost.com/fmi/webd/GTCT
Elektronik Süreç Yönetim (ESY) [Internet]. [cited 2023 Dec 13]. Available from: https://ebs.titck.gov.tr/Public/KapNormalArama
EMA Vitravene. European Medicines Agency. 2002 [cited 2023 Sep 23]. Vitravene. Available from: https://www.ema.europa.eu/en/search/search?search_api_views_ fulltext=Fomivirsen
Stein CA, Castanotto D. FDA-Approved Oligonucleotide Therapies in 2017. Mol Ther. 2017;25(5).
Zhang WW, Li L, Li D, Liu J, Li X, Li W, et al. The First Approved Gene Therapy Product for Cancer Ad-p53 (Gendicine): 12 Years in the Clinic. Hum Gene Ther. 2018;29(2).
Liang M. Oncorine, the World First Oncolytic Virus Medicine and its Update in China. Curr Cancer Drug Targets. 2018;18(2).
Gordon EM, Hall FL. Rexin-G, a targeted genetic medicine for cancer. Expert Opin Biol Ther. 2010;10(5).
Deev R, Plaksa I, Bozo I, Isaev A. Results of an International Postmarketing Surveillance Study of pl-VEGF165 Safety and Efficacy in 210 Patients with Peripheral Arterial Disease. Am J Cardiovasc Drugs. 2017;17(3).
Ylä-Herttuala S. Endgame: Glybera finally recommended for approval as the first gene therapy drug in the European union. Mol Ther. 2012;20(10).
EMA Glybera. European Medicines Agency. 2023 [cited 2023 Sep 29]. Glybera. Available from: https://www.ema.europa.eu/en/medicines/human/EPAR/glybera
Crooke ST, Geary RS. Clinical pharmacological properties of mipomersen (Kynamro), a second generation antisense inhibitor of apolipoprotein B. Br J Clin Pharmacol. 2013;76(2).
Hovingh K, Besseling J, Kastelein J. Efficacy and safety of mipomersen sodium (Kynamro). Expert Opin Drug Saf. 2013;12(4).
Poh A. First Oncolytic Viral Therapy for Melanoma. Cancer Discov. 2016;6(1).
Yunus Emre EKŞİ SŞ. Talimogene Leharparepvec (IMLYGIC) as FDA Approved First Oncolytic Viral Therapy Agent. Urkiye Klin J Med Genet-Spec Top. 2016;1(2):80–90.
Ciceri F, Bonini C, Nagler A, Yannaki E, Lupo Stanghellini MT, Bondanza A, et al. Impact of Immune Reconstitution (IR) and Graft-Versus-Host Disease (GvHD) on Clinical Outcomes after Treatment with Donor T Cells Transduced to Express the Herpes Simplex Virus Thymidine-Kinase Suicide Gene (TK cells) in Acute Leukemia Patients Undergoing Haploidentical Hematopoietic Stem Cell Transplantation (HSCT). Blood. 2016;128(22).
EMA Zalmoksis. European Medicines Agency. 2016 [cited 2023 Oct 12]. Zalmoksis. Available from: https://www.ema.europa.eu/en/medicines/human/EPAR/zalmoxis
Schimmer J, Breazzano S. Investor Outlook: Rising from the Ashes; GSK’s European Approval of Strimvelis for ADA-SCID. Hum Gene Ther Clin Dev. 2016;27(2).
Mitchell WM. Efficacy of rintatolimod in the treatment of chronic fatigue syndrome/ myalgic encephalomyelitis (CFS/ME). Expert Rev Clin Pharmacol. 2016 Jun 2;9(6):755–70.
John George. PHILADELPHIA BUSINESS JOURNAL. 2016. Hemispherx ships Ampligen for European chronic fatigue syndrome program. Available from: https://www.bizjournals.com/philadelphia/news/2016/07/25/hemispherx-ships-ampligen- for-european-chronic.html
Glascock J, Lenz M, Hobby K, Jarecki J. Cure SMA and our patient community celebrate the first approved drug for SMA. Gene Ther. 2017;24(9).
Heo YA. Golodirsen: First Approval. Drugs. 2020;80(3).
Korinthenberg R. A new era in the management of Duchenne muscular dystrophy. Dev Med Child Neurol. 2019;61(3).
Bach PB, Giralt SA, Saltz LB. FDA approval of tisagenlecleucel: Promise and complexities of a $475 000 cancer drug. JAMA - J Am Med Assoc. 2017;318(19).
Maude SL, Frey N, Shaw PA, Aplenc R, Barrett DM, Bunin NJ, et al. Chimeric Antigen Receptor T Cells for Sustained Remissions in Leukemia. N Engl J Med. 2014;371(16).
Neelapu SS, Locke FL, Bartlett NL, Lekakis LJ, Miklos DB, Jacobson CA, et al. Axicabtagene Ciloleucel CAR T-Cell Therapy in Refractory Large B-Cell Lymphoma. N Engl J Med. 2017;377(26).
Dias MF, Joo K, Kemp JA, Fialho SL, da Silva Cunha A, Woo SJ, et al. Molecular genetics and emerging therapies for retinitis pigmentosa: Basic research and clinical perspectives. Prog Retin Eye Res. 2018;63.
Evans CH, Ghivizzani SC, Robbins PD. Orthopaedic Gene Therapy: Twenty-Five Years on. JBJS Rev. 2021;9(8).
Chakradhar S. Treatments that made headlines in 2018. Nat Med. 2018;24(12).
Nature Research Custom. Sprınger Nature. 2023. Breaking barriers with Japan’s first gene therapeutic drug.
Hoy SM. Onasemnogene Abeparvovec: First Global Approval. Drugs. 2019;79(11).
Paik J, Duggan S. Volanesorsen: First Global Approval. Drugs. 2019;79(12).
EMA Zynteglo. European Medicines Agency Science Medicines Health. 2019 [cited 2023 Sep 23]. Zynteglo. Available from: https://www.ema.europa.eu/en/medicines/ human/EPAR/zynteglo
Bluebirdbio. ZYNTEGLO® is an FDA-approved gene therapy that has the potential to free people with beta-thalassemia from regular transfusions. 2023.
FDA Tecartus. U.S. Food and Drug Administration. 2020. Tecartus-brexucabtagene- autoleucel. Available from: https://www.fda.gov/vaccines-blood-biologics/ cellular-gene-therapy-products/tecartus-brexucabtagene-autoleucel
EMA Libmeldy. European Medicines Agency. 2021 [cited 2023 Sep 23]. Libmeldy. Available from: https://www.ema.europa.eu/en/medicines/human/EPAR/libmeldy
Lamb YN. BNT162b2 mRNA COVID-19 Vaccine: First Approval. Drugs. 2021;81(4).
EMA Spikevax. European Medicines Agency. 2021. Spikevax. Available from: https:// www.ema.europa.eu/en/medicines/human/EPAR/spikevax
FDA Spikevax. U.S. Food and Drug Administration. 2022. Spikevax. Highlights of Prescribing. Available from: https://www.fda.gov/media/155675/download?attachment
Scott LJ. Givosiran: First Approval. Drugs. 2020;80(3).
Scott LJ, Keam SJ. Lumasiran: First Approval. Drugs. 2021;81(2).
Migliorati JM, Jin J, Zhong X bo. siRNA drug Leqvio (inclisiran) to lower cholesterol. Trends Pharmacol Sci. 2022;43(5).
Roshmi RR, Yokota T. Pharmacological Profile of Viltolarsen for the Treatment of Duchenne Muscular Dystrophy: A Japanese Experience. Clin Pharmacol Adv Appl. 2021;13.
FDA Amondys 45. U.S. Food and Drug Administration. 2021. Amondys 45, FDA Approves Targeted Treatment for Rare Duchenne Muscular Dystrophy Mutation. Available from: https://www.fda.gov/news-events/press-announcements/fda-approves- targeted-treatment-rare-duchenne-muscular-dystrophy-mutation-0
FDA. U.S. Food and Drug Administration. 2021. DA approves lisocabtagene maraleucel for relapsed or refractory large B-cell lymphoma. Available from: https:// www.fda.gov/drugs/resources-information-approved-drugs/fda-approves-lisocabtagene- maraleucel-relapsed-or-refractory-large-b-cell-lymphoma
Ortiz-Maldonado V, Frigola G, Español-Rego M, Balagué O, Martínez-Cibrián N, Magnano L, et al. Results of ARI-0001 CART19 Cells in Patients With Chronic Lymphocytic Leukemia and Richter’s Transformation. Front Oncol. 2022;12.
JW Therapeutics. JW Therapeutics Announces NMPA Approval of Relmacabtagene Autoleucel Injection in China. 2021. JW Therapeutics Announces NMPA Approval of Relmacabtagene Autoleucel Injection in China. Available from: https://www.prnewswire. com/in/news-releases/jw-therapeutics-announces-nmpa-approval-of-relmacabtagene- autoleucel-injection-in-china-837651458.html
FDA idecabtagene. U.S. Food and Drug Administration. 2021. FDA approves idecabtagene vicleucel for multiple myeloma. Available from: https://www.fda.gov/ drugs/resources-information-approved-drugs/fda-approves-idecabtagene-vicleucel- multiple-myeloma
Daiichi Sankyo. Daiichi Sankyo Company. 2021. DELYTACT® Oncolytic Virus G47Δ in Japan. Available from: https://www.daiichisankyo.com/files/news/pressrelease/pdf/ 202111/20211101_E.pdf
EMA Skysona. European Medicines Agency. 2021. Skysona. Available from: https:// www.ema.europa.eu/en/medicines/human/EPAR/skysona
FDA Skysona. U.S. Food and Drug Administration. 2022. Skysona. Available from: https://www.fda.gov/vaccines-blood-biologics/skysona
EMA. European Medicines Agency. 2022 [cited 2023 Nov 17]. Carvykti. Available from: https://www.ema.europa.eu/en/medicines/human/EPAR/carvykti
EMA Roctavian. European Medicines Agency. 2022. Roctavian. Available from: https://www.ema.europa.eu/en/medicines/human/EPAR/roctavian-0
FDA Roctavian. U.S. Food and Drug Administration. Roctavian, Highlights of Prescribing. Available from: https://www.fda.gov/media/169937/download?attachment
FDA Adstiladrin. U.S. Food and Drug Administration. 2023. Adstiladrin. Available from: https://www.fda.gov/vaccines-blood-biologics/cellular-gene-therapy-products/ adstiladrin
EMA Hemgenix E. European Medicines Agency. 2023. Hemgenix. Available from: https://www.ema.europa.eu/en/medicines/human/EPAR/hemgenix
FDA [Internet]. 2023. Hemgenix. Available from: https://www.fda.gov/vaccines- blood-biologics/vaccines/hemgenix
EMA Upstaza. European Medicines Agency. 2022. Upstaza. Available from: https:// www.ema.europa.eu/en/medicines/human/EPAR/upstaza
Tai CH, Lee NC, Chien YH, Byrne BJ, Muramatsu SI, Tseng SH, et al. Long-term efficacy and safety of eladocagene exuparvovec in patients with AADC deficiency. Mol Ther. 2022;30(2).
FDA. U.S. Food and Drug Administration. 2023. FDA Approves First Topical Gene Therapy for Treatment of Wounds in Patients with Dystrophic Epidermolysis Bullosa. Available from: https://www.fda.gov/news-events/press-announcements/fda-approves- first-topical-gene-therapy-treatment-wounds-patients-dystrophic-epidermolysis- bullosa#:~:text=Today%2C the U.S. Food and,1 chain (COL7A1) gene.
FDA Elevidys. U.S. Food and Drug Administration. 2023. Elevidys,Highlights of Prescribing. Available from: https://www.fda.gov/media/169679/download
Commissioner O of the. FDA. FDA; 2023 [cited 2023 Dec 13]. FDA Approves First Gene Therapies to Treat Patients with Sickle Cell Disease. Available from: https:// www.fda.gov/news-events/press-announcements/fda-approves-first-gene-therapiestreat- patients-sickle-cell-disease
EMA. European Medicines Agency. 2009. p. 12 EMEA/CHMP Guıdelıne On Follow- Up Of Patients Administered With Gene Therapy Medicinal Products (EMEA/ CHMP/2009) London.
Razi Soofiyani S, Baradaran B, Lotfipour F, Kazemi T, Mohammadnejad L. Gene Therapy, Early Promises, Subsequent Problems, and Recent Breakthroughs. Adv Pharm Bull EISSN 2251-7308 [Internet]. 2013 [cited 2023 Dec 10]; Available from: http://journals.tbzmed.ac.ir/PDF/APB/Manuscript/APB-3-249.pdf
Chirmule N, Propert K, Magosin S, Qian Y, Qian R, Wilson J. Immune responses to adenovirus and adeno-associated virus in humans. Gene Ther. 1999 Sep;6(9):1574–83.
Cichon G, Boeckh-Herwig S, Schmidt HH, Wehnes E, Müller T, Pring-Akerblom P, et al. Complement activation by recombinant adenoviruses. Gene Ther. 2001 Dec;8(23):1794–800.
Gonçalves GAR, Paiva R de MA. Gene therapy: advances, challenges and perspectives. Einstein. 2017;15(3):369–75.
Regulatory Aspects of Gene Therapy and Cell Therapy Products: A Global Perspective | SpringerLink [Internet]. [cited 2023 Dec 11]. Available from: https://link.springer. com/book/10.1007/978-3-319-18618-4
Thrasher AJ, Gaspar HB, Baum C, Modlich U, Schambach A, Candotti F, et al. Gene therapy: X-SCID transgene leukaemogenicity. Nature. 2006 Sep 21;443(7109):E5-6; discussion E6-7.
Kansteiner F, Becker Z, Liu A, Sagonowsky E, Dunleavy K. Fierce Pharma. 2023 [cited 2023 Dec 10]. Most expensive drugs in the US in 2023. Available from: https:// www.fiercepharma.com/special-reports/priciest-drugs-2023.
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