MedPath

Nilotinib

Generic Name
Nilotinib
Brand Names
Tasigna, Nilotinib Accord
Drug Type
Small Molecule
Chemical Formula
C28H22F3N7O
CAS Number
641571-10-0
Unique Ingredient Identifier
F41401512X
Background

Nilotinib, also known as AMN107, is a tyrosine kinase inhibitor under investigation as a possible treatment for chronic myelogenous leukemia (CML). A Phase I clinical trial in 2006 showed that this drug was relatively safe and offered significant therapeutic benefits in cases of CML which were found to be resistant to treatment with imatinib (Gleevec), another tyrosine kinase inhibitor used as a first-line treatment for CML.

Indication

For the potential treatment of various leukemias, including chronic myeloid leukemia (CML).

Associated Conditions
Accelerated Phase Chronic Myelogenous Leukemia (CML), Chronic Phase Chronic Myeloid Leukemia, Newly diagnosed, chronic phase Chronic myeloid leukemia, Refractory Gastrointestinal stromal tumor

FDA Sets October 2025 PDUFA Date for Xspray Pharma's Resubmitted Dasynoc Application

• The FDA has acknowledged Xspray Pharma's resubmitted New Drug Application for Dasynoc, setting a PDUFA decision date of October 7, 2025. • Dasynoc is an amorphous dasatinib formulation developed for treating chronic myeloid leukemia (CML) and acute lymphoblastic leukemia (ALL), with potential advantages over existing treatment options. • The resubmission addresses a Complete Response Letter received in July 2024, with Xspray confirming it has sufficient funding to support the product through approval regardless of FDA review timeline.

Pharmaceutical Industry Braces for $236 Billion Patent Cliff by 2030: Strategic Responses from Major Players

• The global pharmaceutical industry faces a $236 billion patent cliff between 2025-2030, with nearly 70 blockbuster drugs losing exclusivity and exposing major companies to significant revenue losses. • Key drugs approaching patent expiration include Merck's Keytruda ($25B), Bristol-Myers Squibb's Eliquis ($12B), and Johnson & Johnson's Stelara ($10.9B), forcing companies to rapidly adapt through pipeline diversification and cost-cutting measures. • Companies are responding with increased M&A activity, AI-driven R&D efficiency, and strategic pivots to high-growth therapeutic areas, while the cliff will likely improve drug affordability but potentially slow innovation.

Novartis' 'Wild Card' Drug Scemblix Receives FDA Approval for Leukaemia Treatment

Novartis has secured FDA approval for Scemblix, a novel STAMP inhibitor, offering new hope for patients with previously-treated chronic myeloid leukaemia (CML). The drug has shown promising results in clinical trials, particularly for patients with the T315I mutation, and could significantly impact Novartis' CML portfolio.

Non-ABL1 Mutations Impact Outcomes in Chronic Myeloid Leukemia

• Analysis of CML patients reveals that non-ABL1 mutations, such as ASXL1 and RUNX1, can influence disease progression and treatment response. • The study used next-generation sequencing to assess the impact of these mutations on overall survival, event-free survival, and failure-free survival in CML patients. • Findings suggest that identifying non-ABL1 mutations could help personalize treatment strategies and improve long-term outcomes for CML patients. • The research highlights the importance of continuous monitoring and understanding of factors affecting treatment outcomes in CML.

Olverembatinib Shows Promise as Second-Line Therapy for Chronic Phase CML

• Olverembatinib demonstrates notable efficacy in patients with chronic phase chronic myeloid leukemia (CP-CML) who are resistant or intolerant to first-line TKIs. • The study showed that 74.1% of efficacy-evaluable patients achieved complete cytogenetic response (CCyR), and 40.6% experienced major molecular response (MMR). • Patients pretreated with second-generation TKIs as first-line treatment achieved a CCyR of 78.9% and an MMR of 43.5% with Olverembatinib. • Olverembatinib's safety profile was consistent with previous reports, suggesting it may be a viable second-line treatment option.

Appeals Court Denies Novartis' Bid to Block Generic Entresto, Threatening $5.6B Revenue Stream

• The US Court of Appeals has rejected Novartis' attempt to block MSN Pharma's generic version of heart failure drug Entresto, dealing a significant blow to the pharmaceutical giant's patent protection strategy. • Entresto remains Novartis' top-selling product, generating $5.6 billion in the first nine months of 2024, representing 19% of total company revenues with 33% year-over-year growth. • The patent dispute centers on Novartis' claim that MSN's generic contains crystalline forms of active ingredients that infringe on a patent valid until November 2026, but the court found insufficient evidence to support this argument.

FDA Approves Danziten, a Novel Nilotinib Formulation Without Mealtime Restrictions, for CML

• The FDA has approved Danziten (nilotinib), a new formulation for Philadelphia chromosome-positive chronic myeloid leukemia (Ph+ CML) without mealtime restrictions. • Danziten offers equivalent efficacy to Tasigna but with improved bioavailability, allowing for a lower dose and eliminating the need for fasting, potentially improving patient adherence. • The approval covers adult patients with newly diagnosed Ph+ CML in chronic phase and those resistant or intolerant to prior therapy, including imatinib. • Azurity Pharmaceuticals will launch Danziten in the coming weeks with patient support programs to enhance access and adherence.

FDA Approves Danziten (Nilotinib) Tablets with No Mealtime Restrictions for CML

• The FDA has approved Danziten (nilotinib) for adults with Philadelphia chromosome-positive chronic myeloid leukemia (Ph+ CML), offering a new treatment option. • Danziten is a re-engineered formulation of nilotinib with improved bioavailability, allowing for a lower dose and consumption without mealtime restrictions. • Clinical trials supporting the approval demonstrated significant major molecular response rates compared to imatinib in newly diagnosed patients. • Danziten provides an alternative to Tasigna, eliminating the need for fasting, which simplifies medication management for CML patients.

FDA Approves Nilotinib (Danziten) with No Mealtime Restrictions for Ph+ CML

• The FDA has approved nilotinib (Danziten) for adult patients with newly diagnosed Philadelphia chromosome-positive chronic myeloid leukemia (Ph+ CML). • This approval includes patients in chronic phase (CP) and accelerated phase (AP) who are resistant or intolerant to prior imatinib therapy. • Danziten is the first nilotinib formulation that eliminates mealtime restrictions, offering improved convenience for patients. • The new formulation has improved bioavailability, allowing for consistent nilotinib exposure regardless of fasting state or meal type.

Novartis and Apellis Advance C3G Therapies Towards FDA Submission

• Novartis' Fabhalta (iptacopan) demonstrated significant proteinuria reduction in the Phase III APPEAR-C3G trial, meeting its primary endpoint and supporting regulatory submissions. • Apellis' Empaveli (pegcetacoplan) showed a substantial reduction in proteinuria and C3c deposit clearance in the Phase III VALIANT trial, indicating early efficacy in C3G patients. • Nephrologists express a strong interest in new C3G therapies that can slow eGFR decline and reduce proteinuria, addressing the urgent need for innovative treatments. • Spherix data suggests treatment preferences may be influenced by administration route, with Fabhalta's oral administration potentially offering an advantage.

FDA Approves Danziten (Nilotinib) for Chronic Myeloid Leukemia Without Fasting Requirement

• The FDA has approved Danziten, a new formulation of nilotinib, for adults with Philadelphia chromosome-positive chronic myeloid leukemia (CML). • Danziten does not require fasting, potentially improving patient adherence compared to Tasigna, another nilotinib formulation. • This approval covers newly diagnosed CML and cases resistant or intolerant to prior Gleevec (imatinib) therapy. • Danziten offers equivalent efficacy to Tasigna with improved bioavailability and consistent pharmacokinetics regardless of meal timing.

FDA Approves New Nilotinib Formulation (Danziten) for Chronic Myeloid Leukemia Without Mealtime Restrictions

• The FDA has approved Danziten (nilotinib), a new formulation of nilotinib, for adults with newly diagnosed Philadelphia chromosome-positive chronic myeloid leukemia (Ph+ CML). • Danziten is the first and only nilotinib formulation that does not require mealtime restrictions, offering improved convenience for patients. • Clinical trials demonstrated that Danziten has equivalent efficacy to Tasigna but with enhanced bioavailability, allowing for a lower dose and eliminating the need for fasting. • The approval of Danziten provides a new treatment option that may improve patient adherence and lessen the burden of CML treatment.

FDA Approves Azurity's Danziten (Nilotinib) for CML Without Mealtime Restrictions

• The FDA has approved Azurity Pharmaceuticals' Danziten (nilotinib) as the first nilotinib formulation for chronic myeloid leukemia (CML) without mealtime restrictions. • Danziten is indicated for adults with newly diagnosed Philadelphia chromosome-positive (Ph+) CML in the chronic phase and those resistant or intolerant to prior imatinib therapies. • The reengineered formulation of Danziten offers equivalent efficacy to Tasigna but with enhanced bioavailability, enabling a lower dosage and potentially improving patient adherence. • Danziten is expected to be available soon through Biologics by McKesson and Limited Specialty Distribution, offering a more convenient treatment option for CML patients.

FDA Approves Nilotinib (Danziten) with No Mealtime Restrictions for CML

• The FDA has approved nilotinib tablets (Danziten) without mealtime restrictions for adults with newly diagnosed Philadelphia chromosome-positive chronic myeloid leukemia (CML). • Danziten is also approved for CML patients resistant or intolerant to prior imatinib therapy, offering an alternative treatment option. • This new formulation of nilotinib boasts improved bioavailability, allowing for a lower dose and eliminating the need for fasting, unlike Tasigna. • Clinical trials, including ENESTnd, demonstrated nilotinib's efficacy in achieving major molecular responses in CML patients compared to imatinib.

FDA Approves Danziten, a Nilotinib Formulation for CML Without Mealtime Restrictions

• The FDA has approved Danziten (nilotinib) for chronic myeloid leukemia (CML), offering a new treatment option without the strict fasting requirements of Tasigna. • Danziten provides comparable efficacy to Tasigna with consistent pharmacokinetics, even without fasting, potentially improving patient adherence to treatment regimens. • This tyrosine kinase inhibitor (TKI) is approved for newly diagnosed Philadelphia chromosome-positive CML and those resistant or intolerant to prior therapies, including imatinib. • Azurity Pharmaceuticals will offer Danziten through a specialty network and patient support program, enhancing access and adherence for CML patients.

FDA Approves Nilotinib Tablets (Danziten) Without Mealtime Restrictions for CML

• The FDA has approved nilotinib tablets (Danziten) for Philadelphia chromosome-positive chronic myeloid leukemia (CML) patients, offering a new treatment option. • Danziten eliminates the need for fasting, unlike the original nilotinib formulation (Tasigna), which required strict mealtime restrictions to avoid cardiotoxicity. • The approval includes newly diagnosed CML patients and those with resistance or intolerance to prior therapy, including imatinib. • This new formulation provides equivalent efficacy to Tasigna but without the boxed warning requirement for fasted-state administration, improving patient convenience.

FDA Approves Danziten (Nilotinib) as First Meal- unrestricted Option for CML Patients

• The FDA has approved Danziten (nilotinib) for adults with newly diagnosed Philadelphia chromosome-positive chronic myeloid leukemia (Ph+ CML) and those resistant or intolerant to prior therapies. • Danziten is the first nilotinib formulation that does not require fasting, offering equivalent efficacy to Tasigna but with improved bioavailability and a lower dose. • This new formulation may improve patient adherence to treatment, as it removes the burden of strict mealtime restrictions associated with other nilotinib products. • Danziten will be available through Biologics by McKesson and Limited Specialty Distribution, supported by the DanzitenCONNECT patient support program.

FDA Approves Danziten (nilotinib) for CML Patients Without Mealtime Restrictions

• The FDA has approved Danziten, a new formulation of nilotinib, for adults with Philadelphia chromosome-positive chronic myeloid leukemia (Ph+ CML). • Danziten is the first and only nilotinib formulation that does not require mealtime restrictions, offering improved convenience for patients. • This approval provides an alternative to Tasigna with equivalent efficacy but without the strict fasting requirements, potentially improving patient adherence. • Danziten is indicated for newly diagnosed Ph+ CML in chronic phase and for chronic or acute phase CML resistant or intolerant to prior therapies.

FDA Approves Danziten (nilotinib) as First Nilotinib Formulation Without Mealtime Restrictions for CML

• The FDA has approved Danziten (nilotinib) for adults with Philadelphia chromosome-positive chronic myeloid leukemia (Ph+ CML), both newly diagnosed and resistant/intolerant cases. • Danziten is the first nilotinib formulation that does not require fasting, offering equivalent efficacy to Tasigna with improved bioavailability and a lower dose. • This new formulation may improve patient adherence to treatment, as it removes the burden of strict mealtime restrictions previously associated with nilotinib therapy. • Danziten will be available through Biologics by McKesson and Limited Specialty Distribution, supported by the DanzitenCONNECT patient support program.

Nilotinib Shows Promise in Dementia with Lewy Bodies

• A phase II trial of nilotinib in patients with dementia with Lewy bodies (DLB) showed improved cognition scores compared to placebo. • The study also found that nilotinib significantly increased brain dopamine levels and reduced the ratio of p-tau181 to amyloid-beta 42 in cerebrospinal fluid. • Nilotinib was safe and well-tolerated, with fewer adverse events, including falls, compared to the placebo group. • Researchers suggest further investigation of tyrosine kinase inhibitors for neurodegenerative diseases like Parkinson's, Alzheimer's, and DLB.
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