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EMA Approval

Poteligeo

L01XC25

xl 01 xc 25

Antineoplastic agents

mogamulizumab

Sezary SyndromeMycosis Fungoides

Basic Information

EMA regulatory identification and product classification information

EMA Identifiers

ATC CodeL01XC25
EMA European Classification

Overview Summary

Comprehensive product overview and regulatory summary

Poteligeo is a cancer medicine used to treat mycosis fungoides and Sezary syndrome – two cancers of blood cells that affect mainly the skin. It is used in patients who have received previous treatment by mouth or injection.

Both mycosis fungoides and Sezary syndrome belong to a group of rare cancers (cutaneous T-cell lymphomas), and Poteligeo was designated an ‘orphan medicine’ (a medicine used in rare diseases) on 14 October 2016. Further information on the orphan designation can be found here: ema.europa.eu/Find medicine/Human medicines/Rare disease designation

Poteligeo contains the active substance mogamulizumab.

Authorisations (7)

EMEA/H/C/004232

Kyowa Kirin Holdings B.V.,Bloemlaan 2,2132NP Hoofddorp,The Netherlands

Authorised

November 22, 2018

EMEA/H/C/004232

Kyowa Kirin Holdings B.V.,Bloemlaan 2,2132NP Hoofddorp,The Netherlands

Authorised

November 22, 2018

EMEA/H/C/004232

Kyowa Kirin Holdings B.V.,Bloemlaan 2,2132NP Hoofddorp,The Netherlands

Authorised

November 22, 2018

EMEA/H/C/004232

Kyowa Kirin Holdings B.V.,Bloemlaan 2,2132NP Hoofddorp,The Netherlands

Authorised

November 22, 2018

EMEA/H/C/004232

Kyowa Kirin Holdings B.V.,Bloemlaan 2,2132NP Hoofddorp,The Netherlands

Authorised

November 22, 2018

EMEA/H/C/004232

Kyowa Kirin Holdings B.V.,Bloemlaan 2,2132NP Hoofddorp,The Netherlands

Authorised

November 22, 2018

EMEA/H/C/004232

Kyowa Kirin Holdings B.V.,Bloemlaan 2,2132NP Hoofddorp,The Netherlands

Authorised

November 22, 2018

Active Substances (1)

Mogamulizumab

Documents (12)

Poteligeo : Orphan maintenance assessment report (initial authorisation)

January 28, 2019

CHANGES_SINCE_INITIAL_AUTHORISATION

Poteligeo : EPAR - Public assessment report

January 28, 2019

CHANGES_SINCE_INITIAL_AUTHORISATION

CHMP summary of positive opinion for Poteligeo

September 21, 2018

CHANGES_SINCE_INITIAL_AUTHORISATION

Poteligeo : EPAR - Procedural steps taken and scientific information after authorisation

May 21, 2025

CHANGES_SINCE_INITIAL_AUTHORISATION

CHMP summary of positive opinion for Poteligeo

September 21, 2018

INITIAL_MARKETING_AUTHORISATION_DOCUMENTS

Poteligeo : EPAR - Medicine overview

January 28, 2019

OVERVIEW_DOCUMENT

Poteligeo : EPAR - Public assessment report

January 28, 2019

INITIAL_MARKETING_AUTHORISATION_DOCUMENTS

Poteligeo : Orphan maintenance assessment report (initial authorisation)

January 28, 2019

INITIAL_MARKETING_AUTHORISATION_DOCUMENTS

Poteligeo : EPAR - Procedural steps taken and scientific information after authorisation (archive)

January 10, 2020

CHANGES_SINCE_INITIAL_AUTHORISATION

Poteligeo : EPAR - Risk-management-plan summary

January 28, 2019

RISK_MANAGEMENT_PLAN_SUMMARY

Poteligeo : EPAR - All Authorised presentations

January 28, 2019

AUTHORISED_PRESENTATIONS

Poteligeo : EPAR - Product information

January 28, 2019

DRUG_PRODUCT_INFORMATION

Overview Q&A (6)

Question

Why is Poteligeo authorised in the EU?

Answer

Poteligeo is effective at prolonging the time patients with mycosis fungoides or Sezary syndrome live without their disease getting worse. Effects are clinically relevant considering that patients have limited treatment options. The side effects seen with Poteligeo are considered manageable and most of them are mild or moderate. The European Medicines Agency therefore decided that Poteligeo’s benefits are greater than its risks and it can be authorised for use in the EU.

Question

Other information about Poteligeo

Answer

Poteligeo received a marketing authorisation valid throughout the EU on 22 November 2018.

Question

How is Poteligeo used?

Answer

Poteligeo can only be obtained with a prescription and treatment should be supervised by a doctor who has experience in the treatment of cancer and in a place where equipment for resuscitation is available in case of rare and severe allergic reaction to the medicine.

The medicine is given as an infusion (drip) into a vein lasting at least 1 hour. The recommended dose depends on the patient’s body weight and is given once a week for the first 4 weeks and then every 2 weeks. Patients should be monitored during and after the infusion for certain side effects related to the infusion. To reduce this risk, patients may be given other medicines such as an antipyretic (medicine that reduces fever) and an antihistamine (for treating allergic reactions) before or during treatment with Poteligeo.

The doctor may interrupt or stop treatment, or reduce the dose, if the patient develops certain serious side effects.

For more information about using Poteligeo, see the package leaflet or contact your doctor or pharmacist.

Question

How does Poteligeo work?

Answer

The active substance in Poteligeo, mogamulizumab, is a monoclonal antibody (a type of protein) that has been designed to attach to a receptor (target) called CCR4. CCR4 is found on the surface of white blood cells, including the cancerous cells in mycosis fungoides or Sezary syndrome. By attaching to CCR4, mogamulizumab stimulates the body’s immune system to attack the cancer cells, helping to control the disease.

Question

What benefits of Poteligeo have been shown in studies?

Answer

Poteligeo was shown to be more effective than a comparator medicine, vorinostat, in a study of 372 adults with either mycosis fungoides or Sezary syndrome. In this study, patients receiving Poteligeo lived for around 8 months without their disease getting worse compared with 3 months for patients on vorinostat.

In all patients the cancer did not respond to a previous treatment or had come back.

Question

What are the risks associated with Poteligeo?

Answer

The most common side effects with Poteligeo (seen in more than 1 patient in 10) are infusion-related reactions and rash. The most commonly reported serious reactions are pneumonia (infection of the lungs), fever, infusion-related reactions and cellulitis (inflammation of the deep skin tissue).

For the full list of side effects and restrictions with Poteligeo, see the package leaflet.

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