Japan’s MHLW Reviews GSK’s Nucala for Chronic Rhinosinusitis with Nasal Polyps Indication

The Ministry of Health, Labour and Welfare (MHLW) in Japan has begun the review process for an indication extension filing submitted by the UK pharmaceutical company GlaxoSmithKline (GSK; NYSE: GSK). The filing seeks to expand the use of GSK’s anti-IL-5 biologic Nucala (mepolizumab) as a treatment for adults with chronic rhinosinusitis with nasal polyps (CRSwNP). This submission is supported by efficacy and safety data derived from two Phase III studies.

Nucala’s Original Indication and Potential New Use
Nucala was initially developed for the treatment of severe eosinophilic asthma (SEA). The potential approval for CRSwNP would make Nucala the first anti-IL-5 drug in Japan to be approved for this condition, which, along with eosinophilic chronic rhinosinusitis (ECRS), affects 2% to 4% of the population. CRSwNP is known for its high recurrence rate after surgical interventions, highlighting the need for effective medical treatments.

Implications for Patients and the Healthcare System
The review by Japan’s MHLW is a significant step towards potentially providing a new treatment option for patients with inadequately controlled CRSwNP. If approved, Nucala could offer a significant advancement in managing this condition, reducing the reliance on surgical treatments and improving patient outcomes.-Fineline Info & Tech

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