J&J snags FDA OK for rare blood disorder drug siltuximab

FDA Oncology Chief Richard Pazdur

J&J has won FDA approval for a new drug that fights a rare blood disorder known as multicentric Castleman's disease.

Similar to lymphoma, MCD is characterized by an abnormal growth of immune cells in lymph nodes. In a study involving 79 patients with the disease, investigators found that siltuximab (CNTO 328) triggered a tumor response in about a third of the drug arm--compared to none taking a placebo. The drug will now be marketed as Sylvant to a patient population of about 1,200.

"Sylvant is the first FDA-approved drug to treat patients with MCD," said Richard Pazdur, the cancer drug czar at the FDA.

J&J ($JNJ) isn't done with siltuximab, an anti-IL-6 antibody that's delivered in an IV formulation. According to clinicaltrials.gov it's also being studied for multiple myeloma. Last summer J&J reported that it had stopped a study for metastatic prostate cancer after the monitoring committee called it off for lack of efficacy.

"There has been a serious need for treatment options for patients with MCD," said Frits van Rhee, the lead investigator. "MCD is a complex disease and up until this point, physicians have tried to reduce lymph node masses and put the disease in remission through a combination of treatments, but MCD often returns. Today's approval of SYLVANT gives physicians a long-awaited treatment option for a group of patients who has been suffering with this chronic, serious and debilitating disease."

- here's the FDA release
- get the release from J&J