RARE Daily

FDA Approves Gamida Cell’s Allogeneic Cell Therapy Omisirge for Hematological Malignancies

April 18, 2023

Rare Daily Staff

The U.S. Food and Drug Administration has approved Gamida Cell’s allogeneic cell therapy, Omisirge, for use in adult and pediatric patients 12 years and older with hematologic malignancies planned for umbilical cord blood transplantation following myeloablative conditioning to reduce the time to neutrophil recovery and the incidence of infection.

Omisirge received breakthrough therapy designation, priority review, and orphan drug designation from the FDA, reflecting the unmet need for additional donor sources for stem cell transplant. It is the first allogeneic stem cell transplant therapy to be approved based on a global, randomized phase 3 clinical study.

In a global, randomized phase 3 clinical study, Omisirge demonstrated a median time to neutrophil recovery of 12 days in the intent to treat population, compared to 22 days for standard cord blood. Incidence of Grade 2/3 bacterial or Grade 3 fungal infections over 100 days following transplantation occurred in 39 percent of patients in the Omisirge arm and 60 percent of patients in the standard cord blood arm. The safety profile for Omisirge is consistent with the expected adverse events of allogeneic hematopoietic stem cell transplantation following myeloablative conditioning. Among 117 patients who received Omisirge for any disease, infusion reactions occurred in 47 percent of patients (Grade 3 or 4 in 15 percent), acute graft-versus-host disease (GvHD) in 58 percent (Grade 3 to 7 in 17 percent), chronic GvHD in 35 percent, and graft failure in 3 percent.

The full phase 3 clinical study results are available in Blood, the official journal of the American Society of Hematology.

More than 40 percent of the patients in the Omisirge phase 3 study were racially and ethnically diverse, underscoring the degree to which Omisirge may help address health disparities in stem cell transplantation.

“The approval of Omisirge is a significant development in hematopoietic stem cell transplantation,” said Steven Devine, chief medical officer at the National Marrow Donor Program/Be The Match. “Patients who are Black or African American have just a 29 percent chance of finding a match via the donor registry vs. a 79 percent chance for patients who are White. Adding Omisirge as a new donor source may help increase access to stem cell transplant for patients from racially or ethnically diverse backgrounds who struggle to find a fully matched donor in the registry.”

Allogeneic hematopoietic stem cell transplantation offers a potentially curative option for hematologic malignancies including acute myeloid leukemia, acute lymphoblastic leukemia, chronic myeloid leukemia and myelodysplastic syndromes. Allogeneic transplant uses cells from a donor other than the recipient.

Omisirge is manufactured to enhance and expand the number of progenitor cells utilizing proprietary nicotinamide technology. This process produces enriched hematopoietic progenitor cells, leading to preservation of their stemness, homing to the bone marrow and retained engraftment capacity.

Omisirge is expected to be delivered to transplant centers within 30 days after the start of manufacturing. Gamida Cell Assist, a key resource for scheduling the manufacturing of Omisirge, will provide support to patients, caregivers and the hospital’s transplant team at each step of the process.

Omisirge is now available in the United States for transplant centers to order for appropriate patients. Onboarding of transplant centers is underway. As discussed in the company’s March 27 earnings call, Gamida Cell is pursuing strategic partnerships to support the launch and commercialization of Omisirge.

Photo: Steven Devine, chief medical officer at the National Marrow Donor Program/Be The Match

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