Please note that this product was withdrawn from the Community Register of designated orphan medicinal products in March 2013 on request of the sponsor.
On 20 November 2001, orphan designation (EU/3/01/065) was granted by the European Commission to Voisin Consulting S.A.R.L., France, for deoxyribose phosphorothioate (5’-tct-ccc-agc-gtg-cgc-cat- 3’) for the treatment of multiple myeloma. The sponsorship was transferred to Aventis Pharma S.A. in December 2002 and then back to Voisin Consulting S.A.R.L. in August 2005.
For a list of the administrative updates to this public summary of opinion, please refer to the PDF document below.
- What is multiple myeloma?
Multiple myeloma is a cancer of a type of white blood cell called a plasma cell. Plasma cells are found in the bone marrow. The bone marrow is the spongy tissue inside the large bones in the body. Normally, the bone marrow makes cells called 'blasts' that mature into several different types of blood cells that have specific functions in the body. These include red cells, white cells and platelets. Red blood cells carry oxygen and other materials to all tissues of the body. Platelets make the blood clot, and white blood cells fight infection. In multiple myeloma, an excessive number of plasma cells are produced. Normally, the division of cells takes place in a controlled manner but with multiple myeloma, the process gets out of control and abnormal plasma cells multiply, producing many myeloma cells. These fill up the bone marrow and interfere with production of the normal white cells, red cells and platelets. This leads to a number of possible complications, which include anaemia, bone pain and fractures, raised levels of calcium in the blood and kidney disease. Multiple myeloma is life-threatening.
- What is the estimated number of patients affected by the condition?
At the time of designation, multiple myeloma affected approximately 1.2 in 10,000 people in the European Union (EU). This was equivalent to a total of around 45,000 people*, and is below the ceiling for orphan designation, which is 5 people in 10,000. This is based on the information provided by the sponsor and the knowledge of the Committee for Orphan Medicinal Products (COMP).
*Disclaimer: For the purpose of the designation, the number of patients affected by the condition is estimated and assessed on the basis of data from the European Union. At the time of designation, this represented a population of 378,800,000 (Eurostat 2001).
- What treatments are available?
The main treatment of multiple myeloma is chemotherapy (using drugs to kill cancer cells) usually combined with steroids (a group of chemical substances, the so-called hormones, which have an effect on the activity of certain organs). Several products were authorised for the condition in the Community at the time of submission of the application for orphan drug designation. Radiotherapy can be very useful to treat painful areas and weakened bones. Interferon alpha is a protein normally produced by the body during viral infections, such as flu. Sometimes a combination of interferon and chemotherapy may be used.
Deoxyribose phosphorothioate (5’-tct-ccc-agc-gtg-cgc-cat-3’) could be of potential significant benefit for the treatment of multiple myeloma because it might improve the long-term outcome of the patients. This assumption will have to be confirmed at the time of marketing authorisation. This will be necessary to maintain the orphan status.
- How is this medicine expected to work?
So-called programmed cell death (apoptosis) is a process that is very important for the natural death of cells. A certain protein (B-cell lymphoma-associated protein 2) prenvents this process of cell death. Myeloma cells have too much of this protein and therefore the cells live longer then normal. Deoxyribose phosphorothioate (5’-tct-ccc-agc-gtg-cgc-cat-3’) might prevent the formation B-cell lymphoma-associated protein 2 and decrease the amount of it, and might thereby restore the normal cell-death process in the cancer cells.
- What is the stage of development of this medicine?
The effects of deoxyribose phosphorothioate (5’-tct-ccc-agc-gtg-cgc-cat-3’) have been evaluated in experimental models.
At the time of submission of the application for orphan designation, one clinical trial in patients with multiple myeloma was ongoing.
Deoxyribose phosphorothioate (5’-tct-ccc-agc-gtg-cgc-cat-3’) was not marketed anywhere worldwide for multiple myeloma at the time of submission.
In accordance with Regulation (EC) No 141/2000 of 16 December 1999, the COMP adopted a positive opinion on 7 September 2001 recommending the granting of this designation.
- Opinions on orphan medicinal product designations are based on the following three criteria:
- the seriousness of the condition;
- the existence of alternative methods of diagnosis, prevention or treatment;
- either the rarity of the condition (affecting not more than 5 in 10,000 people in the EU) or insufficient returns on investment.
Designated orphan medicinal products are products that are still under investigation and are considered for orphan designation on the basis of potential activity. An orphan designation is not a marketing authorisation. As a consequence, demonstration of quality, safety and efficacy is necessary before a product can be granted a marketing authorisation.
|Name||Language||First published||Last updated|
|Public summary of positive opinion for orphan designation of deoxyribose phosphorothioate (5’-tct-ccc-agc-gtg-cgc-cat-3’) for the treatment of multiple myeloma||(English only)||11/12/2005||09/04/2013|
|Active substance||Deoxyribose phosphorothioate (5'-tct-ccc-agc-gtg-cgc-cat-3')|
|Disease/condition||Treatment of multiple myeloma|
|Date of decision||20/11/2001|
|Orphan decision number||EU/3/01/065|
Review of designation
Sponsor’s contact details
Voisin Consulting S.A.R.L.
3, rue des Longs Prés
Tel. +33 1 41 31 83 00
Fax: +33 1 41 31 83 09
For contact details of patients’ organisations whose activities are targeted at rare diseases, see:
- Orphanet, a database containing information on rare diseases which includes a directory of patients’ organisations registered in Europe;
- European Organisation for Rare Diseases (EURORDIS), a non-governmental alliance of patient organisations and individuals active in the field of rare diseases.