On 12 June 2009, orphan designation (EU/3/09/645) was granted by the European Commission to Camurus AB, Sweden, for octreotide chloride (lipid depot solution) for the treatment of acromegaly.
- What is acromegaly?
Acromegaly is a disease in which the pituitary gland, a small gland located at the base of the brain, produces too much growth hormone. Acromegaly usually affects adults in middle age. In over 90% of patients, it is caused by a non-cancerous tumour of the pituitary gland called a pituitary adenoma. One of the most common symptoms of the disease is the abnormal growth of the hands and feet. The disease can result in serious complications, such as severe damage to the joints and problems affecting the cardiovascular (heart and blood vessels) and respiratory systems.
Acromegaly is a long-term debilitating disease that can be life threatening because of its cardiovascular and respiratory complications, and the increased risk of developing cancer.
- What is the estimated number of patients affected by the condition?
At the time of designation, acromegaly affected approximately 1.2 in 10,000 people in the European Union (EU)*. This is equivalent to a total of around 61,000 people, and is below the threshold for orphan designation, which is 5 people in 10,000. This is based on the information provided by the sponsor and 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 (EU 27), Norway, Iceland and Liechtenstein. This represents a population of 504,800,000 (Eurostat 2009).
- What treatments are available?
At the time of submission of the application for orphan drug designation, several medicines were authorised in the EU to treat acromegaly, including somatostatin analogues (medicines that block the release of growth hormone) such as octreotide and lanreotide, and pegvisomant (a medicine that blocks the effects of growth hormone). These medicines were available as solutions for injection into a muscle or under the skin. Other treatments included surgery and, in rare cases, radiotherapy (treatment with radiation).
The sponsor has provided sufficient information to show that octreotide chloride (lipid depot solution) might be of significant benefit for patients with acromegaly because the medicine will be available as a ready-to-use prefilled syringe that will enable the patients to inject themselves. It will also be injected using a thinner needle than with other available medicines. These two factors might improve the patients’ quality of life. This assumption will need to be confirmed at the time of marketing authorisation, in order to maintain the orphan status.
- How is this medicine expected to work?
Octreotide has been available as the ‘acetate salt’ for the treatment of acromegaly since the 1980s. Octreotide is an analogue (a copy) of the natural hormone somatostatin. Like somatostatin, octreotide blocks the release of growth hormone. This results in the reduction of the symptoms and complications of acromegaly. The acetate salt is available as two forms, one that releases octreotide immediately and is injected once a day under the skin, and another that releases it more slowly and is injected once a month into a muscle.
In octreotide chloride (lipid depot solution), octreotide is to be available as the ‘chloride salt’ in a new formulation that is expected to release octreotide slowly and consistently. The new formulation is to be injected under the skin through a thin needle.
- What is the stage of development of this medicine?
The effects of octreotide chloride (lipid depot solution) have been evaluated in experimental models.
At the time of submission of the application for orphan designation, clinical trials in patients with acromegaly were ongoing.
At the time of submission, octreotide chloride (lipid depot solution) was not authorised anywhere in the EU for acromegaly or designated as orphan medicinal product elsewhere for this condition.
In accordance with Regulation (EC) No 141/2000 of 16 December 1999, the COMP adopted a positive opinion on 5 May 2009 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 Community) 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|
|EU/3/09/645: Public summary of positive opinion for orphan designation of octreotide chloride (lipid depot solution) for the treatment of acromegaly||(English only)||17/09/2009|
|Active substance||Octreotide chloride (lipid depot solution)|
|Disease/condition||Treatment of acromegaly|
|Date of decision||12/06/2009|
|Orphan decision number||EU/3/09/645|
Review of designation
Sponsor’s contact details:
Ideon Science Park
SE-223 70 Lund
Telephone: + 46 46 286 46 92
Telefax: + 46 46 286 57 39
Patient associations’ contact points:
The Pituitary Foundation
PO Box 1944
Bristol BS99 2UB
Telephone: + 44 845 450 0376/ +44 845 450 0375
Telefax: +44 117 933 0910
Association of Acromegaly Patients in Bulgaria
6 Damyan Gruev Street
Krasno selo Area
Telephone: +359 2 928 40 64 / +359 2 987 72 01
European Cancer Patient Coalition
Am Rothenanger 1b
Telephone: +49 89 628 36 807
Telefax: +49 89 628 36 808