On 17 July 2012, orphan designation (EU/3/12/1021) was granted by the European Commission to ProPhase Development Ltd, United Kingdom, for 1-[(2-chloro-4-methoxyphenoxy)methyl]-4-[(2,6-dichlorophenoxy)methyl]benzene for the prevention of poliomyelitis in patients with immunodeficiencies deemed at risk.
The sponsorship was transferred to ViroDefense Ltd, United Kingdom, in January 2013.
- What is poliomyelitis?
Poliomyelitis (also known as polio) is a viral disease caused by the poliovirus. In the vast majority of cases (more than 95%), infection with the virus does not result in any symptoms or may cause mild symptoms from which the patient will recover completely. However, in the most severe form of poliovirus infection (less than 1% of cases), the virus reaches the nervous system where it attacks the nerve cells involved in movement, leading to muscle weakness and paralysis.
Although vaccines are available for preventing poliomyelitis and have been used to eradicate the disease in the European Union (EU), patients with immunodeficiencies (weakened immune systems) may be at risk. This is because some vaccines contain live (although weakened) viruses, which these patients may not be able to clear from their bodies. These patients may also be exposed to viruses that are shed into the environment by other people who have been vaccinated.
Poliomyelitis is debilitating in the long term because it can cause meningitis (inflammation of the meninges) and encephalitis (inflammation of the brain tissue), pain, paralysis and muscle wasting. It is also life-threatening with a death rate of up to 15% in patients with the acute paralytic forms of the disease.
- What is the estimated number of patients with immunodeficiencies considered to be at risk?
At the time of designation, the number of patients with immunodeficiencies considered to be at risk was approximately 0.00008 in 10,000 people in the European Union (EU). This was equivalent to a total of around 4 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 (EU 27), Norway, Iceland and Liechtenstein. At the time of designation, this represented a population of 509,000,000 (Eurostat 2012).
- What methods of prevention are available?
At the time of orphan designation no satisfactory methods of prevention of poliomyelitis were available specifically for patients with immunodeficiencies deemed at risk.
- How is this medicine expected to work?
The medicine works by integrating itself into the capsid (or outer shell) of the poliovirus. Once inside the capsid it is expected to prevent the virus from ‘uncoating’, which is the process by which the virus releases its genetic material from the capsid to infect other cells.
By preventing the uncoating of the virus, the medicine is expected to prevent the virus from spreading and causing disease. The medicine may be used for early treatment of infection or in patients who have been vaccinated against the disease but were subsequently exposed to the virus.
- What is the stage of development of this medicine?
The effects of the medicine have been evaluated in experimental models.
At the time of submission of the application for orphan designation, no clinical trials with the medicine in patients with immunodeficiencies deemed at risk had been started.
At the time of submission, the medicine was not authorised anywhere in the EU for the prevention of poliomyelitis in patients with immunodeficiencies deemed at risk. Orphan designation of the medicine had been granted in the United States for the treatment of poliovirus infection.
In accordance with Regulation (EC) No 141/2000 of 16 December 1999, the COMP adopted a positive opinion on 13 June 2012 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|
|EU/3/12/1021: Public summary of opinion on orphan designation: 1-[(2-Chloro-4-methoxyphenoxy)methyl]-4-[(2,6-dichlorophenoxy)methyl]benzene for the prevention of poliomyelitis in patients with immunodeficiencies deemed at risk||(English only)||2012-08-31||2013-03-12|
|Disease/condition||Prevention of poliomyelitis in patients with immunodeficiencies deemed at risk|
|Date of decision||17/07/2012|
|Orphan decision number||EU/3/12/1021|
Review of designation
The Committee for Orphan Medicinal Products reviews the orphan designation of a product if it is approved for marketing authorisation.
Sponsor’s contact details:
University of York
Tel. +44 (0)1904 567660
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.