On 19 September 2019, the Committee for Medicinal Products for Human Use (CHMP) adopted a positive opinion, recommending the granting of a marketing authorisation for the medicinal product Ivozall, intended for the treatment of acute lymphoblastic leukaemia (ALL) in paediatric patients. The applicant for this medicinal product is ORPHELIA Pharma SAS.

Ivozall will be available as a 1 mg/ml concentrate for solution for infusion. The active substance of Ivozall is clofarabine, an antineoplastic agent (ATC code: L01BB06). Its anti-tumour activity is believed to be due to the inhibition of DNA polymerase αnd of ribonucleotide reductase and the disruption of mitochondrial membrane integrity.

Ivozall is a generic of Evoltra, which has been authorised in the EU since 29 May 2006. Since Ivozall and Evoltra are administered intravenously, both are fully bioavailable and a bioequivalence study was not required. 

The full indication is:

“Treatment of acute lymphoblastic leukaemia (ALL) in paediatric patients who have relapsed or are refractory after receiving at least two prior regimens and where there is no other treatment option anticipated to result in a durable response. Safety and efficacy have been assessed in studies of patients ≤ 21 years old at initial diagnosis.”

It is proposed that Ivozall be prescribed by physicians experienced in the treatment of patients with acute leukaemias.

Detailed recommendations for the use of this product will be described in the summary of product characteristics (SmPC), which will be published in the European public assessment report (EPAR) and made available in all official European Union languages after the marketing authorisation has been granted by the European Commission.

Key facts

Agency product number
International non-proprietary name (INN) or common name
  • clofarabine
Active substance
  • clofarabine
Therapeutic area
Precursor Cell Lymphoblastic Leukemia-Lymphoma

This is a generic medicine, which is developed to be the same as a medicine that has already been authorised, called the reference medicine. A generic medicine contains the same active substance(s) as the reference medicine, and is used at the same dose(s) to treat the same disease(s). For more information, see Generic and hybrid medicines.

Date opinion adopted
Company name
Application type
Initial authorisation

More information on Ivozall

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