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 (DIR) Return to: COPAXONE (glatiramer acetate)
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       #Post#: 2432--------------------------------------------------
       Long-acting glatiramer acetate (GA Depot) for RRMS and PPMS anno
       unced
       By: agate Date: March 9, 2019, 1:39 am
       ---------------------------------------------------------
       This new MS drug, to be marketed for RRMS and PPMS, seems to be
       a "depot" version of glatiramer acetate (Copaxone), injected
       every 4 weeks. Just when it will become available isn't clear:
 (HTM) http://www.globenewswire.com/news-release/2019/02/21/1739488/0/en/Mapi-Pharma-to-Host-Key-Opinion-Leader-Meeting-on-Long-Acting-Glatiramer-Acetate-GA-Depot-for-Primary-Progressive-Multiple-Sclerosis-and-New-Treatments-for-MS.html
       #Post#: 2445--------------------------------------------------
       Re: Long-acting glatiramer acetate (GA Depot) for RRMS and PPMS 
       announced
       By: ewizabeth Date: March 25, 2019, 11:10 am
       ---------------------------------------------------------
       I bet that will be expensive compared to the injections.
       #Post#: 2447--------------------------------------------------
       Re: Long-acting glatiramer acetate (GA Depot) for RRMS and PPMS 
       announced
       By: agate Date: March 25, 2019, 11:26 am
       ---------------------------------------------------------
       The drug companies usually seem to charge whatever price the
       market will bear--and the sky may be the limit.
       #Post#: 3019--------------------------------------------------
       Mapi Pharma presents GA Depot results at ACTRIMS/ECTRIMS 2020 me
       eting
       By: agate Date: September 11, 2020, 12:05 am
       ---------------------------------------------------------
       I  avoid drug-company publications that seem to be largely just
       promoting a particular drug but this one caught my eye because
       what is being considered is using GA Depot for PPMS.
       This is from an e-mail I received today from MAPI Pharma Ltd.:
       Mapi Pharma Presents Glatiramer Acetate Depot (GA Depot) Results
       at the 8th Joint ACTRIMS-ECTRIMS Meeting MSVirtual2020
       Data suggest that GA Depot may also have potential as a primary
       progressive multiple sclerosis (PPMS) treatment
       NESS ZIONA, Israel – Sep. 10th, 2020 – Mapi Pharma Ltd., a fully
       integrated, late-stage clinical development biopharmaceutical
       company, today announced that it will present data from its
       ongoing Phase II studies of GA Depot for the treatment of
       relapsing remitting multiple sclerosis (RRMS) and primary
       progressive multiple sclerosis (PPMS) at MS Virtual 2020, the
       8th Joint Meeting of the Americas Committee for Treatment and
       Research in Multiple Sclerosis and the European Committee for
       Treatment and Research in Multiple Sclerosis (ACTRIMS-ECTRIMS),
       which will take place virtually on September 11-13.
       In the RRMS extension phase II study, all participants received
       a 40mg dose of GA Depot once every four weeks for the 52-week
       core study period. Adverse events (AEs) mainly included mild
       injection site reactions, and no unexpected AEs were reported.
       Subjects who completed 13 injections were able to enter the
       optional extension study. The number of AEs was significantly
       reduced during the extension study compared to the core study,
       particularly during the fourth extension year as compared to the
       first two years of the study. No systemic immediate
       post-injection reactions were detected. Mean Expanded Disability
       Status Scale (EDSS) score after four years showed no change
       compared to baseline. No selapses or MRI activity were noted
       during that period. Four years of Three Parameter No Evidence of
       Disease Activity (NEDA-3) was achieved by 90% of the per
       protocol population, which is defined as no relapses, no
       increase in disability (as measured by EDSS), and no new or
       active (enhancing) lesions on their MRI scans.
       In the PPMS Phase II study, all participants received a 40mg
       dose of GA Depot once every four weeks. AEs were mainly mild.
       The most common AEs included injection site reactions and
       general weakness. No unexpected AEs were reported. EDSS score
       remained stable for all patients and no 12-week Confirmed
       Disability Progression (CDP) was detected. Mean Nine Hole Peg
       Test (9HPT) scores and Timed 25-Foot Walk (T25FW) remained
       stable.
       Ehud Marom, Chairman and Chief Executive Officer of Mapi, said,
       “We are encouraged by the high four-year NEDA-3 score which we
       believe will position GA Depot among the leading MS treatments.
       The study provided evidence of the product’s long-term safety,
       tolerability, and efficacy in RRMS patients and offered very
       strong rationale for continued development.
       “We are also pleased to report that we have now dosed more than
       300 patients in our ongoing Phase 3 study for RRMS, which is
       designed to support a New Drug Application (NDA).
       Notwithstanding the impact that the COVID-19 pandemic has had on
       drug development timelines around the world, we remain on track
       to complete this study as planned with no change to our original
       plan. Importantly, GA-based therapies are deemed safe by the
       Multiple Sclerosis International Federation (MSIF) to be dosed
       in a COVID-19 environment. We are very much looking forward to
       data from this Phase 3 study and continue to work closely with
       our commercialization partner Mylan to bring this significant
       therapeutic advancement to MS patients globally.”
       Rajiv Malik, President of Mylan, commented, “Mylan is committed
       to meeting unmet needs through our collaboration with Mapi by
       leveraging our global platform and scientific and commercial
       expertise to advance new treatment options for patients living
       with MS. The results of Mapi’s RRMS Phase 2 study and continued
       progress on the recruitment for the ongoing Phase 3 study
       represent additional positive steps forward in our efforts to
       serve the MS patient community, which already includes the
       offering of a comprehensive MS portfolio of medicines such as
       glatiramer acetate 20 mg/mL and 40 mg/mL, and more recently
       dimethyl fumarate delayed release capsules. In parallel to the
       efficient, ongoing clinical development, we continue to advance
       commercial planning to bring GA Depot to market and look forward
       to expanding access for patients.”
       ...
       Abstract Number: #2107, Poster Number: LB1228
       Abstract Title: Glatiramer Acetate Depot (Extended-Release)
       Phase IIa Study in Patients with RRMS: Safety, Tolerability and
       Efficacy Four-Years Analysis
       Abstract Number: #2106, Poster Number: LB1227
       Abstract Title: Glatiramer Acetate Depot (extended-release)
       Phase IIa study in patients with Primary Progressive Multiple
       Sclerosis: safety and efficacy snapshot
       About GA Depot:
       GA Depot is a long acting injection version of the approved
       Glatiramer Acetate (GA, commercially available as Copaxone®),
       designed to be administered as an intramuscular injection once
       every four weeks. GA Depot is intended to be used for treatment
       of relapsing forms of multiple sclerosis (RMS), and is currently
       evaluated in a multinational Phase III clinical study. GA Depot
       is also currently being tested in Phase II for primary
       progressive multiple sclerosis (PPMS). [italics added]
       About Mapi Pharma:
       Mapi is a clinical stage pharmaceutical company, engaged in the
       development of high barrier-to-entry and high added-value life
       cycle management (“LCM”) products that target large markets and
       generic drugs that include complex active pharmaceutical
       ingredients (“APIs”) and formulations. The GA Depot injection,
       administered once every four weeks, is the first in a series of
       depot long-acting injections in the company’s pipeline, for the
       treatment of MS. The product is a LCM version of Copaxone®,
       which requires injections daily or every other day. Mapi Pharma
       partnered with Mylan N.V. (NASDAQ: MYL) for GA Depot in an
       agreement under which Mylan was granted an exclusive license to
       commercialize the GA Depot injection product for relapsing forms
       of multiple sclerosis. Mapi is built on strong chemical and
       pharmaceutical R&D capabilities, a deep understanding of the
       global market and of regulatory needs. Mapi is headquartered in
       Israel, with R&D facilities in Israel and China, an API
       production facility in the Neot-Hovav Eco Industrial Park and an
       aseptic manufacturing and a Fill & Finish facility for
       injectable Finished Dosage Forms in Jerusalem. Mapi has a strong
       IP position, filing numerous patent applications for APIs and
       formulations. Mapi Pharma was founded by Ehud Marom who serves
       as Chairman & CEO of Mapi Pharma and Stem Cell Medicine. For
       more information, please visit: www.mapi-pharma.com
 (HTM) http://www.mapi-pharma.com/
       #Post#: 3693--------------------------------------------------
       Use of GA depot for progressive MS given US patent
       By: agate Date: June 24, 2022, 1:11 am
       ---------------------------------------------------------
       The injection, given every 4 weeks, is intramuscular. The main
       justification for bringing this new type of glatiramer acetate
       onto the market seems to be that it would be more convenient for
       people, and so patient compliance would be improved.
       From Multiple Sclerosis News Today (April 2, 2022)--"Use of GA
       Depot in Treating Progressive MS Given US Patent":
 (HTM) https://multiplesclerosisnewstoday.com/news-posts/2022/04/1/ga-depot-mapi-pharma-given-us-patent-treatment-progressive-ms/
       #Post#: 4013--------------------------------------------------
       (AAN) Results of Phase 3 study of GA Depot, with IM injections e
       very 4 weeks
       By: agate Date: May 1, 2023, 6:37 pm
       ---------------------------------------------------------
       Presented at the recent annual AAN meeting (April 23-27),
       "Results of a Phase 3, Multinational, Double-blind,
       Placebo-controlled Study in Subjects with Relapsing Forms of
       Multiple Sclerosis (RMS) to Assess the Efficacy, Safety, and
       Tolerability of GA Depot, a Long-Acting IM Injection of
       Glatiramer Acetate, Administered Once Every 4 Weeks":
 (HTM) https://bit.ly/3LKy2GJ
       It isn't clear whether these IM injections were administered by
       the patients at home. I'm assuming that the patients didn't have
       to travel somewhere to have a medical professional do the
       injection every 4 weeks.
       Also, nothing is said about the immediate post-injection
       reaction (IPIR) that some people have had while taking this
       drug. Would they still occur with this new method of injecting
       glatiramer?
       #Post#: 4339--------------------------------------------------
       (ACTRIMS) Glatiramer acetate depot safety profile as potential M
       S therapy
       By: agate Date: March 6, 2024, 1:52 am
       ---------------------------------------------------------
       I avoid reports on open-label studies and reports that seem to
       come from pharmaceutical companies but this one is an exception,
       mainly because I am personally interested in this new version of
       glatiramer acetate, which might be available before long.
       From the recent ACTRIMS conference, this report appears in
       NeurologyLive (March 1, 2024)--"Glatiramer Acetate Depot
       Demonstrates Sustained Longterm Safety Profile as Potential MS
       Therapy":
 (HTM) https://bit.ly/3P5qcso
       This statement is puzzling:
       [quote]
       [font=segoe ui]In the study, the most frequently reported
       treatment-emergent adverse events (TEAEs) included injection
       site reactions (ISRs), pyrexia, influenza-like illness, body
       temperature increase, and headache; however, these TEAEs were
       considered mostly mild or moderate (98.3% of events).[/font]
       [/quote]
       [font=segoe ui]"Treatment-emergent adverse events" apparently
       means side effects experienced by patients while taking GA
       Depot.[/font]
       [font=segoe ui]As someone who took Copaxone for nearly 3 years
       (daily injection) and now is taking Glatopa (3 times a week
       injection), I'm surprised by the list of side effects
       experienced with GA Depot--"influenza-like illness" and "body
       temperature increase" are not typical side effects of Copaxone
       or Glatopa.[/font]
       [font=segoe ui]However, they are side effects often experienced
       while taking Avonex.[/font]
       [font=segoe ui]I'm guessing that the intramuscular injection
       that is used with GA Depot might account for the different
       TEAEs.[/font]
       #Post#: 4346--------------------------------------------------
       US FDA declines to approve GA Depot (yet)
       By: agate Date: March 12, 2024, 1:58 pm
       ---------------------------------------------------------
       The US FDA has declined to approve GA Depot. Apparently more
       information is needed, and this may be just a matter of a delay.
       From Neurology Live (March 22, 2024)--"FDA Issues Complete
       Response Letter for Long-Acting Form of Glatiramer Acetate for
       Relapsing Multiple Sclerosis":
 (HTM) https://bit.ly/48QUXIA
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