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CHMP recommends approval of Dupixent (dupilumab) for children aged 6 to 11 years with severe atopic dermatitis


GlobeNewswire Inc | Oct 16, 2020 08:00AM EDT

October 16, 2020

CHMP recommends approval of Dupixent (dupilumab) for children aged 6 to 11 years with severe atopic dermatitis

-- Recommendation based on pivotal trial that showed Dupixent plus topical corticosteroids (TCS) significantly improved measures of overall disease severity, skin clearance, itch and health-related quality of life measures, compared to TCS alone -- Data further reinforce the well-established safety profile of Dupixent in adult and adolescent atopic dermatitis patients -- Dupixent would be the first biologic medicine available in the EU to treat this patient group and remains the only biologic medicine approved in moderate-to-severe atopic dermatitis for adolescents and adults

PARIS and TARRYTOWN, NY October 16, 2020 The European Medicines Agency's Committee for Medicinal Products for Human Use (CHMP) has adopted a positive opinion for Dupixent (dupilumab), recommending to extend the approval in the European Union (EU) to include children aged 6 to 11 years with severe atopic dermatitis who are candidates for systemic therapy.

Dupixent is the first and only biologic approved for the treatment of uncontrolled moderate-to-severe atopic dermatitis for ages 12+ in the EU and ages 6+ in the U.S.

Dupixent is also approved in the EU for certain patients with severe asthma and severe chronic rhinosinusitis with nasal polyps, two other type 2 inflammatory diseases.

The European Commission is expected to announce a final decision on the Dupixent application in the coming months. The positive CHMP opinion is supported by data that include pivotal Phase 3 results on the efficacy and safety of Dupixent combined with TCS in children aged 6 to 11 years with severe atopic dermatitis that is uncontrolled on topical prescription therapies. In the trial, children treated with Dupixent and TCS experienced significantly improved measures of overall disease severity (Eczema Area and Severity Index), skin clearance, itch and health-related quality of life measures, compared to TCS alone. Adverse events more commonly observed with Dupixent included conjunctivitis, nasopharyngitis and injection site reactions. These data are consistent with the well-established efficacy and safety profile of Dupixent observed across adult and adolescent atopic dermatitis trials. The use of Dupixent in children aged 6 to 11 years is investigational and its efficacy and safety has not yet been fully evaluated in the EU.

Atopic dermatitis is a chronic inflammatory disease of the skin that can be debilitating. The current standard of care for children with severe atopic dermatitis in Europe is limited to TCS leaving those with poorly controlled disease to cope with intense, unrelenting itch and skin lesions that cover much of the body resulting in skin cracking, redness or darkening, crusting and oozing. In addition, uncontrolled severe atopic dermatitis can have a significant emotional and psychosocial impact causing sleep disturbance, symptoms of anxiety and depression, and feelings of isolation for children and their families.

Dupixent is a fully-human monoclonal antibody that inhibits the signaling of the interleukin-4 (IL-4) and interleukin-13 (IL-13) proteins, and is not an immunosuppressant. Data from Dupixent clinical trials have shown that IL-4 and IL-13 are key drivers of the type 2 inflammation that plays a major role in atopic dermatitis, asthma and CRSwNP. Dupixent is currently approved in more than 60 countries, and more than 170,000 patients have been treated globally.

About Dupixent

Dupixent is currently approved in the EU for use in adults and adolescents 12 years and older with moderate-to-severe atopic dermatitis who are candidates for systemic therapy. It is also approved in the EU for adults and adolescents 12 years and older as an add-on maintenance treatment for severe asthma with type 2 inflammation characterized by raised blood eosinophils and/or raised fractional exhaled nitric oxide (FeNO), who are inadequately controlled with high dose inhaled corticosteroid (ICS) plus another medicinal product for maintenance treatment. Dupixent is also approved in the EU for adults with severe CRSwNP for whom therapy with systemic corticosteroids and/or surgery do not provide adequate disease control.

Outside of the EU, Dupixent is approved for use in specific patients with moderate-to-severe atopic dermatitis and certain patients with asthma in a number of other countries around the world, including the U.S. and Japan. Dupixent is also approved in the U.S. and Japan to treat certain adults with severe CRSwNP.

Dupilumab Development Program

To date, dupilumab has been studied in more than 10,000 patients ages 6 and up across 50 clinical trials in various chronic diseases driven by type 2 inflammation.

In addition to the currently approved indications, Sanofi and Regeneron are also studying dupilumab in a broad range of clinical development programs for diseases driven by allergic and other type 2 inflammation, including pediatric asthma (6 to 11 years of age, Phase 3), pediatric atopic dermatitis (6 months to 5 years of age, Phase 2/3), eosinophilic esophagitis (Phase 3), chronic obstructive pulmonary disease (Phase 3), bullous pemphigoid (Phase 3), prurigo nodularis (Phase 3), chronic spontaneous urticaria (Phase 3), and food and environmental allergies (Phase 2). These potential uses are investigational, and the safety and efficacy have not been evaluated by any regulatory authority. Dupilumab is being jointly developed by Sanofi and Regeneron under a global collaboration agreement.

About RegeneronRegeneron (NASDAQ: REGN) is a leading biotechnology company that invents life-transforming medicines for people with serious diseases. Founded and led for over 30 years by physician-scientists, our unique ability to repeatedly and consistently translate science into medicine has led to eight FDA-approved treatments and numerous product candidates in development, all of which were homegrown in our laboratories. Our medicines and pipeline are designed to help patients with eye diseases, allergic and inflammatory diseases, cancer, cardiovascular and metabolic diseases, pain, infectious diseases and rare diseases.

Regeneron is accelerating and improving the traditional drug development process through our proprietary VelociSuite technologies, such as VelocImmune, which uses unique genetically-humanized mice to produce optimized fully-human antibodies and bispecific antibodies, and through ambitious research initiatives such as the Regeneron Genetics Center, which is conducting one of the largest genetics sequencing efforts in the world.

For additional information about the company, please visit www.regeneron.com or follow @Regeneron on Twitter.



About Sanofi

Sanofi is dedicated to supporting people through their health challenges. Weare a global biopharmaceutical company focused on huan health. We preventillness with vaccines, provide innovative treatments to fight pain and easesuffering. We stand by the few who suffer from rare diseases and the millionswith long-term chronic conditions.

With more than 100,000 people in 100 countries, Sanofi is transformingscientific innovation into healthcare solutions around the globe.

Sanofi, Empowering Life

Sanofi Media Relations ContactSally Bain Sanofi Investor Relations ? Contacts ParisTel.: +1 (781) 264 1091 Eva Schaefer-JansenSally.Bain@sanofi.com Arnaud Delepine Yvonne Naughton



Sanofi Investor Relations ? Contacts North America Felix Lauscher Fara Berkowitz Suzanne Greco



Sanofi IR main line: Tel.: +33 (0)1 53 77 45 45 ir@sanofi.com https://www.sanofi.com/en/investors/contact



Regeneron Investor Relations Contact Mark Hudson Tel.: +1 (914) 847 3482 Mark.Hudson@regeneron.comRegeneron Media Relations ContactSharon Chen Tel.: +1 914 847 1546Sharon.Chen@regeneron.com

Sanofi Forward-Looking StatementsThis press release contains forward-looking statements as defined in thePrivate Securities Litigation Reform Act of 1995, as amended. Forward-lookingstatements are statements that are not historical facts. These statementsinclude projections and estimates regarding the marketing and other potentialof the product, or regarding potential future revenues from the product.Forward-looking statements are generally identified by the words ?expects?,?anticipates?, ?believes?, ?intends?, ?estimates?, ?plans? and similarexpressions. Although Sanofi?s management believes that the expectationsreflected in such forward-looking statements are reasonable, investors arecautioned that forward-looking information and statements are subject tovarious risks and uncertainties, many of which are difficult to predict andgenerally beyond the control of Sanofi, that could cause actual results anddevelopments to differ materially from those expressed in, or implied orprojected by, the forward-looking information and statements. These risks anduncertainties include among other things, unexpected regulatory actions ordelays, or government regulation generally, that could affect the availabilityor commercial potential of the product, the fact that product may not becommercially successful, the uncertainties inherent in research anddevelopment, including future clinical data and analysis of existing clinicaldata relating to the product, including post marketing, unexpected safety,quality or manufacturing issues, competition in general, risks associated withintellectual property and any related future litigation and the ultimateoutcome of such litigation, and volatile economic and market conditions, andthe impact that COVID-19 will have on us, our customers, suppliers, vendors,and other business partners, and the financial condition of any one of them, aswell as on our employees and on the global economy as a whole. Any materialeffect of COVID-19 on any of the foregoing could also adversely impact us. Thissituation is changing rapidly and additional impacts may arise of which we arenot currently aware and may exacerbate other previously identified risks. Therisks and uncertainties also include the uncertainties discussed or identifiedin the public filings with the SEC and the AMF made by Sanofi, including thoselisted under ?Risk Factors? and ?Cautionary Statement Regarding Forward-LookingStatements? in Sanofi?s annual report on Form 20-F for the year ended December31, 2019. Other than as required by applicable law, Sanofi does not undertakeany obligation to update or revise any forward-looking information orstatements.

Regeneron Forward-Looking Statements and Use of Digital MediaThis press release includes forward-looking statements that involve risks anduncertainties relating to future events and the future performance of RegeneronPharmaceuticals, Inc. (?Regeneron? or the ?Company?), and actual events orresults may differ materially from these forward-looking statements. Words suchas ?anticipate,? ?expect,? ?intend,? ?plan,? ?believe,? ?seek,? ?estimate,?variations of such words, and similar expressions are intended to identify suchforward-looking statements, although not all forward-looking statements containthese identifying words. These statements concern, and these risks anduncertainties include, among others, the impact of SARS-CoV-2 (the virus thathas caused the COVID-19 pandemic) on Regeneron?s business and its employees,collaborators, and suppliers and other third parties on which Regeneron relies,Regeneron?s and its collaborators? ability to continue to conduct research andclinical programs, Regeneron?s ability to manage its supply chain, net productsales of products marketed by Regeneron and/or its collaborators (collectively,?Regeneron?s Products?), and the global economy; the nature, timing, andpossible success and therapeutic applications of Regeneron?s Products andRegeneron?s product candidates and research and clinical programs now underwayor planned, including without limitation Dupixent (dupilumab); the impact ofthe opinion adopted by theEuropean Medicines Agency's Committee for MedicinalProducts for Human Usediscussed in this press release on theEuropeanCommission'sdecision regarding the application to extend Dupixent?s approvalin the European Union to include children aged 6 to 11 years with severe atopicdermatitis who are candidates for systemic therapy; uncertainty of marketacceptance and commercial success of Regeneron?s Products and productcandidates and the impact of studies (whether conducted by Regeneron or othersand whether mandated or voluntary) on the commercial success of Regeneron'sProducts (such as Dupixent) and product candidates; the likelihood, timing, andscope of possible regulatory approval and commercial launch of Regeneron?sproduct candidates and new indications for Regeneron?s Products, includingpossible regulatory approval of Dupixent for children aged 6 to 11 years withsevere atopic dermatitis who are candidates for systemic therapy intheEuropean Uniondiscussed in this press release and possible regulatoryapproval of Dupixent in other jurisdictions and indications (such as for thetreatment of pediatric asthma, pediatric atopic dermatitis, eosinophilicesophagitis, chronic obstructive pulmonary disease, bullous pemphigoid, prurigonodularis, chronic spontaneous urticaria, food and environmental allergies, andother potential indications); safety issues resulting from the administrationof Regeneron?s Products (such as Dupixent) and product candidates in patients,including serious complications or side effects in connection with the use ofRegeneron?s Products and product candidates in clinical trials; determinationsby regulatory and administrative governmental authorities which may delay orrestrict Regeneron?s ability to continue to develop or commercializeRegeneron?s Products (such as Dupixent) and product candidates; ongoingregulatory obligations and oversight impacting Regeneron?s Products, researchand clinical programs, and business, including those relating to patientprivacy; the availability and extent of reimbursement of Regeneron?s Productsfrom third-party payers, including private payer healthcare and insuranceprograms, health maintenance organizations, pharmacy benefit managementcompanies, and government programs such as Medicare and Medicaid; coverage andreimbursement determinations by such payers and new policies and proceduresadopted by such payers; competing drugs and product candidates that may besuperior to, or more cost effective than, Regeneron?s Products and productcandidates; the extent to which the results from the research and developmentprograms conducted by Regeneron and/or its collaborators may be replicated inother studies and/or lead to advancement of product candidates to clinicaltrials, therapeutic applications, or regulatory approval; the ability ofRegeneron to manufacture and manage supply chains for multiple products andproduct candidates; the ability of Regeneron?s collaborators, suppliers, orother third parties (as applicable) to perform manufacturing, filling,finishing, packaging, labeling, distribution, and other steps related toRegeneron?s Products and product candidates; unanticipated expenses; the costsof developing, producing, and selling products; the ability of Regeneron tomeet any of its financial projections or guidance and changes to theassumptions underlying those projections or guidance; the potential for anylicense or collaboration agreement, including Regeneron's agreements withSanofi, Bayer, and Teva Pharmaceutical Industries Ltd. (or their respectiveaffiliated companies, as applicable), to be cancelled or terminated; and risksassociated with intellectual property of other parties and pending or futurelitigation relating thereto (including without limitation the patent litigationand other related proceedings relating to EYLEA (aflibercept) Injection,Dupixent, and Praluent (alirocumab)), other litigation and other proceedingsand government investigations relating to the Company and/or its operations,the ultimate outcome of any such proceedings and investigations, and the impactany of the foregoing may have on Regeneron's business, prospects, operatingresults, and financial condition. A more complete description of these andother material risks can be found in Regeneron?s filings with the U.S.Securities and Exchange Commission, including its Form 10-K for the year endedDecember 31, 2019 and its Form 10-Q for the quarterly period ended June 30,2020. Any forward-looking statements are made based on management?s currentbeliefs and judgment, and the reader is cautioned not to rely on anyforward-looking statements made by Regeneron. Regeneron does not undertake anyobligation to update publicly any forward-looking statement, including withoutlimitation any financial projection or guidance, whether as a result of newinformation, future events, or otherwise.

Regeneron uses its media and investor relations website and social mediaoutlets to publish important information about the Company, includinginformation that may be deemed material to investors. Financial and otherinformation about Regeneron is routinely posted and is accessible onRegeneron's media and investor relations website ( http://newsroom.regeneron.com) and its Twitter feed ( http://twitter.com/regeneron).

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-- Press release







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