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Novartis announces FDA filing acceptance of Xolair® (omalizumab) prefilled syringe for self-administration across all indications

EAST HANOVER, N.J., Aug. 13, 2020 /PRNewswire/ -- Novartis today announced that the US Food and Drug Administration (FDA) accepted the company's supplemental Biologics License Application (sBLA) for a new self-administration option for Xolair® (omalizumab) across all approved US indications. If approved, Xolair prefilled syringe would become available for either self-administration by select patients or administration by their caregivers. A decision on approval is anticipated by Q1 2021. In the US, Xolair is currently approved for administration by a healthcare provider in a healthcare setting, and is the only approved biologic designed to target and block immunoglobulin E (IgE) for the treatment of patients with moderate to severe persistent allergic asthma and chronic idiopathic urticaria (CIU).

"Today's FDA filing acceptance of Xolair is a big step forward for people living with IgE-mediated conditions," said Victor Bultó, President, Novartis Pharmaceuticals Corporation. "If approved, self-administration of Xolair would offer a new, convenient and flexible treatment administration option for patients and healthcare providers, which builds on the proven legacy, safety profile and efficacy of Xolair over the last 17 years of real-world use. This is in line with Novartis' strong heritage of innovation and ongoing commitment to reimagining medicine and understanding the continually changing needs of patients and healthcare providers."

If approved, once Xolair therapy has been established and closely observed by a healthcare provider, self-administration of Xolair prefilled syringe outside of a healthcare setting by a patient or caregiver may be deemed appropriate by the healthcare provider for select patients. In those instances, the patient or caregiver would be trained by a healthcare provider in the correct subcutaneous injection technique and recognition of the early signs and symptoms of anaphylaxis.

Approximately 460,000 patients have been treated in the US with Xolair since its initial approval for allergic asthma in 2003.1 The use of Xolair in allergic asthma and CIU is supported by a robust clinical development program, including eight Phase III studies. Independent clinical studies involving patients with allergic asthma and CIU on Xolair treatment suggest that Xolair may be self-administered with proper training and monitoring.2 In the US, Novartis Pharmaceuticals Corporation and Genentech work together to develop and co-promote Xolair.

Xolair is the only IgE blocking biologic available for the treatment of moderate to severe persistent allergic asthma in people six years of age or older whose asthma symptoms are not controlled by inhaled corticosteroids, and for CIU in people 12 years of age and older who continue to have hives that are not controlled by H1 antihistamines.

The FDA filing acceptance follows the European Commission's approval for Xolair self-administration (or administration by a trained caregiver) for approved indications in December 2018.  

About Allergic Asthma and Chronic Idiopathic Urticaria
Asthma is a serious and chronic lung disease affecting an estimated 24 million people in the US.3,4 It causes swelling and narrowing of the airways, making breathing difficult. Allergic asthma, the most common form of asthma, accounts for approximately 60 percent of asthma cases in adults.5,6

Chronic idiopathic urticaria (CIU) is a skin condition that can cause hives and severe itch that can last many months and years.7 CIU is characterized by hives that spontaneously occur without an identifiable cause, and recur for six weeks or more.8 It is estimated that approximately 1.5 million people in the US have CIU.7,9

About Xolair® (omalizumab) 
Xolair (omalizumab) is the only approved antibody designed to target and block immunoglobulin E (IgE). By reducing free IgE, down-regulating high-affinity IgE receptors and limiting mast cell degranulation, Xolair minimizes the release of mediators throughout the allergic inflammatory cascade. 

An injectable prescription medicine, Xolair is approved for the treatment of moderate-to-severe or severe persistent allergic asthma in more than 90 countries, including the US since 2003 and the EU since 2005. Xolair is approved for the treatment of chronic spontaneous urticaria in over 80 countries including the European Union and for chronic idiopathic urticaria (CIU), as it is known in the US and Canada. Xolair has over one million patient years of exposure. In addition, a liquid formulation of Xolair in prefilled syringes has been approved in the US, EU and more than 10 countries outside of the EU, including Canada and Australia. The self-administration indication for Xolair in prefilled syringes was also approved in the EU in 2018. Outside the US, Novartis markets Xolair and records all sales and related costs. 

Xolair US Indications 
Xolair for subcutaneous use is an injectable prescription medicine approved by the FDA to treat: 

Xolair is not used to treat other allergic conditions, other forms of urticaria, acute bronchospasm or status asthmaticus. 

Important Safety Information 
The most important information patients should know about XOLAIR is that a severe allergic reaction called anaphylaxis can happen when you receive XOLAIR. The reaction can occur after the first dose, or after many doses. It may also occur right after a XOLAIR injection or days later. Anaphylaxis is a life-threatening condition and can lead to death. Go to the nearest emergency room right away if you have any of these symptoms of an allergic reaction: 

The patient's healthcare provider will monitor you closely for symptoms of an allergic reaction while you are receiving XOLAIR and for a period of time after the patient's injection. The patient's healthcare provider should talk to the patient about getting medical treatment if they have symptoms of an allergic reaction after leaving the healthcare provider's office or treatment center. 

Patients must not receive XOLAIR if they are allergic to omalizumab or any of the ingredients. 

Before receiving XOLAIR, patients must tell their healthcare provider about all of their medical conditions, including if they: 

Patients must tell their healthcare provider about all the medicines they take, including prescription and over-the-counter medicines, vitamins, or herbal supplements. 

Receiving XOLAIR

Possible Side Effects of XOLAIR 
XOLAIR may cause serious side effects, including: 

The most common side effects of XOLAIR

These are not all the possible side effects of XOLAIR. Patients should call their doctor for medical advice about side effects. 

Report side effects to the FDA at (800) FDA-1088 or?http://www.fda.gov/medwatch. Report side effects to Genentech at (888) 835-2555 or Novartis Pharmaceuticals Corporation at (888) 669-6682. 

Please see full Prescribing Information, including Medication Guide at?http://www.xolair.com?for additional Important Safety Information. 

This press release contains forward-looking statements within the meaning of the United States Private Securities Litigation Reform Act of 1995. Forward-looking statements can generally be identified by words such as "potential," "can," "will," "plan," "may," "could," "would," "expect," "anticipate," "look forward," "believe," "committed," "investigational," "pipeline," "launch," or similar terms, or by express or implied discussions regarding potential marketing approvals, new indications or labeling for the investigational or approved products described in this press release, or regarding potential future revenues from such products. You should not place undue reliance on these statements. Such forward-looking statements are based on our current beliefs and expectations regarding future events, and are subject to significant known and unknown risks and uncertainties. Should one or more of these risks or uncertainties materialize, or should underlying assumptions prove incorrect, actual results may vary materially from those set forth in the forward-looking statements. There can be no guarantee that the investigational or approved products described in this press release will be submitted or approved for sale or for any additional indications or labeling in any market, or at any particular time. Nor can there be any guarantee that such products will be commercially successful in the future. In particular, our expectations regarding such products could be affected by, among other things, the uncertainties inherent in research and development, including clinical trial results and additional analysis of existing clinical data; regulatory actions or delays or government regulation generally; global trends toward health care cost containment, including government, payor and general public pricing and reimbursement pressures and requirements for increased pricing transparency; our ability to obtain or maintain proprietary intellectual property protection; the particular prescribing preferences of physicians and patients; general political, economic and business conditions, including the effects of and efforts to mitigate pandemic diseases such as COVID-19; safety, quality, data integrity or manufacturing issues; potential or actual data security and data privacy breaches, or disruptions of our information technology systems, and other risks and factors referred to in Novartis AG's current Form 20-F on file with the US Securities and Exchange Commission. Novartis is providing the information in this press release as of this date and does not undertake any obligation to update any forward-looking statements contained in this press release as a result of new information, future events or otherwise.

About Novartis
Located in East Hanover, NJ Novartis Pharmaceuticals Corporation ? an affiliate of Novartis ? is reimagining medicine to improve and extend people's lives. As a leading global medicines company, we use innovative science and digital technologies to create transformative treatments in areas of great medical need. In our quest to find new medicines, we consistently rank among the world's top companies investing in research and development. Novartis employs about 15,000 people in the United States. For more information, please visit https://www.novartis.us.

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  1. Data on file. Genentech, Inc.
  2. Data on file. Genentech, Inc.
  3. Centers For Disease Control and Prevention. Most recent asthma data. Updated May 2018. Accessed June 24, 2020. https://www.cdc.gov/asthma/most_recent_data.htm
  4. American Academy of Allergy, Asthma & Immunology (AAAAI). Asthma definition. Accessed June 24, 2020. https://www.aaaai.org/conditions-and-treatments/conditions-dictionary/asthma
  5. American Academy of Allergy, Asthma & Immunology (AAAAI). Allergic asthma definition. Accessed June 24, 2020. https://www.aaaai.org/conditions-and-treatments/conditions-dictionary/allergic-asthma
  6. Arbes SJ, Gergen PJ, Vaughn B, Zeldin DC. Asthma cases attributable to atopy: Results from the Third National Health and Nutrition Examination Survey. J Allergy Clin Immunol. 2007;120:1139-1145.
  7. Maurer M, Weller K, Bindslev-Jensen C, et al. Unmet clinical needs in chronic spontaneous urticaria. A GA2LEN task force report. Allergy. 2011;66:317-330.
  8. Khan D. Chronic urticaria: standard management and patient education. UpToDate. Updated September 19, 2013. Accessed July 5, 2018. https://www.uptodate.com/contents/chronic-spontaneous-urticaria-standard-management-and-patient-education#H12466492
  9. US Census Bureau. QuickFacts United States. Population estimates, July 1, 2017. Accessed July 5, 2018. https://www.census.gov/quickfacts/fact/table/US/PST045217


Novartis Media Relations

E-mail: media.relations@novartis.com

Jamie Bennett

Martin DeBenedetto 

Director, US Media Relations

Director, Communications 

+1 862-217-3976

(862) 778-7619 (direct) 


(973) 738-4104 (mobile) 


Novartis Investor Relations

E-mail: investor.relations@novartis.com

Sloan Simpson             +1 862 778 5052


SOURCE Novartis Pharmaceuticals Corporation

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