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FDA has approved Endari, a new treatment for sickle cell disease


The FDA ( U.S. Food and Drug Administration ) has approved Endari ( L-Glutamine oral powder ) for patients age five years and older with sickle cell disease to reduce severe complications associated with the blood disorder.

Endari is the first treatment approved for patients with sickle cell disease in almost 20 years. Until now, only one other drug was approved for patients living with this serious, debilitating condition.

Sickle cell disease is an inherited blood disorder in which the red blood cells are abnormally shaped ( in a crescent, or sickle, shape ).
This restricts the flow in blood vessels and limits oxygen delivery to the body’s tissues, leading to severe pain and organ damage.

According to the National Institutes of Health ( NIH ), approximately 100,000 people in the United States have sickle cell disease.
The disease occurs most often in African-Americans, Latinos and other minority groups.
The average life expectancy for patients with sickle cell disease in the United States is approximately 40 to 60 years.

The safety and efficacy of Endari were studied in a randomized trial of patients ages 5 to 58 years old with sickle cell disease who had two or more painful crises within the 12 months prior to enrollment in the trial.
Patients were assigned randomly to treatment with Endari or placebo, and the effect of treatment was evaluated over 48 weeks.
Patients who were treated with Endari experienced fewer hospital visits for pain treated with a parenterally administered narcotic or Ketorolac ( sickle cell crises ), on average, compared to patients who received a placebo ( median 3 versus median 4 ), fewer hospitalizations for sickle cell pain ( median 2 versus median 3 ), and fewer days in the hospital ( median 6.5 days versus median 11 days ).
Patients who received Endari also had fewer occurrences of acute chest syndrome ( a life-threatening complication of sickle cell disease ) compared with patients who received a placebo ( 8.6% vs. 23.1% ).

Common side effects of Endari include constipation, nausea, headache, abdominal pain, cough, pain in the extremities, back pain and chest pain. ( Xagena )

Source: FDA, 2017

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