
EMA reviews repurposed experimental cancer drug for Covid-19, even without a submission
In a rare move for any regulator, the European Medicines Agency said Wednesday it’s begun reviewing data on the use of an experimental cancer drug for treating Covid-19, even though the Miami-based sponsor, Veru, has not submitted an application.
The EMA review by its emergency task force follows the release of study results earlier this month showing the drug, known as sabizabulin, reduced the risk of death by 55% in a study of 134 volunteers hospitalized with Covid-19 who received sabizabulin and 70 who received placebo. But experts have been cautious about overinterpreting the results, which were published in the NEJM, particularly as there have been very few effective treatments for those hospitalized with Covid.
Still, the trial showed that after 60 days, 45.1% of those in the placebo group died compared with just 20.2% of those who received the new drug, which amounted to a 55.2% relative reduction in the risk of death. The Independent Data Monitoring Committee unanimously halted the study for overwhelming efficacy and safety.

Sabizabulin works by disrupting microtubules, which form part of the internal skeleton in cells, according to the EMA, and which play a role in helping SARS-CoV-2 enter and leave cells. By binding to parts of the microtubules, sabizabulin is expected to interfere with the life cycle of the virus and limit its replication and spread.
The Veru drug, which is also under review in the US — for an EUA — and the UK, is the first to be triggered under Article 18 of the new EU regulation that expanded the role of the agency during public health emergencies.
Shares of Veru stock are up more than 170% over the last six months.
Mitchell Steiner, chairman, president, and CEO of Veru, said in a statement on Wednesday:
COVID-19 infections are sharply rising in Europe. Unfortunately, the death rate in hospitalized patients with moderate to severe COVID-19 who are at risk for ARDS remains unacceptably high with current standard of care. By reducing deaths in hospitalized COVID-19 patients, sabizabulin has great potential to play a critical role in the battle against COVID-19 in the EU. We are excited with this development at the EMA by the Emergency Task Force. We were just notified yesterday that sabizabulin triggered Article 18.