Tuesday, February 24, 2026

EMA’s CAT Endorses Emerging Gene Therapies, Revokes Alofisel License

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In a decisive session from December 4th to 6th, 2024, the European Medicines Agency’s Committee for Advanced Therapies (CAT) evaluated and made significant rulings on multiple Advanced Therapy Medicinal Products (ATMPs). The meeting addressed approvals, requests for additional information, and the withdrawal of specific medicinal authorizations, highlighting the agency’s commitment to advancing innovative treatments while ensuring safety and efficacy.

Approval of New Gene Therapies

CAT approved several groundbreaking gene therapies aimed at treating complex and rare conditions. Among the approved treatments, Beremagene geperpavec received PRIME designation for its potential to treat dystrophic epidermolysis bullosa. Additionally, Lifileucel was endorsed for its application in treating unresectable or metastatic melanoma, showcasing the committee’s focus on high-need areas. The committee also appointed coordinators for new scientific recommendations, further streamlining the evaluation process for emerging therapies.

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Withdrawal of Alofisel Authorization

In a significant move, CAT discussed the withdrawal of the marketing authorization for Alofisel, a therapy used to treat Crohn’s disease-related fistulas. The decision followed the submission of phase 3 study results, which informed the withdrawal by the marketing authorization holder. Consequently, a Direct Healthcare Provider Communication was prepared and disseminated, ensuring that healthcare professionals are informed about the change in Alofisel’s authorization status.

Key inferences from the meeting include:

  • The EMA is proactively endorsing therapies with substantial clinical benefits.
  • Regulatory measures are stringent to maintain treatment safety and effectiveness.
  • Withdrawal decisions are based on comprehensive clinical data assessments.

EMA’s CAT meeting underscored the agency’s dual role in fostering medical innovation and safeguarding public health. By approving new therapies, CAT facilitates access to cutting-edge treatments for patients with limited options. Simultaneously, the committee’s decision to revoke Alofisel’s authorization reflects a rigorous commitment to evidence-based practice, ensuring that only safe and effective treatments remain available. These actions not only enhance the therapeutic landscape within the EU but also set a benchmark for regulatory excellence globally. Stakeholders, including healthcare providers and patients, benefit from the transparent and responsive regulatory framework, which adapts to evolving medical evidence and patient needs.

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