Regulatory PathRegulatory requirements compared

Active substance

Melphalan flufenamide

Open in the medicines table

EMA European Union — centrally authorised medicines

Pepaxti Oncopeptides AB (publ) · Authorised · authorised 17 Aug 2022 · ATC L01AA10

Therapeutic indication (EMA)

Pepaxti is indicated, in combination with dexamethasone, for the treatment of adult patients with multiple myeloma who have received at least three prior lines of therapies, whose disease is refractory to at least one proteasome inhibitor, one immunomodulatory agent, and one anti-CD38 monoclonal antibody, and who have demonstrated disease progression on or after the last therapy. For patients with a prior autologous stem cell transplantation, the time to progression should be at least 3 years from transplantation (see section 4.4).

UK MHRA United Kingdom — marketing authorisations

ProductAuthorisationHolderLegal status
PEPAXTI 20 MG POWDER FOR CONCENTRATE FOR SOLUTION FOR INFUSIONPLGB 46117/0001ONCOPEPTIDES ABPOM

Values as published by each source: SFDA human drug list (4-2026, as published by the Council of Health Insurance; indications from the CHI Daman Drug Formulary), Drugs@FDA, EMA medicines data, Health Canada Drug Product Database (Open Government Licence – Canada), MHRA category lists of UK marketing authorisations (Open Government Licence v3.0), CMS NADAC, NHS Drug Tariff Part VIIIA (NHSBSA Copyright, Open Government Licence v3.0), WHO Model List of Essential Medicines (CC BY 3.0 IGO; regrouped by active substance, not created by WHO), EMA PRAC, US FDA safety-related labeling changes and MHRA Drug Safety Update (Open Government Licence v3.0). Sources and reuse. Not a substitute for the official registers or the product information.