CYSTADROPS (mercaptamine [cysteamine] hydrochloride), ophthalmic medicinal product

OPHTHALMOLOGY - New medicinal product
Opinions on drugs - Posted on Mar 29 2018

Reason for request

Inclusion

Substantial clinical benefit and minor clinical added value in the treatment of corneal cystine deposits in adults and children over 2 years of age with cystinosis

 

  • CYSTADROPS (0.55% cysteamine) has Marketing Authorisation in the treatment of corneal cystine deposits in adults and children over 2 years of age with cystinosis. Before this authorisation, French patients were treated with a hospital preparation of 0.1% cysteamine prepared by the General Agency for Health Equipment and Products (AGEPS); this preparation is no longer produced.
  • One study demonstrated at 90 days the superiority of CYSTADROPS vs AGEPS-prepared 0.10% cysteamine hydrochloride eye drops on a surrogate endpoint (reduction of density of corneal cystine deposits) with a modest additional effect size.
  • The long-term progression of ocular morbidity with CYSTADROPS is unknown due to the lack of robust data.
  • CYSTADROPS contain benzalkonium chloride as a preservative, which can cause adverse effects in the form of conjunctivitis and ocular surface toxicity.

 


Clinical Benefit

Substantial

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Clinical Added Value

minor

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