U.S. FDA Grants IceCure Medical's Appeal: Reopens De Novo Classification Request for Marketing Authorization of ProSense® for Early-Stage Breast Cancer
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Insights
The submission of a full 5-year dataset from IceCure's ICE3 study to the FDA represents a significant milestone in the clinical development of the ProSense® System for treating early-stage, low risk breast cancer. The ICE3 trial is pivotal, as it provides long-term recurrence outcomes for a treatment that could potentially serve a substantial patient population. The comparison with the LUMINA study's data is particularly noteworthy, as it will offer a direct benchmark against the current standard of care, lumpectomy surgery with adjuvant hormone therapy. This could influence treatment protocols and impact the market share of surgical procedures versus minimally invasive options like cryoablation.
Furthermore, the inclusion of real-world data from global commercial use in the submission package may strengthen the case for ProSense® by demonstrating effectiveness and safety in a broader patient population. This has the potential to sway FDA opinion and expedite the path to market clearance. Market clearance could not only provide a new treatment option for patients but also significantly affect IceCure's market valuation and revenue potential.
From a financial perspective, the advancement of IceCure's FDA submission timeline could have positive implications for the company's stock performance. Early submission and potential expedited FDA clearance can lead to an earlier market entry, which is crucial for gaining a competitive edge. The addressable market for IceCure, considering the patient population represented in the ICE3 study, suggests a substantial revenue opportunity upon market approval.
Investors should also consider the cost-effectiveness of cryoablation compared to traditional surgery, which could drive adoption rates and increase demand for ProSense®. Moreover, securing FDA clearance can open doors for further partnerships, collaborations and potential expansion into other indications, which would diversify the company's revenue streams and potentially improve its long-term financial health.
The prospect of a new minimally invasive treatment for early-stage, low risk breast cancer is clinically significant. Cryoablation, as performed by the ProSense® System, offers a less invasive alternative to surgery, which can result in shorter recovery times, reduced risk of complications and lower overall treatment burden for patients. The successful clearance of ProSense® by the FDA could lead to a shift in clinical practice, as physicians may start to recommend cryoablation over surgery for eligible patients.
It is also important to consider the psychological impact on patients. Breast-conserving treatments that offer similar efficacy to more invasive surgeries could greatly improve patient quality of life and satisfaction with their care. This could lead to increased demand for the technology and potentially establish it as a new standard of care for certain breast cancer patients.
IceCure to submit full 5-year dataset from entire ICE3 study population to the FDA this spring, ahead of previous expectation
The FDA determined there is sufficient basis to reopen the De Novo file and requested IceCure to submit the full 5-year dataset from the Company's ICE3 trial. The final ICE3 study patient is expected to complete her 5-year follow up examination by the end of February 2024. IceCure plans to expedite data monitoring and analysis to submit the final 5-year dataset to the FDA by April 2024, which is several months ahead of the Company's prior submission timeline.
In its initial De Novo classification request in October 2022, IceCure submitted interim results from its ICE3 study, the largest controlled multi-location clinical trial ever performed for liquid-nitrogen (LN2)-based cryoablation of small, low-risk, early-stage malignant breast tumors. The ICE3 study will provide 5-year recurrence outcomes on a patient population which represents approximately 65,000 people in the
Additionally, the FDA requested that IceCure submit an analysis of the ICE3 results compared with data from the LUMINA study. LUMINA, a study sponsored by the Ontario Clinical Oncology Group (
IceCure was invited by the FDA to submit real-world data from the use of ProSense® globally, including post-market commercial use in territories where ProSense® is approved for breast cancer, as well as data from independent third-party studies.
"The FDA has set a very clear path to clearance for ProSense® in early-stage breast cancer, which may lead to women having a new, minimally invasive, safe, and effective treatment option," stated IceCure CEO Eyal Shamir. "We remain hopeful that final ICE3 data will be in line with our interim results and are confident that we can deliver the dataset, comparable analysis, and real-world data to the FDA in the next few months."
About ProSense®
The ProSense® Cyroablation System provides a minimally invasive treatment option to destroy tumors by freezing them. The system uniquely harnesses the power of liquid nitrogen to create large lethal zones for maximum efficacy in tumor destruction in benign and cancerous lesions, including breast, kidney, lung, and liver.
ProSense® enhances patient and provider value by accelerating recovery, reducing pain, surgical risks, and complications. With its easy, transportable design and liquid nitrogen utilization, ProSense® opens that door to fast and convenient office-based procedure for breast tumors.
About IceCure Medical
IceCure Medical (NASDAQ: ICCM) develops and markets ProSense®, an advanced liquid-nitrogen-based cryoablation therapy for the treatment of tumors (benign and cancerous) by freezing, with the primary focus areas being breast, kidney, bone and lung cancer. Its minimally invasive technology is a safe and effective alternative to hospital surgical tumor removal that is easily performed in a relatively short procedure. The system is marketed and sold worldwide for the indications cleared and approved to date, including in the
Forward Looking Statements
This press release contains forward-looking statements within the meaning of the "safe harbor" provisions of the Private Securities Litigation Reform Act of 1995 and other Federal securities laws. Words such as "expects," "anticipates," "intends," "plans," "believes," "seeks," "estimates" and similar expressions or variations of such words are intended to identify forward-looking statements. For example, IceCure is using forward looking statement in this press release when it discusses: expediting data monitoring and analysis to submit the final ICE3 dataset and other real-world data to the FDA by April 2024; that the reopening of the Company's De Novo Classification Request may lead to women having a new, minimally invasive, safe and effective treatment option; and that the Company is hopeful that the final ICE3 data will be in line with interim results. Historical results of scientific research and clinical and preclinical trials do not guarantee that the conclusions of future research or trials will suggest identical or even similar conclusions. Important factors that could cause actual results, developments and business decisions to differ materially from those anticipated in these forward-looking statements include, among others: the Company's planned level of revenues and capital expenditures; the Company's available cash and its ability to obtain additional funding; the Company's ability to market and sell its products; legal and regulatory developments in
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Todd Kehrli
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SOURCE IceCure Medical
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