Sedana Medical announced on 13 December 2024 that the Type II variation to extend the indication of Sedaconda® (isoflurane) to include pediatric patients of 3-17 years had received a positive decision at the End of Procedure (EOP) from the Reference Member State (RMS) Germany and 12 Concerned Member States (CMS) in Europe. National approval processes are currently ongoing, with the new indication approved in 9 countries to date, including in Sedana Medical’s biggest market, Germany.

The CMDh (Co-ordination Group for Mutual Recognition and Decentralized Procedures – Human) have now agreed by consensus to an additional year of market protection (to 2032). In their argumentation, CMDh stated:

“Currently, midazolam is the only authorised sedative for paediatric use in intensive care, hence, there is an unmet medical need for alternative treatments. Isoflurane at doses up to 1.0 Vol% has been shown to provide adequate sedation for paediatric invasively ventilated patients comparable to midazolam with less requirements for supplemental opioids. In addition, isoflurane is eliminated unchanged by exhalation via lungs, resulting in a faster and more predictable time to extubation. It can therefore be used without dose-reduction in patients with impaired renal or hepatic function, which is common in critically ill paediatric ICU patients. There was no evidence of short-term tolerance.
In conclusion, the new (expanded) indication represents a significant clinical benefit over existing therapies.”