NCCN updates guidelines to include VGCC antibody testing for LEMS diagnosis and amifampridine as a treatment option.
Quiver AI Summary
Catalyst Pharmaceuticals, Inc. announced that the National Comprehensive Cancer Network (NCCN) has updated its Clinical Practice Guidelines for Small Cell Lung Cancer (SCLC) to include information on Lambert Eaton Myasthenic Syndrome (LEMS) and the relevance of voltage-gated calcium channel (VGCC) antibody testing in diagnosing patients. The guidelines emphasize the need for neurological evaluations, including VGCC antibody tests, to identify LEMS symptoms such as proximal muscle weakness and autonomic dysfunction, particularly as around 50% of LEMS cases are linked to underlying malignancies like SCLC. They also suggest considering amifampridine (FIRDAPSE) as a supportive treatment in neurology consultations. This update aims to improve awareness of cancer-associated LEMS and ultimately enhance patient outcomes through timely diagnosis and treatment.
Potential Positives
- Inclusion of LEMS and VGCC antibody testing in the NCCN Guidelines® enhances credibility and visibility for Catalyst Pharmaceuticals' treatments, potentially leading to increased adoption of their therapies.
- The recommendation for amifampridine (FIRDAPSE®) as a supportive care treatment in the guidelines may boost the drug's usage and market presence in managing LEMS associated with SCLC.
- Highlighting the importance of early diagnosis of LEMS in SCLC patients could position Catalyst as a leader in addressing this significant unmet medical need, fostering trust with healthcare professionals.
- The recognition of Catalyst on essential lists, such as Forbes 2025 and Deloitte Technology Fast 500™, reinforces the company's reputation and may attract investors and partnerships.
Potential Negatives
- Inclusion in NCCN guidelines may indicate a need for increased awareness of a condition (LEMS) that was previously underdiagnosed, which suggests potential shortcomings in current diagnostic practices.
- The acknowledgment of a high undiagnosed rate among LEMS patients (90%) could reflect negatively on Catalyst’s existing capabilities to effectively reach and treat these patients.
- Forward-looking statements in the press release indicate potential risks and uncertainties that could adversely impact future performance, raising questions about the company's stability and growth prospects.
FAQ
What is LEMS and its connection to SCLC?
LEMS, or Lambert Eaton myasthenic syndrome, is associated with small cell lung cancer (SCLC) in about 50% of cases.
How does VGCC antibody testing assist in diagnosis?
VGCC antibody testing is crucial for diagnosing LEMS, especially in patients with suspected SCLC symptoms.
What is amifampridine's role in LEMS treatment?
Amifampridine is recommended as a supportive care treatment for LEMS when consulted with a neurologist.
What do the updated NCCN guidelines recommend?
The NCCN guidelines recommend neurological evaluations and testing for VGCC antibodies to diagnose LEMS in SCLC patients.
Why is early diagnosis of LEMS important?
Early diagnosis of LEMS can improve patient outcomes by effectively treating symptoms alongside SCLC treatment.
Disclaimer: This is an AI-generated summary of a press release distributed by GlobeNewswire. The model used to summarize this release may make mistakes. See the full release here.
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Full Release
- VGCC antibody testing in conjunction with neurologic consultation can diagnose LEMS
- Amifampridine may be considered as a supportive care treatment
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Guideline inclusion may raise clinical awareness of cancer-associated LEMS to support broader VGCC diagnostic testing and treatment adoption
CORAL GABLES, Fla., Aug. 06, 2025 (GLOBE NEWSWIRE) -- Catalyst Pharmaceuticals, Inc. ("Catalyst" or "Company") (Nasdaq: CPRX), a commercial-stage biopharmaceutical company focused on in-licensing, developing, and commercializing novel medicines for patients living with rare and difficult-to-treat diseases, today announced the National Comprehensive Cancer Network ® (NCCN) Clinical Practice Guidelines in Oncology (NCCN Guidelines ® ) for Small Cell Lung Cancer (SCLC) now include new additions involving Lambert Eaton myasthenic syndrome (LEMS), amifampridine (FIRDAPSE ® ), and the tests for PQ- and N-type voltage-gated calcium channel (VGCC) antibodies.
The updated NCCN Clinical Practice Guidelines in Oncology for SCLC relating to LEMS now include symptom specificity—characterized by proximal muscle weakness and autonomic dysfunction. Under “Signs and Symptoms of Small Cell Lung Cancer” (SCL-A 2 of 2), the guidelines recommend diagnosis through a neurological evaluation, ideally in consultation with a neurologist, which may include testing for PQ- and N-type VGCC antibodies. Additionally, under “Principles of Supportive Care” (SCL-D), the guidelines recommend that amifampridine should be considered as a treatment in consultation with neurology. 1
Approximately 50 percent of LEMS cases are associated with an underlying malignancy, most commonly SCLC. Literature suggests that LEMS is observed in 3 percent of SCLC patients. Based on an internal healthcare database analysis of SCLC claims, potentially 90 percent of LEMS patients with SCLC went undiagnosed. These undiagnosed LEMS patients may suffer from LEMS symptoms while undergoing treatment for SCLC.
“Early diagnosis of LEMS in SCLC is critical, as it may enable patients to have better outcomes if their LEMS symptoms are effectively treated while fighting SCLC. Accurate identification through VGCC antibody testing and comprehensive neurological evaluation is essential,” said William Andrews, MD, FACP, Chief Medical Officer, Catalyst. “The NCCN Guidelines are a trusted standard for guiding treatment decisions, and we believe this update will drive greater awareness. Ultimately, it will help patients, caregivers, and healthcare providers make more informed choices when addressing this serious unmet need.”
1 NCCN makes no warranties of any kind whatsoever regarding their content, use or application and disclaims any responsibility for their application or use in any way. To learn more about NCCN go to https://www.nccn.org/home/about
About Catalyst Pharmaceuticals
Catalyst Pharmaceuticals, Inc. (Nasdaq: CPRX), is a biopharmaceutical company committed to improving the lives of patients with rare diseases. With a proven track record of bringing life-changing treatments to the market, we focus on in-licensing, commercializing, and developing innovative therapies. Guided by our deep commitment to patient care, we prioritize accessibility, ensuring patients receive the care they need through a comprehensive suite of support services designed to provide seamless access and ongoing assistance. Catalyst maintains a well-established U.S. presence, which remains the cornerstone of our commercial strategy, while continuously evaluating strategic opportunities to expand our global footprint. Catalyst, headquartered in Coral Gables, Fla., was recognized on the Forbes 2025 list as one of America's Most Successful Mid-Cap Companies and on the 2024 Deloitte Technology Fast 500™ list as one of North America’s Fastest-Growing Companies.
For more information, please visit Catalyst's website at www.catalystpharma.com .
Forward-Looking Statements
This press release contains forward-looking statements, as that term is defined in the Private Securities Litigation Reform Act of 1995. Forward-looking statements involve known and unknown risks and uncertainties, which may cause Catalyst's actual results in future periods to differ materially from forecasted results. A number of factors, including those factors described in Catalyst's Annual Report on Form 10-K for the fiscal year 2024 and its subsequent filings with the U.S. Securities and Exchange Commission (“SEC”), could adversely affect Catalyst. Copies of Catalyst's filings with the SEC are available from the SEC, may be found on Catalyst's website, or may be obtained upon request from Catalyst. Catalyst does not undertake any obligation to update the information contained herein, which speaks only as of this date.
Source: Catalyst Pharmaceuticals, Inc.