JOENJA (leniolisib) 40 mg and 50 mg tablets

Activated phosphoinositide 3-kinase delta syndrome · Children aged 4 to 11 years weighing 27 kg or more

PHAR · Pharming Group

Regulatory designations

Full timeline

6 milestones

FDA approved JOENJA pediatric label expansion

FDA approved the resubmitted pediatric sNDA for JOENJA 40 mg and 50 mg twice-daily dosing in children aged 4 to 11 years who weigh at least 27 kg and have activated phosphoinositide 3-kinase delta syndrome. The approval makes JOENJA the first FDA-approved treatment for APDS in this age group.

Pharming — FDA approval of JOENJA for children with APDS

FDA accepted the sNDA resubmission

The resubmission seeks approval of 40 mg and 50 mg twice-daily dosing for children aged 4 to 11 years weighing at least 27 kg and includes additional production-batch analytical data requested by FDA.

Pharming — Resubmission acceptance

Pharming held a Type A meeting with FDA

The meeting followed the first-cycle CRL and informed the scope of the pediatric sNDA resubmission.

Pharming — Resubmission acceptance and regulatory history

FDA issued a Complete Response Letter in the first review cycle

FDA requested additional pediatric pharmacokinetic information for lower-weight groups and additional data and clarification regarding a production-batch testing method.

Pharming — Complete Response Letter

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Information for research purposes only · Dates can change · Last updated Sep 12, 2026