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Lambert Eaton Myasthenic Syndrome (LEMS) Antibody Testing and Treatment Recommendations Added to NCCN Clinical Practice Guidelines for Small Cell Lung Cancer (SCLC) VGCC antibody testing in conjunction with neurologic co

Key Takeaway: Catalyst Pharmaceuticals, Inc. announced that the NCCN Clinical Practice Guidelines for Small Cell Lung Cancer have been updated to include Lambert Eaton Myasthenic Syndrome (LEMS) antibody testing and treatment recommendations. This update emphasizes the importance of early diagnosis and neurological evaluation for LEMS in SCLC patients, which could significantly improve patient outcomes. The guidelines also recommend the consideration of amifampridine for LEMS treatment, providing more comprehensive care options. The update is expected to enhance awareness among healthcare providers and patients alike.

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POSITIVE FACTORS

  • NCCN Guidelines now include LEMS antibody testing, improving diagnosis.
  • Increased awareness of LEMS symptoms could lead to better patient outcomes.
  • Amifampridine is recommended as a treatment option, providing more choices.
  • Potentially increased diagnosis rates for the 90% of undiagnosed LEMS patients.

Full Press Release Details

Lambert Eaton Myasthenic Syndrome (LEMS) Antibody Testing and Treatment Recommendations Added to NCCN Clinical Practice Guidelines for Small
Cell Lung Cancer (SCLC)
CORAL GABLES, Fla., Aug. 06, 2025 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
1NCCN 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
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.
Pharmaceuticals, Inc.
Mary Coleman, Catalyst Pharmaceuticals, Inc.
David Schull, Russo Partners

Frequently Asked Questions

What is Lambert Eaton Myasthenic Syndrome (LEMS)?

LEMS is an autoimmune disorder characterized by muscle weakness and autonomic dysfunction.

How is LEMS related to Small Cell Lung Cancer (SCLC)?

Approximately 50% of LEMS cases are associated with an underlying malignancy, mostly SCLC.

What testing is recommended for diagnosing LEMS in SCLC patients?

The NCCN Guidelines recommend testing for PQ- and N-type VGCC antibodies for diagnosis.

How can amifampridine help LEMS patients?

Amifampridine is recommended as a treatment for LEMS in consultation with neurology.

Why is early diagnosis of LEMS important?

Early diagnosis can significantly improve treatment outcomes for patients with SCLC and LEMS.

Last updated: Aug 6, 2025