February 2024
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00 issues in this vol.

FDA APPROVES VERTEX’S CASGEVY FOR TRANSFUSIONDEPENDENT BETA THALASSEMIA (TDT)

HEMATOLOGY

Vertex Pharmaceuticals has secured FDA approval for CASGEVY, a one-time CRISPR/Cas9 gene-edited cell therapy, for the treatment of TDT in patients ages12 and older, providing a potentially curative option for those facing significant health challenges. Roughly 1,000 patients in the U.S. are now eligible for the treatment, alleviating the $5 million lifetime cost burden for existing treatments.

Following the approval in TDT, CASGEVY will become the first treatment for this rare blood disorder using CRISPR gene-editing technology.

AAV GENE THERAPY SHOWS PROMISE FOR POMPE DISEASE TREATMENT

CELL & GENE THERAPY

Researchers have successfully generated the first ratmodel for Infantile-Onset Pompe Disease (IOPD) using CRISPR/Cas9 technology in which they have employedan innovative muscle-directed adeno-associated viral(AAV) vector-mediated gene therapy. Treatment effectively normalized glycogen storage pathology,restored muscle mass and strength, and normalizedsurvival rates.

AAV gene therapies have strong potential for treating IOPD and other inherited muscle diseases, translating this research to numerous potential therapy options.

FDA ACCEPTS SUPPLEMENT TO EXPAND ELEVIDYS’ INDICATION

CELL & GENE THERAPY

Sarepta Therapeutics has announced that the FDA has accepted and filed the company's efficacy supplementfor ELEVIDYS, a gene transfer therapy for Duchennemuscular dystrophy (DMD) approved for ambulatorypediatric patients aged 4-5 with a confirmed DMD genemutation. The efficacy supplement aims to expand the labeledindication for ELEVIDYS to remove age and ambulationrestrictions and to convert the initial approval from accelerated to traditional, to which the FDA has granted a Priority Review with a goal date of June 21, 2024.

This label expansion will serve treat an area of unmet need and act as a key treatment pillar until further treatments come to market.

CYMABAY'S SELADELPAR GRANTED FDA NDA & PRIORITY REVIEW FOR PBC

HEPATOLOGY

CymaBay Therapeutics announced that the FDA has accepted the New Drug Application (NDA) forseladelpar, a potential treatment for primary biliarycholangitis (PBC), granting it Priority Review with a target action date of August 14, 2024. Seladelpar, aninvestigational PPARδ agonist, has shown promising results in reducing disease progression and addressing PBC-related symptoms such as pruritus in clinical trials.

PBC is a rare, chronic liver disease that affects 1 in 1,000 women in the US. If untreated, PBC can cause severe complications and increase liver-related mortality, underscoring the need for more treatment options.

BRIDGEBIO'S ACORAMIDIS NDA ACCEPTED BY FDA FOR ATTR-CM

CARDIOLOGY

The FDA has accepted BridgeBio Pharma’s New DrugApplication (NDA) for acoramidis, a potential treatment for transthyretin amyloid cardiomyopathy (ATTR-CM),with a Prescription Drug User Fee Act (PDUFA) set for November 29, 2024. Positive Phase 3 results from ATTRibute-CM, showed significant improvements in survival rates and hospitalizations. The company is advancing regulatory submissions globally, includingacceptance by the European Medicines Agency.

Acoramidis provides an alternative treatment for ATTR-CM, addressing a gap in the current landscape where options are limited and off-label therapeutics are often used.

EUROPEAN COMMISSION APPROVES GSK'S OJJAARA FOR SPLENOMEGALY AND ADULT MYELOFIBROSIS WITH ANEMIA

HEMATOLOGY

On January 29, 2024, the European Commission authorized GSK'sOjjaara (momelotinib), the first medicine in the EU indicated for the treatment of splenomegaly and symptoms in adult myelofibrosis(MF) patients with moderate to severe anemia. Ojjaara is indicated for newly diagnosed and previously treated patients, offering a unique mechanism of action targeting: JAK1, JAK2, and ACVR1.Approval is based on positive results from MOMENTUM and SIMPLIFY-1 Phase 3 trials, demonstrating significant symptom relief and spleen size reduction, while enhancing transfusionindependence. Ojjaara will be marketed as Omjjara in the EU.

Ojjaara is the first approved treatment for splenomegaly and anemia in patients with myelofibrosis, a disorder impacting 1 in 10,000 in the EU. MF often leads to worsening anemia, requiring transfusions.
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