Abeona Gains Approval of Resubmitted Zevaskyn

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FDA has approved Abeona Therapeutics’ Zevaskyn (prademagene zamikeracel) gene-modified cellular sheets, an autologous cell-based gene therapy for treating wounds in adult and pediatric patients with recessive dystrophic epidermolysis bullosa (RDEB), a debilitating genetic skin disease. The BLA resubmission was filed 11/2024 following a 4/2024 complete response letter that requested additional information to satisfy chemistry manufacturing and controls requirements (see earlier story).

RDEB is a rare connective tissue disorder characterized by severe skin wounds that cause pain and can lead to systemic complications impacting the length and quality of life, Abeona says. “People with RDEB have a defect in the COL7A1 gene, leaving them unable to produce functioning Type VII collagen, which is necessary to anchor the dermal and epidermal layers of the skin,” it says. The gene therapy is designed to “incorporate the functional collagen-producing COL7A1 gene into a patient’s own skin cells and enable long-term gene expression by using a retroviral vector to stably integrate into the dividing target cell genome,” it adds.

Approval is based on data from the pivotal Phase 3 VIITAL study (NCT04227106), a randomized, intrapatient-controlled trial that met its two co-primary efficacy endpoints and demonstrated statistically significant healing of 50% or more from baseline in large chronic RDEB wounds, the company says. Additionally, data showed pain reduction from baseline as assessed by the Wong-Baker FACES scale, it adds.

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