Acromegaly NDA Hit with Complete Response Letter

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FDA has issued Camurus a complete response letter (CRL) on its NDA for CAM2029 (octreotide) extended-release injection and its use in treating patients with acromegaly. The agency letter cited “facility-related deficiencies identified during a current good manufacturing practices inspection of a third-party manufacturer completed in September,” the company says. “FDA has communicated that its determination of responses from the facility as satisfactory is needed for a timely resolution of the CRL and approval of the NDA.” The CRL did not identify any clinical efficacy or safety concerns, it adds.

Acromegaly is a rare, slowly progressive disease, typically caused by a pituitary gland tumor that leads to a production of excess growth hormone and increased insulin growth factor-1 levels, according to the company. The condition results in abnormal growth of bone and tissue, enlarged hands, feet, facial features and inner organs, and symptoms such as fatigue, joint pain, headache, visual field defects, excessive sweating, and paresthesia, it says.

Octreotide’s development includes seven clinical trials, including two Phase 3 studies within the ACROINNOVA clinical program. “In the Phase 3 ACROINNOVA program, CAM2029 showed superior biochemical control compared to placebo as well as improvements in symptom control, treatment satisfaction, and quality of life compared to SoC [standard of care] at baseline with first-generation somatostatin receptor ligands (SRLs), octreotide and lanreotide,” the company says.

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