Advisors Back Ardelyx’ Kidney Disease Drug

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Members of the FDA Cardiovascular and Renal Drugs Advisory Committee 11/16 voted 9-4 to back Ardelyx’ tenapanor as a monotherapy in kidney disease patients and 10-2-1 for its use in combination with phosphate binders. FDA medical reviewers had raised concerns about the drug’s treatment effect in a complete response letter, in response to two company appeals, and in a briefing document circulated before the advisory committee meeting.

The agency had asked committee members to consider tenapanor’s benefits and risks for controlling phosphorous levels in dialysis patients with chronic kidney disease. FDA now has 30 days to respond to the company’s latest appeal of the agency’s complete response letter.

Committee members said they would welcome more data, especially from studies that measure the clinical outcomes of reducing phosphorous levels, according to BioPharmaDive, but ultimately said they believed that tenapanor was effective and could benefit patients by allowing them to take one tablet twice a day.

Ardelyx currently markets tenapanor as Ibsrela with an indication to treat irritable bowel syndrome. If FDA approves the NDA, it will market it as Xphozah for kidney patients.

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