Akebia Refiles Kidney Disease NDA

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FDA has accepted for review an Akebia Therapeutics NDA resubmission for vadadustat as a treatment for anemia due to chronic kidney disease in adult patients on dialysis. The agency has classified the submission as a Class 2 response and set a 3/27/2024 review action target date.

A 3/22 complete response letter cited concerns about an increased risk of thromboembolic events driven by vascular access thrombosis, according to the company. It also expressed a concern about the risk of drug-induced liver injury and concern that ongoing monitoring would be less uniformly implemented once commercially available.

Akebia says its resubmission “addressed the issues raised in the complete response letter. The filing included post-marketing safety data from tens of thousands of patients in Japan where vadadustat is approved and has been on the market for more than three years.”

Vadadustat is described as an oral hypoxia-inducible factor prolyl hydroxylase inhibitor designed to mimic the physiologic effect of altitude on oxygen availability.

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