Ardelyx Continuing Tenapanor Appeal
Ardelyx says it received 2/4 an appeal denied letter (ADL) from the FDA Office of Cardiology, Hematology, Endocrinology, and Nephrology, and will appeal that decision to the Office of New Drugs. In an SEC filing, the company says it had submitted a formal dispute resolution request early in 12/2021 following receipt of a 7/28/21 complete response letter (CRL) for its NDA for tenapanor to control serum phosphorus in chronic kidney disease patients on dialysis.
According to Ardelyx, the request for formal dispute resolution was focused on demonstrating that the data submitted in the NDA supported the clinical significance of the drug’s treatment effect. The CRL had said that for the NDA to be approved, the company would need to conduct an additional clinical trial demonstrating a clinically relevant treatment effect on serum phosphorous or an effect on the clinical outcome thought to be caused by hyperphosphatemia in chronic kidney disease patients on dialysis.
Ardelyx says the ADL gave it a potential path forward involving the resubmission of the NDA with some new analyses of each of the Phase 3 trials, an assessment of tenapanor’s risks and benefits, and a proposal for how to label tenapanor for prescribers, all without conducting an additional trial.