Ardelyx Gets Panel Review on Tenapanor Appeal

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CDER’s Office of New Drugs say it will convene its Cardiovascular and Renal Drug Advisory Committee to hear an appeal from Ardelyx of a complete response letter (CRL) it received 7/2021 on its NDA for tenapanor to control serum phosphorus in chronic kidney disease patients on dialysis. The panel meeting is the next chapter in a series of appeals the company has sought to overturn agency concerns. In February, it received an appeal denied letter from CDER’s Office of Cardiology, Hematology, Endocrinology, and Nephrology, and it announced it would appeal that decision to the Office of New Drugs (see earlier story)

 

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.

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