Astellas Gets ‘Complete Response’ on Izervay sNDA

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FDA has issued Astellas Pharma a complete response letter (CRL) on a supplemental NDA for Izervay (avacincaptad pegol intravitreal solution) seeking revised drug labeling for its use in treating geographic atrophy (GA) secondary to age-related macular degeneration (AMD). The company says the agency’s comments in the CRL are “unrelated to the safety and benefit/risk of the use of Izervay; rather, the comments focus on a statistical matter related to labeling language proposed by Astellas.”

FDA 8/2023 approved Izervay for treating GA secondary to AMD. As AMD progresses, retinal cell loss and the underlying blood vessels in the macula results in “marked thinning and atrophy of retinal tissue,” the company said at the time. “Geographic atrophy, associated with AMD, leads to further irreversible loss of vision in these patients.”

The company says the supplemental NDA was seeking approval to include positive two-year data in the drug’s U.S. prescribing information based on results from the GATHER2 Phase 3 clinical trial, which evaluated the efficacy and safety of monthly and every other month dosing through two years.

Astellas says it is seeking further clarification from FDA so it can address the agency’s feedback.

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