Biogen ‘Breakthrough’ Status for Lupus Therapy

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FDA has granted Biogen a breakthrough therapy designation for its experimental antibody litifilimab for treating cutaneous lupus erythematosus (CLE), a chronic autoimmune skin disease for which there are no approved targeted therapies. The designation was based on the totality of data generated to date for litifilimab, including results from the Phase 2 LILAC study, which demonstrated improvements in skin disease activity in patients with CLE compared with placebo, the company says.

Biogen says CLE affects the skin and can occur with or without systemic lupus. Patients often experience rashes, pain, itching and photosensitivity, and the disease can lead to permanent scarring, hair loss and disfigurement that significantly affect quality of life. Current treatment options rely largely on topical steroids, antimalarial drugs and immunosuppressants, which can help manage symptoms but do not alter disease progression.

Litifilimab is described as a first-in-class, humanized IgG1 monoclonal antibody that targets blood dendritic cell antigen 2 (BDCA2), a receptor expressed on plasmacytoid dendritic cells. By binding to BDCA2, the therapy is designed to reduce production of Type I interferons and other inflammatory mediators believed to play a central role in the development of lupus-related skin disease, Biogen says.

“This designation is a significant milestone for litifilimab as we advance the ongoing AMETHYST Phase 3 study,” company executive vice president Priya Singhal is quoted in a release as saying.

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