Boxed Warning for Adzynma Enzyme Replacement
FDA says it has directed Takeda to add a Boxed Warning to the labeling for its Adzynma, a recombinant ADAMTS13 enzyme replacement therapy approved for congenital thrombotic thrombocytopenic purpura (cTTP). An agency online notice says Adzynma has been associated with the development of neutralizing antibodies that can prevent the drug from working in serious cases. It says this has resulted in death, including that of a seven-year-old child.
Adzynma is described as a lab-manufactured enzyme replacement therapy, which FDA approved on 11/9/2023, for both routine prevention and on-demand treatment of cTTP in adults and pediatric patients. Adzynma is the only FDA-approved recombinant ADAMTS13 therapy for cTTP, a rare, inherited blood disorder caused by a severe deficiency of the ADAMTS13 enzyme, which is essential for preventing abnormal blood clotting. The drug is said to contain two slightly modified forms of the ADAMTS13 protein, one of which matches the natural human sequence.
The notice says a safety signal associated with Adzynma was identified through the FDA Adverse Event Reporting System.