BrainStorm Cell Therapy Rejected by Panel
FDA’s Cellular, Tissue, and Gene Therapy Advisory Committee 9/27 voted 17 to 1 against approving a BrainStorm Cell Therapeutics BLA for NurOwn, an investigational mesenchymal stem cell therapy for treating amyotrophic lateral sclerosis (ALS, and also known as Lou Gehrig’s Disease).
Panel members mostly agreed with FDA concerns expressed in a briefing document that the clinical data do not demonstrate efficacy and survival was worse at study completion for subjects who received the therapy (see earlier story). Johns Hopkins University professor Caleb Alexander said the single study submitted “didn’t achieve evidence of efficacy for either the primary or secondary endpoints.” He noted that FDA has offered guidance where products can be approved based on data from a single study that was supported by other confirmatory evidence, but not when the trial misses in its demonstration of efficacy.
Disagreeing with vote, Brainstorm said: “the totality of data presented for NurOwn today provide a compelling case for approval, with clinical evidence in those with less advanced disease supported by strong and consistent biomarker data that are predictive of clinical response.” It said NurOwn’s poor showing in the study was likely due to a “floor effect, which confounds measurement of disease progression in patients with more advanced disease. A thorough analysis of NurOwn Phase 3 data shows evidence of clinically meaningful effectiveness in ALS participants who have not progressed to advanced levels of disease progression.”