CDER Denies NDA ‘Complete Response’ Appeal
CDER’s Office of New Drugs (OND) has denied an Acer Therapeutics appeal of a 6/2019 complete response letter on an NDA for Edsivo (celiprolol) for treating vascular Ehlers-Danlos syndrome (vEDS). The letter said it was necessary to conduct an adequate and well-controlled trial to “determine whether celiprolol reduces the risk of clinical events in patients with vEDS,” according to the company.
In the appeal denial letter, OND described “possible paths forward for Acer to explore that could provide the substantial evidence of effectiveness needed to support a potential resubmission of the Edsivo NDA,” the company says. Acer is evaluating possible next steps to resubmit the NDA, it adds.
vEDS is a collagen production disorder. Collagen is the main protein in connective tissue such as skin, bones, blood vessels, and many other organs and tissues. Eliprolol is a chemical entity originally developed to treat hypertension, and the company says it is thought to provide clinical benefit for people with vEDS by promoting normal collagen synthesis in the blood vessels, and by shifting the pressure load away from the vessels most prone to dissection and rupture. Although it can also be used to treat mild to moderate hypertension, celiprolol does not lower blood pressure in people with normal blood pressure, Acer says.