Complete Response Letter on Rare Disease Drug
Ionis Pharmaceuticals and its affiliate Akcea Therapeutics have received an FDA complete response letter rejecting an NDA for Waylivra (volanesorsen), indicated for treating familial chylomicronemia syndrome (FCS). The ultra-rare, hereditary disease causes unpredictable and potentially fatal acute pancreatitis, chronic complications due to permanent organ damage, and a severe impact on daily living. It is characterized by extremely elevated triglycerides.
“We continue to feel strongly that Waylivra demonstrates a favorable benefit/risk profile in people with FCS as was reflected in the positive outcome from our advisory committee hearing in May,” the company says. No details on FDA’s decision to issue the letter were disclosed by the company.
Waylivra was designed under Ionis’ proprietary antisense technology to reduce the production of ApoC-III, a protein produced in the liver that plays a central role in the regulation of plasma triglycerides and may also affect other metabolic parameters. It is also under review in the EU and Canada for the same indication.