CytoDyn Orphan Drug Request Rejected by FDA

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FDA has denied a CytoDyn request for an orphan drug designation (ODD) for PRO 140 because the therapy appears to have the potential to treat more than just the subset of multi-drug resistant HIV patients for which the designation was requested. CytoDyn is currently conducting a pivotal Phase 2b/3 trial with PRO 140 in combination with other antiretroviral agents in the patient population submitted to FDA in the ODD application. Additionally, CytoDyn is conducting a 300-patient Phase 2b/3 trial with PRO 140 as a single-agent maintenance therapy for HIV-infected patients which is a U.S. patient population that far exceeds the 200,000-patient threshold for ODD, according to the company.


PRO 140 belongs to a new class of HIV/AIDS therapeutics called viral-entry inhibitors that are intended to protect healthy cells from viral infection. It is a humanized IgG4 monoclonal antibody directed against CCR5, a molecular portal that HIV uses to enter T-cells. “PRO 140 blocks the predominant HIV (R5) subtype entry into T-cells by masking this required co-receptor, CCR5,” the company says.

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