Delayed Hereditary Angioedema Drug Wins Approval
FDA has approved a KalVista Pharmaceuticals NDA for Ekterly (sebetralstat) for treating acute attacks of hereditary angioedema (HAE) in adult and pediatric patients aged 12 years and older. The approval comes after FDA told KalVista it would not meet a 6/17 user fee review action target data for the NDA due to heavy workload and limited resources (see earlier story). Subsequently, there were media reports about FDA commissioner Marty Makary allegedly attempting to intervene in the ongoing review to force a complete response letter, which HHS said was not true.
Sebetralstat is described by the company as an investigational oral plasma kallikrein inhibitor. HAE is a rare genetic disease resulting in deficiency or dysfunction in the C1 esterase inhibitor protein and subsequent uncontrolled activation of the kallikrein-kinin system, it says. People living with HAE experience painful and debilitating attacks of tissue swelling in various locations of the body that can be life-threatening depending on the area affected.
“Prior to Ekterly’s approval, all on-demand HAE treatment options approved in the U.S. required intravenous or subcutaneous administration, which carries a significant treatment burden,” a company release says. “Even with the use of long-term prophylaxis as a preventative therapy, most people living with HAE continue to have unpredictable attacks and require ready access to on-demand medication.”