Don’t Approve Evolus Neurotoxin BLA: Medytox
South Korean biopharmaceutical company Medytox is petitioning FDA not to approve a Daewoong Pharmaceuticals neurotoxin product that is the subject of an Evolus BLA due to false statements about a botulinum toxin strain and concerns about data integrity and the impact on patient safety. In its petition, Medytox says that FDA should determine the true source and identity of the botulinum strain Daewoong is using to make its DWP-450 botulinum toxin product for Evolus. “Daewoong claims it found a one-of-a-kind botulinum strain called the ‘Hall strain’ in soil in South Korea,” the petition says. “Scientific evidence, however, shows this unique strain cannot be isolated from any soil.”
Medytox says that Daewoong is claiming that its product is made from the Clostridium botulinum toxin Type A Hall Strain, but also says it is a spore-forming C. botulinum strain actually isolated from soil in South Korea. The petition says that at least one of the claims must be untrue.
“Knowing the identity and source of the strain is essential to ensure the safety, purity, and effectiveness of a neurotoxin product,” Mydotex says. “A false statement about such a material fact calls into question the integrity of other statements and data showing safety and effectiveness in the BLA. In addition, the adequacy of the testing during manufacturing depends on the identity and characteristics of the strain.”