Drug for Ultra-Rare Mitochondrial Disease Approved

Share

FDA has approved UCB’s Kygevvi (doxecitine and doxribtimine), which the company describes as the first treatment for thymidine kinase 2 deficiency (TK2d), a life-threatening genetic mitochondrial disease characterized by progressive muscle weakness. The approval covers adults and pediatric patients whose symptoms begin at or before 12 years of age.

TK2d is an ultra-rare condition, affecting an estimated 1.6 people per million, and can be fatal within three years of symptom onset in children. Until now, patients had no treatment options beyond supportive care.

Approval is based on data from a Phase 2 study, two retrospective chart reviews, and an expanded access program, including 82 patients with symptom onset before age 12, according to the company. Compared with an external control group, Kygevvi reduced the overall risk of death from the start of treatment by about 86% (95% CI: 61–96%). Median treatment duration was four years, and median age of symptom onset was 1.5 years, it says.

The company says common adverse reactions include diarrhea, vomiting, abdominal pain, and elevated liver enzymes.

Read more