Dupixent sBLA Get Priority Review for COPD

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FDA has accepted for priority review a Sanofi and Regeneron supplemental BLA for Dupixent (dupilumab) as an add-on maintenance treatment in certain adult patients with uncontrolled chronic obstructive pulmonary disease (COPD). The agency has set a 6/27 user fee review action target date.

The companies say the submission is based on data from the Phase 3 COPD clinical research program evaluating the efficacy and safety of Dupixent in adults who were current or former smokers with uncontrolled COPD with evidence of Type 2 inflammation. “The primary endpoint was met in both trials (BOREAS, NOTUS), showing Dupixent significantly reduced moderate or severe acute COPD exacerbations by 30% and 34% respectively, compared to placebo,” they say. In both trials, Dupixent reportedly improved lung function compared to placebo, with improvements sustained at 52 weeks.

Safety-related results in both trials were generally consistent with the known safety profile of Dupixent in its approved indications, the companies say. “Adverse events more commonly observed with Dupixent compared to placebo in either trial were back pain, Covid-19, diarrhea, headache and nasopharyngitis,” they add.

Monoclonal antibody Dupixent works by inhibiting the signaling of the IL-4 and IL-13 pathways, according to the companies. It’s currently approved for treating atopic dermatitis, asthma, chronic rhinosinusitis with nasal polyposis, and prurigo nodularis.

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