FDA Accepts OPKO NDA Resubmission for Rayaldee

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FDA has accepted for review an OPKO Health NDA resubmission for Rayaldee (calcifediol) for treating secondary hyperparathyroidism in patients with Stage 3 or 4 chronic kidney disease and vitamin D insufficiency. The filing addresses a 3/29 complete response letter (CRL) that indicated the NDA could not be approved due to deficiencies observed during a facility inspection at OPKO’s third party manufacturer. “The observations were not specific to Rayaldee manufacturing, and the CRL did not cite any safety, efficacy or labeling issues with regard to Rayaldee, nor did it request any additional studies to be conducted prior to FDA approval,” the company says. OPKO adds that it has worked closely with its third party manufacturer to ensure FDA’s concerns were promptly and fully addressed.

Rayaldee has a proprietary formulation designed to raise serum total 25-hydroxyvitamin D (prohormone) concentrations to targeted levels (at least 30 ng/mL) and to reduce elevated intact parathyroid hormone, according to the company.

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