FDA Accepts Rocket’s Gene Therapy BLA Resubmission

Share

FDA has accepted for review a Rocket Pharmaceuticals BLA resubmission for Kresladi (marnetegragene autotemcel; marne-cel), a lentiviral vector–based gene therapy for severe Leukocyte Adhesion Deficiency-I (LAD-I). The agency has set a 3/28/2026 user fee review action target date.

The resubmission addresses issues raised in a 6/2024 complete response letter (CRL), which the company said at the time requested “limited additional” chemistry, manufacturing, and controls (CMC) information. The letter caught Rocket by surprise and followed an earlier extension of the review period from March to June 2024, also due to the need for more CMC information, according to the company.

Severe LAD-I is an ultra-rare, autosomal recessive immune disorder caused by mutations in the ITGB2 gene, resulting in defective leukocyte adhesion, according to the company. It says children with severe LAD-I are highly susceptible to recurrent, life-threatening infections and often do not survive beyond early childhood without a bone marrow transplant.

The original BLA is supported by Phase 1-2 trial data, which showed 100% overall survival at 12 months post-infusion and across the full follow-up period for all enrolled patients, according to Rocket. All primary and secondary endpoints were met, with no treatment-related serious adverse events reported, it says, adding that patients also experienced substantial reductions in serious infections, improvements in skin lesions, and restored wound-healing capabilities.

Rocket is eligible for a Rare Pediatric Disease Priority Review Voucher if Kresladi is approved.

Read more