FDA Accepts Vanda BLA for Rare Skin Disorder Drug
FDA has accepted for review a Vanda Pharmaceuticals BLA for imsidolimab, a potential new treatment for generalized pustular psoriasis (GPP), a rare and life-threatening autoinflammatory skin disorder. The agency has set a review action target date of 12/12.
GPP is characterized by sudden flares of widespread pustules, red skin, and systemic symptoms such as fever and fatigue, the company says. The disease is linked to excessive activity of the interleukin-36 (IL-36) pathway, with many cases caused by genetic variants in the IL36RN gene.
Imsidolimab is described as a monoclonal antibody designed to inhibit IL-36 receptor signaling. In pivotal clinical trials, including GEMINI-1 and GEMINI-2, a single intravenous dose produced rapid skin clearance, with 53% of patients achieving clear or almost clear skin by Week 4, compared with 13% for placebo, the company says. Long-term treatment maintained disease control over approximately two years, with no flares reported in patients receiving imsidolimab. The drug demonstrated a favorable safety profile and a low incidence of anti-drug antibodies.