FDA Advisors to Review FibroGen Roxadustat NDA

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The FDA Cardiovascular and Renal Drug Advisory Committee will consider a FibroGen NDA for roxadustat to treat anemia of chronic kidney disease in both dialysis-dependent and non-dialysis-dependent patients on 7/15. The company says its NDA is supported by positive results from a global Phase 3 program covering more than 8,000 patients.

The company also issued a statement to clarify certain prior disclosures of U.S. primary cardiovascular safety analyses from the Phase 3 program. “As members of senior management were preparing for the upcoming FDA advisory committee meeting, we became aware that the primary cardiovascular safety analyses included post-hoc changes to the stratification factors,” said FibroGen CEO Enrique Conterno. “While all of the analyses … including the differences in the stratification factors were included in the NDA, we promptly decided to clarify this issue with FDA and communicate with the scientific and investment communities. It is important to emphasize that this does not impact our conclusion regarding the comparability, with respect to cardiovascular safety, of roxadustat to epoetin-alfa in dialysis-dependent patients and to placebo in non-dialysis dependent patients. We continue to have confidence in roxadustat’s benefit/risk profile.”

The statement says there is no change in the underlying Roxadustat data or to the efficacy analyses from the Phase 3 program.

Roxadustat is described as the first in a new class of medicines, HIF-PH inhibitors that promote erythropoiesis through increased endogenous production of erythropoietin and downregulation of hepcidin. It is also in clinical development, FibroGen says, for anemia associated with myelodysplastic syndromes and for chemotherapy-induced anemia.

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