FDA Declines to Approve Sobi Gout Therapy

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FDA has issued Sobi a Complete Response Letter (CRL) on its BLA that is seeking approval of NASP (nanoencapsulated sirolimus plus pegadricase) for treating adults with uncontrolled gout. The letter cited manufacturing-related deficiencies that must be corrected.

The company said FDA requested additional information primarily related to the chemistry, manufacturing and controls (CMC) package for the biologic component of the product and deficiencies identified at contract manufacturing facilities. Importantly, Sobi said the agency did not identify any clinical safety or efficacy issues that would affect the drug's approvability.

The Stockholm-based rare disease company said it plans to request a meeting with FDA to discuss the agency's comments, determine the requirements for resubmission and work with its contract manufacturing organizations to address the identified deficiencies.

The latest CRL adds to a growing number of FDA complete response letters issued over the past year that have centered on manufacturing, chemistry, manufacturing and controls (CMC), or contract manufacturing facility issues rather than clinical data.

NASP is an investigational therapy designed to lower serum uric acid levels in patients with uncontrolled gout through a sequential infusion of two components. The treatment combines nanoencapsulated sirolimus, intended to reduce the formation of anti-drug antibodies, with pegadricase, a uricase enzyme that lowers uric acid levels.

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