FDA DrugSorb-ATR Options
FDA has suggested possible ways forward for CytoSorbents’ DrugSorb-ATR after denying the company’s appeal of the agency’s 4/25 denial of a de novo application for the antithrombotic removal system. In denying the appeal, FDA said it found no issues with device safety, a company statement says, but said additional information is needed to support the company’s requested indication.
“FDA proactively proposed a potential path forward for market authorization of DrugSorb-ATR,” the statement says, “and the company continues interactive discussions with the agency to seek further clarity on this proposal.” FDA also said the company could pursue its appeal with the CDRH director.
DrugSorb-ATR is described as an investigational device based on an equivalent polymer technology to the company’s CytoSorb to reduce the severity of perioperative bleeding in high-risk surgery due to blood thinning drugs. It has received FDA breakthrough device designations for (1) the removal of ticagrelor and (2) the direct oral anticoagulants apixaban and rivaroxaban in a cardiopulmonary bypass circuit during urgent cardiothoracic procedures.