FDA Extends Review of Lexicon NDA for Carcinoid Syndrome
FDA has extended by three months its review of a Lexicon Pharmaceuticals NDA for telotristat etiprate, an oral drug for treating carcinoid syndrome. In response to an information request from the agency, additional clinical data analyses have been submitted and the extension will provide additional time to review it. The new user fee review target date is 2/27/2017.
Carcinoid syndrome is a rare disease affecting thousands of cancer patients with metastatic neuroendocrine tumors (mNETs) that have spread to the liver and other organs from the gastrointestinal tract, the company says. The condition is characterized by frequent and debilitating diarrhea that often prevents patients from leading active, predictable lives, as well as facial flushing, abdominal pain, fatigue and, over time, heart valve damage.
Telotristat etiprate was designed by Lexicon to target tryptophan hydroxylase, an enzyme that triggers the excess serotonin production within mNET cells that leads to carcinoid syndrome. “While existing treatments for carcinoid syndrome work to reduce the release of serotonin outside tumor cells, telotristat etiprate works at the source to reduce serotonin production within the tumor cells,” it says. “By specifically inhibiting serotonin production, telotristat etiprate seeks to control this important driver of carcinoid syndrome and, in turn, provide patients with more control over their disease.”