FDA Hits Viking Therapeutics with Clinical Hold

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FDA has placed a clinical hold on a Viking Therapeutics Phase 1b clinical trial of VK0214 in patients with X-linked adrenoleukodystrophy (X-ALD). The agency has requested an additional preclinical study prior to continuing the study, according to the company. “The request is not due to any findings from ongoing or previously completed studies,” it says, adding that it expects to provide the information to FDA in the second quarter.

 

“The company was recently informed that the FDA considers the ongoing trial to be a Phase 2 trial rather than a Phase 1b,” Viking says. “As a Phase 2 trial a rodent genotoxicity study is required prior to continuation. The company had planned to conduct this study prior to Phase 2 and will now accelerate its execution.”

 

VK0214 is described by Viking as a novel, orally available small molecule TRβ agonist that has been granted orphan drug designation by FDA. Results from a Phase 1 single ascending dose and multiple ascending dose study in healthy subjects showed that VK0214 demonstrated “encouraging safety and tolerability, as well as predictable pharmacokinetics.” it says. “In addition, subjects who received VK0214 experienced reductions in low-density lipoprotein cholesterol (LDL-C), triglycerides, and apolipoprotein B following 14 days of treatment.”

 

X-ALD is a rare and often fatal metabolic disorder characterized by a breakdown in the protective barriers surrounding brain and nerve cells (demyelination), according to the company. The disease, it says, is caused by mutations in the gene for a peroxisomal transporter of very-long chain fatty acids, which lead to dysfunction of the adrenoleukodystrophy protein, an important peroxisomal transporter, which prevents patients from efficiently metabolizing the fatty acids.

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