FDA Mostly Positive on Teplizumab

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FDA says Provention Bio’s teplizumab Type 1 diabetes treatment successfully demonstrated its treatment effect in delaying diagnosis of Type 1 diabetes in at-risk patients. The assessment is in a briefing document released by the agency in advance of the 5/27 meeting of the Endocrinologic and Metabolic Drugs Advisory Committee that will consider Provention’s BLA for teplizumab, described as an FeR-nonbinding anti-CD3, humanized monoclonal antibody.

The briefing document says the treatment effect was “statistically significant and robust to sensitivity analyses under a range of conservative assumptions for missing data.” It also said the amount of missing data was small.

The agency asks the committee to discuss the overall evidence provided in support of the requested indication, the clinical meaningfulness of an observed median two-year delay in onset of Type 1 diabetes demonstrated in the submitted study, safety issues identified in the clinical development program, and to recommend whether the drug’s benefits outweigh the risks and support approval for the proposed indication.

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