FDA Mulls Safety Signal on Intercept’s Ocaliva

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Intercept Pharmaceuticals says FDA has told the company that it is evaluating a “newly identified safety signal regarding liver disorder for Ocaliva which the FDA classified as a potential risk.” The signal was noticed in May during the agency's routine safety surveillance, Intercept says in a financial report. In 2016, FDA granted accelerated approval for Ocaliva (obeticholic acid) for treating primary biliary cholangitis in combination with ursodeoxycholic acid (UDCA) in adults with an inadequate response to UDCA, or as a single therapy in adults unable to tolerate UDCA (see earlier story).

 

In July, FDA rejected an Ocaliva indication for treating NASH (nonalcoholic steatohepatitis). FDA had postponed two advisory committee meetings that were to consider the company’s NDA and then rejected the drug because agency staff were uncertain if the Phase 3 trial surrogate endpoint (reduction in liver fibrosis) would actually translate into benefit for patients. While the agency suggested the company resubmit with longer-term data from the Phase 3 trial, the newsletter says, Intercept complained about the agency decision.

 

In a statement, company CEO Mark Pruzanski criticized FDA for canceling the advisory committee meetings, said the agency review was incomplete, and accused FDA of repeatedly moving the goalposts for approval in a way that could prevent the development of new therapies.

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