FDA OKs 1st Diabetes Cellular Therapy
FDA has approved CellTrans’ Lantidra (donislecel), the first allogeneic pancreatic islet cellular therapy made from deceased donor pancreatic cells to treat Type 1 diabetes. An agency announcement says Lantidra is approved to treat adults with Type 1 diabetes who are unable to approach targeted glycated hemoglobin due to current repeated episodes of severe hypoglycemia despite intensive diabetes management and education.
Lantidra’s primary mechanism of action, the statement says, is believed to be the secretion of insulin by the infused allogeneic islet beta cells. Its safety and effectiveness were evaluated in two single-arm studies with 30 participants. Overall, FDA says, 21 participants did not need insulin for one to five years and 10 participants did not need insulin for more than five years. Five participants did not achieve any days of insulin independence.
Adverse reactions associated with Lantidra reportedly were associated with each participant depending on the number of infusions they received and the length of time they were followed. The most common adverse reactions included nausea, fatigue, anemia, diarrhea, and abdominal pain. A majority of participants experienced at least one serious adverse reaction related to the procedure for infusing Lantidra into the hepatic portal vein and the use of immunosuppressive medications needed to maintain the islet cell viability, FDA says.
Lantidra is approved with patient-directed labeling to inform patients about its benefits and risks.