FDA OKs 1st Gene Therapy for Wiskott-Aldrich Syndrome
FDA has approved Italian non-profit Fondazione Telethon’s BLA for Waskyra (etuvetidigene autotemcel), the first gene therapy for Wiskott-Aldrich syndrome (WAS), a rare, life-threatening immune disorder. Approved for children as young as six months and for adults with confirmed WAS gene mutations, Waskyra is intended for patients eligible for hematopoietic stem cell transplantation (HSCT) but lacking a suitable HLA-matched related donor, according to an FDA release.
The therapy uses a patient’s own hematopoietic stem cells, genetically corrected ex vivo to add functional copies of the WAS gene. After reduced-intensity conditioning, the modified cells are infused to reconstitute normal immune and blood cell function, the agency says
WAS causes severe immunodeficiency, bleeding problems, eczema, and heightened risks of autoimmunity and malignancies, according to the release. Allogeneic HSCT is currently the only disease-modifying treatment, but is limited by donor availability and offers the greatest benefit when performed early in life.
Approval was based on data from two open-label, single-arm clinical studies and an expanded access program totaling 27 patients with severe disease. According to FDA, the data show durable clinical benefit, including a 93% reduction in severe infections in the six- to 18-month period after treatment compared with the 12 months prior. Moderate and severe bleeding events were reduced by 60% in the first post-treatment year, and most patients reported no moderate or severe bleeding four years after infusion, it says.