FDA OKs Blood Cancer Drug Tregzi

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FDA has approved Orca Biosystems’ Tregzi (allogeneic regulatory T cell immunotherapy with HSPC and T cells-vldq) suspension, for intravenous infusion, the first regulatory T (Treg) cell-based immunotherapy for improving chronic graft-versus-host disease (GVHD)-free survival in adults with blood cancers undergoing allogeneic hematopoietic stem cell transplantation. An FDA notice says Tregzi is a novel approach to allogeneic hematopoietic stem cell transplantation in some adults with high-risk blood cancers. It says it addresses an important unmet need in transplantation, where curing the cancer is often only part of the challenge; avoiding chronic GVHD is equally important for long-term outcomes.

The notice says Tregzi uses stem cells and immune cells collected from blood of a closely matched donor to help the body fight cancer while reducing the risk of GVHD, which can occur when transplanted donor blood cells attack the patient’s body. Patients receive the treatment after undergoing chemotherapy to prepare their bodies for a bone marrow or stem cell transplant, FDA says.

Tregzi’s safety and effectiveness were established through the PRECISION-T trial in which 187 adult patients with blood cancers were randomly assigned to receive either Tregzi or a standard stem cell transplant. FDA says the primary endpoint was chronic GVHD-free survival. It says that at one year, 78% of patients who received Tregzi achieved the outcome, compared to 38.4% of patients who received a standard transplant.

The Tregzi side effects were most commonly infections. The notice says no patient had a severe reaction during the Tregzi infusion and no cases of graft failure were observed within the study period.

The agency granted the Tregzi application orphan drug and regenerative medicine advanced therapy designations.

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