FDA OKs Ionis’ Hereditary Angioedema Drug
FDA has approved an Ionis Pharmaceuticals NDA for Dawnzera (donidalorsen) as the first RNA-targeted prophylactic treatment for hereditary angioedema (HAE) in patients 12 years and older. The drug is designed to block plasma prekallikrein, a protein that drives the inflammatory force behind HAE attacks, according to the company. The self-administered subcutaneous injection is intended for use once every four or eight weeks, the longest dosing interval currently available for HAE prophylaxis, Ionis says.
Approval was based on data from the pivotal Phase 3 OASIS-HAE trial, which saw Dawnzera cut monthly attack rates by 81% compared with placebo over 24 weeks, meeting its primary endpoint, according to the company. Attack reductions rose to 87% when measured from the second dose, while moderate-to-severe episodes fell by about 90%, it says.
Ionis says that a separate switch study found that patients moving from existing prophylactic therapies, including lanadelumab and C1-esterase inhibitors, experienced a further 62% reduction in attack rates.
Across clinical studies, Dawnzera showed a favorable safety profile, according to the company. The most common side effects included injection site reactions, upper respiratory tract infections, urinary tract infections and abdominal discomfort.