FDA OKs Regeneron Therapy for Fibrodysplasia Ossificans Progressiva
FDA has approved Regneron’s Pasatru (garetosmab-grts) for reducing new heterotopic ossification (bone formation outside the skeleton) and reduce clinician-assessed disease flare-ups in adults with fibrodysplasia ossificans progressiva (FOP), a rare genetic disease caused by a mutation in activin A receptor-type 1, which controls new bone growth. “As a result, connective tissues such as muscle, tendons and ligaments gradually turn into bone, causing limited movement, deformities, severe disability, and early death,” FDA says in a release.
Pasatru is an antibody that blocks activation of the abnormal activin A receptor-type 1.It was approved based on data from a randomized, double-blind, placebo-controlled clinical study of 63 adults with FOP. “Patients received Pasatru 3 mg/kg, Pasatru 10 mg/kg, or placebo, each given by IV infusion every four weeks for 56 weeks,” FDA says. “After the initial 56 weeks, 61 patients continued in an extended follow-up phase on the same treatment.”
The agency says that both doses of Pasatru significantly reduced new bone growth compared to placebo (2 new lesions among 23 patients receiving the 10 mg/kg dose and 1 new lesion among 19 patients receiving the 3 mg/kg dose, compared to 19 new lesions among 21 patients receiving placebo). “The number of clinician-assessed disease flare ups over the 56 weeks were 9 with the 10 mg/kg dose, 53 with the 3 mg/kg dose and 66 with placebo,” it says.