FDA Priority Review for Regeneron Pozelimab

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FDA has accepted for priority review a Regeneron BLA for pozelimab (C5 antibody) to treat children and adults with CHAPLE disease. A company statement says CHAPLE is an ultra-rare disease also known as CD55 deficiency with Hyperactivation of complement, Angiopathic thrombosis and Protein Losing Enteropathy or CD55-deficient protein-losing enteropathy. There currently are no approved treatments for CHAPLE disease, it says. The PDUFA target action date on the BLA is 8/20.

Pozelimab is described as an investigational fully human monoclonal antibody designed to block the activity of complement factor C5, a protein involved in complement system activation.

The BLA is supported by results from a Phase 2/3 open-label trial that investigated its safety and efficacy in 10 patients over 12 months old. Regeneron says that at 24 weeks, the co-primary endpoints were achieved with 100% of patients experiencing rapid and sustained normalization of serum albumin (a disease biomarker) and improvement or no worsening of clinical symptoms.

FDA designated pozelimab for treating CHAPLE as a drug for a “rare pediatric disease” in 4/2020 with the opportunity for Regeneron to receive a rare pediatric disease priority review voucher if pozelimab is approved for CHAPLE. The drug was granted an orphan drug designation at the same time. It was granted fast track designation in 9/2022.

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