FDA Puts Clinical Hold on Genentech MS Studies
FDA has placed a clinical hold on a Genentech multiple sclerosis clinical development program for fenebrutinib. The agency action was based on two recent cases of hepatic transaminase (liver enzyme) elevations along with elevated bilirubin that suggests a drug-induced liver injury that was observed in the blinded Phase 3 FENhance relapsing multiple sclerosis studies. “Both patients were asymptomatic and elevations returned to normal levels following drug discontinuation,” the company says.
New enrollment for the Phase 3 FENhance I trial in the U.S. is paused, while enrollment continues in other countries. “Participants in the U.S. who have received the study drug for more than 70 days will continue treatment in all studies,” the company says. “A small number of participants in the U.S. who have received the study drug for 70 days or less will discontinue treatment.”
Fenebrutinib is an investigational oral, reversible and non-covalent Bruton’s tyrosine kinase (BTK) inhibitor that blocks the function of BTK, an enzyme that regulates B-cell development and activation and is also involved in the activation of innate immune system myeloid lineage cells, such as macrophages and microglia, Genentech says. “Preclinical data have shown fenebrutinib to be potent, highly selective, and it is the only reversible inhibitor currently in Phase III trials for MS,” it adds.