FDA Rejects Capricor Duchenne Cell Therapy

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FDA has issued Capricor Therapeutics a complete response letter on its BLA for Deramiocel, a cell therapy candidate targeting cardiomyopathy associated with Duchenne muscular dystrophy (DMD). The letter cited a lack of “substantial evidence of effectiveness” and called for additional clinical data, according to the company, adding that it also flagged unresolved issues in the BLA’s Chemistry, Manufacturing, and Controls section. Capricor notes that many of these concerns had already been addressed in earlier communications. However, it says those materials were not reviewed due to the timing of the letter.

Capricor plans to request a Type A meeting with the FDA to clarify next steps and says it intends to submit data from its ongoing Phase 3 HOPE-3 trial later this year to strengthen the evidence base.

Deramiocel comprises allogeneic cardiosphere-derived cells, a type of stromal cell that has shown promising immunomodulatory, antifibrotic, and regenerative effects in preclinical and clinical studies, according to the company. These cells work by secreting extracellular vesicles known as exosomes, which can reprogram macrophages to adopt a healing rather than a pro-inflammatory response.

The BLA, which was granted a priority review in March, is based on data from the HOPE-2 trial, an open-label extension study, and natural history comparisons using FDA-funded datasets.

DMD is a progressive genetic disease that leads to severe muscle degeneration and heart failure. There is currently no cure, and treatment options remain limited. Cardiomyopathy is a leading cause of death in affected patients, according to the company.

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