FDA Rejects Dynavax BLA on Heplisav-B

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FDA has sent Dynavax Technologies a Complete Response Letter (CRL) on its BLA for Heplisav-B [hepatitis Bb vaccine, recombinant (adjuvanted)] for immunization of adults 18 years and older against hepatitis B infection. The letter seeks clarification about “specific adverse events of special interest” (AESIs), and a numerical imbalance in a small number of cardiac events in a single study, according to the company. It also asks for new analyses of the integrated safety data base across different time periods, and post-marketing commitments. “In the CRL, the FDA acknowledged that it has not yet completed its review of responses received from Dynavax in early October, including those pertaining to AESIs and the numerical imbalance in cardiac events,” the company says.

“The CRL is consistent with our opinion that Heplisav-B is approvable and we are seeking to meet with the FDA as soon as possible,” Dynavax says. “However, the time and resources that will be required to gain approval leads us to consider that we may not be able to advance this program on our own and we are moving swiftly to identify a potential pharmaceutical or financial partner. We will maintain our efforts on the oncology programs, including our lead cancer immunotherapy candidate, SD-101, for which we recently announced encouraging early clinical data in metastatic melanoma.”

In 2013, the agency issued Dynavax a CRL on the BLA, which specified that the indication in adults 18-70 years of age cannot be approved without further evaluation of safety in this broad age group, according to the company. “The FDA also continues to express concern that novel adjuvants may cause rare autoimmune events,” it said at the time. In 2012, FDA’s Vaccines and Related Biological Products Advisory Committee voted (13 to 1) that the vaccine adequately demonstrated immunogenicity. However, the panel voted 8 to 5 with one abstention that there were insufficient data to adequately support the product’s safety.

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