FDA Rejects Gilead Hepatitis Delta BLA
FDA has issued Gilead a complete response letter on its BLA for bulevirtide, an investigational entry-inhibitor for treating adults with hepatitis delta virus (HDV) infection and compensated liver disease. FDA’s letter cited concerns about the “manufacture and delivery of bulevirtide,” according to the company, adding that no new studies to evaluate the safety and efficacy of bulevirtide have been requested.
“Since the acquisition of MYR GmbH and bulevirtide in 2021, Gilead has been working to implement process improvements to the manufacturing of bulevirtide,” the company says. “Gilead will continue to discuss manufacturing and product delivery improvements with the FDA.”
The company says that chronic HDV infection is the most serious viral hepatitis form, and carries with it poor prognoses and high mortality rates. Previously the agency granted the therapy breakthrough therapy and orphan drug designations. It is currently conditionally authorized in certain European countries under the tradename Hepcludex.