FDA Seeks Covis Info for Makena Hearing
FDA has released a CDER letter sent to the presiding officer for an upcoming hearing on whether the approval for Covis’ Makena should be withdrawn, asking that Covis be directed to provide additional information. The letter asks for additional information on four tables included in the Covis submission and on a new provider survey so CDER can respond to the company submission.
Last week, an FDA briefing document released in advance of the 10/17-19 advisory committee meeting to discuss whether the accelerated approval of Covis’ Makena (hydroxyprogesterone caproate injection, 250 mg/mL, once weekly) should be withdrawn argues strongly that the drug is not effective and has known risks. It was approved in 2011 for reducing the risk of pre-term birth in women with a singleton pregnancy.
In the briefing document, FDA says Makena has not been shown to improve neonatal outcomes from premature birth, and that its confirmatory trial “failed to show that Makena has any benefit to newborns. Data from this trial, taken together with other evidence, also fail to show that Makena reduces the risk of recurrent preterm birth,” it says in arguing that the drug should be withdrawn from the market.