FDA Shifts Stance on AMT-130 BLA Data

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Gene therapy company uniQure says that FDA indicated during a recent pre-BLA meeting that the agency may no longer view the company’s Phase 1-2 data for its Huntington’s disease (HD) therapy AMT-130, analyzed against an external control, as sufficient to serve as primary evidence to support a planned submission.

The company says that while final meeting minutes have not yet been received, the feedback marks a “key shift” from prior communications over the past year, during which the agency had suggested the current data could form the basis for an accelerated approval filing. As a result, the timeline for a BLA submission is now unclear, it says.

In September, the company reported favorable data from the study. The study met its prespecified primary endpoint, with high-dose AMT-130 demonstrating a statistically significant (75%) slowing of disease progression as measured by the composite Unified Huntington’s Disease Rating Scale at 36 months compared to a propensity score-matched external control, according to the company.

“We are surprised by the FDA’s feedback at the recent pre-BLA meeting, which is a drastic change from the guidance provided in November 2024,” CEO Matt Kapusta is quoted in a release as saying. “We remain fully committed to working with the FDA to determine the best path forward.”

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