Ferring’s Fecal Microbiota Product Approved for C.diff

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FDA has approved Ferring Pharmaceuticals’ Rebyota (fecal microbiota) for preventing recurrence of Clostridioides difficile infection (CDI) in individuals 18 years of age and older. It is for use after an individual has completed antibiotic treatment for recurrent CDI, an agency release says.

FDA says Rebyota is prepared from stool donated by qualified individuals, and then administered rectally as a single dose. Approval was based on data from 177 patients. The success rate in “preventing recurrent CDI through 8 weeks was significantly higher in the Rebyota group (70.6%) than in the placebo group (57.5%),” it says.

Leading up to approval, FDA this week granted in part and denied in part a 7/2/20 petition submitted by the Microbiome Therapeutic Innovation Group (MTIG) asking the agency to take certain actions regarding fecal microbiota for transplantation (see story).

The agency this week also published a final guidance requested in the petition. The guidance “informs members of the medical and scientific community and other interested parties that FDA intends to exercise enforcement discretion under limited circumstances, regarding the IND requirements … for the use of FMT to treat C. difficile infection not responding to standard therapies,” it says. “In light of safety concerns with respect to centralized manufacturing of FMT products in stool banks, the guidance explains that FDA’s enforcement policy does not apply to FMT obtained from a stool bank.”

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