Fulcrum Therapeutics Halts Sickle Cell Disease Program

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Fulcrum Therapeutics says it is discontinuing development of its lead sickle cell disease candidate, pociredir, after receiving feedback from FDA that effectively closed the regulatory path for the drug.

The biotechnology company announced June 1 that it had received In meeting minutes from a recent meeting with FDA, the agency expressed heightened concerns about the benefit-risk profile of pociredir following reports of secondary hematologic malignancies associated with Tazverik (tazemetostat), another PRC2 inhibitor for treating cancer that was withdrawn from global markets in March, according to the company.

Fulcrum says it submitted information to FDA “supporting the position that mechanistic differences between EED (pociredir's target) and EZH2 (tazemetostat's target), which perform different biological roles, were relevant to the benefit-risk assessment. FDA considered this position but concluded that any pharmacological intervention targeting the PRC2 complex carries equivalent malignancy risk regardless of the specific subunit engaged. FDA’s position is informed by pociredir's previously disclosed preclinical malignancy observations and left no viable regulatory path forward for further clinical development of pociredir.”

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