Hold Lifted on Fabry Cardiomyopathy Therapy

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FDA has lifted a clinical hold against 4D Molecular Therapeutics’ 4D-310 therapy being studied for treating Fabry disease cardiomyopathy, and the company says enrollment in the Phase 1/2 INGLAXA study will resume in the coming months. The 2/2023 clinical hold was ordered after the company reported three patients experiencing atypical hemolytic uremic syndrome, a condition that affects kidney function and causes blood clots to form. The company said at the time that it stopped enrollment in the trial and that the program will be evaluated after 12-month clinical data are collected on the currently enrolled patients, including ongoing safety and cardiac endpoint assessments for a potential pivotal trial.

“4D-310 utilizes the targeted and evolved C102 vector to deliver a functional copy of the GLA gene and was designed for a unique dual mechanism of action after a single IV administration,” the company says, adding that it is intended to directly correct the aspartylglucosaminidase (AGA) enzyme function within heart muscle cells. The product generates both high local production of AGA directly within critically affected organs, and has the potential for “systemic tissue cross-correction,” it says.

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