Hold Removed on Rezolute Hypoglycemia Drug
FDA has removed a partial clinical hold against Rezolute’s RZ358 (ersodetug), a potential treatment for hypoglycemia caused by congenital hyperinsulinism. (HI) Ersodetug is currently being evaluated in the sunRIZE global Phase 3 study in participants with congenital HI, the company says, and the hold removal will permit it to begin “start-up activities” to include U.S. participants in the study. It expects U.S. enrollment to begin in early 2025, which will enable topline data from the study to be released in the second half of of the year.
Rezolute says that in removing the hold, FDA concluded that the “liver toxicity observed in Sprague Dawley rats is likely strain-specific and not otherwise relevant to humans.” It adds that “Coming on the heels of our recent announcement of FDA clearance of a separate Phase 3 study in tumor-associated HI, we are in the unique and fortunate position to be advancing ersodetug in two Phase 3 rare disease programs in the U.S. and globally.”
Ersodetug is described as a monoclonal antibody that binds to a unique allosteric site on insulin receptors to counteract the effects of insulin receptor over-activation. This improves hypoglycemia in HI patients, the company says, adding that ersodetug acts downstream from the pancreas and has the potential to be effective at treating hypoglycemia due to any form of HI.