Hunter Syndrome Gene Therapy Accepted for Review

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FDA has accepted for priority review a Regenxbio BLA seeking accelerated approval for gene therapy RGX-121 (clemidsogene lanparvovec) for treating mucopolysaccharidosis II (MPS II), also known as Hunter syndrome. The agency has set a user fee review action target date of 11/9.

“Supported by positive biomarker data and long-term outcomes, RGX-121 has the potential to be a first-in-class gene therapy that could dramatically transform the MPS II treatment landscape and reduce the significant burden patients and families currently face with weekly enzyme replacement therapy,” the company says.

It describes RGX-121 as a potential one-time adeno-associated virus therapeutic that is designed to deliver the iduronate-2-sulfatase (IDS) gene to the central nervous system (CNS). “Delivery of the IDS gene within cells in the CNS could provide a permanent source of secreted iduronate-2-sulfatase (I2S) protein beyond the blood-brain barrier, allowing for long-term cross-correction of cells throughout the CNS,” it says.

MPS II is a recessive disease caused by a deficiency in the lysosomal enzyme I2S, leading to an accumulation of glycosaminoglycans, including heparan sulfate, in tissues that eventually results in cell, tissue, and organ dysfunction, Regenxbio says.

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