Insmed sNDA Gets Priority Review for Arikayce Full Approval

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FDA has accepted for priority review an Insmed supplemental NDA seeking traditional approval for Arikayce (amikacin liposome inhalation suspension) for treating Mycobacterium avium complex (MAC) lung disease as part of a combination antibacterial drug regimen. The agency has set a user fee review action target date of 1/28/2027.

Arikayce received FDA accelerated approval in 2018 for refractory MAC lung disease and was the first product approved under the Limited Population Pathway for Antibacterial and Antifungal Drugs — a pathway established under the 21st Century Cures Act to advance the development of antibacterial therapies for serious or life-threatening infections in patients with unmet needs. “If full approval is granted, Arikayce could reach patients earlier in their disease course, including those newly diagnosed or facing recurrent infections,” the company says.

The sNDA for full approval is based on data from the Phase 3b ENCORE study, a pivotal study conducted to fulfill the post-marketing requirement associated with Arikayce's accelerated approval. “ENCORE met its primary endpoint and multiplicity-controlled secondary culture conversion endpoints, with Arikayce plus multidrug therapy demonstrating statistically significant improvements in respiratory symptoms and culture conversion in adults with MAC lung disease compared to multidrug therapy alone,” the company says.

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