Invivyd EUA Request to Expand Covid Therapy Denied
FDA has declined to approve an Invivyd request to expand the existing emergency use authorization (EUA) for pre-exposure prophylaxis of Covid-19 EUA for Pemgarda (pemivibart). The request sought authorization to provide a treatment option for mild-to-moderate Covid-19 in adults and adolescents who are immune compromised due to certain medical conditions such as cancer and organ transplant, and for whom alternative Covid-19 treatment options are not accessible or clinically appropriate. The existing Pemgarda EUA for pre-exposure prophylaxis of Covid-19 in certain immunocompromised patients remains in effect.
The agency’s rejection suggested that Covid-19 treatment immunobridging analyses for a monoclonal antibody (mAb) must meet a standard of superior antiviral activity rather than equivalent antiviral activity to past, highly effective, previously authorized and now inactive Covid-19 mAbs, according to the company. The EUA request provided analyses demonstrating comparable antiviral activity between pemivibart and adintrevimab, the key antibody of interest for immunobridging, as well as analyses demonstrating predicted pemivibart clinical efficacy in-line with prior authorized mAb therapeutics, it says.