Ionis NDA for Hereditary Angioedema Attacks
FDA has accepted for review an Ionis Pharmaceuticals NDA for donidalorsen, an RNA-targeted treatment for preventing hereditary angioedema (HAE) attacks in patients aged 12 years and older. The agency has set a user fee review action target date of 8/21/2025.
The submission is based on data from several clinical trials, including the Phase 3 OASIS-HAE and OASISplus studies, as well as an ongoing Phase 2 extension study. The studies demonstrated that donidalorsen, administered either monthly or bi-monthly, significantly reduced HAE attack frequency, according to the company.
Data presented recently at the 2024 American College of Allergy, Asthma & Immunology Annual Scientific Meeting showed that donidalorsen reduced HAE attack rates by an average of 96% from baseline, Ionis says. Across the studies, donidalorsen was well-tolerated with most adverse events mild or moderate, primarily consisting of injection site reactions, it adds.
Hereditary angioedema, a rare genetic condition, causes recurring episodes of severe swelling in different parts of the body, such as the hands, feet, genitals, abdomen, face, and throat. This swelling can be painful and life-threatening in severe cases, according to the company. Donidalorsen is said to work by targeting prekallikrein, a protein involved in triggering the swelling pathway.