Ionis Pharma NDA for Inotersen Gets Priority Review

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FDA has accepted for priority review an Ionis Pharmaceuticals NDA for inotersen, indicated for treating patients with hereditary transthyretin (TTR) amyloidosis. The agency has set a user fee review target date of 7/6.

 

Inotersen is an antisense drug designed to reduce TTR production. In affected patients, TTR builds up as fibrils in tissues, such as the peripheral nerves, heart, gastrointestinal system, eyes, kidneys, central nervous system, thyroid and bone marrow. This TTR build-up interferes with the normal tissue/organ functions, resulting in poor quality of life and eventually death, the company says.

 

The submission includes data from a Phase 3 study, which the company says demonstrated the therapy’s benefit compared to placebo across both primary endpoints of the study. “Inotersen-treated patients benefited significantly in the quality of life primary endpoint with 50% of patients experiencing improved scores compared to baseline and a mean difference in magnitude of 11.68 points, compared to placebo-treated patients, at 15 months of treatment,” Ionis says. It notes that two key safety issues were identified during the study: thrombocytopenia and safety signals related to renal function. Enhanced monitoring was implemented during the study to support early detection and management of these issues.

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