Ipsen Gains Accelerated OK for Iqirvo

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FDA has granted Ipsen accelerated approval for Iqirvo (elafibranor) 80 mg tablets for treating primary biliary cholangitis (PBC) in combination with ursodeoxycholic acid (UDCA) in adults who have an inadequate response to UDCA, or as monotherapy in patients unable to tolerate UDCA. Approval was based on data showing the therapy’s use reduced alkaline phosphatase, the company says, noting that an improvement in survival or prevention of liver decompensation events have not been demonstrated. It notes that continued approval for the indication is contingent upon verification and description of clinical benefit in confirmatory trials.

“For a significant number of people living with PBC, available treatments do not control the condition and may exacerbate symptoms of PBC,” an Ipsen release says. “Left unmanaged, PBC can progress, leading to liver failure and in some cases, the need for a liver transplant.”

Iqirvo is described as a first-in-class oral, once-daily peroxisome proliferator-activated receptor agonist. The most common adverse reactions reported in more than 10% of study participants were weight gain, abdominal pain, diarrhea, nausea and vomiting. Some study participants treated with Iqirvo had “experienced myalgia, myopathy and rhabdomyolysis; fractures; adverse effects on fetal and newborn development; drug-induced liver injury; hypersensitivity reactions; or biliary obstruction,” Ipsen says.

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