Mallinckrodt NDA Hepatorenal Syndrome Type 1
FDA has accepted for review a Mallinckrodt NDA for terlipressin, indicated for treating hepatorenal syndrome type 1 (HRS-1). Terlipressin is a potent vasopressin analog selective for V1 receptors, Mallinckrodt says. The agency set a 9/12 user fee review action target date, and the company expects an FDA advisory committee meeting to discuss the submission later this year.
The company describes HRS-1 as an acute and life-threatening syndrome involving acute kidney failure in people with cirrhosis. It has a median survival time of about two weeks and greater than 80% mortality within three months if left untreated, it says. It is estimated to affect between 30,000 and 40,000 patients in the U.S. annually.
The submission is based on data from the Phase 3 CONFIRM trial that showed the drug improved renal function and reversed HRS-1 among patients with progressive advanced liver disease, Mallinckrodt says, adding that the response was durable and associated with less need for early renal replacement therapy.