Merck Winrevair sBLA Seeks Updated Label on Risk Reduction

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FDA has accepted for priority review a Merck supplemental BLA for Winrevair (sotatercept-csrk), seeking to update the drug’s U.S. label to include data from the Phase 3 ZENITH trial, which demonstrated a significant reduction in mortality and morbidity among patients with pulmonary arterial hypertension (PAH). Approved in 2024, Winrevair is currently indicated for adults with PAH (World Health Organization Group 1) to improve exercise capacity, WHO functional class, and to reduce the risk of clinical worsening. The agency has set a user fee review action target date of 10/25.

The submission is based on data from the ZENITH trial, which showed a 76% reduction in the risk of a composite endpoint of all-cause death, lung transplantation, and PAH-related hospitalizations compared to placebo, according to Merck. ZENITH was the first Phase 3 PAH trial to use a primary endpoint solely composed of major morbidity and mortality events and was stopped early due to “overwhelming efficacy,” it says. The safety profile in ZENITH remained consistent with earlier studies. Results from the trial were recently published in the New England Journal of Medicine.

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