Orphan Status for Green Tea Extract in Pouchitis

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FDA has granted PharmassêtX an orphan drug designation for epigallocatechin gallate (EGCG), described by the company as a well-characterized component of green tea for treating inflammatory bowel disease (IBD) pouchitis, which is experienced by a number of patients who have undergone surgery to remove their large intestine. There is currently no FDA-approved drug for the treating the condition.

The designation is based on data from a clinical study of an EGCG-enriched green tea extract that showed patients suffering from mild to moderate ulcerative colitis, a common form of IBD, experienced clinical improvement, including endoscopic improvement, after treatment. Additionally, the company cites peer-reviewed evidence of EGCG’s safety and effectiveness from a retrospective study of pouchitis patients published in the International Journal of Colorectal Diseases. “The majority of refractory pouchitis patients experienced complete relief from their symptoms, with no serious adverse events reported,” it says.

PharmassêtX says EGCG has been “shown to target NF-κB, a key regulator of mucosal immunity, which promotes the expression of multiple pro-inflammatory genes dysregulated in IBD. Additional effects may include decreased activation of the NLRP3 inflammasome, decreased secretion of pro-inflammatory interleukins, and promotion of intestinal barrier integrity. Studies in relevant IBD models suggest that targeting NF-κB can be an effective strategy in disease management, whether alone or as an adjunct in combination with other therapeutics.”

The company says it has recently partnered with contract research organization Alimentiv to advance its EGCG drug (PSX-514) into clinical trials in 2025.

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