Panel Backs RSV Monoclonal Antibody
FDA’s Antimicrobial Drugs Advisory Committee 6/8 voted 21 to 0 that AstraZeneca and Sanofi’s nirsevimab has a favorable benefit-risk assessment for preventing respiratory syncytial virus (RSV) lower respiratory disease in neonates and infants born during or entering their first RSV season. Panel members also voted 19 to 2 that data supported nirsevimab’s use for preventing RSV lower respiratory tract disease in children up to 24 months of age who remain vulnerable to severe RSV disease through their second RSV season.
According to an FDA briefing document released in advance of the meeting, the companies’ submission relied on two efficacy studies that showed the monoclonal antibody was associated with an RSV relative risk reduction of between 70 to 75%. The incidence of hospitalization due to RSV was a key secondary endpoint that FDA found were significantly less in patients treated with nirsevimab.
“Most babies hospitalized with RSV are born at term and healthy, which is why interventions specifically designed to protect all infants are likely to result in the greatest impact,” Sanofi said in a statement. “We are encouraged by the advisory committee’s positive vote based on the compelling clinical development program supporting nirsevimab and its breakthrough potential to reduce the magnitude of annual RSV burden.”