Panel Shoots Down FibroGen’s Roxadustat

FDA’s Cardiovascular and Renal Drugs Advisory Committee 7/15 overwhelmingly voted against recommending approval for a FibroGen NDA for roxadustat, indicated for treating anemia due to chronic kidney disease in adult patients not on dialysis and on dialysis. Committee members agreed with an FDA briefing document citing risks of serious thromboembolic events, as well as other risks (see earlier story). The committee voted 13-1 against the approval for treatment of chronic kidney disease in patients not on dialysis and 12-2 against the approval for patients on dialysis.

Roxadustat is an oral small molecule hypoxia-inducible factor prolyl hydroxylase inhibitor, according to the company. It is approved in China, Japan, Chile, and South Korea, and has received a positive opinion from the European Medicines Agency's Medicinal Products for Human Use Committee.

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