Panel Votes Down Intarcia Diabetes Implant
FDA’s Endocrinologic and Metabolic Drugs Advisory Committee 9/21 voted 19 to 0 against approving Intarcia Therapeutics’ implantable ITCA 650 (exenatide in DUROS device), indicated for improving glycemic control in adults with Type 2 diabetes, because the implantable drug-device combination’s benefits do not outweigh its risks.
In voting down the product, panel members agreed with FDA reviewers’ assessment that risks of acute kidney injury are too worrisome. A briefing document released in advance of the panel meeting noted that CDER has repeatedly communicated this assessment to the company and in a 3/9/2020 complete response letter recommended that Intarcia “redesign the product such that it provides reliable and clinically appropriate exenatide release rates over the life of the product” and “conduct new clinical trials to demonstrate the efficacy and safety of the redesigned drug/device combination product.” However, following a CDER 7/29/2022 proposed order to deny approval of the NDA, the company requested a public hearing before an advisory committee, leading to this committee session.