Phase 3 Study on Disc Medicine’s Bitopertin
FDA has agreed on a Phase 3 study (APOLLO) design for Disc Medicine’s bitopertin and its use in treating erythropoietic protoporphyria (EPP), a rare and debilitating condition. The study design was recently discussed during an end-of-Phase 2 meeting that provided a “clear path forward for bitopertin,” the company says. “The agency’s agreement on our study design and the potential for an accelerated approval pathway reflect the high unmet need in EPP and the promise of our data.”
Bitopertin could be eligible for the accelerated approval program based on PPIX reduction as a surrogate endpoint, Disc Medicine says. Accumulation of PPIX in human porphyrias can cause skin photosensitivity. The accelerated pathway would allow Disc to potentially submit an NDA using existing data while conducting APOLLO as a confirmatory trial, it says, adding that the study’s primary endpoint would be average monthly total time in sunlight without pain during the last month following six months of treatment.
EPP and its subtype, X-linked protoporphyria, are rare genetic disorders characterized by extreme sensitivity to sunlight, leading to painful and potentially disfiguring skin reactions.