Priority Review for Merck’s Vericiguat
FDA has accepted for priority review a Merck NDA for vericiguat, an oral soluble guanylate cyclase stimulator indicated to reduce the risk of cardiovascular death and heart failure hospitalization following a worsening heart failure event in patients with symptomatic chronic heart failure with reduced ejection fraction, in combination with other heart failure therapies. Merck says FDA set a target PDUFA action date of 1/20/21. The company is jointly developing vericiguat with Bayer.
The application is based on results from the Phase 3 VICTORIA trial that is said to be the first outcome study focused exclusively on a population with worsening chronic heart failure who are at high risk for cardiovascular mortality and repeated heart failure hospitalizations. The study primary endpoint was the composite of time to the first occurrence of heart failure hospitalization or cardiovascular death. Secondary endpoints included time to occurrence of cardiovascular death, time to total heart failure hospitalizations (including first and recurrent events), time to the composite of all-cause mortality or heart failure hospitalization, and time to all-cause mortality. The study enrolled 5,050 patients.