Protalix Gets ‘Complete Response’ on Fabry Therapy

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FDA has issued Protalix BioTherapeutics a Complete Response Letter (CRL) for its BLA seeking accelerated approval for pegunigalsidase alfa (PRX–102) for treating adult patients with Fabry disease. The letter did not cite any safety or efficacy concerns regarding the therapy, according to the company.

The letter also noted that an inspection of Protalix’s manufacturing facility in Carmiel, Israel, including the agency’s subsequent assessment of any related findings, is required before it can approve the BLA. “Due to travel restrictions, the FDA was unable to conduct the required inspection during the review cycle,” it says. “With respect to the third-party facility in Europe at which fill and finish processes are performed for PRX-102, due to Covid–19, the FDA reviewed records under Section 704(a)(4) of the Federal Food, Drug, and Cosmetic Act in lieu of a pre-licensing inspection. In the CRL, the FDA stated that it will communicate remaining issues to the facility in order to seek prompt resolution of any pending items.”

Additionally, FDA indicated that because Genzyme recently converted Fabrazyme’s accelerated approval to full approval, this must be “addressed in the context of any potential resubmission seeking accelerated approval of PRX 102,” the company says. This likely means the agency is raising the bar on “unmet clinical need” in light of Fabrazyme’s full approval. “Protalix intends to work collaboratively with the agency to identify the most expeditious pathway to approval, including accelerated approval,” Protalix says.

Protalix describes pegunigalsidase alfa as an investigational, plant cell culture-expressed, and chemically modified stabilized version of the recombinant α-Galactosidase-A enzyme.

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