PTC Therapeutics’ Friedreich’s Ataxia Drug Rejected

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FDA has issued PTC Therapeutics a complete response letter (CRL) on its NDA for vatiquinone and its use for treating Friedreich’s ataxia, calling for additional evidence of the drug’s effectiveness. The CRL said PTC’s submission did not demonstrate “substantial evidence of efficacy” and that another well-controlled clinical trial would be required before resubmitting it, according to the company.

“We believe the data collected to date demonstrate that vatiquinone could provide a safe and effective therapy for both children and adults living with Friedreich's ataxia,” the company says in a release. “We plan to meet with the FDA to discuss potential steps to address the issues raised in the CRL.”

Vatiquinone is a first-in-class small molecule designed to inhibit 15-Lipoxygenase, an enzyme linked to oxidative stress and mitochondrial dysfunction — processes that play a key role in Friedreich’s ataxia, PTC says. The drug has been evaluated in several clinical studies, including in pediatric patients, and has shown potential benefits in reducing mortality risk and improving neuromuscular symptoms, according to the company.

PTL says Friedreich’s ataxia is a rare inherited disorder that causes progressive damage to the nervous system and heart. Symptoms often emerge in childhood or adolescence and include loss of coordination, muscle weakness, speech and swallowing difficulties, scoliosis, diabetes, and serious heart conditions. The disease affects about 25,000 people worldwide and currently has no cure.

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