Regeneron to Seek FDA OK for Myasthenia Gravis Drug

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Regeneron Pharmaceuticals says it will seek FDA approval early next year for its investigational RNA-based therapy cemdisiran after announcing results from the Phase 3 NIMBLE trial where all primary and key secondary endpoints were met for treating generalized myasthenia gravis. Cemdisiran is described by the company as an siRNA that reduces circulating levels of complement factor 5 (C5). As a monotherapy in the trial, the therapy was associated with an average of 74% inhibition of complement activity.

The trial also assessed a combination of cemdisiran and pozelimab, a C5 antibody, according to Regeneron. The combination resulted in nearly 99% inhibition of complement activity, and it also met the primary and key secondary endpoints, though cemdisiran monotherapy was numerically better across these endpoints, it adds.

No patients discontinued cemdisiran due to side effects during the placebo-controlled portion of the study, according to the company. Adverse events were generally manageable, with the most common being mild infections and headaches, it says, adding that serious side effects occurred in 3% of patients on cemdisiran, compared with 9% on the combination and 14% on placebo. No meningococcal infections were reported.

Generalized myasthenia gravis is a rare autoimmune disease that affects about 85,000 people in the U.S., the company says. It causes muscle weakness that can impair vision, speech, swallowing, and mobility. Current treatments often require frequent dosing and may not provide sustained symptom control.

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