Repros’ Proellex Remains on Hold Over Liver Safety Data
FDA has told Repros Therapeutics that its clinical development program for Proellex, an oral delivery mechanism for telapristone acetate for treating uterine fibroids, will remain on partial clinical hold based upon its review of existing liver function safety data. The agency has also indicated that the company will be required to compile a large pre-approval safety data base to support future development. Earlier this year, FDA told Repros that it was consulting with its liver experts regarding previously disclosed effects on the liver.
In light of the FDA guidance, the company says it is “assessing increasing its focus on its uterine fibroid and endometriosis development program utilizing a vaginal drug delivery program for telapristone acetate, a selective progesterone modulator... We are encouraged by our clinical studies with our vaginal drug delivery program, which may provide the potential opportunity to differentiate our treatment from other orally-dosed compounds in development or on the market to treat uterine fibroids. Clinical work done to date suggests that vaginal delivery of telapristone acetate has the potential to yield good efficacy with significantly lower systemic blood levels. Furthermore, we intend to leverage drug delivery technology that could offer dosing less frequently than once per day.”