Review Extended on Denali’s Hunter Syndrome Drug
FDA has extended by three months its review of a Denali Therapeutics BLA for tividenofusp alfa, a potential treatment for mucopolysaccharidosis Type II (MPS II), also known as Hunter syndrome. According to the company, the review action target date has been pushed back — from 1/5/2026 to 4/5 /2026 — after Denali submitted updated clinical pharmacology data in response to an FDA information request. The agency determined that the data submission was considered a major amendment.
The BLA was accepted for priority review in July. Tividenofusp alfa is described by the company as a next-generation enzyme replacement therapy designed to address both the cognitive and physical manifestations of Hunter syndrome. The rare genetic disorder is caused by a deficiency of the iduronate 2-sulfatase (IDS) enzyme, leading to the accumulation of harmful complex sugars in the body and brain, it says. The therapy uses the company’s proprietary TransportVehicle platform to deliver IDS throughout the body and into the brain.