Sangamo to Seek Accelerated OK on Gene Therapy
Sangamo Therapeutics says it reached agreement with FDA on a “clear regulatory pathway to accelerated approval for the company’s gene therapy candidate ST-920 (isaralgagene civaparvovec) for treating Fabry disease. The FDA has agreed in a Type B interaction that data from the ongoing Phase 1/2 STAAR study can serve as the primary basis for approval under the accelerated approval program, using eGFR [estimated glomerular filtration rate] slope at 52 weeks across all patients as an intermediate clinical endpoint,” it says.
The complete dataset to support accelerated approval is said to become available in the first half of 2025, and a potential BLA submission could be filed in the second half of 2025, three years ahead of previous estimates because it avoids the requirement for an additional registrational study to establish clinical efficacy, according to Sangamo.
The company says an analysis of clinical data from the Phase 1/2 STAAR study showed “encouraging safety and efficacy data, including promising preliminary evidence of improved kidney function. Renal manifestations, such as proteinuria or a decreased glomerular filtration rate, occur early in life in almost all male, and in many female, patients with Fabry disease, and can lead to end-stage renal disease and early death. In the 18 male and female patients treated with isaralgagene civaparvovec with more than one year of follow-up data, statistically significant improvements were observed in both mean and median eGFR levels, resulting in a positive annualized eGFR slope.”