Sarepta NDA for Duchenne Muscular Dystrophy Drug

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FDA has accepted a Sarepta Therapeutics NDA seeking accelerated approval for golodirsen (SRP-4053), indicated for treating those individuals with Duchenne muscular dystrophy who have genetic mutations subject to skipping exon 53 of the dystrophin gene. The agency has set an 8/19 user fee review action target date.

 

The submission includes data from Sarepta’s 4053-101 study assessing the safety, tolerability, pharmacokinetics and dystrophin expression of golodirsen in 25 boys with confirmed deletions of the dystrophin gene amenable to exon 53 skipping, according to the company. Data “demonstrated statistically significant results in favor of golodirsen on all biological endpoints, including properly exon-skipped RNA transcript using reverse transcription polymerase chain reaction, increase in quantity of dystrophin expression from baseline using Western blot and increase in dystrophin intensity as measured by immunohistochemistry,” it says.

 

The company notes that golodirsen is also being studied in the ongoing ESSENCE study (4045-301), a global, randomized double-blind, placebo-controlled trial assessing the safety and efficacy of golodirsen and casimersen, an exon 45 skipping agent. FDA reviewers have previously confirmed that ESSENCE could possibly serve as a post-marketing confirmatory study, it adds.

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