Shire Resubmits NDA for Dry Eye Drug

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Shire has resubmitted an NDA for lifitegrast for treating signs and symptoms of dry eye disease. The submission includes data from a recent study called OPUS-3, a Phase 3 efficacy and safety study of lifitegrast versus placebo. The data, according to the company, showed OPUS-3 met the primary endpoint of significantly improving patient-reported symptoms of dry eye disease from baseline to day 84 (p=0.0007). Additionally, OPUS-3 met the secondary endpoints of symptom improvement from baseline to days 14 and 42.

In October, FDA issued Shire a complete response letter requesting an additional clinical study before granting approval. The agency also requested more information related to product quality, which Shire says was included in the resubmission.

Shire says lifitegrast is a novel small-molecule integrin inhibitor that binds to the integrin LFA-1 (lymphocyte function-associated antigen-1), a cell surface protein found on leukocytes, and blocks the interaction of LFA-1 with its cognate ligand ICAM-1 (intercellular adhesion molecule-1), which is over-expressed in corneal and conjunctival tissues in dry eye disease. The company says the LFA-1/ICAM-1 interaction helps form immunological synapses resulting in T-cell activation and migration to target tissues.

The NDA was originally based on four clinical trials of more than 1,800 patients, according to the company.

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