sNDA for Ozempic Planned for Kidney Disease
Novo Nordisk says it will file a supplemental NDA this year seeking an expanded label for Ozempic (semaglutide) for preventing progression of kidney impairment and risk of kidney and cardiovascular mortality in people with Type 2 diabetes and chronic kidney disease (CKD). The submission will be based on data from the kidney outcomes trial FLOW. Currently, Ozempic is approved as an adjunct to diet and exercise for improving glycemic control in adults with Type 2 diabetes and for reducing the risk of major adverse cardiovascular events in adults with Type 2 diabetes and established cardiovascular disease.
FLOW was stopped early in October due to positive efficacy results as recommended by an independent monitoring committee. A new company press release says the trial demonstrated a “statistically significant and superior reduction in kidney disease progression as well as cardiovascular and kidney death of 24% for people treated with semaglutide 1.0 mg compared to placebo. The combined primary endpoint included five components measuring the progression of CKD and the risk of kidney and cardiovascular mortality. Both CKD and cardiovascular components of the primary endpoint contributed to the risk reduction. Further, superiority of semaglutide 1 mg vs placebo was confirmed for the confirmatory secondary endpoints.”