Tricida ‘Surprised’ at FDA Veverimer Comments

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Tricida says it was surprised by comments made by representatives of the CDER Division of Cardiology and Nephrology at a 10/20 end-of-review conference on its investigational drug veverimer. The drug is a non-absorbed, orally-administered polymer designed to treat metabolic acidosis in patients with chronic kidney disease (CKD). A company statement said the meeting followed the company’s 8/21 receipt of a complete response letter for the veverimer NDA that the agency was reviewing under the accelerated approval program.

The company says it believes that FDA will require evidence of veverimer’s effect on CKD progression from a near-term analysis of the VALOR-CKD trial for approval under the accelerated approval program and is unlikely to rely solely on sodium bicarbonate data for determination of efficacy.

“The company’s ongoing VALOR-CKD trial was designed to be a confirmatory trial to demonstrate the effect of veverimer on slowing CKD progression following accelerated approval,” Tricida says. “Based on the primary endpoint and patient population in VALOR-CKD, Tricida does not believe it can provide information on CKD progression from a near-term interim analysis of the VALOR-CKD trial without compromising the integrity of the ongoing trial.”

Tricida says it continues to believe that its development program for veverimer is an appropriate candidate for accelerated approval and will wait to receive formal meeting minutes from FDA before determining how to proceed to obtain regulatory approval.

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