uniQure Files BLA for Huntington’s Gene Therapy

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uniQure has submitted a BLA seeking accelerated approval of ifezuntirgene inilparvovec (AMT-130), an investigational gene therapy for treating Huntington’s disease. The company’s submission requested a priority review.

The filing is based on a three-year data analysis from a Phase I/II clinical study of ifezuntirgene inilparvovec, compared to a propensity score-matched external control derived from the Enroll-HD natural history database. The company expects to present a four-year data analysis from clinical studies before the end of the current quarter.

Earlier this year, UniQure was tangled in a dispute with the agency over then-CBER director Vinay Prasad’s insistence on a new randomized trial, saying such designs are necessary in diseases like Huntington’s where outcomes can vary widely and subjective endpoints may be influenced by expectations (see earlier story).

After Prasad’s departure, FDA reversed course and told UniQure that data from its ongoing Phase I/II study could serve as the primary basis for a BLA. FDA also requested alignment on the design of a post-approval confirmatory study before the filing is submitted.

AMT-130 is described as an investigational one-time gene therapy designed to lower production of the mutant huntingtin protein that causes Huntington's disease, a rare inherited neurodegenerative disorder characterized by progressive motor, cognitive, and psychiatric decline. No therapies are currently approved to slow disease progression.

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