Viela Bio BLA for Rare Autoimmune Disorder

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FDA has accepted for review a Viela Bio BLA for inebilizumab, an investigational anti-CD19 monoclonal antibody for treating patients with neuromyelitis optica spectrum disorder. The rare autoimmune disease is characterized by unpredictable attacks that often lead to severe, irreparable disability including blindness and paralysis, according to the company.

 

The submission is based on safety and efficacy data from the pivotal N-MOmentum trial, which enrolled 231 patients with and without the AQP4-IgG antibody — a key biomarker for the disease. Viela says the trial met its primary and a majority of the secondary endpoints, with results demonstrating that inebilizumab reduced the risk of developing a disorder-related attack by 77% when compared to placebo. “In addition, inebilizumab impacted measurements of worsening disability, hospitalizations and new central nervous system MRI-detected lesions.”

 

The company describes inebilizumab as a humanized monoclonal antibody that binds with high affinity to CD19, a protein expressed on a broad range of B cells, including antibody-secreting plasmablasts and plasma cells. After binding to CD19, these cells are rapidly depleted from circulation, it says.

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