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    Home > Active Ingredient News > Blood System > Express treatment of hemophilia A, FDA accepted marketing applications for potential blockbuster gene therapy

    Express treatment of hemophilia A, FDA accepted marketing applications for potential blockbuster gene therapy

    • Last Update: 2022-10-20
    • Source: Internet
    • Author: User
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    ▎WuXi AppTec content team editor

    BioMarin Pharmaceutical announced that the US FDA has accepted the company's resubmitted biologics license application (BLA) for valoctocogene roxaparvovec, an AAV gene therapy under investigation, for the treatment of adult patients
    with severe hemophilia A.
    The FDA expects to make a review decision
    by March 31 next year.
    The press release states that if approved, Valoctocogene Roxaparvovec would be the first FDA-approved gene therapy
    to treat hemophilia A.



    Hemophilia A is a rare inherited bleeding disorder
    caused by the lack of clotting factor VIII.
    Deficiency of clotting factors leads to insufficient thrombin production, leading to coagulopathy
    .
    Hemophilia A has recurrent bleeding and related complications as the main clinical manifestations, about 80% of which are joint bleeding, and its complications are mainly chronic hemorrhagic joint lesions, which can lead to severe joint deformities
    .
    At present, the main treatment of hemophilia A is regular transfusion of coagulation factor VIII, but frequent infusion brings great inconvenience
    to the patient's life.


    Valoctocogene roxaparvovec is a transgene
    expressing coagulation factor VIII delivered using an AAV5 viral vector.
    It has the advantage that patients may only need to receive one treatment and hepatocytes can continue to express factor VIII, eliminating the need for long-term prophylactic coagulation factor injections
    .
    The US FDA granted breakthrough therapy designation (BTD) and Advanced Regenerative Medicine Therapy designation (RMAT) designation (RMAT)
    for gene therapy in 2017 and 2021, respectively.
    The treatment is also granted Orphan Drug Designation (ODD) by the US FDA and the European Medicines Agency (EMA).

    On August 24 this year, the European Commission (EC) approved the conditional marketing of this gene therapy (trade name: Roctavian) for the treatment of hemophilia A
    .

    The submission combines the Company's response to a previous FDA's Full Response Letter (CRL) dated August 18, 2020, and includes 2-year results from the GENEr8-1 Phase 3 trial and 5-year follow-up support data
    from the Phase 1/2 clinical trial.
    The results of the GENEr8-1 test showed that valoctocogene roxaparvovec was able to control bleeding
    stably and durably.
    After a single infusion of valoctocogene roxaparvovec, patients with factor VIII use and annual bleeding requiring treatment were reduced by 99% and 84%, respectively (p<0.
    001),
    compared with data from the year before enrollment.
    Overall, 90% (121/134) of trial participants had no bleeding events requiring treatment or fewer
    bleeding events compared with prophylactic treatment for factor VIII.

    "This BLA resubmission brings us one step
    closer to our goal of bringing gene therapy treatment options to patients with severe hemophilia.
    " We look forward to working closely
    with the FDA in reviewing this transformative therapy.
    " Dr.
    Hank Fuchs, President of Global R&D at BioMarin, said
    .



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    WuXi Biologics can help customers around the world bring more innovative therapies to market sooner rather than later, benefiting patients
    .
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