By Puyaan Singh and Mariam Sunny
June 10 (Reuters) - The U.S. Food and Drug
Administration granted accelerated approval to French drugmakers
Ipsen and Genfit's drug for a chronic
inflammatory liver disease, Iqirvo, the companies said on
Monday.
Primary biliary cholangitis (PBC) causes inflammation of the
small bile ducts in the liver and eventually destroys them. It
primarily affects women aged 30 to 60, impacting 75,000 in the
United States.
Iqirvo's estimated price is $11,500 for a month's
supply, and it is already available for healthcare providers to
prescribe in the U.S., Ipsen said.
Ipsen added that standard approval for Iqirvo may be
contingent on confirmatory trials, as improvement in survival or
prevention of liver decompensation events that can include
abdominal swelling or gastrointestinal bleeding was not
demonstrated.
Intercept Pharmaceuticals' Ocaliva is approved
for PBC patients in combination with ursodeoxycholic acid
(UDCA), or as a monotherapy in patients unable to tolerate UDCA.
Iqirvo is also to be used under similar conditions, based on
this approval.
Iqirvo's approval was based on data from a 161-patient
late-stage trial, in which it reduced levels of an enzyme called
alkaline phosphatase that can lead to liver damage.
It works by activating certain receptors, which reduce
inflammation, increases transport of bile acids outside the
liver and promotes their detoxification, said Christelle Huguet,
Executive Vice President at Ipsen.
Current treatments do not address inflammation or
scarring of the liver and do not promote detoxification of bile
acids, Huguet added.
In the study, Iqirvo also showed an improvement in itchy
skin - a symptom of PBC - over placebo. Other treatments such as
Ocaliva can worsen itching.
Ipsen acquired global rights to license the drug from
Genfit in 2021. Genfit received 120 million euros ($129.19
million) upfront and is eligible to receive double-digit
royalties of up to 20%.
Gilead is also developing a drug for PBC, on
which the FDA is expected to decide in August.
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