March 12 (Reuters) - The U.S. Food and Drug
Administration's staff reviewers said on Tuesday they were
unclear if Geron's ( GERN ) blood disorder drug provided a clear
benefit to patients in a late-stage trial and raised multiple
safety concerns with the treatment.
Geron ( GERN ) is seeking approval of the injectable drug, called
imetelstat, for treating transfusion-dependent anemia in
patients with a group of blood cancers called myelodysplastic
syndromes (MDS).
The drug, if approved, will compete with Bristol Myers
Squibb's ( BMY ) Reblozyl, which has been approved by the FDA
for the same disease indication.
Last year in January, Geron ( GERN ) CEO John Scarlett told Reuters
that the company anticipates a peak market potential of $1.2
billion for imetelstat in the United States and some key EU
countries by 2030.
While Geron's ( GERN ) drug met the main goal of increasing
independence from transfusion at eight weeks in a late-stage
study, the FDA's staff said the "clinical meaningfulness" of the
data was unclear.
"The general consensus among MDS experts has been that only
a 16-week or longer period of transfusion independence is
clinically meaningful," the agency's staff said ahead of a
meeting of FDA's independent advisers scheduled for Thursday.
The agency said that while the drug is believed to work
by treating the underlying cancer, the study did not show a
"disease-modifying effect" in either extending survival or
helping drive disease remission.
It also highlighted a high rate of low red blood cell
count in the late-stage study.
Wedbush analyst Robert Driscoll said it was expected
that the briefing documents would lean negative and added that
Geron ( GERN ) will be able to provide a strong case against the points
made by the FDA.