FDA Panel Endorses Arimoclomol for Niemann-Pick Disease Type C

8 August 2024

Zevra Therapeutics, Inc., a company specializing in rare disease treatments, has made significant progress regarding its investigational drug, arimoclomol. The U.S. Food and Drug Administration's Genetic Metabolic Diseases Advisory Committee (GeMDAC) recently cast a favorable vote on the drug's efficacy for treating Niemann-Pick disease type C (NPC). This positive outcome was reached with 11 members in support and five against, signaling a promising future for arimoclomol in NPC therapy.

Neil F. McFarlane, President and CEO of Zevra, expressed satisfaction with the committee's recognition of arimoclomol's benefits for NPC patients. He emphasized the robust clinical data backing the drug, which includes results from pivotal trials, long-term data from an open-label extension study, and data from expanded access programs. McFarlane remains optimistic about arimoclomol's potential approval, based on its demonstrated clinical benefits.

The GeMDAC, composed of experts in medical genetics, inborn errors of metabolism, epidemiology, and related fields, discussed the various aspects of arimoclomol. Their evaluation included recently presented data from the 45th Annual Meeting of the Society for Inherited Metabolic Disorders (SIMD) and feedback from independent experts, NPC patients, and patient advocacy groups. While the committee's recommendations are not binding, they will be considered by the FDA during its independent review of arimoclomol's New Drug Application (NDA). The NDA has been assigned a Prescription Drug User Fee Act (PDUFA) action date of September 21, 2024.

Niemann-Pick disease type C (NPC) is an ultra-rare, progressive disorder caused by mutations in the NPC1 or NPC2 genes. These genes are crucial for producing lysosomal proteins, and their malfunction leads to the accumulation of cholesterol and other lipids in various tissues, including the brain. NPC affects both children and adults, presenting a range of clinical symptoms such as speech and cognitive impairments, swallowing difficulties, and mobility issues. The progression of NPC is irreversible and can be fatal, with the severity and speed of disease advancement varying among individuals.

Arimoclomol, Zevra’s oral drug candidate for NPC, has received multiple designations from the FDA, including Orphan Drug, Fast Track, Breakthrough Therapy, and Rare Pediatric Disease designations. Additionally, it has been granted Orphan Medicinal Product designation by the European Medicines Agency (EMA). These designations highlight the drug's potential to address unmet medical needs in NPC treatment. The FDA has accepted the resubmission of the NDA for arimoclomol, setting a user fee goal action date (PDUFA date) for September 21, 2024.

Zevra Therapeutics is dedicated to developing innovative therapies for rare diseases. The company leverages science, data, and patient insights to create treatments for conditions with limited or no existing options. Zevra aims to bring transformational therapies to those living with rare diseases, using unique, data-driven development and commercialization strategies to overcome the complexities of drug development.

Zevra remains committed to advancing arimoclomol and other potential therapies to improve the lives of patients with rare diseases. The positive vote from the GeMDAC marks a significant step forward in the journey toward providing a new treatment option for those affected by Niemann-Pick disease type C.

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