FDA ex­pert pan­el unan­i­mous­ly rec­om­mends ap­proval for Hori­zon Ther­a­peu­tics eye drug

An FDA ad­vi­so­ry com­mit­tee not­ed with con­cern a small safe­ty data­base but unan­i­mous­ly en­dorsed a Hori­zon Ther­a­peu­tics drug for a rare eye au­toim­mune dis­ease that can blind pa­tients: tepro­tu­mum­ab for thy­roid eye dis­ease (TED).

“It was a pret­ty easy vote,” said Er­i­ca Brit­tain, an NIH bio­sta­tis­ti­cian and one of the 12 pan­elists on FDA’s Der­ma­to­log­ic and Oph­thalmic Drugs Ad­vi­so­ry Com­mit­tee.

Af­ter lis­ten­ing to tes­ti­mo­ny from pa­tients and ad­vo­cates, the ad­vis­ers de­bat­ed the drug’s la­bel and whether there was enough da­ta to prop­er­ly un­der­stand the drug’s ad­verse ef­fects, but rarely showed the kind of alarm that would lead to a ‘no’ vote.  Hori­zon sub­mit­ted a Phase III tri­al show­ing that the drug could dra­mat­i­cal­ly low­er prop­to­sis, or bulging of the eye, by at least 2 mm in 89.2% of pa­tients, but be­tween the Phase III and the Phase II there were less than 90 pa­tients ac­tu­al­ly treat­ed with a pro­fu­sion.

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