FDA hits back Fasen­ra in key rhi­nos­i­nusi­tis field, putting As­traZeneca even fur­ther be­hind Big Phar­ma ri­vals

As­traZeneca will have to sit out­side the ring of a hot­ly con­test­ed res­pi­ra­to­ry fight for now.

De­spite what the phar­ma gi­ant de­scribed as pos­i­tive Phase III da­ta, the FDA has re­ject­ed its sBLA for Fasen­ra in pa­tients with in­ad­e­quate­ly con­trolled chron­ic rhi­nos­i­nusi­tis with nasal polyps (CR­SwNP).

The com­plete re­sponse let­ter “re­quest­ed ad­di­tion­al clin­i­cal da­ta,” ac­cord­ing to As­traZeneca.

Fasen­ra, an IL-5 in­hibitor first ap­proved in late 2017 as an add-on main­te­nance treat­ment to treat a se­vere form of asth­ma, was al­ready play­ing catch-up to Sanofi/Re­gen­eron’s Dupix­ent, Glax­o­SmithK­line’s Nu­cala and No­var­tis’ Xo­lair in CR­SwNP. While Nu­cala, like Fasen­ra, blocks IL-5, Dupix­ent in­hibits IL-4 and IL-13 while Xo­lair tar­gets IgE.

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