FDA slams door to piv­otal tri­al for bub­ble boy dis­ease gene ther­a­py as Mus­tang Bio runs in­to an­oth­er hold

Mus­tang Bio is in fa­mil­iar ter­ri­to­ry, but that isn’t a place it nec­es­sar­i­ly wants to be.

The FDA has placed a hold on Mus­tang Bio’s piv­i­tol tri­al for its gene ther­a­py to treat pa­tients with bub­ble boy dis­ease, cit­ing is­sues sur­round­ing chem­istry, man­u­fac­tur­ing and con­trols clear­ance. It’s the sec­ond hold due to CMC is­sues the com­pa­ny has re­ceived in rough­ly 18 months.

An in­ves­ti­ga­tion­al new drug ap­pli­ca­tion was sub­mit­ted in De­cem­ber 2021. If grant­ed an IND, a Phase II study will then as­sess safe­ty, tol­er­a­bil­i­ty and ef­fi­ca­cy of MB-207. If ap­proved by the FDA, the ther­a­py would one day be el­i­gi­ble for a rare pe­di­atric dis­ease vouch­er.

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