Safe­ty con­cerns push FDA ad­comm to vote over­whelm­ing­ly against ap­proval for Fi­bro­Gen ane­mia drug

The FDA’s Car­dio­vas­cu­lar and Re­nal Drugs Ad­vi­so­ry Com­mit­tee on Thurs­day af­ter­noon vot­ed 12 to 2 against ap­prov­ing As­traZeneca and Fi­bro­Gen’s ane­mia drug rox­adu­s­tat as a treat­ment of ane­mia due to chron­ic kid­ney dis­ease in adult pa­tients on dial­y­sis, and the com­mit­tee vot­ed 13-1 against ap­proval for pa­tients not on dial­y­sis.

Over­all, ad­comm mem­bers raised ques­tions re­lat­ed to the car­dio­vas­cu­lar safe­ty of the drug and a lack of a sig­nal re­lat­ed to qual­i­ty-of-life im­prove­ments, un­der-rep­re­sen­ta­tion of African Amer­i­cans in the glob­al tri­als, as well as con­cerns with the com­pa­ny’s planned post-mar­ket­ing study and dos­ing changes.

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