
Touting 100% OS rate in pivotal rare disease trial, Rocket Pharma ready to head to FDA
In drug development, you don’t throw around the word “cure” lightly. But Rocket Pharmaceuticals’ latest cut of gene therapy data has at least one analyst wondering about the curative potential.
Reporting topline results from a Phase II pivotal trial involving patients with severe leukocyte adhesion deficiency-I (LAD-1), Rocket said among nine participants, the overall survival at one year is 100%.
Based on the results, the biotech says it expects to file for approval early next year. But investor reaction appears muted, with the stock $RCKT trading relatively flat.
LAD-I is characterized by defects in malfunctioning white blood cells that can’t properly travel to wounds or infection sites, and patients often suffer from recurrent bacterial infections. While allogeneic bone marrow transplants can cure the condition, they come with their own risks and Rocket was looking to develop an alternative with its lentiviral gene therapy.
Without a transplant, patients with severe LAD-I usually only have a few years to live, noted Cowen analyst Tyler Van Buren, who called the data “remarkable.”
“Reductions in hospitalizations and infections were highly stat sig, and skin rashes/wounds resolved,” he wrote. “Thus, RP-L201 appears curative.”
Rocket noted that patients with LAD-I have mutations in a gene encoding for the beta-2 integrin component CD18. And after receiving RP-L201, all nine patients in the trial — aged five months to nine years — showed CD18 restoration and expression on more than 10% of neutrophils.
“At three to 24 months after RP-L201 infusion, all nine patients sustained stable CD18 expression (median: 56%) with no therapy-related serious adverse events,” CEO Gaurav Shah said.
The FDA previously granted it the regenerative medicine advanced therapy, or RMAT, designation.