Vivek Ramaswamy (Jeff Rumans/JPM 2020)

Urovan­t's lead drug dis­ap­points in mid-stage study as first big FDA de­ci­sion looms

Just as Urovant gets ready for its first big FDA de­ci­sion on vibegron, the drug has flopped in what would’ve been a fol­low-on in­di­ca­tion.

In a Phase IIa tri­al in­volv­ing women with ab­dom­i­nal pain due to ir­ri­ta­ble bow­el syn­drome, vibegron failed to meet the bar on im­prov­ing “av­er­age worst ab­dom­i­nal pain” over 12 weeks, com­pared to place­bo, among IBS-D pa­tients.

There were ac­tu­al­ly slight­ly more re­spon­ders in the place­bo group than in the drug arm, with on­ly 40.9% of those ran­dom­ized to vige­bron achiev­ing at least a 30% de­crease in “worst ab­dom­i­nal pain” in the past 24 hours. The tri­al en­rolled 222 women but on­ly 189 com­plet­ed the study.

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