Five Advanced Therapeutics Poised for FDA Decisions in 2025
The FDA is set to make pivotal decisions on five advanced therapeutics in 2025, targeting a range of conditions from hemophilia to macular telangiectasia. These therapies, including Fitusiran and Vutrisiran, have shown promising results in clinical trials, offering new hope for patients with rare and complex diseases.
Fitusiran, an siRNA therapeutic, is under evaluation for the treatment of Hemophilia A and B. With a PDUFA date of March 28, 2025, it has demonstrated efficacy in reducing the need for infusions and doses of clotting factor concentrates or bypassing agents in the ATLAS-OLE clinical trial (NCT03754790). Steven W. Pipe, MD, highlighted its potential as a highly effective prophylactic agent, offering a better patient experience.
Vutrisiran, already approved for transthyretin-mediated amyloidosis, is now being considered for ATTR amyloidosis with cardiomyopathy (ATTR-CM). The FDA's decision is expected by March 23, 2025, following positive outcomes from the HELIOS-A study. Pushkal Garg, MD, emphasized the therapy's potential to improve cardiovascular outcomes and quality of life.
NT-501, an encapsulated cell therapy implant, has shown promise in slowing the progression of macular telangiectasia type 2. With a PDUFA date of March 18, 2025, it represents a significant advancement in treating a condition with no current pharmacological treatment options.
Abeona Therapeutics' prademagene zamikeracel is under FDA review for recessive dystrophic epidermolysis bullosa (RDEB), with a decision expected by April 29, 2025. This gene-corrected epidermal sheet therapy could address the unmet needs of RDEB patients, marking a significant step forward in treatment options.
Despite a setback with a complete response letter from the FDA, Atara Biotherapeutics remains committed to bringing tabelecleucel to patients with EBV-positive posttransplant lymphoproliferative disease. The company is addressing manufacturing compliance issues, aiming for a resubmission and potential approval within six months.
These therapies underscore the FDA's commitment to advancing treatments for rare and complex diseases, offering new hope to patients and healthcare providers alike.

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Reference News
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Five Advanced Therapeutics to Watch in 2025 - CGTLive®
cgtlive.com · Jan 16, 2025
The FDA is advancing cell and gene therapies for rare diseases, with key PDUFA dates in 2025. Notable therapies include ...