The European Medicines Agency's Pediatric Committee has approved Airway Therapeutics' Pediatric Investigation Plan for zelpultide alfa, a first-in-class recombinant human surfactant protein D therapy designed to prevent bronchopulmonary dysplasia in very preterm infants.
The approved plan includes a pivotal Phase 2b/3 clinical trial evaluating two dose levels in 150 patients initially, with one dose advancing to Phase 3 enrollment of approximately 216 additional patients.
Zelpultide alfa addresses a critical unmet medical need as no approved preventative treatments currently exist for bronchopulmonary dysplasia, one of the most challenging complications in neonatal intensive care.
The multinational study is set to begin in late Q3/Q4 2025, with initial submissions planned for Italy, Spain, and Israel, followed by additional countries including France, Germany, and the United States.