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Abeona Therapeutics Provides Regulatory Update on Pz-cel Receives FDA Complete Response Letter (CRL) based on need for additional CMC information CRL did not identify deficiencies related to clinical efficacy or clinical

Key Takeaway: Abeona Therapeutics announced that the FDA issued a Complete Response Letter (CRL) for its biologics license application (BLA) for pz-cel, necessitating additional Chemistry Manufacturing and Controls (CMC) information. Importantly, the FDA did not indicate any deficiencies in clinical efficacy or safety data and did not require new clinical trials. Abeona is committed to addressing the CMC requests and aims for a resubmission by the third quarter of 2024. The timeline proposed by the company may not allow enough time for FDA review by the original PDUFA date of May 25, 2024.

Market Sentiment Analysis

POSITIVE FACTORS

  • FDA did not identify deficiencies related to clinical efficacy or safety data.
  • No new clinical trials are requested by the FDA.
  • Abeona plans to submit required CMC data by Q3 2024.
  • Pz-cel has received multiple designations from the FDA emphasizing its potential.

CONCERNS & RISKS

  • The CRL indicates additional CMC information is needed before approval.
  • FDA's timeline does not allow for completion of review by the scheduled PDUFA date.
  • Company expresses disappointment, indicating challenges with the CMC requirements.
  • The regulatory process may delay access to pz-cel for patients with RDEB.

Full Press Release Details

Therapeutics Provides Regulatory Update on Pz-cel
FDA Complete Response Letter (CRL) based on need for additional CMC information
did not identify deficiencies related to clinical efficacy or clinical safety data in BLA, and no new clinical studies requested by FDA
completing and submitting requested CMC information in 3Q 2024
call and webcast on Tuesday, April 23, 2024 at 8:30 a.m. ET to provide details on the requested CMC information
April 22, 2024 - Abeona Therapeutics Inc. (Nasdaq: ABEO) today announced a regulatory update for prademagene zamikeracel (pz-cel).
The U.S. Food and Drug Administration (FDA) has issued a Complete Response Letter (CRL) in response to the Company's Biologics
License Application (BLA) for pz-cel for the treatment of patients with recessive dystrophic epidermolysis bullosa (RDEB). The CRL follows
the completion of Abeona's Late Cycle Review Meeting with the FDA in March 2024. At the Late Cycle Review Meeting and in a subsequent
information request, the FDA noted that certain additional information needed to satisfy Chemistry Manufacturing and Controls (CMC) requirements
must be satisfactorily resolved before the application can be approved. In response, the Company submitted plans to the FDA with the
commitment to provide CMC data prior to BLA approval, and full validation reports after approval in mid-2024. In addition, the Company
discussed these plans with the FDA in a subsequent informal meeting. In the CRL, the FDA indicated that the proposed timing of the data
submission by Abeona would not allow sufficient time for the FDA to complete its review by the May 25, 2024 PDUFA date.
information needed to satisfy the CMC requests in the CRL pertains to validation requirements for certain manufacturing and release testing
methods, including some that were captured in the observations during the FDA's pre-license inspection (PLI). The CRL did not identify
any deficiencies related to the clinical efficacy or clinical safety data in the BLA, and the FDA did not request any new clinical trials
or clinical data to support the approval of pz-cel.
we are surprised and disappointed by this CRL, we are committed to providing the CMC information necessary to respond to the agency's
asks, with the goal of bringing pz-cel to patients with RDEB as quickly as possible," said Vish Seshadri, Chief Executive Officer
of Abeona. "We are already hard at work generating the additional CMC information, and we expect that all of FDA's requests
will be addressable in a reasonable timeframe. We anticipate completing the BLA resubmission in the third quarter of 2024 with necessary
updates to fully satisfy all the deficiencies outlined in the CRL."
BLA for pz-cel was accepted for filing and granted priority review designation by the FDA in November 2023. The application is supported
by clinical efficacy and safety data from the pivotal Phase 3 VIITAL study (NCT04227106) and a Phase 1/2a study (NCT01263379).
Abeona believes that both studies demonstrate that a single application of pz-cel on large and chronic wounds will deliver sustained
wound healing and pain reduction.
Therapeutics will host a conference call and webcast to provide details on the requested CMC information on Tuesday, April 23, 2024,
at 8:30 a.m. ET. To access the call, dial 888-506-0062 (U.S. toll-free) or 973-528-0011 (international) and Entry Code: 857208 five minutes
prior to the start of the call. A live, listen-only webcast and archived replay of the call can be accessed at https://investors.abeonatherapeutics.com/events.
The archived webcast replay will be available for 30 days following the call.
prademagene zamikeracel (pz-cel)
zamikeracel (pz-cel), Abeona's investigational autologous, COL7A1 gene-corrected epidermal sheets, is currently being developed
for the treatment of recessive dystrophic epidermolysis bullosa (RDEB), a rare connective tissue disorder caused by a defect in the COL7A1
gene that results in the inability to produce Type VII collagen. Pz-cel is designed to incorporate the functional collagen-producing
COL7A1 gene into a patient's own skin cells and enable long-term gene expression by using a retroviral vector to stably
integrate into the dividing target cell genome. Pz-cel is being investigated for its ability to enable normal Type VII collagen expression
and to facilitate wound healing and pain reduction in even the toughest-to-treat RDEB wounds after a one-time application procedure.
The pivotal Phase 3 VIITAL study is a randomized clinical trial that evaluated the efficacy, safety and tolerability of pz-cel
in 43 large chronic wound pairs in 11 subjects with RDEB. Pz-cel has been granted Regenerative Medicine Advanced Therapy, Breakthrough
Therapy, Orphan Drug and Rare Pediatric Disease designations by the U.S. FDA. Abeona produces pz-cel for the VIITAL study at its
fully integrated gene and cell therapy manufacturing facility in Cleveland, Ohio.
Therapeutics Inc. is a clinical-stage biopharmaceutical company developing cell and gene therapies for serious diseases. Prademagene
zamikeracel (pz-cel) is Abeona's investigational autologous, COL7A1 gene-corrected epidermal sheets currently in development
for recessive dystrophic epidermolysis bullosa. The Company's fully integrated cell and gene therapy cGMP manufacturing facility
served as the manufacturing site for pz-cel used in its Phase 3 VIITAL trial, and is capable of supporting commercial production
of pz-cel upon FDA approval. The Company's development portfolio also features AAV-based gene therapies for ophthalmic diseases
with high unmet medical need. Abeona's novel, next-generation AAV capsids are being evaluated to improve tropism profiles for a
variety of devastating diseases. For more information, visit www.abeonatherapeutics.com.
press release contains certain statements that are forward-looking within the meaning of Section 27A of the Securities Act of 1933, as
amended, and Section 21E of the Securities Exchange Act of 1934, as amended, and that involve risks and uncertainties. We have attempted
to identify forward-looking statements by such terminology as "may," "will," "believe," "anticipate,"
"expect," "intend," "potential," and similar words and expressions (as well as other words or expressions
referencing future events, conditions or circumstances), which constitute and are intended to identify forward-looking statements. Actual
results may differ materially from those indicated by such forward-looking statements as a result of various important factors, numerous
risks and uncertainties, including but not limited to, the timing and results of ongoing testing and other corrective actions being performed
in response to the FDA's identified deficiencies, which could delay the Company's BLA resubmission; the timing and outcome
of the FDA's review of our resubmission; the FDA's grant of a Priority Review Voucher upon approval; continued interest in
our rare disease portfolio; our ability to enroll patients in clinical trials; the outcome of future meetings with the FDA or other regulatory
agencies, including those relating to preclinical programs; the ability to achieve or obtain necessary regulatory approvals; the impact
of any changes in the financial markets and global economic conditions; risks associated with data analysis and reporting; and other
risks disclosed in the Company's most recent Annual Report on Form 10-K and subsequent periodic reports filed with the Securities
and Exchange Commission. The Company undertakes no obligation to revise the forward-looking statements or to update them to reflect events
or circumstances occurring after the date of this press release, whether as a result of new information, future developments or otherwise,
except as required by the federal securities laws.
Investor Relations and Corporate Communications

Frequently Asked Questions

What is the FDA's response to pz-cel's BLA?

The FDA issued a Complete Response Letter, requiring more CMC information.

Were there any safety issues noted by the FDA?

No, the FDA did not identify any clinical efficacy or safety deficiencies.

When will the CMC information be submitted?

Abeona plans to submit the requested CMC information in the third quarter of 2024.

What is pz-cel developed for?

Pz-cel is being developed for the treatment of recessive dystrophic epidermolysis bullosa.

When will Abeona provide further details?

Abeona will discuss the requested CMC information on April 23, 2024.

Last updated: Apr 23, 2024