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BioCardia Announces Expected CardiAMP Heart Failure Japan Approval Timeline Based on Pharmaceutical and Medical Device Agency Consultation Minutes

Key Takeaway: BioCardia announced that its CardiAMP autologous cell therapy may achieve approval in Japan for treating ischemic heart failure, supported by data from the ongoing CardiAMP HF trial. The company plans to confirm the regulatory pathway with the PMDA, holding a consult in mid-2024 to discuss clinical data from multiple trials. While some positive outcomes were noted, such as reduced mortality, the primary endpoint was likely unmet. BioCardia aims for a submission based on available data in Q4 2024, pending consultations and confirmation.

Market Sentiment Analysis

POSITIVE FACTORS

  • CardiAMP autologous cell therapy may receive approval in Japan.
  • Observed reduced mortality and fewer major adverse cardiovascular events.
  • Therapy requires no immunosuppression or invasive surgery, enhancing patient safety.
  • Company aims to collaborate with Japanese heart failure specialists for better treatment access.

CONCERNS & RISKS

  • Primary endpoint of CardiAMP HF might not have been met at one year.
  • Regulatory pathway approval in Japan is still contingent on further consultations.
  • Forward-looking statements carry inherent uncertainties regarding actual outcomes.
  • Potential need for additional data to satisfy PMDA requirements beyond what is currently available.

Full Press Release Details

SUNNYVALE, Calif., Dec. 18, 2023 (GLOBE NEWSWIRE) -- BioCardia, Inc. [Nasdaq: BCDA], a developer of cellular and cell-derived therapeutics for the treatment of cardiovascular and pulmonary diseases, today announced that Japan Pharmaceutical and Medical Device Agency (PMDA) minutes support the Company’s understanding that CardiAMP autologous cell therapy may be approved for the treatment of patients with ischemic heart failure with reduced ejection fraction (HFrEF) based on follow-up data from the patients currently enrolled in the CardiAMP Heart Failure Trial (CardiAMP HF) that will be available in Q4 2024.
BioCardia has previously reported that although the primary endpoint of CardiAMP HF would most likely not have been met at one year; there was both reduced mortality and reduced major adverse cardiovascular events in treated patients compared to controls at two years follow-up. PMDA and its medical advisors have seen these and additional results that will be presented and published in the appropriate peer reviewed scientific forums. The FDA reviewed this data and recently approved the CardiAMP Heart Failure II Study protocol.
BioCardia will follow PMDA’s process to confirm the regulatory pathway ahead. This is expected to include a clinical consultation with PMDA in the second or third quarter of 2024 on clinical data from its three sponsored trials: TABMMI1, TAC-HFT2, and CardiAMP HF3. These studies include almost two hundred patients followed-up for an average of 1.9 years and each has shown benefit to patients with no treatment emergent safety concerns. With PMDA confirmation, BioCardia expects to submit for approval in Japan based on the data available in late Q4 2024.
“As CardiAMP cells are autologous and delivered in a minimally invasive manner with our proprietary catheter system, the therapy has no requirements for immunosuppression, antiarrhythmic drugs, or open chest surgery,” said Peter Altman, PhD., BioCardia’s President and Chief Executive Officer. “We aim to partner with Japanese heart failure cardiologists and their interventional cardiology colleagues to be able to offer this therapeutic option for heart failure patients.”
About the CardiAMP Cell Therapy Program
CardiAMP Cell Therapy – FDA designated as a Breakthrough therapy – uses a patient’s own (autologous) bone marrow cells delivered to the heart in a minimally invasive, catheter-based procedure to potentially stimulate the body’s natural healing response. CardiAMP Cell Therapy incorporates three proprietary elements not previously utilized in investigational cardiac cell therapy: a pre-procedural cell analysis for patient selection, a high target dosage of cells, and a proprietary delivery system that has been shown to be safer than other intramyocardial delivery systems and exponentially more successful in cell retention. The CardiAMP HF trial is supported by the Maryland Stem Cell Research Fund and the Centers for Medicare and Medicaid Services. CAUTION - Limited by United States law to investigational use.
BioCardia, Inc., headquartered in Sunnyvale, California, is developing cellular and cell-derived therapeutics for the treatment of cardiovascular and pulmonary disease. CardiAMP™ autologous and CardiALLO allogeneic cell therapies are the Company’s biotherapeutic platforms for the treatment of heart disease. BioCardia also acts as a biotherapeutic delivery partner supporting therapies for the treatment of heart failure, chronic myocardial ischemia, and acute myocardial infarction. For more information visit: www.BioCardia.com.
Anticipated 2023 Q4 Milestones:
BCDA-03: NK1R+ MSC Allogeneic Cell Therapy in Ischemic HFrEF Phase I/II Trial Enrollment
Helix Biotherapeutic Delivery System Update on Licensing / Partnerships
1 Transendocardial Autologous Bone Marrow Myocardial Infarction Trial, NCT00507468
2 Transendocardial Autologous Cells in Heart Failure Trial, NCT NCT00768066
3 CardiAMP Heart Failure Trial, NCT 02438306
Forward Looking Statements:
This press release contains forward-looking statements that are subject to many risks and uncertainties. Forward-looking statements include, among other things, statements relating to our ability to meet the preclinical and clinical requirements for PMDA to approve CardiAMP Cell Therapy, whether PMDA will ultimately require data in Japan for approval, whether PMDA will require more data than that available in Q4 2024, whether CardiAMP HF will have a data readout in Q4 2024 as well as each of the anticipated catalysts ahead. These forward-looking statements are made as of the date of this press release.
We may use terms such as “believes,” “estimates,” “anticipates,” “expects,” “plans,” “intends,” “may,” “could,” “might,” “will,” “should,” “approximately” or other words that convey the uncertainty of future events or outcomes to identify these forward-looking statements. Although we believe that we have a reasonable basis for each forward-looking statement contained herein, we caution you that forward-looking statements are not guarantees of future performance and that our actual results may differ materially from the forward-looking statements contained in this press release. Factors that could cause or contribute to such differences include, but are not limited to, the Company’s liquidity position and its ability to raise additional funds, as well as the Company’s ability to successfully advance its clinical trials. As a result of these factors, we cannot assure you that the forward-looking statements in this press release will prove to be accurate. Additional factors that could materially affect actual results can be found in BioCardia’s Form 10-K filed with the Securities and Exchange Commission on March 29, 2023, under the caption titled “Risk Factors” and in its subsequently filed Quarterly Reports on Form 10-Q. BioCardia expressly disclaims any intent or obligation to update these forward-looking statements, except as required by law.

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Frequently Asked Questions

What is CardiAMP cell therapy?

CardiAMP cell therapy uses a patient's own bone marrow cells delivered via a catheter to enhance natural healing.

How does CardiAMP therapy differ from traditional treatments?

CardiAMP therapy is minimally invasive, requires no immunosuppression, and avoids open chest surgery.

What condition might CardiAMP treat?

CardiAMP aims to treat ischemic heart failure with reduced ejection fraction (HFrEF).

When will the results from the CardiAMP trial be available?

Follow-up data from the CardiAMP Heart Failure Trial will be available in Q4 2024.

What regulatory steps is BioCardia following?

BioCardia will consult with PMDA to confirm the pathway ahead for CardiAMP approval.

Last updated: Dec 18, 2023