Recent Updates
Recently added Catalysts
CALT

Stockholm, Sweden

Key Takeaway: Calliditas Therapeutics Submits Supplemental New Drug Application to U.S. Food and Drug Administration for Full Approval of TARPEYO Calliditas Therapeutics AB (Nasdaq: CALT, Nasdaq Stockholm: CALTX) ("Calliditas") today announced the submission of a supplemental New Drug Appli

Full Press Release Details

Calliditas Therapeutics Submits Supplemental New Drug Application
to U.S. Food and Drug Administration for Full Approval of TARPEYO
Calliditas Therapeutics AB (Nasdaq:
CALT, Nasdaq Stockholm: CALTX) ("Calliditas") today announced the submission of a supplemental New Drug Application ("sNDA")
to the U.S. Food and Drug Administration ("FDA") seeking full approval of TARPEYO (budesonide) delayed release capsules
for the entire study population from the Phase 3 NeflgArd study.
TARPEYO is currently approved under accelerated approval to reduce
proteinuria in adults with primary IgA nephropathy ("IgAN") at risk of rapid disease progression, generally a urine protein-to-creatinine
ratio (UPCR) 1.5g/g.
The sNDA submission is based on the full
data set from the Phase 3 NefIgArd clinical trial, a randomized, double-blind, multicenter study which assessed the efficacy and safety
of TARPEYO (developed under the project name Nefecon ) dosed at 16 mg once daily versus placebo on a background of optimized RASi
therapy in adult patients with primary IgAN. The trial met its primary endpoint, with TARPEYO demonstrating a highly statistically
significant benefit over placebo (p value < 0.0001) in estimated glomerular filtration rate (eGFR) over the two-year period of 9-months
of treatment with TARPEYO or placebo and 15-months of follow-up off drug.
eGFR treatment benefit observed across the entire study population, irrespective of UPCR levels, provides further evidence that targeting
IgAN at its source can offer patients a treatment that holds the promise of being disease modifying. We are pleased to be able to provide
the FDA with the full results of our Phase 3 study, and we look forward to interactions with the FDA regarding full approval of TARPEYO,"
stated Ren e Aguiar-Lucander, Chief Executive Officer of Calliditas Therapeutics.
addition to the U.S. FDA submission, Calliditas is collaborating with its European commercial partner, STADA Arzneimettel AG, to seek
full approval of Nefecon (branded as Kinpeygo ) by the European Commission in the full study population.
TARPEYO (budesonide) delayed release capsules is a corticosteroid
indicated to reduce proteinuria in adults with primary immunoglobulin A nephropathy (IgAN) at risk of rapid disease progression, generally
a urine protein-to-creatinine ratio (UPCR) 1.5 g/g.
This indication is approved under accelerated approval based on a reduction
in proteinuria. It has not been established whether TARPEYO slows kidney function decline in patients with IgAN. Continued approval for
this indication may be contingent upon verification and description of clinical benefits in a confirmatory clinical trial.
Important Safety Information
TARPEYO is contraindicated in patients with hypersensitivity to budesonide or any of the ingredients of TARPEYO. Serious hypersensitivity
reactions, including anaphylaxis, have occurred with other budesonide formulations.
Warnings and Precautions
and adrenal axis suppression: When corticosteroids are used chronically, systemic effects such as hypercorticism and adrenal
suppression may occur. Corticosteroids can reduce the response of the hypothalamus-pituitary-adrenal (HPA) axis to stress. In situations
where patients are subject to surgery or other stress situations, supplementation with a systemic corticosteroid is recommended. When
discontinuing therapy [see Dosing and Administration] or switching between corticosteroids, monitor for signs of adrenal axis suppression.
Patients with moderate to severe hepatic impairment (Child-Pugh Class B
and C, respectively) could be at an increased risk of hypercorticism and adrenal axis suppression due to an increased systemic exposure
to oral budesonide. Avoid use in patients with severe hepatic impairment (Child-Pugh Class C). Monitor for increased signs and/or
symptoms of hypercorticism in patients with moderate hepatic impairment (Child-Pugh Class B).
of immunosuppression: Patients who are on drugs that suppress the immune system are more susceptible to infection than healthy
individuals. Chicken pox and measles, for example, can have a more serious or even fatal course in susceptible patients or patients on
immunosuppressive doses of corticosteroids. Avoid corticosteroid therapy in patients with active or quiescent tuberculosis infection;
untreated fungal, bacterial, systemic viral, or parasitic infections; or ocular herpes simplex. Avoid exposure to active, easily transmitted
infections (eg., chicken pox, measles). Corticosteroid therapy may decrease the immune response to some vaccines.
corticosteroid effects: TARPEYO is a systemically available corticosteroid and is expected to cause related adverse reactions.
Monitor patients with hypertension, prediabetes, diabetes mellitus, osteoporosis, peptic ulcer, glaucoma, cataracts, a family history
of diabetes or glaucoma, or with any other condition in which corticosteroids may have unwanted effects.
reactions: In clinical studies, the most common adverse reactions with TARPEYO (occurring in 5% of TARPEYO patients and
2% higher than placebo) were hypertension (16%), peripheral edema (14%), muscle spasms (13%), acne (11%), dermatitis (7%), weight
increase (7%), dyspnea (6%), face edema (6%), dyspepsia (5%), fatigue (5%), and hirsutism (5%).
interactions: Budesonide is a substrate for CYP3A4. Avoid use with potent CYP3A4 inhibitors, such as ketoconazole, itraconazole,
ritonavir, indinavir, saquinavir, erythromycin, and cyclosporine. Avoid ingestion of grapefruit juice with TARPEYO. Intake of grapefruit
juice, which inhibits CYP3A4 activity, can increase the systemic exposure to budesonide.
Use in specific populations
The available data from published case series, epidemiological studies, and reviews with oral budesonide use in pregnant women have not
identified a drug-associated risk of major birth defects, miscarriage, or other adverse maternal or fetal outcomes. There are risks to
the mother and fetus associated with IgAN. Infants exposed to in utero corticosteroids, including budesonide, are at risk for hypoadrenalism.
Please see Full Prescribing Information.
Calliditas has introduced TARPEYO, the first FDA-approved therapy for
the treatment of the autoimmune renal disease primary IgA Nephropathy, or IgAN, to reduce proteinuria in adults with primary IgAN who
are at risk of rapid disease progression, generally a UPCR 1.5g/g. This indication is approved under accelerated approval based on
a reduction in proteinuria. It has not been established whether TARPEYO slows kidney function decline in patients with IgAN. Continued
approval for this indication may be contingent upon verification and description of clinical benefit in a confirmatory clinical trial.
TARPEYO is an oral, delayed release formulation of budesonide, a corticosteroid
with potent glucocorticoid activity and weak mineralocorticoid activity that undergoes substantial first pass metabolism. TARPEYO is as
a 4 mg delayed release capsule and is enteric coated and designed to remain intact until it reaches the ileum. Each capsule contains coated
beads of budesonide that target mucosal B-cells present in the ileum, including the Peyer's patches, which are responsible for the
production of galactose-deficient IgA1 antibodies (Gd-Ag1) causing IgA nephropathy. It is unclear to what extent TARPEYO's efficacy
is mediated via local effects in the ileum vs systemic effects.
About the NeflgArd Study
The global clinical trial NefIgArd is a Phase 3, randomized, double-blind,
placebo-controlled, multicenter study to evaluate the efficacy and safety of TARPEYO 16 mg once daily vs placebo in adult patients with
primary IgAN (N=364), as an addition to optimized RAS inhibitor therapy. Part A of the study included a 9-month blinded treatment
period and a 3-month follow-up period. The primary endpoint was UPCR, and eGFR was a secondary endpoint. Part B included a 12-month
observational period off drug and assessed eGFR over the entire 2-year period for patients who were treated with the TARPEYO or placebo
regimen in Part A. The full NefIgArd trial met its primary endpoint. Topline data from the full NefIgArd study were reported on March 12,
About Primary Immunoglobulin A Nephropathy
Primary immunoglobulin A nephropathy (IgA nephropathy or IgAN or Berger's
Disease) is a rare, progressive, chronic autoimmune disease that attacks the kidneys and occurs when galactose-deficient IgA1 is recognized
by autoantibodies, creating IgA1 immune complexes that become deposited in the glomerular mesangium of the kidney.2,3 This
deposition in the kidney can lead to progressive kidney damage and potentially a clinical course resulting in end- stage renal disease.
IgAN most often develops between late teens and late 30s.3,4
Calliditas Therapeutics is a biopharma company headquartered in Stockholm,
Sweden, focused on identifying, developing, and commercializing novel treatments in orphan indications, with an initial focus on renal
and hepatic diseases with significant unmet medical needs.
Calliditas is listed on Nasdaq Stockholm (ticker: CALTX) and the Nasdaq
Global Select Market (ticker: CALT).
Visit Calliditas.com for further information.
Forward-Looking Statements
This press release contains forward-looking statements within the meaning
of the Private Securities Litigation Reform Act of 1995, as amended, including, without limitation, statements regarding Calliditas'
strategy, business plans, regulatory submissions, and focus. The words "may," "will," "could," "would,"
"should," "expect," "plan," "anticipate," "intend," "believe,"
"estimate," "predict," "project," "potential," "continue," "target,"
and similar expressions are intended to identify forward-looking statements, although not all forward-looking statements contain these
identifying words. Any forward-looking statements in this press release are based on management's current expectations and beliefs
and are subject to a number of risks, uncertainties, and important factors that may cause actual events or results to differ materially
from those expressed or implied by any forward-looking statements contained in this press release, including, without limitation, any
related to Calliditas' business, operations, continued FDA approval for TARPEYO, the potential to expand TARPEYO's FDA approval
to the entire Phase 3 study population, the potential to achieve full approval of Kinpeygo from the EC and MHRA, market acceptance of
Last updated: Jun 21, 2023