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Dupixent sBLA accepted for FDA priority review for the targeted treatment of bullous pemphigoid If approved, Dupixent would be the first and only targeted medicine to treat BP in the US; FDA decision expect

Key Takeaway: The FDA has accepted the supplemental biologics license application for Dupixent, which aims to treat adults with bullous pemphigoid. The application is backed by positive clinical data showing that Dupixent led to substantially higher rates of sustained disease remission compared to placebo. If approved, Dupixent would become the first targeted therapy available for this condition in the United States. However, adverse events have been noted in patients taking Dupixent, and the therapy's overall safety and efficacy for this indication are still under evaluation.

Market Sentiment Analysis

POSITIVE FACTORS

  • Dupixent's sBLA accepted for FDA priority review, indicating potential for accelerated approval.
  • Clinical study shows significant efficacy, with Dupixent patients achieving sustained disease remission at a much higher rate than placebo.
  • Dupixent may become the first targeted therapy for bullous pemphigoid in the US, expanding treatment options for patients.

CONCERNS & RISKS

  • Adverse events were reported in Dupixent patients, including common issues like peripheral edema and asthma.
  • The safety and efficacy of Dupixent in treating bullous pemphigoid have not yet been evaluated by regulatory authorities.

Full Press Release Details

Dupixent sBLA accepted for FDA priority review for the targeted treatment of bullous
Paris and Tarrytown, NY, February 18, 2025.
The US Food and Drug Administration (FDA) has accepted for priority review the supplemental biologics license application (sBLA) for Dupixent (dupilumab) to treat adults with bullous pemphigoid (BP).
The sBLA is supported by data from a pivotal study evaluating the efficacy and safety of Dupixent in 106 adults with moderate-to-severe BP. The primary endpoint was met, with five times
more Dupixent patients achieving sustained disease remission compared to those on placebo. Sustained disease remission was defined as complete clinical remission with completion of oral corticosteroids (OCS) taper by week 16 (off OCS treatment and
only treated with Dupixent for at least 20 weeks) without relapse and no rescue therapy use during the 36-week treatment period. The study also showed that Dupixent significantly reduced disease severity,
itch, and use of OCS compared to placebo.
Adverse events more commonly observed with Dupixent (in at least 3 patients) compared to placebo
included peripheral edema, arthralgia, back pain, blurred vision, hypertension, asthma, conjunctivitis, constipation, upper respiratory tract infection, limb injury, and insomnia.
BP is a chronic, debilitating, and relapsing skin disease with underlying type-2 inflammation that typically
occurs in an elderly population. It is characterized by intense itch and blisters, reddening of the skin, and painful lesions. The blisters and rash can form over much of the body and cause the skin to bleed and crust, resulting in patients being
more prone to infection and affecting their daily functioning. Approximately 27,000 adults in the US live with BP that is uncontrolled by systemic corticosteroids.
Priority review is granted to regulatory applications seeking approval for therapies that have the potential to provide significant improvements in
the treatment, diagnosis, or prevention of serious conditions. Dupixent was previously granted orphan drug designation by the FDA for BP, which applies to investigational medicines intended for the treatment of rare diseases that affect fewer than
200,000 people in the US.
The safety and efficacy of Dupixent in BP are currently under clinical assessment and have not been evaluated by any
regulatory authority.
Dupixent (dupilumab) is a fully human monoclonal antibody that inhibits the signaling of the interleukin-4 (IL4) and interleukin-13 (IL13) pathways and is not an immunosuppressant. The Dupixent development program has shown significant clinical benefit and a decrease
in type-2 inflammation in phase 3 studies, establishing that IL4 and IL13 are two of the key and central drivers of the type-2 inflammation that plays a major role in
multiple related and often co-morbid diseases.
Dupixent has received regulatory approvals in more than 60
countries in one or more indications including certain patients with atopic dermatitis, asthma, chronic rhinosinusitis with nasal polyps, eosinophilic esophagitis, prurigo nodularis, chronic spontaneous urticaria, and chronic obstructive pulmonary
disease in different age populations. More than one million patients are being treated with Dupixent globally.
Dupilumab development program
Dupilumab is being jointly developed by Sanofi and Regeneron under a global collaboration agreement. To date, dupilumab has been studied across more
than 60 clinical studies involving more than 10,000 patients with various chronic diseases driven in part by type-2 inflammation.
In addition to the currently approved indications, Sanofi and Regeneron are studying dupilumab in a broad range of diseases driven by type-2 inflammation or other allergic processes in phase 3 studies, including chronic pruritus of unknown origin, bullous pemphigoid, and lichen simplex chronicus. These potential uses of dupilumab are currently
under clinical investigation, and the safety and efficacy in these conditions have not been fully evaluated by any regulatory authority.
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Frequently Asked Questions

What is Dupixent used to treat?

Dupixent is used to treat adults with bullous pemphigoid, a chronic skin disease.

What does the priority review by FDA mean?

Priority review is granted for therapies that offer significant improvements in treatment.

What were the study results for Dupixent in BP?

The study showed Dupixent significantly helped five times more patients achieve sustained remission.

What are the common side effects of Dupixent?

Common side effects include peripheral edema, arthralgia, back pain, and insomnia.

Who is developing Dupixent?

Dupixent is jointly developed by Sanofi and Regeneron under a global collaboration.

Last updated: Feb 20, 2025