Perspectives
Gene/Cell Therapy Quarterly Update: June 2023
Critical updates in an ever-changing environment
June 22, 2023This quarterly pipeline wrap-up provides a review of newly approved gene and cell therapies, new indications and news of note on gene and cell therapies drugs in the approval process. See other articles for updates on specialty drugs, biosimilar drugs and traditional drugs.
New Drug Information
- Elevidys® (delandistrogene moxeparvovec-rokl): The U.S. Food and Drug Administration (FDA) granted accelerated approval of Sarepta Therapeutics’ Elevidys, an adeno-associated virus based gene therapy for the treatment of ambulatory pediatric patients aged 4 through 5 years with Duchenne muscular dystrophy (DMD) with a confirmed mutation in the DMDElevidys is a one time treatment that addresses the root genetic cause of Duchenne – mutations in the dystrophin gene that result in the lack of dystrophin protein – by delivering a gene that codes for a shortened form of dystrophin to muscle cells. The Phase 1 ENDEAVOR trial, demonstrated an improvement of 3.8 points from baseline on the North Star Ambulatory Assessment (NSAA) at one year, compared to external controls, following a single infusion of Elevidys. The Phase 3 EMBARK study of 120 boys with DMD ages 4 through 7 years, which will assess change from baseline in the NSAA total score after one year compared to placebo, is expected to readout in the latter half of 2023.1 Sarepta set the price at $3.2 million per one time Elvidys administration.
New Indications
-
None
References
FDA approved Gene/Cell Therapy Products
Gene and Cell Therapy Pipeline (Submitted to the FDA)
Generic Name | Brand Name | Manufacturer | Indication(s) | Route of Administration | PDUFA date | Prevalence in the US |
SRP9001 (delandistrogene moxeparvovec) | N/A | Sarepta Therapeutics/
Roche |
Ambulatory duchenne muscular dystrophy (DMD) | IV | June 2023 | ~4,500 |
valoctocogene roxaparvovec | Roctavian™ | BioMarin | Severe hemophilia A | IV | June 2023 | 8/100,000 males |
remestemcel-L | N/A | Mesoblast | Children with steroid-refractory acute graft-versus-host disease | IV | August 2023 | TBD |
debamestrocel
|
NurOwn | BrainStorm Cell Therapeutics | Amyotrophic lateral sclerosis
|
Intrathecal | September 2023 | ~30,000 |
lifileucel | N/A | Iovance | Unresectable or metastatic melanoma | CAR-T | November 2023 | ~180,000 |
exagamglogene autotemcel (CTX-001) | N/A | Vertex | Sickle cell disease (SCD) | IV | December 2023 | 20,000 |
TDT | April 2024 | 1,500 | ||||
lovotibeglogene autotemcel | N/A | bluebird bio | SCD | IV | December 2023 | 20,000 |
FDA approved Gene/Cell Therapy Products
Generic Name | Brand Name | Manufacturer | Indication(s) | Route of Administration | Month Approved | |||
delandistrogene moxeparvovec-rokl | Elevidys® | Sarepta Therapeutics/
Roche |
Ambulatory duchenne muscular dystrophy (DMD) | IV | June 2023 | |||
beremagene geperpavec-svdt | Vyjuvek® | Krystal Biotech | Dystrophic epidermolysis bullosa (DEB) | Topical | May 2023 | |||
omidubicel-onlv | Omisirge® | Gamida Cell | Blood cancers in need of allogeneic hematopoietic stem cell transplant (HSCT) | Cell therapy | April 2023 | |||
nadofaragene firadenovec-vncg | Adstiladrin® | Ferring and FKD Therapies Oy | Certain forms of bladder cancer | Catheter into bladder | December 2022 | |||
etranacogene dezaparvovec-drlb | Hemgenix™ | CSL Behring | Moderate to severe hemophilia B | IV | November 2022 | |||
elivaldogene autotemcel | Skysona™ | bluebird Bio | Cerebral adrenoleukodystrophy (CALD) | IV | September 2022 | |||
betibeglogene autotemcel | Zynteglo® | bluebird Bio | Transfusion-dependent beta-thalassemia (TDT) | IV | August 2022 | |||
ciltacabtagene autoleucel | Carvykti™ | Johnson & Johnson (Janssen) | R/R multiple myeloma | CAR-T | February 2022 | |||
allogeneic processed thymus tissue adgc | Rethymic™ | Enzyvant | Congenital athymia | Surgical | October 2021 | |||
idecabtagene vicleucel | Abecma™ | Bristol-Myers Squibb and bluebird bio | R/R multiple myeloma | CAR-T | March 2021 | |||
lisocabtagene maraleucel | Breyanzi™ | Bristol-Myers Squibb | R/R large B cell lymphoma (LBCL) | IV | February 2021 | |||
brexucabtagene autoleucel | Tecartus™ | Kite | R/R Mantle cell lymphoma R/R acute lymphoblastic leukemia (ALL) | CAR-T | July 2020 | |||
onasemnogene abeparvovec-xioi | Zolgensma™ | AveXis | Spinal muscular atrophy | IV | May 2019 | |||
voretigene neparvovec-rzyl | Luxturna® | Spark Therapeutics | Biallelic RPE65 mutation-associated retinal dystrophy | Subretinal injection | December 2017 | |||
axicabtagene ciloleucel | Yescarta® | Kite | R/R LBCL/follicular lymphoma (FL) | IV | October 2017 | |||
tisagenlecleucel | Kymriah® | Novartis | R/R ALL/LBCL | IV | August 2017 | |||
Extended Gene Therapy* 2023-2025 Pipeline
Generic Name | Brand Name | Manufacturer | Indication(s) | Route of Administration | Anticipated Filing date* | Prevalence |
atidarsagene autotemcel
(OTL-200) |
Libmeldy™ | Orchard | Metachromatic leukodystrophy (MLD) | IV | 2023 | ~460 |
eladocagene exuparvovec | Upstaza™ | PTC Therapeutics | Aromatic L-amino acid decarboxylase (AADC) deficiency | Intracerebral | 3Q2023 | 300 in world |
AGTC-501 (laruparetigene zosaparvovec) | N/A | AGTC | X-linked retinitis pigmentosa | Subretinal | 2H2023 | 20,000 in US and Europe |
botaretigene sparoparvovec | N/A | J & J and
MeiraGTx |
X-linked retinitis pigmentosa | Subretinal | 1H2024 | 20,000 in US and Europe |
fidanacogene elaparvovec | N/A | Roche/Pfizer | Moderate to severe hemophilia B | IV | 2H2023 | 1.5/100,000 males |
lenadogene nolparvovec
(GS-010) |
Lumevoq™ | GenSight Biologics | Leber hereditary optic neuropathy | Intravitreal injection | 2H2023 | 6.5/million |
OTL-201 | N/A | Orchard | MPS IIIA | IV | 2H2023 | ~1,000 |
LYS-SAF-302 (olenasulfligene relduparvovec) | N/A | Lysogene | MPS IIIA | Intracerebral | 2H2023 | ~1,000 |
EB101
(prademagene zamikeracel) |
N/A | Abeona | Recessive DEB | Topical/surgical – One time treatment | 2H2023 | 400 |
fordadistrogene movaparvovec | N/A | Pfizer | DMD | IV | 4Q2023 | 9,000-12,000 |
RP-L201 (marnetegragene autotemcel) | N/A | Rocket | Severe leukocyte adhesion deficiency type 1 (LAD-1) | IV | 4Q2023 | 25-50/year severe |
Fanconi Anemia | 6.25/million | |||||
UX111
(rebisuligene etiparvovec) |
N/A | Ultragenyx | MPS IIIA | IV | 1Q2024 | ~1,000 |
UX-701 | N/A | Ultragenyx | Wilson disease | IV | 1H2024 | ~9,000 |
SB-525
(giroctocogene fitelparvovec) |
N/A | Sangamo/
Pfizer |
Severe hemophilia A | IV | 3Q2024 | 8/100,000 males |
FLT180a
(verbrinacogene setparvovec) |
N/A | Freeline Therapeutics | Moderate to severe hemophilia B | IV | 2H2024 | 1.5/100,000 males |
GS030 | N/A | GenSight | Retinitis pigmentosa | Intravitreal | 2H2024 | 20,000 in US and Europe |
pariglasgene brecaparvovec | N/A | Ultragenyx | Glycogen storage disease type 1a | IV | 2H2024 | 8/million |
RGX-314
|
N/A | Regenxbio | Wet age-related macular degeneration | Subretinal | 1H2025 | 1.1 million |
SRP-9003
(bidridstrogene xeboparvovec) |
N/A | Sarepta | Limb girdle muscular dystrophy type 2E | IV | 1H2025 | 3.5/million |
RGX-121 | N/A | Regenxbio | Hunter’s syndrome | Intracisternal | 1H2025 | <1/million |
AMT-130 | N/A | uniQure | Huntington’s disease | Intracerebral | 2H2025 | 15.2/million |
*Gene Therapy: One-time administration with curative intent and anticipated WAC of > $750,000
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