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Spark gene therapy improves vision, at least in short term: FDA
October 10, 2017 / 12:38 PM / 9 days ago

Spark gene therapy improves vision, at least in short term: FDA

(Reuters) - Spark Therapeutics Inc’s experimental gene therapy for a rare inherited form of blindness improves vision, though it is unclear whether the benefit lasts over time, according to a preliminary review by the U.S. Food and Drug Administration.

The therapy, Luxturna, or voretigene neparvovec, would be the first-ever gene therapy for any inherited disease to be approved in the United States.

The FDA’s review, posted on Tuesday on the agency’s website, comes two days ahead of a meeting of outside advisers who will discuss the treatment and recommend whether it should be approved.

Michael Yee, an analyst at Jefferies, said the FDA documents “look fairly benign and as expected,” and that he expects the advisory panel is likely to vote in favor of approval.

The FDA noted there is no available long-term data to show whether the effectiveness of the therapy is maintained after a year, so the clinical benefit beyond that “is unclear.”

Inherited retinal diseases are a group of rare conditions caused by mutations in one or more than 220 different genes, including one known as RPE65, which tells cells how to produce a crucial enzyme needed for normal vision.

Spark studied Luxturna in people with one of these conditions, Leber congenital aumaurosis, whose disease was mediated by defects in the RPE65 gene.

Clinical trial results showed 93 percent of participants experienced some improvement in their functional vision as measured by their ability to navigate obstacles in poor light.

In January the FDA granted the company’s request to alter the drug’s proposed patient population to include any person with an inherited retinal disease due to a biallelic RPE65 mutation, meaning that the mutation is found in both copies of the gene.

The company says that the most relevant approach to characterizing these conditions is by their genetic profile and estimates between 1,000 and 2,000 people in the U.S. with an inherited retinal disease fall into this genetic bucket.

Spark Chief Executive Jeffrey Marrazzo declined in an interview to say what the company would charge for the treatment. But he said one benchmark will be the price of drugs for other ultra-rare diseases such as Pompe disease, Hunter Syndrome and paroxysmal nocturnal hemoglobinuria, which can range from $300,000 to $600,000 a year or more.

Unlike those drugs, which must be given repeatedly, often for life, Luxturna is given just once. It works by delivering 150 billion viral vector particles containing a correct copy of the RP65 gene to retinal cells, restoring their ability to make the deficient enzyme.

“We believe the data supports a one-time intervention offering life-altering benefits,” Marrazzo said.

If approved, analysts expect Luxturna to generate annual sales of more than $400 million by 2021.

The company’s shares have risen 160 percent over the past 12 months, reaching a high of $91.00 on Sept. 29. They rose 1.2 percent to $86.88 in morning trading on Tuesday.

Reporting by Toni Clarke in Washington; Editing by Jeffrey Benkoe and Susan Thomas

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