{"id":510735,"date":"2021-07-08T07:03:29","date_gmt":"2021-07-08T11:03:29","guid":{"rendered":"https:\/\/www.marketnewsdesk.com\/index.php\/tezepelumab-regulatory-submission-accepted-and-granted-fda-priority-review-in-the-us-for-the-treatment-of-patients-with-asthma\/"},"modified":"2021-07-08T07:03:29","modified_gmt":"2021-07-08T11:03:29","slug":"tezepelumab-regulatory-submission-accepted-and-granted-fda-priority-review-in-the-us-for-the-treatment-of-patients-with-asthma","status":"publish","type":"post","link":"https:\/\/www.marketnewsdesk.com\/index.php\/tezepelumab-regulatory-submission-accepted-and-granted-fda-priority-review-in-the-us-for-the-treatment-of-patients-with-asthma\/","title":{"rendered":"Tezepelumab Regulatory Submission Accepted and Granted FDA Priority Review in the US for the Treatment of Patients with Asthma"},"content":{"rendered":"<p>        <!--.bwalignc { text-align: center; list-style-position: inside }\n.bwalignr { text-align: right; list-style-position: inside }\n.bwblockalignl { margin-left: 0px; margin-right: auto }\n.bwcellpmargin { margin-bottom: 0px; margin-top: 0px }\n.bwleftsingle { border-left: solid black 1pt }\n.bwpadl0 { padding-left: 0px }\n.bwpadl1 { padding-left: 5px }\n.bwrightsingle { border-right: solid black 1pt }\n.bwrowaltcolor1 { background-color: #d3d3d3 }\n.bwsinglebottom { border-bottom: solid black 1pt }\n.bwtablemarginb { margin-bottom: 10px }\n.bwtopsingle { border-top: solid black 1pt }\n.bwvertalignm { vertical-align: middle }body {font:normal small Arial,Helvetica,sans-serif;color:#000;background-color:#fff;padding:24px;margin:0;} a img {border:0;} h3 {font-size:medium;color:#000;margin:0 0 1em 0; text-align:center;}-->  <\/p>\n<p class=\"bwalignc\"><b>Tezepelumab Regulatory Submission Accepted and Granted FDA Priority Review in the US for the Treatment of Patients with Asthma<\/b><\/p>\n<p class=\"bwalignc\"><b><i>Tezepelumab is the first and only biologic to consistently and significantly reduce asthma exacerbations in a broad population across Phase II and III clinical trials<\/i><\/b><\/p>\n<p>WILMINGTON, Del.&#8211;(<a href=\"http:\/\/www.businesswire.com\">BUSINESS WIRE<\/a>)&#8211;<br \/>\nAstraZeneca\u2019s Biologics License Application (BLA) for tezepelumab has been accepted and granted Priority Review for the treatment of asthma from the US Food and Drug Administration (FDA). Tezepelumab is being developed by AstraZeneca in collaboration with Amgen.\n<\/p>\n<p>\nThe FDA grants Priority Review to applications for medicines that offer significant advantages over available options by demonstrating safety or efficacy improvements, preventing serious conditions, or enhancing patient compliance. The Prescription Drug User Fee Act date, the FDA action date for their regulatory decision, is during the first quarter of 2022.\n<\/p>\n<p>\nDespite recent advances in severe asthma, many patients may not qualify for or respond well to current biologic medicines. Patients with severe, uncontrolled asthma experience frequent exacerbations, significant limitations on lung function and a reduced quality of life.\n<\/p>\n<p>\nMene Pangalos, Executive Vice President, BioPharmaceuticals R&amp;D, said: \u201cThis decision brings us a step closer to delivering a much-needed, first-in-class medicine for asthma patients, many of whom remain uncontrolled and at risk of asthma attacks despite the availability of inhaled and biologic medicines. Tezepelumab has demonstrated reductions in exacerbations irrespective of blood eosinophil counts, allergy status and fractional exhaled nitric oxide, and has the potential to transform treatment for a broad population of severe asthma patients.\u201d\n<\/p>\n<p>\nThe BLA was based on results from the PATHFINDER clinical trials program, including results from the pivotal NAVIGATOR Phase III trial. In NAVIGATOR, tezepelumab demonstrated superiority across every primary and key secondary endpoint, compared to placebo, in a broad population of patients with uncontrolled asthma while receiving treatment with medium- or high-dose inhaled corticosteroids (ICS) plus at least one additional controller medicine with or without oral corticosteroids (OCS).\n<\/p>\n<p>\nThere were no clinically meaningful differences in safety results between the tezepelumab and placebo groups in the NAVIGATOR trial. The most frequently reported adverse events with tezepelumab were nasopharyngitis, upper respiratory tract infection and headache.\n<\/p>\n<p>\nResults from the NAVIGATOR Phase III trial were published in <a rel=\"nofollow\" href=\"https:\/\/cts.businesswire.com\/ct\/CT?id=smartlink&amp;url=https%3A%2F%2Fwww.nejm.org%2Fdoi%2Ffull%2F10.1056%2FNEJMoa2034975&amp;esheet=52456829&amp;newsitemid=20210708005266&amp;lan=en-US&amp;anchor=The+New+England+Journal+of+Medicine&amp;index=1&amp;md5=7a36398650a303b40b4d652bce8a771c\"><i>The New England Journal of Medicine<\/i><\/a><i \/>in May 2021.\n<\/p>\n<p>\nTezepelumab received <a rel=\"nofollow\" href=\"https:\/\/cts.businesswire.com\/ct\/CT?id=smartlink&amp;url=https%3A%2F%2Fwww.astrazeneca.com%2Finvestor-relations%2Fstock-exchange-announcements%2F2018%2Ftezepelumab-granted-breakthrough-therapy-designation-by-us-fda-07092018.html%23modal-historic-confirmation&amp;esheet=52456829&amp;newsitemid=20210708005266&amp;lan=en-US&amp;anchor=Breakthrough+Therapy+Designation&amp;index=2&amp;md5=a39aadcbc428071ada9b53459929e4f5\">Breakthrough Therapy Designation<\/a> for patients with severe asthma, without an eosinophilic phenotype in September 2018.\n<\/p>\n<p><b>Severe asthma<br \/>\n<br \/><\/b>Asthma is a heterogeneous disease affecting an estimated 339 million people worldwide. Approximately 10% of asthma patients have severe asthma. Despite the use of inhaled asthma controller medicine, currently available biologic therapies and oral corticosteroids (OCS), many severe asthma patients remain uncontrolled. Due to the complexity of severe asthma, many patients have unclear or multiple drivers of inflammation and may not qualify for or respond well to a current biologic medicine.\n<\/p>\n<p>\nSevere, uncontrolled asthma is debilitating with patients experiencing frequent exacerbations, significant limitations on lung function and a reduced quality of life. Patients with severe asthma are at an increased risk of mortality and compared to patients with persistent asthma have twice the risk of asthma-related hospitalizations. There is also a significant socio-economic burden, with these patients accounting for 50% of asthma-related costs.\n<\/p>\n<p><b>Clinical trials<br \/>\n<br \/><\/b>Building on the Phase IIb PATHWAY trial, the Phase III PATHFINDER program included two trials, NAVIGATOR and SOURCE. The program includes additional planned mechanistic and long-term safety trials.\n<\/p>\n<p>\nNAVIGATOR is a Phase III, randomized, double-blinded, placebo-controlled trial in adults (18\u201380 years old) and adolescents (12\u201317 years old) with severe, uncontrolled asthma, who were receiving standard of care (SoC). SoC was treatment with medium- or high-dose ICS plus at least one additional controller medicine with or without OCS. The trial population included approximately equal proportions of patients with high (\u2265 300 cells\/\u00b5L) and low (&lt; 300 cells\/\u00b5L) blood eosinophil counts. The trial comprised a five to six week screening period, a 52-week treatment period and a 12-week post-treatment follow-up period. All patients received their prescribed controller medicines without change throughout the trial.\n<\/p>\n<p>\nThe primary efficacy endpoint was the annualized asthma exacerbation rate (AAER) during the 52-week treatment period. Key secondary endpoints included the effect of tezepelumab on lung function, asthma control and health-related quality of life.\n<\/p>\n<table cellspacing=\"0\" class=\"bwtablemarginb bwblockalignl\">\n<tr>\n<td colspan=\"5\" class=\"bwtopsingle bwsinglebottom bwleftsingle bwrightsingle bwpadl0 bwrowaltcolor1 bwvertalignm bwalignc\" rowspan=\"1\">\n<p class=\"bwalignc bwcellpmargin\"><b>NAVIGATOR primary endpoints<\/b><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td rowspan=\"2\" class=\"bwsinglebottom bwleftsingle bwrightsingle bwrowaltcolor1 bwvertalignm bwpadl1\" colspan=\"1\">\n<p class=\"bwcellpmargin\"><b>Endpoint<\/b><\/p>\n<\/td>\n<td rowspan=\"2\" class=\"bwsinglebottom bwrightsingle bwrowaltcolor1 bwvertalignm bwpadl1\" colspan=\"1\">\n<p class=\"bwcellpmargin\"><b>Timepoint<\/b><\/p>\n<\/td>\n<td colspan=\"2\" class=\"bwsinglebottom bwrightsingle bwpadl0 bwrowaltcolor1 bwvertalignm bwalignc\" rowspan=\"1\">\n<p class=\"bwalignc bwcellpmargin\"><b>Annual exacerbation rate<\/b><\/p>\n<\/td>\n<td class=\"bwrightsingle bwrowaltcolor1 bwvertalignm bwpadl1\" rowspan=\"1\" colspan=\"1\">\n<p class=\"bwcellpmargin\"><b>Results<\/b><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td class=\"bwsinglebottom bwrightsingle bwpadl0 bwrowaltcolor1 bwvertalignm bwalignc\" rowspan=\"1\" colspan=\"1\">\n<p class=\"bwalignc bwcellpmargin\"><b>Tezepelumab<\/b><\/p>\n<\/td>\n<td class=\"bwsinglebottom bwrightsingle bwpadl0 bwrowaltcolor1 bwvertalignm bwalignc\" rowspan=\"1\" colspan=\"1\">\n<p class=\"bwalignc bwcellpmargin\"><b>Placebo<\/b><\/p>\n<\/td>\n<td class=\"bwsinglebottom bwrightsingle bwrowaltcolor1 bwvertalignm bwpadl1\" rowspan=\"1\" colspan=\"1\">\n<p class=\"bwcellpmargin\"><i>Tezepelumab added to<\/i><\/p>\n<p class=\"bwcellpmargin\"><i>SoC vs placebo added<\/i><\/p>\n<p class=\"bwcellpmargin\"><i>to SoC<\/i><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td class=\"bwsinglebottom bwleftsingle bwrightsingle bwvertalignm bwpadl1\" rowspan=\"1\" colspan=\"1\">\n<p class=\"bwcellpmargin\">\nAAER \u2013\n<\/p>\n<p class=\"bwcellpmargin\">\nOverall\n<\/p>\n<p class=\"bwcellpmargin\">\npatient\n<\/p>\n<p class=\"bwcellpmargin\">\npopulation\n<\/p>\n<\/td>\n<td class=\"bwsinglebottom bwrightsingle bwvertalignm bwpadl1\" rowspan=\"1\" colspan=\"1\">\n<p class=\"bwcellpmargin\">\nOver 52\n<\/p>\n<p class=\"bwcellpmargin\">\nweeks\n<\/p>\n<\/td>\n<td class=\"bwsinglebottom bwrightsingle bwvertalignm bwpadl1\" rowspan=\"1\" colspan=\"1\">\n<p class=\"bwcellpmargin\">\n0.93 (95% CI:\n<\/p>\n<p class=\"bwcellpmargin\">\n0.80-1.07)\n<\/p>\n<\/td>\n<td class=\"bwsinglebottom bwrightsingle bwvertalignm bwpadl1\" rowspan=\"1\" colspan=\"1\">\n<p class=\"bwcellpmargin\">\n2.10 (95% CI:\n<\/p>\n<p class=\"bwcellpmargin\">\n1.84-2.39)\n<\/p>\n<\/td>\n<td class=\"bwsinglebottom bwrightsingle bwvertalignm bwpadl1\" rowspan=\"1\" colspan=\"1\">\n<p class=\"bwcellpmargin\">\n56% reduction (95%\n<\/p>\n<p class=\"bwcellpmargin\">\nCI: 47-63%; p&lt;0.001)\n<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td class=\"bwsinglebottom bwleftsingle bwrightsingle bwvertalignm bwpadl1\" rowspan=\"1\" colspan=\"1\">\n<p class=\"bwcellpmargin\">\nAAER \u2013\n<\/p>\n<p class=\"bwcellpmargin\">\nBaseline\n<\/p>\n<p class=\"bwcellpmargin\">\neosinophil\n<\/p>\n<p class=\"bwcellpmargin\">\ncounts &lt;300\n<\/p>\n<p class=\"bwcellpmargin\">\ncells\/\u00b5L\n<\/p>\n<\/td>\n<td class=\"bwsinglebottom bwrightsingle bwvertalignm bwpadl1\" rowspan=\"1\" colspan=\"1\">\n<p class=\"bwcellpmargin\">\nOver 52\n<\/p>\n<p class=\"bwcellpmargin\">\nweeks\n<\/p>\n<\/td>\n<td class=\"bwsinglebottom bwrightsingle bwvertalignm bwpadl1\" rowspan=\"1\" colspan=\"1\">\n<p class=\"bwcellpmargin\">\n1.02 (95% CI:\n<\/p>\n<p class=\"bwcellpmargin\">\n0.84-1.23)\n<\/p>\n<\/td>\n<td class=\"bwsinglebottom bwrightsingle bwvertalignm bwpadl1\" rowspan=\"1\" colspan=\"1\">\n<p class=\"bwcellpmargin\">\n1.73 (95% CI:\n<\/p>\n<p class=\"bwcellpmargin\">\n1.46-2.05)\n<\/p>\n<\/td>\n<td class=\"bwsinglebottom bwrightsingle bwvertalignm bwpadl1\" rowspan=\"1\" colspan=\"1\">\n<p class=\"bwcellpmargin\">\n41% reduction (95%\n<\/p>\n<p class=\"bwcellpmargin\">\nCI: 25-54%; p&lt;0.001)\n<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td class=\"bwpadl0\" colspan=\"5\" rowspan=\"1\">\n<p class=\"bwcellpmargin\">\nCI: confidence interval\n<\/p>\n<\/td>\n<\/tr>\n<\/table>\n<p>\nAs part of prespecified analyses, the AAER over 52 weeks was also assessed in patients grouped by baseline blood eosinophil count, fractional exhaled nitric oxide (FeNO) level, serum specific immunoglobulin E (IgE) status (perennial allergen sensitivity positive or negative). These are inflammatory biomarkers used by clinicians to inform treatment options and involve tests analyzing a patient\u2019s blood (eosinophils\/IgE) and exhaled air (FeNO).\n<\/p>\n<p>\nThere were no clinically meaningful differences in safety results between the tezepelumab and placebo groups in the NAVIGATOR trial. The most frequently reported adverse events for tezepelumab were nasopharyngitis, upper respiratory tract infection and headache.\n<\/p>\n<p>\nNAVIGATOR is the first Phase III trial to show benefit in severe asthma irrespective of eosinophils by targeting thymic stromal lymphopoietin (TSLP). These results support the <a rel=\"nofollow\" href=\"https:\/\/cts.businesswire.com\/ct\/CT?id=smartlink&amp;url=https%3A%2F%2Fwww.astrazeneca.com%2Finvestor-relations%2Fstock-exchange-announcements%2F2018%2Ftezepelumab-granted-breakthrough-therapy-designation-by-us-fda-07092018.html%23modal-historic-confirmation&amp;esheet=52456829&amp;newsitemid=20210708005266&amp;lan=en-US&amp;anchor=US+Food+and+Drug+Administration+Breakthrough+Therapy+Designation&amp;index=3&amp;md5=a0430503501fd2bb3af2849258eaad50\">US Food and Drug Administration Breakthrough Therapy Designation<\/a> granted to tezepelumab in September 2018 for patients with severe asthma, without an eosinophilic phenotype.\n<\/p>\n<p>\nSOURCE is a Phase III multicenter, randomized, double-blinded, parallel-group, placebo-controlled trial for 48 weeks in adult patients with severe asthma who require continuous treatment with ICS plus long-acting beta2-agonists, and chronic treatment with maintenance OCS therapy. The primary endpoint is the categorized percentage reduction from baseline in the daily OCS dose, while not losing asthma control.\n<\/p>\n<p>\nPatients who participated in the NAVIGATOR and SOURCE trials were eligible to continue in DESTINATION, a Phase III extension trial assessing long-term safety and efficacy.\n<\/p>\n<p><b>Tezepelumab<br \/>\n<br \/><\/b>Tezepelumab is a potential first-in-class human monoclonal antibody that inhibits the action of TSLP, a key epithelial cytokine that sits at the top of multiple inflammatory cascades and is critical in the initiation and persistence of allergic, eosinophilic and other types of airway inflammation associated with severe asthma. TSLP is released in response to multiple triggers associated with asthma exacerbations, including allergens, viruses and other airborne particles. Expression of TSLP is increased in the airways of patients with asthma and has been correlated with disease severity. Blocking TSLP may prevent the release of pro-inflammatory cytokines by immune cells, resulting in the prevention of asthma exacerbations and improved asthma control. Tezepelumab acts at the top of the inflammation cascade and has the potential to help address a broad population of severe asthma patients regardless of their type of inflammation.\n<\/p>\n<p><b>Amgen collaboration<br \/>\n<br \/><\/b>In 2020, Amgen and AstraZeneca updated a <a rel=\"nofollow\" href=\"https:\/\/cts.businesswire.com\/ct\/CT?id=smartlink&amp;url=https%3A%2F%2Fotp.tools.investis.com%2Fclients%2Fuk%2Fastrazeneca%2Frns%2Fregulatory-story.aspx%3Fcid%3D1343%26newsid%3D665331&amp;esheet=52456829&amp;newsitemid=20210708005266&amp;lan=en-US&amp;anchor=2012+collaboration+agreement&amp;index=4&amp;md5=95302dad2c493d3144f52d8be6b45b1a\">2012 collaboration agreement<\/a> for tezepelumab. Both companies will continue to share costs and profits equally after payment by AstraZeneca of a mid single-digit inventor royalty to Amgen. AstraZeneca continues to lead development and Amgen continues to lead manufacturing. All aspects of the collaboration are under the oversight of joint governing bodies. Under the amended agreement in North America, Amgen and AstraZeneca will jointly commercialize tezepelumab; Amgen will record sales in the US and AstraZeneca will record sales in Canada. AstraZeneca\u2019s share of gross profits from tezepelumab in the US will be recognized as collaboration revenue. In all countries outside the US and Canada, AstraZeneca will solely commercialize tezepelumab. AstraZeneca will record all sales outside of the US as product sales and recognize Amgen\u2019s share of gross profit as cost of sales.\n<\/p>\n<p><b>AstraZeneca in Respiratory &amp; Immunology<br \/>\n<br \/><\/b>Respiratory &amp; Immunology, part of BioPharmaceuticals, is one of AstraZeneca\u2019s three disease areas and is a key growth driver for the Company.\n<\/p>\n<p>\nAstraZeneca is an established leader in respiratory care with a 50-year heritage. The Company aims to transform the treatment of asthma and COPD by focusing on earlier biology-led treatment, eliminating preventable asthma attacks, and removing COPD as a top-three leading cause of death. The Company\u2019s early respiratory research is focused on emerging science involving immune mechanisms, lung damage and abnormal cell-repair processes in disease and neuronal dysfunction.\n<\/p>\n<p>\nWith common pathways and underlying disease drivers across respiratory and immunology, AstraZeneca is following the science from chronic lung diseases to immunology-driven disease areas. The Company\u2019s growing presence in immunology is focused on five mid- to late-stage franchises with multi-disease potential, in areas including rheumatology (including systemic lupus erythematosus), dermatology, gastroenterology, and systemic eosinophilic-driven diseases. AstraZeneca\u2019s ambition in Respiratory &amp; Immunology is to achieve disease modification and durable remission for millions of patients worldwide.\n<\/p>\n<p><b>AstraZeneca<br \/>\n<br \/><\/b>AstraZeneca is a global, science-led biopharmaceutical company that focuses on the discovery, development and commercialization of prescription medicines, primarily for the treatment of diseases in three therapy areas &#8211; Oncology, Cardiovascular, Renal &amp; Metabolism and Respiratory &amp; Immunology. AstraZeneca operates in over 100 countries and its innovative medicines are used by millions of patients worldwide. 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Tezepelumab is being developed by AstraZeneca in collaboration with Amgen. The FDA grants Priority Review to applications for medicines that offer significant advantages over available options by demonstrating safety or efficacy improvements, preventing serious conditions, or enhancing patient compliance. The Prescription Drug User Fee Act date, &hellip; <\/p>\n<p class=\"link-more\"><a href=\"https:\/\/www.marketnewsdesk.com\/index.php\/tezepelumab-regulatory-submission-accepted-and-granted-fda-priority-review-in-the-us-for-the-treatment-of-patients-with-asthma\/\" class=\"more-link\">Continue reading<span class=\"screen-reader-text\"> &#8220;Tezepelumab Regulatory Submission Accepted and Granted FDA Priority Review in the US for the Treatment of Patients with Asthma&#8221;<\/span><\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[],"tags":[],"class_list":["post-510735","post","type-post","status-publish","format-standard","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.7 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Tezepelumab Regulatory Submission Accepted and Granted FDA Priority Review in the US for the Treatment of Patients with Asthma - Market Newsdesk<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.marketnewsdesk.com\/index.php\/tezepelumab-regulatory-submission-accepted-and-granted-fda-priority-review-in-the-us-for-the-treatment-of-patients-with-asthma\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Tezepelumab Regulatory Submission Accepted and Granted FDA Priority Review in the US for the Treatment of Patients with Asthma - Market Newsdesk\" \/>\n<meta property=\"og:description\" content=\"Tezepelumab Regulatory Submission Accepted and Granted FDA Priority Review in the US for the Treatment of Patients with Asthma Tezepelumab is the first and only biologic to consistently and significantly reduce asthma exacerbations in a broad population across Phase II and III clinical trials WILMINGTON, Del.&#8211;(BUSINESS WIRE)&#8211; AstraZeneca\u2019s Biologics License Application (BLA) for tezepelumab has been accepted and granted Priority Review for the treatment of asthma from the US Food and Drug Administration (FDA). Tezepelumab is being developed by AstraZeneca in collaboration with Amgen. The FDA grants Priority Review to applications for medicines that offer significant advantages over available options by demonstrating safety or efficacy improvements, preventing serious conditions, or enhancing patient compliance. 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