Dearth Of Clinical Data For Aegerion’s Lomitapide May Sidetrack Advisory Committee Review

Aegerion submitted the lomitapide NDA Feb. 29 with 54-week data from a single-arm, open-label trial, hoping for priority review based on the lack of effective treatments for homozygous familial hypercholesterolemia. Meanwhile, Isis/Sanofi submitted their competing candidate mipomersen March 29 with two-year extension-study data.

When Aegerion Pharmaceuticals Inc.’s NDA for homozygous familial hypercholesterolemia therapy lomitapide is taken up by FDA’s Endocrinologic and Metabolic Drugs Advisory committee Oct. 17 the big question will be whether the company has enough data to convince regulators of the drug’s efficacy and safety, particularly in light of a liver toxicity signal that appears manageable but likely to set off warnings.

The lomitapide application was supported by one single-arm, open-label, dose-escalating Phase III trial in 29 patients averaging 31 years of age with mean LDL cholesterol of 337 mg/dL (353 mg/dL...

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