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Novartis NVS announced that the Committee for Medicinal Products for Human Use (“CHMP”) of the European Medicines Agency has adopted a positive opinion for the label expansion of Fabhalta ((iptacopan).
Fabhalta is an oral, Factor B inhibitor of the alternative complement pathway 6-7.
The CHMP recommended granting a marketing authorization to Fabhalta for the treatment of adults with C3 glomerulopathy (C3G), an ultra-rare, progressive kidney disease with no currently approved treatments.
A final decision from the European Commission (EC) is expected in two months.
The CHMP’s positive opinion is based on robust data from APPEAR-C3G, a randomized placebo-controlled phase III study. The study showed patients treated with Fabhalta, in addition to supportive care, achieved a statistically significant and clinically meaningful 35.1% reduction in proteinuria (as measured by 24-hour urine protein to creatinine ratio [UPCR]) at 6 months when compared to placebo.
A potential approval will make Fabhalta the only drug indicated to target the underlying cause of C3G.
Shares of Novartis have risen 6% in the past year compared to the industry’s rise of 1.3%.
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More on NVS’ Fabhalta
Fabhalta obtained FDA and EC approval in December 2023 and May 2024, respectively, for the treatment of adults with paroxysmal nocturnal hemoglobinuria (PNH).
The drug also received accelerated approval in the United States in August 2024 for reducing the risk of rapid disease progression in proteinuria adults with primary IgA nephropathy (IgAN).
Sales in the fourth quarter totaled $57 million, driven by a modest rise in PNH globally and in IgA nephropathy in the United States.
The drug is also under review in the United States for the treatment of C3G. The FDA granted Priority Review status to Fabhalta in this indication. The regulatory body also confirmed that there was no need for an Advisory Committee meeting.
Novartis is evaluating Fabhalta in a broad range of rare kidney diseases, including atypical hemolytic uremic syndrome (aHUS), immune complex membranoproliferative glomerulonephritis (IC-MPGN) and lupus nephritis (LN).
NVS Looks to Strengthen Pipeline
In January, the company reported better-than-expected fourth-quarter 2024 results, wherein both earnings and revenues beat estimates.
Novartis AG Price and Consensus
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Investors were impressed by NVS’ strong quarterly performance and impressive outlook for 2025.
Net sales are expected to grow in the mid to high single digits in 2025. Core operating income is expected to grow in high single to low double digits.