Regeneron (REGN) Gets CRL for Aflibercept 8 mg Drug, Shares Fall

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Regeneron Pharmaceuticals, Inc. REGN announced that the FDA has issued a complete response letter (CRL) to its biologics license application seeking approval for the 8 mg dose strength of aflibercept for treating several retinopathic conditions. These include wet age-related macular degeneration (wAMD), diabetic macular edema (DME) and diabetic retinopathy (DR).

Regeneron has reported that the cause for the CRL is only an ongoing review of inspection findings at a third-party filler. The company reaffirmed that the CRL was not levied due to issues with the clinical efficacy or safety, trial design and labeling or drug substance manufacturing of aflibercept 8 mg. Furthermore, the company also stated that the FDA had not requested any additional clinical data or studies for the drug candidate.

REGN intends to work closely with the FDA as well as the third-party filler to make aflibercept 8 mg available to patients with wAMD, DME and DR at the earliest.

Shares were down 9% on the news despite no reported issues with the efficacy or safety of the drug candidate itself. Year to date, shares of Regeneron have lost 0.8% compared with the industry’s fall of 9%.

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We would like to remind the investors that REGN is jointly developing aflibercept 8 mg with Bayer AG BAYRY. Currently, Bayer and Regeneron jointly market Eylea (aflibercept) inside and outside the United States as part of the collaboration agreement. Per the terms of the agreement, Bayer holds the license to exclusive marketing rights of Eylea outside of the United States and the profits from its sales are shared equally between the companies.

Regeneron retains exclusive commercial rights to Eylea Injection and aflibercept 8 mg in the United States.

It is important to note that REGN’s Eylea is a leader in the treatment of wAMD, DME and macular edema following retinal vein occlusion (RVO), which includes macular edema following central RVO and macular edema following branch RVO. The FDA recently approved Eylea to treat preterm infants with retinopathy of prematurity.

Aflibercept 8 mg is currently not approved for use in any country. Regulatory filings are under review in the EU and Japan along with the United States. Regeneron also intends to submit applications for approvals in additional countries.

In a separate press release, REGN reported positive top-line data from its pivotal PHOTON study of aflibercept 8 mg in patients with DME at the end of two years (96 weeks). The total patient population was divided into three cohorts, receiving aflibercept 8 mg doses in intervals of either 12 weeks or 16 weeks, after initially receiving three monthly doses of aflibercept 8 mg, or Eylea every 8 weeks.