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Seres Therapeutics Receives Feedback From FDA on SER-155 Allogeneic Hematopoietic Stem Cell Transplant (allo-HSCT) Development Approach

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Seres Therapeutics, Inc.
Seres Therapeutics, Inc.

FDA has provided input on key elements of the SER-155 allo-HSCT clinical development plans including support for the proposed primary efficacy endpoint of reduction in bloodstream infections (BSIs) as of 30 days post HSCT in the next study

Seres has submitted clarification questions to FDA and expects a response in the coming weeks, which will inform the proposed protocol for the next SER-155 study in allo-HSCT, which the Company anticipates submitting to FDA in Q2

CAMBRIDGE, Mass., March 03, 2025 (GLOBE NEWSWIRE) -- Seres Therapeutics, Inc. (Nasdaq: MCRB) (Seres or the Company), a leading live biotherapeutics company, today announced that it has received constructive feedback from a Type B Breakthrough Therapy designation engagement with the U.S. Food and Drug Administration (FDA or the agency) regarding the Company’s development strategy for its lead live biotherapeutic, SER-155 in patients undergoing allo-HSCT. The FDA provided feedback on important elements of the next study that included a recommendation that it be a Phase 2 and support for a reduction in bloodstream infections as of 30 days post HSCT as the primary endpoint; and confirmed their expectations for the manufacture and control of SER-155. Further interaction with FDA is expected in the coming weeks as the Company has submitted questions to clarify certain feedback received. Seres is evaluating the next study design, which could be either a Phase 2, or a Phase 2/3 that offers operational efficiencies, and anticipates submitting a proposed protocol, incorporating FDA’s feedback, for the next study of SER-155 in allo-HSCT to the agency in the second quarter of this year.

“We are pleased to have obtained productive FDA feedback supporting our goal of bringing SER-155 to allo-HSCT patients,” said Eric Shaff, President and Chief Executive Officer of Seres Therapeutics. “Obtaining FDA’s input is vital to aligning on our development approach, consistent with the benefits provided by Breakthrough Therapy designation, and to derisking the regulatory path forward. Based on the guidance and pending further FDA feedback, we expect to submit a protocol for our next study to the agency in the second quarter and look forward to further FDA engagement on the SER-155 development plan. Notably, the next study design is expected to retain many of the elements of our SER-155 placebo controlled Phase 1b Cohort 2 trial in allo-HSCT, which showed an impressive 77% relative risk reduction in bloodstream infections, a significant reduction in systemic antibiotic exposure, as well as lower incidence of febrile neutropenia. We continue to advance discussions seeking a partner to support the further development of SER-155 in allo-HSCT.”