Reata Pharmaceuticals, Inc. (Nasdaq: RETA) (“Reata,” the
“Company,” “our,” “us,” or “we”), a global, biopharmaceutical
company focused on developing and commercializing novel therapies
for patients with severe diseases, announced that the United States
Food and Drug Administration (FDA) has approved the Prior Approval
Supplement (PAS) to update the drug substance specification for
SKYCLARYS® (omaveloxolone), the first and only FDA approved drug
for the treatment of Friedreich’s ataxia in adults and adolescents
aged 16 years and older. With the approval of the PAS, SKYCLARYS is
now available to patients with Friedreich’s ataxia in the United
States.
About SKYCLARYS® (omaveloxolone)
SKYCLARYS® (omaveloxolone) is an oral, once-daily
medication indicated for the treatment of Friedreich’s ataxia in
adults and adolescents aged 16 years and older in the United
States. The Company’s Marketing Authorization Application for
omaveloxolone is under review in Europe by the European Medicines
Agency (EMA). The European Commission has granted Orphan Drug
designation in Europe to omaveloxolone for the treatment of
Friedreich’s ataxia.
INDICATION AND IMPORTANT SAFETY INFORMATION FOR SKYCLARYS
(omaveloxolone)
Indication
SKYCLARYS is indicated for the treatment of Friedreich’s ataxia
in adults and adolescents aged 16 years and older.
IMPORTANT SAFETY INFORMATION
WARNINGS AND PRECAUTIONS
Elevation of Aminotransferases: Treatment with SKYCLARYS
can cause an elevation in hepatic transaminases (alanine
aminotransferase [ALT] and aspartate aminotransferase [AST]). The
incidence of elevations of ALT or AST above 5 times and 3 times the
upper limit of normal (ULN) was 16% and 31%, respectively, in
patients treated with SKYCLARYS. There were no cases of concomitant
elevation of transaminases and total bilirubin observed. Maximum
increases in ALT and AST occurred within 12 weeks after starting
SKYCLARYS. Increases in serum aminotransferases were generally
asymptomatic and reversible following discontinuation of SKYCLARYS.
Patients with clinically significant liver disease were excluded
from the pivotal study.
Monitor ALT, AST, and total bilirubin prior to initiation of
SKYCLARYS, every month for the first 3 months of treatment, and
periodically thereafter. If transaminases increase to levels
greater than 5 times the ULN, or greater than 3 times the ULN with
evidence of liver dysfunction (e.g., elevated bilirubin),
immediately discontinue SKYCLARYS and repeat liver function tests
as soon as possible. If transaminase levels stabilize or resolve,
SKYCLARYS may be reinitiated with an appropriate increased
frequency of monitoring of liver function.
Elevation of B-Type Natriuretic Peptide: Treatment with
SKYCLARYS can cause an increase in B-type natriuretic peptide
(BNP), a marker of cardiac function. A total of 14% of patients
treated with SKYCLARYS had an increase from baseline in BNP value
above the ULN (100 pg/mL), compared to 4% of patients who received
placebo. The incidence of elevation of BNP above 200 pg/mL was 4%
in patients treated with SKYCLARYS. Cardiomyopathy and cardiac
failure are common in patients with Friedreich’s ataxia. Patients
were excluded from the pivotal study if they had BNP levels >
200 pg/mL prior to study entry, or a history of clinically
significant left-sided heart disease and/or clinically significant
cardiac disease, with the exception of mild to moderate
cardiomyopathy associated with Friedreich’s ataxia. Whether the
elevations in BNP are related to SKYCLARYS or cardiac disease
associated with Friedreich’s ataxia is unclear.
Elevations in BNP may indicate cardiac failure and should prompt
an evaluation of cardiac function. Check BNP prior to initiation of
SKYCLARYS. Monitor patients for the signs and symptoms of fluid
overload, such as sudden weight gain (3 pounds or more of weight
gain in one day, or 5 pounds or more of weight gain in a week),
peripheral edema, palpitations, and shortness of breath. If signs
and symptoms of fluid overload develop, worsen, or require
hospitalization, evaluate BNP and cardiac function, and manage
appropriately. Management of fluid overload and heart failure may
require discontinuation of SKYCLARYS.
Lipid Abnormalities: Treatment with SKYCLARYS can cause
changes in cholesterol. In the pivotal study, 29% of patients
treated with SKYCLARYS reported elevated cholesterol above ULN at
one or more time points. Mean increases were observed within 2
weeks of initiation of SKYCLARYS and returned to baseline within 4
weeks of discontinuing treatment. A total of 16% of patients
treated with SKYCLARYS had an increase in low-density lipoprotein
cholesterol (LDL-C) from baseline, compared to 8% of patients who
received placebo. The mean increase in LDL-C for all
SKYCLARYS-treated patients was 23.5 mg/dL at 48 weeks. A total of
6% of patients treated with SKYCLARYS had decreases in high-density
lipoprotein cholesterol (HDL-C) from baseline compared to 4% of
patients who received placebo. The mean decrease in HDL-C for all
SKYCLARYS-treated patients was 5.3 mg/dL at 48 weeks.
Assess lipid parameters prior to initiation of SKYCLARYS and
monitor periodically during treatment. Manage lipid abnormalities
according to clinical guidelines.
CONTRAINDICATIONS
None.
ADVERSE REACTIONS
Adverse reactions reported in 10% or more of patients and
greater than placebo were elevated liver enzymes (AST/ALT) (37%),
headache (37%), nausea (33%), abdominal pain (29%), fatigue (24%),
diarrhea (20%), musculoskeletal pain (20%), oropharyngeal pain
(18%), influenza (16%), vomiting (16%), muscle spasms (14%), back
pain (13%), decreased appetite (12%), rash (10%).
DRUG INTERACTIONS
- Moderate or Strong CYP3A4 Inhibitors: Avoid concomitant use.
Consider SKYCLARYS dosage reduction with monitoring if use is
unavoidable.
- Moderate or Strong CYP3A4 Inducers: Avoid concomitant use.
- Hormonal Contraceptives: Counsel females to use an alternative
contraceptive method (e.g., non-hormonal intrauterine system) or
additional non-hormonal contraceptive (e.g., condoms) during
concomitant use and for 28 days after discontinuation of
SKYCLARYS.
This is not a complete list of potential drug interactions.
Specific Population: Due to the uncertainty of any
potential adverse effects on the breastfed infant, women are
advised not to breastfeed during treatment with SKYCLARYS.
To report SUSPECTED ADVERSE REACTIONS, contact Reata
Pharmaceuticals, Inc. at 1-800-314-3934 or FDA at 1-800-FDA-1088 or
www.fda.gov/medwatch.
For more information about SKYCLARYS, please see the full
Prescribing Information
US-SKY-2300055 v2.0
About REACH
With the FDA approval of SKYCLARYS on February 28, 2023, Reata
Education, Access, and Care Helpline (REACH), launched as an
integrated specialty pharmacy and patient services program that is
designed to help eligible patients access prescribed Reata
medicines. Reata Pharmaceuticals has partnered with Biologics to
serve as the exclusive SKYCLARYS pharmacy. More information on
REACH is available by calling 1-844-98-REACH or by visiting
www.reataREACH.com.
About Friedreich's Ataxia
Friedreich’s ataxia is an ultra-rare, genetic, life-shortening,
debilitating, and degenerative neuromuscular disorder typically
caused by a trinucleotide repeat expansion in the first intron of
the frataxin gene, which encodes the mitochondrial protein
frataxin. Pathogenic repeat expansions can lead to impaired
transcription and reduced frataxin expression, which can result in
mitochondrial iron overload and poor cellular iron regulation,
increased sensitivity to oxidative stress, and impaired
mitochondrial ATP production. Patients with Friedreich’s ataxia
typically experience symptoms in childhood, including progressive
loss of coordination, muscle weakness, and fatigue that commonly
results in motor incapacitation with patients requiring a
wheelchair in their 20s. Based on an insurance claim analysis, we
believe there are approximately 5,000 patients diagnosed with
Friedreich’s ataxia in the United States.
About Reata
Reata is a global biopharmaceutical company committed to
developing and commercializing novel therapeutics for patients with
serious or life-threatening diseases with few or no approved
therapies. We focus on molecular pathways involved in the
regulation of cellular metabolism and inflammation. Reata’s first
product, SKYCLARYS® (omaveloxolone) has been approved by the FDA
for the treatment of Friedreich’s ataxia and is under review in
Europe by the EMA. In addition, Reata is developing cemdomespib for
the treatment of patients with diabetic neuropathic pain.
Cemdomespib is an investigational drug, and its safety
and efficacy have not been established by any regulatory
agency.
Forward-Looking Statements
This press release includes certain disclosures that contain
“forward-looking statements,” including, without limitation, our
plans and objectives for the commercialization of SKYCLARYS and the
timing thereof, our expectations regarding the size of the patient
population for SKYCLARYS, and our plans to research, develop, and
commercialize our other product candidates. You can identify
forward-looking statements because they contain words such as
“believes,” “will,” “may,” “aims,” “plans,” “model,” and “expects.”
Forward-looking statements are based on Reata’s current
expectations and assumptions. Because forward-looking statements
relate to the future, they are subject to inherent uncertainties,
risks, and changes in circumstances that may differ materially from
those contemplated by the forward-looking statements, which are
neither statements of historical fact nor guarantees or assurances
of future performance. Important factors that could cause actual
results to differ materially from those in the forward-looking
statements include, but are not limited to, (i) the potential
market size and the size of the patient population for SKYCLARYS
and the market opportunities for SKYCLARYS; (ii) our ability to
successfully build our commercial infrastructure to manufacture,
market and sell SKYCLARYS, including the successful development and
implementation of our sales and marketing campaigns for SKYCLARYS;
(iii) the ability of our third-party suppliers and contract
manufacturers to manufacture SKYCLARYS at the required quality and
quantities and in compliance with applicable laws and regulations;
and (iv) other factors set forth in Reata’s filings with the U.S.
Securities and Exchange Commission, including its Annual Report on
Form 10-K for the fiscal year ended December 31, 2022, under the
caption “Risk Factors.” The forward-looking statements speak only
as of the date made and, other than as required by law, we
undertake no obligation to publicly update or revise any
forward-looking statements, whether as a result of new information,
future events, or otherwise.
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version on businesswire.com: https://www.businesswire.com/news/home/20230627629226/en/
Reata Pharmaceuticals, Inc. (972) 865-2219
https://www.reatapharma.com/
Investor Relations & Media Relations: John Hunter
ir@reatapharma.com Wendy Segal media@reatapharma.com
https://www.reatapharma.com/contact-us/
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