FDA approves avacincaptad pegol intravitreal solution for treatment of geographic atrophy

The US Food and Drug Administration (FDA) has granted approval to avacincaptad pegol (IZERVAY) for treatment of geographic atrophy (GA) secondary to age-related macular degeneration (AMD).This approval is for second drug for treatment of geographic atrophy drug targeting complement pathway.

The approval has been granted to Iveric Bio.  IZERVAY, a new complement C5 inhibitor, is the only approved GA treatment with a statistically significant reduction (p<0.01) in the rate of GA progression at the 12-month primary endpoint across two Phase 3 clinical trials.

Pravin U. Dugel, MD, President, Iveric Bio, An Astellas Company

"We are thrilled to receive FDA approval of IZERVAY and to offer a new therapy to physicians and appropriate patients in the U.S. Time matters, vision matters, and safety matters in this devastating progressive disease. We would like to thank everyone involved in reaching this milestone and helping us deliver on our commitment to pioneer transformational therapies for retinal diseases."

The FDA approval was based on the GATHER1 and GATHER2 Phase 3 clinical trials, which evaluated the safety and efficacy of monthly 2 mg intravitreal administration of IZERVAY in patients with GA secondary to AMD. The rate of GA growth was evaluated at baseline, 6 months, and 12 months. In each registrational trial, over a 12-month period, the primary analysis showed a statistically significant reduction in the rate of GA growth in patients treated with IZERVAY compared to sham. Slowing of disease progression was observed as early as 6 months with up to a 35% reduction in the first year of treatment.

Arshad M. Khanani, MD, MA, FASRS, Director of Clinical Research at Sierra Eye Associates, Reno, Nevada

"Geographic atrophy has a devastating impact on patients' lives and can lead to irreversible vision loss. As a C5 inhibitor, IZERVAY has shown to slow GA progression by targeting the source of retinal cell death and may preserve the upstream benefits of the complement system. The FDA approval of IZERVAY is great news for the retina community and our patients suffering from GA."

GA impacts an estimated 1.5 million people in the U.S.1 However, approximately 75% of people living with GA in the U.S. are believed to be undiagnosed.2 Without timely treatment, an estimated 66% of people with GA may become blind or severely visually impaired.3

Jason Menzo, Chief Executive Officer, Foundation Fighting Blindness

"Geographic atrophy can severely limit people's ability to drive, read, and see the faces of their family and friends. This new treatment offers our patient community an important therapeutic option to potentially extend their ability to maintain independence."

Across the GATHER clinical trial program, the most common adverse reactions (≥ 5%) reported at 12 months in patients who received IZERVAY 2 mg were conjunctival hemorrhage (bleeding beneath the clear lining of the eye: 13%), intraocular pressure (increased fluid pressure of the eye: 9%) and blurred vision (8%).

IZERVAY is anticipated to be available in the U.S. in 2-4 weeks.

Astellas is reviewing potential financial impacts of this approval for the fiscal year ending March 31, 2024.