The ID Pipeline: FDA Activity From the Week of November 3, 2019

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Here is a look at infectious disease-related US Food and Drug Administration (FDA) news from the week of November 3, 2019.

Here is a look at infectious disease-related US Food and Drug Administration (FDA) news from the week of November 3, 2019.

FDA Authorizes Marketing of an HIV-1 Drug Resistance Test

On Tuesday, November 5, 2019, the FDA authorized marketing of the Sentosa SQ HIV Genotyping Assay, a test that detects HIV-1 drug resistance mutations using next-generation sequencing technology. The assay is the first HIV drug resistance test using next-generation sequencing technology to be authorized for marketing in the United States. The FDA granted the marketing authorization to Vela Diagnostics USA Inc.

The Sentosa SQ HIV-1 Genotyping Assay detects drug resistance mutations in patients who are undergoing or about to undergo antiviral therapy. The assay detects mutations in the genetics of HIV in a sample of blood using next-generation sequencing.

The FDA examined data from performance studies demonstrating a greater than 95% sensitivity and specificity in detecting 342 drug resistance mutations. This led to the conclusion that the assay provides reasonable assurance of safety and effectiveness for its intended use.

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FDA Approves Fluzone High-Dose Quadrivalent Influenza Vaccine for Older Adults

On Monday, November 4, 2019, the FDA approved Sanofi’s Fluzone High-Dose Quadrivalent (Influenza Vaccine) for use in adults 65 years of age and older. The vaccine will be made available for the 2020-2021 influenza season.

The approval of the supplemental Biologics License Application marks a transition from the company’s trivalent influenza vaccine first approved in 2009 that contained 2 influenza A strains and 1 influenza B strain. Fluzone High-Dose Quadrivalent contains an additional influenza B strain.

In a phase 3 immunogenicity and safety trial, the quadrivalent vaccine met its primary end point of non-inferior immunogenicity compared with 2 trivalent formulations of Fluzone High-Dose. Additionally, each B strain in Fluzone High-Dose Quadrivalent induced a superior immune response compared with the trivalent formulation.

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FDA Approves RHB-105 to Treat H Pylori

On Monday, November 4, 2019, RedHill Biopharma Ltd announced that the FDA approved RHB-105 (Talicia) for the treatment of Helicobacter pylori in adults.

H pylori affects approximately 35% of the United States adult population and is classified as a group 1 carcinogen. It is the strongest risk factor for the development of peptic ulcer disease, gastritis, and non-cardia gastric cancer.

Talicia is a 3-drug combination of omeprazole, a proton pump inhibitor, amoxicillin, a penicillin-class antibacterial, and rifabutin, a rifamycin antibacterial­­, and is a novel, fixed-dose, all-in-one delayed-release capsule 10 mg/250 mg/12.5 mg.

The approval was granted based on the results of 2 phase 3 studies in adults with H pylori, who suffered epigastric pain or discomfort. The confirmatory phase 3 study demonstrated 84% eradication of H pylori in participants treated with Talicia, compared to 58% in the active competitor arm (p<0. .0001).

Read the full article here.

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