Despite a host of challenges with donislecel’s development and BLA, the US FDA approved based on clinical data from only 30 patients, using a clinically meaningful insulin independence endpoint and in a more carefully tailored population. Pink Sheet’s Drug Review Profile takes a deep dive into the FDA review of the first approved allogenic pancreas islet cell product.
On its face, the odds for US approval of CellTrans, Inc.’s type 1 diabetes cellular therapy Lantidra (donislecel-jujn) would seem to have been stacked against the sponsor.
The product was a first-in-class, complex biological treatment. The academia-based sponsor was inexperienced in getting therapeutics through the Food and...