{"id":55123,"date":"2023-03-23T11:05:39","date_gmt":"2023-03-23T10:05:39","guid":{"rendered":"https:\/\/pharma-trend.com\/en\/aurion-biotech-receives-approval-from-japans-pmda-for-new-drug-application\/"},"modified":"2023-03-23T11:05:39","modified_gmt":"2023-03-23T10:05:39","slug":"aurion-biotech-receives-approval-from-japans-pmda-for-new-drug-application","status":"publish","type":"post","link":"https:\/\/pharma-trend.com\/en\/aurion-biotech-receives-approval-from-japans-pmda-for-new-drug-application\/","title":{"rendered":"Aurion Biotech Receives Approval from Japan\u2019s PMDA for New Drug Application"},"content":{"rendered":"<div>\n<p class=\"bwalignc\">\n<i>First approval in the world for <\/i><i>allogeneic cell therapy to treat corneal endothelial disease<\/i>\n<\/p>\n<p>SEATTLE &amp; CAMBRIDGE, Mass. &amp; TOKYO&#8211;(BUSINESS WIRE)&#8211;<a target=\"_blank\" href=\"https:\/\/cts.businesswire.com\/ct\/CT?id=smartlink&amp;url=http%3A%2F%2Fwww.aurionbiotech.com&amp;esheet=53366155&amp;newsitemid=20230323005067&amp;lan=en-US&amp;anchor=Aurion+Biotech&amp;index=1&amp;md5=98e9230001fee9178f3ff30e9ba481fe\" rel=\"nofollow noopener\" shape=\"rect\">Aurion Biotech<\/a>, whose mission is to restore vision to millions of patients with its life-changing regenerative therapies, today announced it has received regulatory approval from Japan\u2019s Pharmaceuticals and Medical Devices Agency (PMDA) for its novel cell therapy, Vyznova\u2122, for the treatment of bullous keratopathy of the cornea. The Company believes this is the first-ever regulatory approval in the world for an allogeneic cell therapy to treat corneal endothelial disease.\n<\/p>\n<p><a href=\"https:\/\/mms.businesswire.com\/media\/20230323005067\/en\/1650089\/5\/Aurion_Biotech.jpg\"><img decoding=\"async\" src=\"https:\/\/mms.businesswire.com\/media\/20230323005067\/en\/1650089\/21\/Aurion_Biotech.jpg\"><\/a><\/p>\n<p>\n\u201cThe approval of Vyznova\u2122 in Japan represents many firsts \u2013 for millions of patients in need, for regenerative medicine and for Aurion Biotech, including the first-ever approval of a cell therapy to treat corneal endothelial disease,\u201d said Greg Kunst, chief executive officer, Aurion Biotech. \u201cThe Aurion team, with deep experience in cell therapy R&amp;D and manufacturing, is leveraging the landmark inventions of Professor Shigergu Kinoshita, MD, PhD and his team, into high-scale clinical cell therapy development &#8211; first in Japan, and then throughout the world.\u201d\n<\/p>\n<p>\nThe breakthrough innovation of this cell therapy is to enable fully differentiated corneal endothelial cells (CECs) to regenerate outside the body. Healthy cells from a donor cornea are cultured in a novel, multi-step, proprietary and patented process that produces off-the-shelf, allogeneic, fully differentiated CECs. Without gene editing, fully differentiated CECs from a single donor can be produced to treat more than 100 recipient eyes. The endothelial cells are injected intracamerally where they re-populate into a healthy mono-layer and start removing fluid from the cornea, thereby decreasing corneal edema.\n<\/p>\n<p>\n\u201cRestoring corneal endothelial health to patients by innovating with cell therapy has been my life\u2019s work,\u201d said Professor Shigeru Kinoshita, MD, PhD, of Kyoto Prefecture University of Medicine. \u201cPMDA approval is an essential step in bringing this cell therapy to patients in need in Japan. Vyznova\u2122 cell therapy offers the potential to completely transform the treatment paradigm for corneal endothelial disease, with an ample supply of fully differentiated, allogeneic corneal endothelial cells; a minimally invasive, elegant procedure; and potentially less onerous recovery for patients.\u201d\n<\/p>\n<p>\nEpidemiologists estimate that over 4% of adults aged 40+, or approximately 16 million people in the US, EU and Japan, suffer from corneal endothelial diseases such as Fuchs Dystrophy<sup>1<\/sup>; additional patients suffer endothelial cell damage from ocular surgical trauma. Corneal endothelial cells (CECs) do not regenerate in the eye and decrease in number throughout a person\u2019s lifetime. When disease or injury damages these cells, they are further depleted, and if left untreated, patients may lose vision. Current standards of care, including penetrating keratoplasty (PK) and endothelial keratoplasty (EK), are complex procedures with potentially difficult post-operative recoveries and complications, such as graft detachment, transplant rejection, dislocation, irregular astigmatism, and infection. In addition, these procedures require the use of one donor cornea for each corneal transplant. Yet, demand for donor corneas far exceeds supply: it\u2019s estimated that there is only one donor cornea available for every 70 diseased eyes<sup>2<\/sup>.\n<\/p>\n<p>\nTo date, 130 subjects have been treated with Aurion Biotech\u2019s cell therapy procedure in Japan and other OUS studies. In these studies, subjects have experienced clinically meaningful and sustained improvements in key measures of corneal health: visual acuity, central corneal thickness, and endothelial cell density. The company anticipates starting clinical studies evaluating the treatment of patients with corneal endothelial disease with its endothelial cell therapy in the United States later this year.\n<\/p>\n<p>\n<b>Clinical Data in Japan<\/b>\n<\/p>\n<p>\nThe PMDA approval is based on the treatment of 65 subjects across three clinical trials conducted in Japan, including: a First-in-Human Trial (n=38); Endothelial Cell Dose Ranging Trial, (n=15); and a Confirmatory Trial (n=12).\n<\/p>\n<p>\nThe primary efficacy endpoint was the proportion of subjects who achieved corneal endothelial cell density (ECD) of \u22651,000 cell\/mm<sup>2<\/sup>. Secondary efficacy endpoints were the proportion of subjects with central corneal thickness (CCT) of &lt;630 \u03bcm; and the proportion of subjects with a 2-line (0.2 LogMAR) improvement or greater in best corrected visual acuity (BCVA) among others. Safety was assessed by occurrence of treatment-emergent adverse events (TEAEs) and corresponding severity.\n<\/p>\n<p>\nThe objective of the First-in-Human Trial (n=38) was to observe safety of a single intracameral injection of cultured corneal endothelial cells. In this study, the proportion of subjects who achieved ECD of \u22651,000 cell\/mm<sup>2<\/sup> was 91% (31\/34 subjects) at 24 months. 85% (29\/34 subjects) achieved CCT of &lt;630 \u03bcm; and 94% (32\/34 subjects) achieved a 2-line (0.2 LogMAR) BVCA improvement or better at 24 months.\n<\/p>\n<p>\nIn the Cell Dose Ranging Trial (n=15), fifteen subjects were randomized to one of three cohorts and received a single intracameral injection of low cell dose (2.0 \u00d7 10<sup>5<\/sup>) (n=5), medium cell dose (5.0 \u00d7 10<sup>5<\/sup>) (n=5), or high cell dose (1.0 \u00d7 10<sup>6 <\/sup>) (n=5). The proportion of subjects who achieved ECD of \u22651,000 cell\/mm<sup>2<\/sup> at 12 weeks (primary endpoint) was 80% (4\/5 subjects) in the low dose group, 100% (4\/4 subjects) in the medium dose group, 100% (5\/5 subjects) in the high dose group, and 92.9% (13\/14 subjects) combined. The proportion of subjects who achieved CCT &lt;630 \u03bcm at 12 months (secondary endpoint) was 80% (4\/5 subjects) in the low dose group, 80% (4\/5 subjects) in the medium dose group, and 100% (5\/5 subjects) in the high dose group. The proportion of subjects, in all combined cohorts, with a 2-line (0.2 LogMAR) improvement in BCVA was 87% (13\/15 subjects) at 12 months (secondary endpoint).\n<\/p>\n<p>\nIn the Confirmatory Trial (n=12), the proportion of subjects who achieved corneal endothelial cell density \u22651,000 cells\/mm<sup>2<\/sup> at 24 weeks (primary endpoint) was 100.0% (12\/12 subjects). The proportion of subjects who achieved CCT &lt;630 \u03bcm at 24 weeks was 75% (9\/12 subjects); and 100% (12\/12 subjects) achieved a 2-line (0.2 LogMAR) BVCA improvement or better at 24 weeks (secondary endpoints).\n<\/p>\n<p>\nAcross all three studies, a single intracameral injection of cultured endothelial cells of various concentrations of endothelial cell doses was generally well tolerated and had a favorable safety profile in adult subjects with corneal endothelial dysfunction. No treatment-related ocular or systemic serious adverse events were observed. The most common ocular adverse events (more than 2 events in any trial) observed across the trials were: eye pain, eyelid edema, cystoid macular edema, increased tearing and increased IOP. The most common non-ocular adverse events (more than 2 events in any trial) observed were: nasopharyngitis, constipation, diarrhea, musculoskeletal pain and insomnia.\n<\/p>\n<p>\n<b>About Aurion Biotech<\/b>\n<\/p>\n<p>\nWith offices in Seattle, Cambridge and Tokyo, Aurion Biotech is a clinical-stage biotech company, whose mission is to restore vision to millions of patients with its life-changing regenerative therapies. The Company\u2019s first candidate is for the treatment of corneal edema secondary to endothelial dysfunction, and is the first off-the-shelf, clinically validated cell therapy for corneal care. Aurion Biotech is the recipient of the prestigious Prix Galien award for best start-up in biotech. The Company has received regulatory approval in Japan and is preparing for clinical trials in the U.S. Privately held, Aurion Biotech is backed by leading investors that include Deerfield, Alcon, Petrichor, Flying L Partners, Falcon Vision \/ KKR, and Visionary Ventures. To learn more about Aurion Biotech, visit <a target=\"_blank\" href=\"https:\/\/cts.businesswire.com\/ct\/CT?id=smartlink&amp;url=http%3A%2F%2Fwww.aurionbiotech.com&amp;esheet=53366155&amp;newsitemid=20230323005067&amp;lan=en-US&amp;anchor=www.aurionbiotech.com&amp;index=2&amp;md5=7bc4b5857b624c78b60fcc60809fda1b\" rel=\"nofollow noopener\" shape=\"rect\">www.aurionbiotech.com<\/a>.\n<\/p>\n<p>\n_______________<br \/>\n<br \/><sup>1 <\/sup><a target=\"_blank\" href=\"https:\/\/cts.businesswire.com\/ct\/CT?id=smartlink&amp;url=https%3A%2F%2Fmedlineplus.gov%2Fgenetics%2Fcondition%2Ffuchs-endothelial-dystrophy%2F%23%3A~%3Atext%3DThe%2520late-onset%2520form%2520of%2Cthe%2520exact%2520prevalence%2520is%2520unknown&amp;esheet=53366155&amp;newsitemid=20230323005067&amp;lan=en-US&amp;anchor=https%3A%2F%2Fmedlineplus.gov%2Fgenetics%2Fcondition%2Ffuchs-endothelial-dystrophy%2F%23%3A~%3Atext%3DThe%2520late-onset%2520form%2520of%2Cthe%2520exact%2520prevalence%2520is%2520unknown&amp;index=3&amp;md5=980166c3f6f7097da5024a47086f2e18\" rel=\"nofollow noopener\" shape=\"rect\">https:\/\/medlineplus.gov\/genetics\/condition\/fuchs-endothelial-dystrophy\/#:~:text=The%20late-onset%20form%20of,the%20exact%20prevalence%20is%20unknown<\/a><br \/><sup>2 <\/sup>JAMA: Global Survey of Corneal Transplantation &amp; Eye Banking: <a target=\"_blank\" href=\"https:\/\/cts.businesswire.com\/ct\/CT?id=smartlink&amp;url=https%3A%2F%2Fjamanetwork.com%2Fjournals%2Fjamaophthalmology%2Ffullarticle%2F2474372&amp;esheet=53366155&amp;newsitemid=20230323005067&amp;lan=en-US&amp;anchor=https%3A%2F%2Fjamanetwork.com%2Fjournals%2Fjamaophthalmology%2Ffullarticle%2F2474372&amp;index=4&amp;md5=311b90d6014b59816436cc5df11015dc\" rel=\"nofollow noopener\" shape=\"rect\">https:\/\/jamanetwork.com\/journals\/jamaophthalmology\/fullarticle\/2474372<\/a>\n<\/p>\n<p> <b>Contacts<\/b> <\/p>\n<p>\n<b>Media Contacts<br \/>\n<br \/><\/b>Judith McGarry<br \/>\n<br \/>(corporate communications)<br \/>\n<br \/>415-971-2900<br \/>\n<br \/><a target=\"_blank\" href=\"&#109;&#97;&#x69;l&#116;&#x6f;&#x3a;j&#117;&#x64;&#x69;t&#104;&#x2e;&#x6d;c&#103;&#x61;&#x72;r&#121;&#x40;&#x61;u&#114;&#x69;o&#110;&#98;&#x69;o&#116;&#x65;&#x63;h&#46;&#x63;&#x6f;m\" rel=\"nofollow noopener\" shape=\"rect\">ju&#100;&#105;&#116;&#x68;&#x2e;&#x6d;&#x63;&#x67;ar&#114;&#121;&#64;&#x61;&#x75;&#x72;&#x69;&#x6f;nb&#105;&#111;&#116;&#x65;&#x63;&#x68;&#x2e;&#x63;om<\/a>\n<\/p>\n<p>\nMichele Gray<br \/>\n<br \/>(ophthalmology media)<br \/>\n<br \/>917-449-9250<br \/>\n<br \/><a target=\"_blank\" href=\"&#x6d;&#x61;&#x69;&#x6c;&#x74;&#x6f;&#x3a;&#109;&#105;&#99;&#104;&#101;le&#64;m&#x67;&#x72;&#x61;&#x79;&#x63;&#x6f;&#x6d;&#x6d;&#117;&#110;&#105;&#99;&#97;tion&#x73;&#x2e;&#x63;&#x6f;&#x6d;\" rel=\"nofollow noopener\" shape=\"rect\">&#x6d;&#105;&#x63;&#104;e&#x6c;&#101;&#64;&#x6d;&#103;&#x72;&#x61;y&#x63;&#111;m&#x6d;&#117;&#x6e;&#x69;c&#x61;&#116;i&#x6f;&#110;s&#x2e;&#99;&#x6f;&#109;<\/a>\n<\/p>\n<p>\nBeth Keshishian<br \/>\n<br \/>(biotech &amp; business media)<br \/>\n<br \/>917-912-7195<br \/>\n<br \/><a target=\"_blank\" href=\"m&#97;&#x69;&#x6c;t&#111;&#x3a;&#x62;e&#116;&#x68;&#x40;b&#101;&#x74;&#x68;k&#101;&#x73;&#x68;i&#115;&#104;&#x69;&#x61;n&#46;&#x63;&#x6f;m\" rel=\"nofollow noopener\" shape=\"rect\">&#x62;&#x65;&#116;h&#x40;&#x62;&#101;th&#x6b;&#x65;&#115;h&#x69;&#x73;&#104;&#105;a&#x6e;&#x2e;&#99;o&#x6d;<\/a>\n<\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>First approval in the world for allogeneic cell therapy to treat corneal endothelial disease SEATTLE &amp; CAMBRIDGE, Mass. &amp; TOKYO&#8211;(BUSINESS WIRE)&#8211;Aurion Biotech, whose mission is to restore vision to millions of patients with its life-changing regenerative therapies, today announced it has received regulatory approval from Japan\u2019s Pharmaceuticals and Medical Devices Agency (PMDA) for its novel &#8230; <span class=\"more\"><a class=\"more-link\" href=\"https:\/\/pharma-trend.com\/en\/aurion-biotech-receives-approval-from-japans-pmda-for-new-drug-application\/\">[Read more&#8230;]<\/a><\/span><\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[13],"tags":[],"class_list":{"0":"entry","1":"post","2":"publish","3":"author-business","4":"post-55123","6":"format-standard","7":"category-industry"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Aurion Biotech Receives Approval from Japan\u2019s PMDA for New Drug Application - Pharma Trend<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/pharma-trend.com\/en\/aurion-biotech-receives-approval-from-japans-pmda-for-new-drug-application\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Aurion Biotech Receives Approval from Japan\u2019s PMDA for New Drug Application - Pharma Trend\" \/>\n<meta property=\"og:description\" content=\"First approval in the world for allogeneic cell therapy to treat corneal endothelial disease SEATTLE &amp; 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