Bluebird's Lenti-D Gets Breakthrough Therapy Status From FDA

 | May 23, 2018 10:47PM ET

bluebird bio, Inc. (NASDAQ:BLUE) announced that the FDA has granted Breakthrough Therapy designation to Lenti-D for the treatment of patients with cerebral adrenoleukodystrophy (CALD).

We note that the Breakthrough Therapy designation expedites the development and review of drugs intended as a standalone therapy or in combination with one or more other drugs, to treat a serious or life-threatening disease when preliminary data suggest that the drug may demonstrate substantial improvement over existing therapies on one or more clinically significant endpoints.

The designation is supported by positive preliminary data from the ongoing phase II/III Starbeam Study (ALD-102) evaluating Lenti-D investigational gene therapy in boys with CALD, 17 years of age or less who do not have a matched sibling donor. The two-year study has assessed the safety and efficacy of this investigational gene therapy. CALD is a hereditary neurological disorder.

We note that Lenti-D investigational gene therapy enjoys orphan drug status in the Unites States and Europe. The drug was also granted Rare Pediatric Disease designation by the FDA for the treatment of adrenoleukodystrophy (ALD).

Per the FDA’s Rare Pediatric Disease Priority Review Voucher program, a sponsor who receives a marketing application approval for a rare pediatric indication is generally eligible for a Priority Review Voucher, which can be redeemed to obtain Priority Review for a subsequent marketing application for a different product.

bluebird bio has built a diverse pipeline with its lentiviral-based gene therapies, T cell immunotherapy expertise and gene editing capabilities. bluebird bio’s gene therapy clinical programs include Lenti-D for the treatment of cerebral adrenoleukodystrophy, and LentiGlobin for the treatment of transfusion-dependent β-thalassemia, also known as β-thalassemia major, and severe sickle cell disease.

The oncology pipeline primarily focuses on developing novel T cell-based immunotherapies, including chimeric antigen receptor (CAR T) and T cell receptor (TCR) therapies. The lead oncology programs include bb2121 and bb21217. Both these are anti-BCMA CAR T programs which the company is developing in partnership with Celgene (NASDAQ:CELG) .

CAR T therapies are in focus since 2017 with the approval of Gilead’s (NASDAQ:GILD) Yescarta and Novartis’ (NYSE:NVS) Kymriah.