Kadmon’s Rezurock scores surprise FDA nod in chronic graft-versus-host-disease

By | July 18, 2021

With a surprise FDA approval Friday afternoon, Kadmon Holdings is on its way to becoming a commercial drugmaker. 

The FDA cleared Kadmon’s Rezurock to treat chronic graft-versus-host disease, a serious complication of transplant procedures. Formerly known as belumodsil, the drug is a first-in-class ROCK2 inhibitor—and now Kadmon’s first approved drug. 

GVHD occurs when donor cells mount an immune response against a patient’s own tissues and organs. While doctors can try to use steroids to reduce the immune reaction, that doesn’t always work. 

RELATED: Kadmon’s graft-versus-host disease med on track for 2020 filing 

The FDA based its Rezurock approval on data from an open-label trial called ROCKstar that enrolled 65 patients who had previously tried between two and five different treatments.

At median, study patients had cycled through three previous lines of therapy before trying Rezurock. After seven cycles of treatment, 75% of patients had responded. After a year’s followup, 62% of those who responded still didn’t need systemic therapy. 

Other treatments for chronic graft-versus-host-disease include Incyte’s Jakafi and Johnson & Johnson and AbbVie’s Imbruvica. While those drugs are major market players—and thus formidable competitors—Cantor Fitzgerald analysts predict Rezurock can deliver $ 500 million in peak sales. 

The FDA approval, which applies to patients who’ve tried at least two different drug treatments, came six weeks ahead of the agency’s decision deadline. Rezurock won’t be available until the end of August, Kadmon said.  

RELATED: Kadmon drops detailed look at cGVHD data; analysts see ‘underappreciated potential’ 

Kadmon shares were trading up about 20% at 3 p.m. ET on Friday afternoon. 

Aside from chronic GVHD, Kadmon is testing the medicine in systemic sclerosis. The biotech also has an immuno-oncology candidate called KD033.  

Friday’s approval adds to 2021’s impressive class of newly licensed medicines, which now includes more than 30 drugs. 

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