Theratechnologies is facing its second HIV setback of the year after the FDA issued a refusal to file (RTF) letter in response to an application for intramuscular Trogarzo (ibalizumab-uiyk). An intravenously administered version of the monoclonal antibody antiretroviral therapy is approved to treat HIV-1 in combination with other antiretrovirals.
Last month, the agency rejected a simplified dosing form of Theratechnologies’ Egrifta SV (tesamorelin), which is used to reduce excess abdominal fat in adults with HIV and lipodystrophy. The RTF said the application for intramuscular dosing “was not sufficiently complete to permit a substantive review” and lacked the required data “to establish the pharmacokinetic bridge between the intramuscular and the intravenous infusion route of administration of Trogarzo,” according to Theratechnologies. Executives weren’t exactly surprised by the RTF, as intramuscular Trogarzo missed the primary endpoint of a Phase III trial comparing it with an IV infusion, failing to meet the equivalence limits. “We were aware that the approval… could be challenging based on the results shared in October 2023 from the TMB-302 study, even though viral suppression was maintained throughout the study,” said chief medical officer Christian Marsolais. “We will now assess our options regarding this application.”