Daily Newsletter

25 September 2023

Daily Newsletter

25 September 2023

FDA clears Krystal Biotech’s IND for Type 1 AATD treatment KB408

A Phase I trial exploring the gene therapy in patients with alpha-1 antitrypsin deficiency is expected to start in Q1 2024.

Jenna Philpott September 22 2023

The US Food and Drug Administration has approved Krystal Biotech’s Investigational New Drug (IND) for a Phase I clinical trial of the investigational alpha-1 antitrypsin deficiency (AATD) treatment KB408.

Earlier this month, the FDA granted orphan-drug status for KB408 in AATD. The first patient in the planned Phase I trial is expected to receive treatment in Q1 2024. The Phase I trial, involving adult patients with AATD and the PI*ZZ genotype, will assess the safety, tolerability, and efficacy at three planned dose levels.

AATD is a rare genetic disorder that occurs when there is insufficient production or impaired functionality of the alpha-1 antitrypsin (AAT) protein. Low AAT levels result in damage to lung tissue, leading to chronic obstructive pulmonary disorder (COPD).

KB408 is a gene therapy consisting of a modified herpes simplex virus 1 (HSV-1) derived vector, which delivers  two full-length copies of the SERPINA1 gene to enable AAT expression. The therapy is delivered via nebulisation.

Senior Vice President of Clinical Development at Krystal Biotech Hubert Chen said, “This IND acceptance represents an important milestone for us as we work to address a serious lung disease with limited treatment options and allows us to demonstrate the potential of our platform to deliver genes repeatedly to epithelial cells of the lung.”

KB408 isn’t the first rare disease drug that Krystal Biotech has developed. In May, the FDA approved Vyjuvek, Krystal’s lead  drug used to treat dystrophic epidermolysis bullosa (DEB).

According to GlobalData, the AATD market in the US and Germany is expected to see significant growth in the next few years, with its market size reaching $3.48bn in 2031.

GlobalData is the parent company of Pharmaceutical Technology.

M&A in the Contract Manufacturing Industry

Despite challenging business conditions in 2021 and 2022, large CMOs were still involved in acquisitions to enhance their capabilities or scale of production. Catalent and Recipharm were particularly active in acquiring companies during this period, and these acquisitions had a focus on advanced biologic capabilities related to cell and gene therapies. CMOs are increasingly targeting companies with sophisticated (biologic and specialized) capabilities to manufacture modern drugs and seek high-value contracts.

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