VCN-01 has been granted rare pediatric disease designation by the FDA for the treatment of retinoblastoma, a rare eye cancer.
VCN-01, a selective, stroma-degrading, oncolytic adenovirus, has been granted RPDD by the FDA for the treatment of retinoblastoma.1
The RPDD program intends to incentivize drug development for rare pediatric disease. If the FDA approves a biologics license application of VCN-01, the sponsor may receive a priority review voucher that it can use on another product, sell, or transfer to another sponsor.
“The FDA’s decision to grant rare pediatric drug designation to VCN-01 highlights the urgent need for new treatment options for pediatric patients with retinoblastoma,” said Steven A. Shallcross, chief executive officer of Theriva Biologics, in a press release. “We are encouraged by this important step forward and, in parallel, continue to work closely with leading physicians and regulatory agencies to refine our clinical strategy for VCN-01 as an adjunct to chemotherapy in pediatric patients with advanced retinoblastoma.”
In 2022, the FDA granted VCN-01 an orphan drug designation for the same indication.2 Additionally, VCN-01 in combination with gemcitabine and nab-paclitaxel was granted a fast track designation and an orphan drug designation in pancreatic cancer.3,4
VCN-01 is a systemically administered oncolytic adenovirus treatment. It works by selectively infecting and lysing tumor cells as well as enhancing access and perfusion of any coadministered chemotherapy agents. The use of this oncolytic agent can also increase a tumor’s immunogenicity, improving exposure to any coadministered immunotherapy agents.
A phase 1 study (NCT03284268) is investigating VCN-01 in patients with retinoblastoma.5 Patients are receiving 1 of 3 dose levels as an intravitreal injection. The primary end point of the study is incidence of treatment-emergent adverse events, and secondary end points include tumor and immune responses.
Patients aged 1 to 12 with relapsed or refractory retinoblastoma who have normal renal, hepatic, and marrow functions are eligible for participation in the study. Those with uncontrolled epilepsy, cardiac disease, glaucoma, active infections, or immunosuppression are not eligible for study enrollment.
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