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26th Jun, 2026 12:00 AM
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FDA Declines to Approve Sobi's Gout Therapy on Concerns Over Manufacturing

June 26 (Reuters) - The U.S. Food and Drug Administration declined to approve Swedish drugmaker Sobi's therapy to treat uncontrolled ⁠gout, a common form of inflammatory arthritis, the company said on Friday.

In its so-called complete response letter, the ⁠FDA asked the company to provide more data, mainly related to manufacturing controls and deficiencies ⁠at contract manufacturing facilities.

The FDA ‌did not identify any safety or efficacy concerns, the company said.

The Stockholm-based company said it will request a meeting with the FDA to discuss resubmission and work with the contract manufacturing organizations to address the deficiencies.

Gout is a common form ‌of arthritis known for sudden attacks of intense pain, swelling and tenderness ​in the ‌joints. It is caused by high ‌levels of uric acid accumulating around the joints and other tissues.

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Uncontrolled gout is a condition in ⁠which uric acid levels remain high and symptoms ‌are not well-controlled despite ⁠treatment.

Sobi's treatment, chemically known as ​nanoencapsulated sirolimus plus pegadricase, or NASP, ‌is a four-week infusion therapy designed to reduce the level of uric acid in the blood.

The company estimates about 200,000 people in the U.S. suffer from ​uncontrolled gout.

Results from late-stage studies showed the therapy ‌kept ‌uric acid levels below the target of 6 milligrams per deciliter, a safe range ‌to help prevent gout ​symptoms, for at least 80% of the sixth month of treatment.

Amgen's Krystexxa, an infusion given every two weeks, is the only FDA-approved medication ⁠for uncontrolled gout.

Other treatments for gout include nonsteroidal anti-inflammatory drugs, ‌colchicine and corticosteroids.

(Reporting by Sneha S K and Puyaan Singh in Bengaluru; Editing ​by Leroy Leo and Sahal Muhammed)


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