Merck’s HCV Combo Will Test FDA’s ‘Breakthrough’ Rescission Process

Agency cites availability of other recently approved therapies in notifying Merck of intent to rescind the designation for grazoprevir/elbasvir in hepatitis C. Sponsor will seek a meeting with FDA to make its case for retaining breakthrough status.

Merck & Co. Inc. will be the first “breakthrough therapy” sponsor to publicly test FDA’s process for withdrawing the coveted status, having heard from the agency that it no longer thinks Merck’s hepatitis C drugs qualify for the designation.

The recent approval of several highly effective treatments for chronic hepatitis C has endangered Merck’s designation for its two-drug treatment of HCV patients with genotype 1 infection.

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