US FDA’s April Outlook: Decisions Pending For Rare Pediatric Diseases, New Antibiotics

User fee goal dates in April include four novel agents with breakthrough therapy designations, including Pfizer’s hemophilia B gene therapy and Immunity Bio’s IL-15 superagonist complex for bladder cancer.

fresh-branches-of-a-bud-and-young-leaves-with-raindrops
There are not a deluge of NMEs that could be approved in April, but they offer green shoots nonetheless. • Source: Shutterstock

All of the six novel agents with April 2024 user fee goal dates at the US FDA are using an expedited review pathway, the Pink Sheet FDA Performance Tracker’s User Fee Goal Dates tracker shows: four with breakthrough therapy designations and two with qualified infectious disease product (QIDP) designations.

The breakthrough therapy designations span the therapeutic spectrum, with oncologics for bladder and brain cancers (ImmunityBio’s Anktiva and Day One Biopharmaceuticals’s tovorafenib, respectively), a treatment for a rare primary immunodeficiency (X4 Pharmaceuticals’ mavorixafor) and

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