The US regulatory history of Akebia Therapeutics, Inc.’s Vafseo (vadadustat) featured a complete response letter, a denied formal dispute resolution request, and a race with two other drugs in the same novel class that were pursuing a broad indication for treatment of anemia in chronic kidney disease patients.
Ultimately, vadadustat earned the second CRL, and the second approval, of the three oral hypoxia-inducible factor prolyl hydroxylase (HIF-PH) inhibitors
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