Celladon aims to reverse the downhill spiral of cardiomyocyte damage in heart failure. Its first product is a form of gene therapy, delivered by a recombinant adeno-associated viral vector, designed to augment SERCA2a-mediated calcium transport in HF patients. The SERCA2a pathway is pivotal in controlling the heart's pumping ability, and numerous studies have correlated heart failure progression with declines in SERCA2a levels.
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Vaccine and accelerated approvals are expected to face greater scrutiny under new CBER leader Vinay Prasad, but he has promised “no light switch change” to policy, giving some reassurance to companies whose share prices have been battered.