Akebia Could Face Long, Costly Effort To Overcome Vadadustat CRL

Company Pins Hopes On Partner Otsuka’s EMA Application

The US FDA turned down approval for vadadustat in chronic kidney disease anemia, in a complete response letter that unexpectedly included the dialysis-dependent indication.

Akebia received a complete response letter for its CKD anemia drug, vadadustat • Source: Alamy

Akebia Therapeutics, Inc. found its hopes of getting a second product onto the market this year dashed as the US Food and Drug Administration turned down its approval application for vadadustat, a drug for anemia due to chronic kidney disease (CKD), citing safety concerns. The company will likely have to complete another trial to address the agency’s concerns.

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