FDA Pushback Prompts Akebia To Drop Broad Label Pursuit For Kidney Disease Drug

Core Insights - Akebia Therapeutics Inc. is experiencing a decline in stock price following an unsuccessful meeting with the U.S. FDA regarding the VALOR trial design for vadadustat, aimed at treating anemia in late-stage chronic kidney disease patients not on dialysis [1][4]. Company Developments - The company has decided not to initiate the VALOR trial and will not pursue a broad label for Vafseo for non-dialysis dependent chronic kidney disease patients [2]. - Vafseo is currently approved in the U.S. for treating anemia due to chronic kidney disease in adults who have been on dialysis for at least three months, with prescriptions starting in January 2025 [2]. Regulatory Feedback - Akebia completed a Type C meeting with the FDA, which indicated that regulatory alignment for the VALOR trial would necessitate a significantly larger patient population than initially proposed, leading to increased time and costs [3]. - The CEO of Akebia expressed disappointment with the meeting's outcome but stated that the decision not to pursue a broad label is in the best interests of shareholders [4]. Market Reaction - Following the news, Akebia Therapeutics shares fell by 25.71%, trading at $2.29 at the time of publication [4].