BioCryst's Voluntary Pause Of Rare Blood Disorder Trial Turns Into FDA Clinical Hold

  • Tucked in its Q1 earnings release, a voluntary pause for BioCryst Pharmaceuticals Inc's BCRX complement-mediated disease therapy has been upgraded to a partial FDA clinical hold.
  • The update clarified why the company paused trials testing ​​BCX9930 in patients with paroxysmal nocturnal hemoglobinuria (PNH), a rare disorder marked by the destruction of red blood cells and poor bone marrow function. 
  • BioCryst investigates elevated serum creatinine levels, a sign of impaired kidney function.
  • A preliminary investigation has found that the 500 mg dose level, particularly without escalation, is a plausible contributory factor. 
  • BioCryst also disclosed that "subsequent" to its voluntary pause, the FDA slapped on a partial clinical hold. 
  • Separately, "slowly evolving" increases in creatinine levels were identified in roughly 40% of patients who switched to the 500 mg dose in the open-label extension of the proof-of-concept Renew study. 
  • BioCryst now believes that lowering the dose to 400 mg could be used. 
  • The company held $446.8 million in cash and investments but expects operating expenses in 2022 to be as much as $480 million. 
  • Price Action: BCRX shares are down 4.52% at $9.72 during the market session on the last check Thursday.
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