FDA rejects Disc Medicine's bitopertin over surrogate-endpoint concerns

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Source: Fierce Biotech
FDA rejects Disc Medicine's bitopertin over surrogate-endpoint concerns
Photo: Fierce Biotech
TL;DR Summary

The FDA declined Disc Medicine’s bitopertin for erythropoietic protoporphyria, citing that the phase 2 trials used a surrogate endpoint (a ~40% drop in PPIX) whose link to meaningful clinical benefit—sun tolerance—remains unproven. The company plans to press on with the APOLLO phase 3 trial, which uses sun-exposure outcomes, while the broader regulatory environment and the CNPV priority voucher program continue to draw scrutiny.

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