{"id":635593,"date":"2026-10-19T20:14:11","date_gmt":"2026-10-19T20:14:11","guid":{"rendered":"https:\/\/www.newsbeep.com\/nz\/635593\/"},"modified":"2026-10-19T20:14:11","modified_gmt":"2026-10-19T20:14:11","slug":"discs-once-spurned-rare-disease-drug-to-get-a-second-chance-at-approval","status":"publish","type":"post","link":"https:\/\/www.newsbeep.com\/nz\/635593\/","title":{"rendered":"Disc\u2019s once-spurned rare disease drug to get a second chance at approval"},"content":{"rendered":"\n<p class=\"text text-block paragraph text-left neo-font-paragraph-xl-reg  yf-18d6y07\" style=\"text-decoration: none; font-style: normal; text-transform: none; text-align: inherit; font-variant-numeric: normal;\">This story was originally published on BioPharma Dive. To receive daily news and insights, subscribe to our free daily <a href=\"https:\/\/www.biopharmadive.com\/signup\/?utm_campaign=Yahoo-Licensed-Content&amp;utm_source=yahoo&amp;utm_medium=referral\" data-ylk=\"slk:BioPharma%20Dive%20newsletter;elm:context_link;itc:0;sec:content-canvas;source:content-canvas%20default\" data-yga=\"{&quot;yLinkText&quot;:&quot;BioPharma Dive newsletter&quot;,&quot;yLinkElement&quot;:&quot;context_link&quot;,&quot;yModuleName&quot;:&quot;content-canvas&quot;,&quot;yTrafficOrigin&quot;:&quot;content-canvas default&quot;}\" target=\"_blank\" rel=\"noopener noreferrer nofollow\">BioPharma Dive newsletter<\/a>.  <\/p>\n<p class=\"text text-block paragraph text-left neo-font-paragraph-xl-reg  yf-18d6y07\" style=\"text-decoration: none; font-style: normal; text-transform: none; text-align: inherit; font-variant-numeric: normal;\">A rare disease drug previously spurned by the Food and Drug Administration will get another shot at approval after positive Phase 3 results that sent shares of its developer, Disc Medicine, soaring by more than 35%.\u00a0  <\/p>\n<p class=\"text text-block paragraph text-left neo-font-paragraph-xl-reg  yf-18d6y07\" style=\"text-decoration: none; font-style: normal; text-transform: none; text-align: inherit; font-variant-numeric: normal;\">Disc said Monday that the treatment, bitopertin, <a href=\"https:\/\/ir.discmedicine.com\/news-releases\/news-release-details\/disc-medicine-announces-success-all-primary-and-secondary\" data-ylk=\"slk:met%20all%20of%20its%20main%20and%20secondary%20objectives;elm:context_link;itc:0;sec:content-canvas;source:content-canvas%20default\" data-yga=\"{&quot;yLinkText&quot;:&quot;met all of its main and secondary objectives&quot;,&quot;yLinkElement&quot;:&quot;context_link&quot;,&quot;yModuleName&quot;:&quot;content-canvas&quot;,&quot;yTrafficOrigin&quot;:&quot;content-canvas default&quot;}\" target=\"_blank\" rel=\"noopener noreferrer nofollow\">met all of its main and secondary objectives<\/a> in a Phase 3 trial in erythropoietic porphyria, an uncommon disease causing hypersensitivity to light. The findings position Disc to resubmit an approval application to the Food and Drug Administration by the end of the year and possibly launch the therapy in 2027.\u00a0  <\/p>\n<p class=\"text text-block paragraph text-left neo-font-paragraph-xl-reg  yf-18d6y07\" style=\"text-decoration: none; font-style: normal; text-transform: none; text-align: inherit; font-variant-numeric: normal;\">&#8220;Today represents a potential breakthrough in the science and treatment of EPP,&#8221; said Disc&#8217;s top executive John Quisel, in a statement. &#8220;We look forward to engaging with regulators with the goal of bringing an important, innovative medicine to this community as efficiently as possible.&#8221;  <\/p>\n<p class=\"text text-block paragraph text-left neo-font-paragraph-xl-reg  yf-18d6y07\" style=\"text-decoration: none; font-style: normal; text-transform: none; text-align: inherit; font-variant-numeric: normal;\">The announcement gives Disc, which went public via a <a href=\"https:\/\/www.biopharmadive.com\/news\/disc-medicine-gemini-reverse-merger-public\/629389\/\" data-ylk=\"slk:reverse%20merger%20four%20years%20ago;elm:context_link;itc:0;sec:content-canvas;source:content-canvas%20default\" data-yga=\"{&quot;yLinkText&quot;:&quot;reverse merger four years ago&quot;,&quot;yLinkElement&quot;:&quot;context_link&quot;,&quot;yModuleName&quot;:&quot;content-canvas&quot;,&quot;yTrafficOrigin&quot;:&quot;content-canvas default&quot;}\" target=\"_blank\" rel=\"noopener noreferrer nofollow\">reverse merger four years ago<\/a>, another opportunity to win its first drug approval.\u00a0\u00a0  <\/p>\n<p class=\"text text-block paragraph text-left neo-font-paragraph-xl-reg  yf-18d6y07\" style=\"text-decoration: none; font-style: normal; text-transform: none; text-align: inherit; font-variant-numeric: normal;\">Disc licensed bitopertin <a href=\"https:\/\/www.prnewswire.com\/news-releases\/disc-medicine-expands-hematology-pipeline-with-worldwide-licensing-agreement-for-bitopertin-a-first-in-class-modulator-of-heme-synthesis-301301262.html\" data-ylk=\"slk:from%20Roche;elm:context_link;itc:0;sec:content-canvas;source:content-canvas%20default\" data-yga=\"{&quot;yLinkText&quot;:&quot;from Roche&quot;,&quot;yLinkElement&quot;:&quot;context_link&quot;,&quot;yModuleName&quot;:&quot;content-canvas&quot;,&quot;yTrafficOrigin&quot;:&quot;content-canvas default&quot;}\" target=\"_blank\" rel=\"noopener noreferrer nofollow\">from Roche<\/a>. The Swiss pharmaceutical giant had unsuccessfully tested the therapy <a href=\"http:\/\/pubmed.ncbi.nlm.nih.gov\/28117049\/\" data-ylk=\"slk:against%20schizophrenia;elm:context_link;itc:0;sec:content-canvas;source:content-canvas%20default\" data-yga=\"{&quot;yLinkText&quot;:&quot;against schizophrenia&quot;,&quot;yLinkElement&quot;:&quot;context_link&quot;,&quot;yModuleName&quot;:&quot;content-canvas&quot;,&quot;yTrafficOrigin&quot;:&quot;content-canvas default&quot;}\" target=\"_blank\" rel=\"noopener noreferrer nofollow\">against schizophrenia<\/a>, but Disc chose to reposition it as a potential treatment for erythropoietic porphyria, also referred to as EPP.  <\/p>\n<p class=\"text text-block paragraph text-left neo-font-paragraph-xl-reg  yf-18d6y07\" style=\"text-decoration: none; font-style: normal; text-transform: none; text-align: inherit; font-variant-numeric: normal;\">EPP causes a substance called protoporphyrin IX, or PPIX, to abnormally build up in the blood, <a href=\"https:\/\/rarediseases.org\/rare-diseases\/erythropoietic-protoporphyria\/\" data-ylk=\"slk:leading%20to%20painful%20reactions%20to%20bright%20light.;elm:context_link;itc:0;sec:content-canvas;source:content-canvas%20default\" data-yga=\"{&quot;yLinkText&quot;:&quot;leading to painful reactions to bright light.&quot;,&quot;yLinkElement&quot;:&quot;context_link&quot;,&quot;yModuleName&quot;:&quot;content-canvas&quot;,&quot;yTrafficOrigin&quot;:&quot;content-canvas default&quot;}\" target=\"_blank\" rel=\"noopener noreferrer nofollow\">leading to painful reactions to bright light.<\/a>\u00a0Only one marketed therapy is available, an implant called Scenesse that increases production of melanin in the skin. Another prospective treatment owned by LEO Pharma, dersimelagon, could be <a href=\"https:\/\/leo-pharma.com\/media-center\/news\/leo-pharma-announces-fda-acceptance-of-dersimelagon-nda-with-priority-review-and-closes-acquisition-from-tanabe-pharma\/\" data-ylk=\"slk:approved%20by%20regulators;elm:context_link;itc:0;sec:content-canvas;source:content-canvas%20default\" data-yga=\"{&quot;yLinkText&quot;:&quot;approved by regulators&quot;,&quot;yLinkElement&quot;:&quot;context_link&quot;,&quot;yModuleName&quot;:&quot;content-canvas&quot;,&quot;yTrafficOrigin&quot;:&quot;content-canvas default&quot;}\" target=\"_blank\" rel=\"noopener noreferrer nofollow\">approved by regulators<\/a> next year.  <\/p>\n<p class=\"text text-block paragraph text-left neo-font-paragraph-xl-reg  yf-18d6y07\" style=\"text-decoration: none; font-style: normal; text-transform: none; text-align: inherit; font-variant-numeric: normal;\">Bitopertin works differently than both of those treatments. It&#8217;s an oral medication that blocks a target on developing red blood cells known as &#8220;GlyT1&#8221;\u00a0which, in turn, is meant to slow the accumulation of toxic PPIX in the bloodstream.  <\/p>\n<p class=\"text text-block paragraph text-left neo-font-paragraph-xl-reg  yf-18d6y07\" style=\"text-decoration: none; font-style: normal; text-transform: none; text-align: inherit; font-variant-numeric: normal;\">The medication showed the ability in Phase 2 trials to improve signs of disease severity and drop levels of PPIX. Afterwards, it became one of the first drugs to receive a <a href=\"https:\/\/www.biopharmadive.com\/news\/fda-national-priority-review-voucher-awards-2025\/803076\/\" data-ylk=\"slk:%22national%20priority%22;elm:context_link;itc:0;sec:content-canvas;source:content-canvas%20default\" data-yga=\"{&quot;yLinkText&quot;:&quot;\\&quot;national priority\\&quot;&quot;,&quot;yLinkElement&quot;:&quot;context_link&quot;,&quot;yModuleName&quot;:&quot;content-canvas&quot;,&quot;yTrafficOrigin&quot;:&quot;content-canvas default&quot;}\" target=\"_blank\" rel=\"noopener noreferrer nofollow\">&#8220;national priority&#8221;<\/a>\u00a0review voucher from the FDA, a new kind of fast pass created under former FDA commissioner Marty Makary.\u00a0  <\/p>\n<p class=\"text text-block paragraph text-left neo-font-paragraph-xl-reg  yf-18d6y07\" style=\"text-decoration: none; font-style: normal; text-transform: none; text-align: inherit; font-variant-numeric: normal;\">But a clearance has proven an uphill battle for Disc. A report from <a href=\"https:\/\/www.statnews.com\/2025\/12\/19\/fda-voucher-program-political-interference\/\" data-ylk=\"slk:Stat%20News;elm:context_link;itc:0;sec:content-canvas;source:content-canvas%20default\" data-yga=\"{&quot;yLinkText&quot;:&quot;Stat News&quot;,&quot;yLinkElement&quot;:&quot;context_link&quot;,&quot;yModuleName&quot;:&quot;content-canvas&quot;,&quot;yTrafficOrigin&quot;:&quot;content-canvas default&quot;}\" target=\"_blank\" rel=\"noopener noreferrer nofollow\">Stat News<\/a>\u00a0indicated former Makary deputy Vinay Prasad was skeptical of Disc&#8217;s results. The FDA formally rejected an accelerated approval request in February, stating in a <a href=\"https:\/\/ir.discmedicine.com\/static-files\/0d69b16e-e1cf-4032-9a42-5984fe43c9fa\" data-ylk=\"slk:complete%20response%20letter;elm:context_link;itc:0;sec:content-canvas;source:content-canvas%20default\" data-yga=\"{&quot;yLinkText&quot;:&quot;complete response letter&quot;,&quot;yLinkElement&quot;:&quot;context_link&quot;,&quot;yModuleName&quot;:&quot;content-canvas&quot;,&quot;yTrafficOrigin&quot;:&quot;content-canvas default&quot;}\" target=\"_blank\" rel=\"noopener noreferrer nofollow\">complete response letter<\/a> that Disc&#8217;s trials didn&#8217;t clearly show a link between PPIX reductions and more tolerance to sunlight. The letter did, however, state that Disc could achieve a traditional clearance should bitopertin succeed in a Phase 3 trial.\u00a0  <\/p>\n<p class=\"text text-block paragraph text-left neo-font-paragraph-xl-reg  yf-18d6y07\" style=\"text-decoration: none; font-style: normal; text-transform: none; text-align: inherit; font-variant-numeric: normal;\">In the meantime, FDA leadership <a href=\"http:\/\/www.biopharmadive.com\/news\/makary-fda-commissioner-resign-trump\/819757\/\" data-ylk=\"slk:has%20since%20been%20upended;elm:context_link;itc:0;sec:content-canvas;source:content-canvas%20default\" data-yga=\"{&quot;yLinkText&quot;:&quot;has since been upended&quot;,&quot;yLinkElement&quot;:&quot;context_link&quot;,&quot;yModuleName&quot;:&quot;content-canvas&quot;,&quot;yTrafficOrigin&quot;:&quot;content-canvas default&quot;}\" target=\"_blank\" rel=\"noopener noreferrer nofollow\">has since been upended<\/a>. Newer leaders have taken a friendlier stance towards rare disease medicines,\u00a0<a href=\"https:\/\/www.biopharmadive.com\/news\/regenxbio-fda-resubmit-hunter-syndrome-gene-therapy\/823381\/\" data-ylk=\"slk:reversing%20course%20on%20multiple%20rejections;elm:context_link;itc:0;sec:content-canvas;source:content-canvas%20default\" data-yga=\"{&quot;yLinkText&quot;:&quot;reversing course on multiple rejections&quot;,&quot;yLinkElement&quot;:&quot;context_link&quot;,&quot;yModuleName&quot;:&quot;content-canvas&quot;,&quot;yTrafficOrigin&quot;:&quot;content-canvas default&quot;}\" target=\"_blank\" rel=\"noopener noreferrer nofollow\">reversing course on multiple rejections<\/a>\u00a0and, more recently, revealing <a href=\"https:\/\/www.biopharmadive.com\/news\/fda-rare-disease-framework-initiative-drug-development\/833080\/\" data-ylk=\"slk:plans%20to%20enact%20a%20more%20flexible%20review%20framework.;elm:context_link;itc:0;sec:content-canvas;source:content-canvas%20default\" data-yga=\"{&quot;yLinkText&quot;:&quot;plans to enact a more flexible review framework.&quot;,&quot;yLinkElement&quot;:&quot;context_link&quot;,&quot;yModuleName&quot;:&quot;content-canvas&quot;,&quot;yTrafficOrigin&quot;:&quot;content-canvas default&quot;}\" target=\"_blank\" rel=\"noopener noreferrer nofollow\">plans to enact a more flexible review framework.<\/a>  <\/p>\n<p class=\"text text-block paragraph text-left neo-font-paragraph-xl-reg  yf-18d6y07\" style=\"text-decoration: none; font-style: normal; text-transform: none; text-align: inherit; font-variant-numeric: normal;\">Disc could capitalize on those changes. The results issued Monday showed its therapy drove down PPIX counts by about 46% after six months, versus just over a 4% reduction for placebo recipients. Treatment was also associated with a 12.2-hour increase, relative to a placebo, in pain-free time in light during the sixth month. Other measures of light tolerance, such as a steep reduction in the painful skin reactions patients experience, were also observed.\u00a0  <\/p>\n<p class=\"text text-block paragraph text-left neo-font-paragraph-xl-reg  yf-18d6y07\" style=\"text-decoration: none; font-style: normal; text-transform: none; text-align: inherit; font-variant-numeric: normal;\">The drug was &#8220;well-tolerated,&#8221; according to Disc. Dizziness was the most common treatment-related side effect.\u00a0  <\/p>\n<p class=\"text text-block paragraph text-left neo-font-paragraph-xl-reg  yf-18d6y07\" style=\"text-decoration: none; font-style: normal; text-transform: none; text-align: inherit; font-variant-numeric: normal;\">The findings are &#8220;compelling&#8221; and &#8220;substantially&#8221; address the concerns raised by the FDA, wrote Leerink Partners analyst Thomas Smith.\u00a0  <\/p>\n<p class=\"text text-block paragraph text-left neo-font-paragraph-xl-reg  yf-18d6y07\" style=\"text-decoration: none; font-style: normal; text-transform: none; text-align: inherit; font-variant-numeric: normal;\">Jefferies analyst Roger Song added in a separate note that the data are &#8220;strongly supportive of a potential regular or full approval with a best-in-class profile.&#8221; Song expects broad adoption and a $1 billion to $2 billion market opportunity.\u00a0  <\/p>\n","protected":false},"excerpt":{"rendered":"This story was originally published on BioPharma Dive. 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