FDA approves world's first cellular therapy for type-1 diabetes
In a major development, the US Food and Drug Administration (FDA) authorized the use of the first cellular therapy for type 1 diabetes on Wednesday, June 28.
Lantidra (donislecel) is a cellular therapy developed using deceased donor pancreatic cells to treat type 1 diabetes in adults.
Therapy suitable for patients with hypoglycemia
Type 1 diabetes makes the pancreas incapable of producing insulin. This is the first medication approved for those unable to regulate their blood sugar levels with standard insulin doses. This might result in significantly low blood sugar levels, known as hypoglycemia.
As per FDA, individuals may also develop "hypoglycemia unawareness" in some situations, when they are unable to perceive that their blood glucose is lowering. And this might worsen their health condition.
For those patients, Lantidra could be a potential treatment option to maintain their glucose levels.
“Severe hypoglycemia is a dangerous condition that can lead to injuries resulting from loss of consciousness or seizures,” said Peter Marks, M.D., Ph.D., director of the FDA’s Center for Biologics Evaluation and Research, in an official release.
Marks added: “The first-ever cell therapy to treat patients with type 1 diabetes provides individuals living with type 1 diabetes and recurrent severe hypoglycemia an additional treatment option to help achieve target blood glucose levels.”
How the therapy is administered
The new treatment works by administering infused donor islet beta cells (insulin-secreting cells) to release insulin in patients.
The medication is administered as a single infusion into the hepatic (liver) portal vein. According to the FDA, the second infusion of the medicine may be administered based on the patient's response to the first dosage.
Lathindra, developed by CellTrans Inc., has undergone rigorous clinical trials before approval.
“The safety and effectiveness of Lantidra were evaluated in two non-randomized, single-arm studies in which a total of 30 participants with type 1 diabetes and hypoglycemic unawareness received at least one infusion and a maximum of three infusions,” noted the press release.
The findings reported that 21 of the study candidates were not required to use insulin for at least a year or longer. Additionally, eleven individuals did not use insulin for one to five years, while ten for more than five years.
Regarding treatment side effects, the reaction varied from person to person. This was determined mainly by the infusion dosages used, the dose gap, and other factors.
Nausea, exhaustion, anemia, diarrhea, and stomach discomfort were the most prevalent reactions noticed among the participants. Most participants reported at least one severe adverse response associated with the procedure for administering therapy into the vein.
“Lantidra is approved with patient-directed labeling to inform patients with type 1 diabetes about benefits and risks of Lantidra,” concluded the FDA.