20 October 2020 - - The US Food and Drug Administration has granted a rare pediatric disease designation to its lead product candidate VS-01, an ammonia clearance enhancer, for the treatment of Urea Cycle Disorders, Switzerland-based clinical-stage company Versantis AG said.

UCD is a rare and life-threatening condition caused by an inherited inborn error of metabolism. Current treatment options are associated with poor outcomes.

The FDA grants rare pediatric disease designation for serious or life-threatening diseases primarily affecting children from birth to 18 years and affecting fewer than 200,000 people in the USA.

Upon approval of a new drug application, the RPDD renders sponsor companies eligible for a priority review voucher, which can be redeemed to obtain accelerated FDA review of a drug candidate, in any indication, potentially gaining early market access.

This voucher may be sold or transferred to another sponsor.

Versantis recently completed a USD 16m series B financing round and is currently raising new funds to fuel VS-01 clinical development in rare indications, including UCD.

VS-01 is an innovative liposomal-based detoxification therapy that acts as a clearance enhancer for a large spectrum of toxic metabolites accumulated during liver and kidney failures.

More specifically, VS-01 clears ammonia from the body, which is the main neurotoxic metabolite and can lead to brain edema.

With its rapid onset, VS-01 could be the first-line medication of choice for acute hyperammonemia in an emergency setting. VS-01 is currently being evaluated in clinical trials in decompensated cirrhotic patients.

Urea cycle disorder is an orphan condition that predominantly affects children where patients present with hyperammonemia either shortly after birth (about 50%) or, later at any age, leading to death or to severe neurological handicap.

The clinical course in newborns is characterized by an initial hyperammonemic crisis shortly after birth progressively leading to somnolence, lethargy, coma and death.

In hyperammonemic crises, dialysis is used to drastically lower ammonia levels, however, it can only be performed in highly specialised tertiary centers and is often initiated too late.

Up to 90% of newborns do not survive the initial event of acute hyperammonemia or suffer from severe neurological sequelae.

Curative orthotopic liver transplantation can be performed in children from about 10 kg body weight.

VS-01 is principally intended as bridging therapy until the children are old enough and have reached the appropriate body weight and/or until they can access a tertiary center.

Versantis is a clinical-stage biotech company focused on the development of orphan drugs in liver and pediatric diseases.

Founded by leading scientists from ETH Zurich and industry experts, Versantis is pursuing innovative therapies for the critical care of serious conditions based on its proprietary detoxification platform technology.

The company's mission is to bring therapeutic solutions to many patients in need by timely supporting hyperammonemic crises in children (now supported by the FDA RPDD) as well as acute liver conditions (Versantis' most advanced program).

In addition to the RPDD mentioned herein, VS-01 was granted orphan drug designations in acute liver failure by the EMA and in acute-on-chronic liver failure by the FDA, which may help to streamline its clinical development pathway.

Versantis is headquartered in Zurich, Switzerland.