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PYC Secures FDA Approval for VP-001’s Phase 2/3 Trial Framework

Biotechnology By Ada Torres 3 min read

PYC Therapeutics has gained FDA alignment on the design of its pivotal Phase 2/3 trial for VP-001, a promising treatment for the rare childhood blindness RP11. The regulator accepted the trial’s sham control arm and primary endpoints, setting the stage for a critical next step toward drug approval.

  • FDA approves sham control arm and inclusion/exclusion criteria for VP-001 trial
  • Either Low Luminance Visual Acuity or Microperimetry can serve as primary endpoint
  • Minimum 24 months of data required to support New Drug Application
  • PYC plans to finalize trial design and seek FDA protocol endorsement in H2 2025
  • VP-001 shows early signs of improving vision in RP11 patients
Image source middle. ©

FDA Alignment Marks Milestone for VP-001 Development

PYC Therapeutics, a clinical-stage biotech focused on genetic diseases, has achieved a crucial regulatory milestone in its quest to develop VP-001, an investigational drug targeting Retinitis Pigmentosa type 11 (RP11). This rare, childhood-onset blinding eye disease currently has no approved treatments, making PYC’s progress particularly significant.

Following encouraging early results from ongoing Phase 1/2 studies; where patients treated with VP-001 demonstrated improvements in visual acuity and retinal sensitivity; PYC recently engaged the US Food and Drug Administration (FDA) to discuss the design of a registrational Phase 2/3 trial. The FDA’s acceptance of PYC’s proposed trial framework provides a clear pathway toward a New Drug Application (NDA).

Trial Design and Endpoints Confirmed

The FDA confirmed that PYC’s plan to include a sham control arm; a placebo-like comparator; is acceptable, a key factor in ensuring the trial’s scientific rigor. Additionally, the regulator approved the proposed inclusion and exclusion criteria, which define the patient population eligible for the study.

Importantly, the FDA agreed that either Low Luminance Visual Acuity (LLVA) or Microperimetry, both measures of visual function, can be used as the sole primary endpoint. This flexibility allows PYC to select the most robust and clinically meaningful measure as the trial progresses.

Data Requirements and Next Steps

The FDA also stipulated that a minimum of 24 months of data from the registrational trial will be necessary to support the NDA. This requirement underscores the need for long-term evidence of VP-001’s safety and efficacy before potential approval.

Armed with this guidance, PYC plans to finalize the trial design and seek formal protocol endorsement from the FDA in the second half of 2025. Upon securing this endorsement, the company intends to initiate the registrational Phase 2/3 trial, a pivotal step toward bringing VP-001 to patients.

Broader Implications for RP11 Treatment

PYC’s progress with VP-001 represents a beacon of hope for patients with RP11, a condition that leads to progressive vision loss and blindness. The company’s RNA-based therapeutic approach is part of a growing wave of precision medicines targeting genetic diseases, a field attracting increasing attention for its potential to address previously untreatable conditions.

While challenges remain, including the need to demonstrate sustained clinical benefit over two years, the FDA’s alignment on trial design significantly de-risks the development pathway. Investors and stakeholders will be watching closely as PYC moves toward trial initiation and subsequent data readouts.

Bottom Line?

With FDA alignment secured, PYC is poised to advance VP-001 into a pivotal trial that could redefine treatment for RP11.

Questions in the middle?

  • Which primary endpoint, LLVA or Microperimetry, will PYC ultimately select for the registrational trial?
  • How will the 24-month data requirement impact the overall timeline to potential approval?
  • What interim data milestones can investors expect before trial completion?