Analyst Cuts Price On Travere Therapeutics Citing Expected Delayed PDUFA

Travere Therapeutics Inc (NASDAQ:TVTX) expects the November 17 PDUFA date for accelerated approval of lead drug sparsentan in IgA…
  • Travere Therapeutics Inc (NASDAQ:TVTX) expects the November 17 PDUFA date for accelerated approval of lead drug sparsentan in IgA nephropathy to be extended by three months. The exact date is to be confirmed. 
  • The FDA requested that the company update its proposed Risk Evaluation Mitigation Strategy to include liver monitoring.
  • HC Wainwright reduced the price target to $36 from $42, with a Buy rating.
  • The analyst notes that as with all other endothelin receptor antagonists (ERAs), sparsentan is associated with occasional transient elevations of liver enzymes during treatment. 
  • However, management noted that patients on sparsentan have experienced “only a few cases.”
  • So, why would the FDA request additional monitoring in the absence of direct evidence of theoretical liver toxicity on sparsentan therapy?
  • Management posited three key factors likely driving the agency’s rationale:
    • Consistency: liver monitoring is on the label for some other drugs in the class.
    • Caution: FDA is considering accelerated approval.
    • Caution: With all prior ERAs indicated for pulmonary arterial hypertension (PAH), prescribing this class of drugs is expected to be all-new to nephrologists.
  • Price Action: TVTX shares are down 8.93% at $21.12 on the last check Friday.
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