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Unicycive Therapeutics Announces Orphan Drug Designation Granted for UNI-494 by the U.S. Food and Drug Administration for the Prevention of Delayed Graft Function in Kidney Transplant Patients

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Unicycive Therapeutics, Inc. (UNCY) receives orphan drug designation from the FDA for UNI-494, a cytoprotective agent to prevent Delayed Graft Function (DGF) in kidney transplant patients. The designation may provide tax credits, fee exemptions, and market exclusivity. UNI-494's mechanism of action shows promise in addressing this serious complication.
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The orphan drug designation (ODD) granted by the FDA to Unicycive Therapeutics for UNI-494 represents a significant regulatory milestone with potential strategic benefits for the company. The designation is typically reserved for treatments targeting diseases affecting a small patient population, in this case, fewer than 200,000 individuals in the U.S. This status can be a catalyst for increased investor interest due to the associated benefits such as tax credits, exemption from certain regulatory fees and notably, seven years of market exclusivity upon drug approval.

From a market perspective, the exclusivity period is particularly valuable as it can effectively shield Unicycive from generic competition, allowing the company to set prices with less pressure and potentially achieve higher margins. However, it is crucial to consider the size of the affected patient population when estimating the financial impact, as the market for an orphan drug is inherently limited. Furthermore, the progress of the Phase 1 clinical trial and upcoming presentation of efficacy data will be closely watched by investors as they are critical indicators of the drug's future prospects.

UNI-494's mechanism of action involves activating KATP channels in mitochondria, which is a novel approach for addressing Delayed Graft Function (DGF), a serious complication in kidney transplant patients. The cytoprotective agent's ischemic preconditioning effect is designed to restore mitochondrial function, which is a critical aspect of cell survival and function post-transplantation.

The medical community will be interested in the upcoming presentation of animal model efficacy data, as it may offer insights into the potential clinical benefits of UNI-494. The success of this drug could lead to a new standard of care in the prevention of DGF, addressing a significant unmet medical need. It is important to note that while the ODD provides regulatory and financial incentives, the clinical success of UNI-494 is not guaranteed and will require rigorous testing to confirm safety and efficacy in humans.

The ODD for UNI-494 could have implications for healthcare economics, particularly in the niche market of kidney transplant patient care. DGF not only poses risks to patient health but also contributes to increased healthcare costs due to longer hospital stays, additional treatments and potential graft losses. A successful intervention could therefore result in significant cost savings for healthcare systems and improve patient outcomes.

While the direct economic impact of UNI-494 will depend on its clinical success and eventual pricing, the societal value of reducing the incidence of DGF should not be underestimated. The potential for improved quality of life for patients and reduced long-term healthcare expenditure aligns with broader healthcare goals of efficiency and effectiveness in patient care.

LOS ALTOS, Calif., March 04, 2024 (GLOBE NEWSWIRE) -- Unicycive Therapeutics, Inc. (Nasdaq: UNCY), a clinical-stage biotechnology company developing therapies for patients with kidney disease (the “Company or “Unicycive”), today announced that the U.S. Food and Drug Administration has granted orphan drug designation (ODD) to UNI-494 for the prevention of Delayed Graft Function (DGF) in kidney transplant patients. UNI-494 is a cytoprotective agent that elicits an ischemic preconditioning effect by activating KATP channels in mitochondria to restore mitochondrial function.

“We are pleased to announce that the FDA has granted orphan drug designation to UNI-494 for the prevention of delayed graft function after kidney transplantation, an unmet medical need for which there are no FDA-approved drugs,” said Shalabh Gupta, MD, Chief Executive Officer of Unicycive. “Obtaining ODD is an important milestone in the development of UNI-494 that may provide certain tax credits for qualified clinical trials, exemption of user fees, and the potential for seven years of market exclusivity after approval. DGF is one of the most serious complications resulting from kidney transplantation, and we believe that the mechanism of action of UNI-494 is ideally suited for the prevention of this orphan condition.”

The FDA, through its Office of Orphan Products Development (OOPD), grants orphan drug designation to agents that have the potential to offer a safe and effective treatment, diagnosis or prevention of rare diseases that affect fewer than 200,000 individuals in the United States.

As previously announced, on March 12, 2024, Unicycive will present data on the efficacy of UNI-494 in animal models of DGF and a poster describing the ongoing Phase 1 clinical trial design for UNI-494 in healthy volunteers at the 29th International Conference on Advances in Critical Care Nephrology AKI and CRRT 2024.

About Delayed Graft Function

Delayed Graft Function (DGF) refers to the acute kidney injury (AKI) that occurs in the first week after kidney transplantation, which necessitates dialysis intervention. As the name indicates, DGF can result in sub-optimal or impaired graft function and is one of the most common and serious complications of kidney transplantation. Poor kidney function in the first week of graft life is detrimental to the longevity of the allograft. DGF is also associated with higher rates of tissue rejection and decreased patient survival. Currently, there are no FDA approved drugs for the treatment of DGF.

Ischemia/reperfusion injury (IRI) is known to be a major causative factor for the AKI that results in DGF during kidney transplantation. Ischemic preconditioning, that works by activating KATP channels in mitochondria, is a natural endogenous mechanism which protects cells from IRI in the heart, kidney, liver, and other organs. UNI-494 is a pharmacological approach that emulates and enhances this natural phenomenon of ischemic preconditioning.

About UNI-494

UNI-494 is a novel nicotinamide ester derivative and a selective ATP-sensitive mitochondrial potassium channel activator. Mitochondrial dysfunction plays a critical role in the progression of acute kidney injury and chronic kidney disease. UNI-494 has a novel mechanism of action that restores mitochondrial function and may be beneficial for the treatment of several diseases including kidney disease. Unicycive is currently conducting a Phase 1 dose-ranging safety study in healthy volunteers in the United Kingdom that is expected to complete in 2H of 2024. UNI-494 is protected by issued patent(s) in the U.S. and Europe and a wide range of patent applications worldwide.

About Unicycive Therapeutics

Unicycive Therapeutics is a biotechnology company developing novel treatments for kidney diseases. Unicycive’s lead drug candidate, oxylanthanum carbonate (OLC), is a novel investigational phosphate binding agent being developed for the treatment of hyperphosphatemia in chronic kidney disease patients on dialysis. UNI-494 is a patent-protected new chemical entity in clinical development for the treatment of conditions related to acute kidney injury. For more information, please visit Unicycive.com and follow us on LinkedIn and YouTube.

Forward-looking statements

Certain statements in this press release are forward-looking within the meaning of the Private Securities Litigation Reform Act of 1995. These statements may be identified using words such as "anticipate," "believe," "forecast," "estimated" and "intend" or other similar terms or expressions that concern Unicycive's expectations, strategy, plans or intentions. These forward-looking statements are based on Unicycive's current expectations and actual results could differ materially. There are several factors that could cause actual events to differ materially from those indicated by such forward-looking statements. These factors include, but are not limited to, clinical trials involve a lengthy and expensive process with an uncertain outcome, and results of earlier studies and trials may not be predictive of future trial results; our clinical trials may be suspended or discontinued due to unexpected side effects or other safety risks that could preclude approval of our product candidates; risks related to business interruptions, which could seriously harm our financial condition and increase our costs and expenses; dependence on key personnel; substantial competition; uncertainties of patent protection and litigation; dependence upon third parties; and risks related to failure to obtain FDA clearances or approvals and noncompliance with FDA regulations. Actual results may differ materially from those indicated by such forward-looking statements as a result of various important factors, including: the uncertainties related to market conditions and other factors described more fully in the section entitled ‘Risk Factors’ in Unicycive’s Annual Report on Form 10-K for the year ended December 31, 2022, and other periodic reports filed with the Securities and Exchange Commission. Any forward-looking statements contained in this press release speak only as of the date hereof, and Unicycive specifically disclaims any obligation to update any forward-looking statement, whether as a result of new information, future events or otherwise.

Investor Contact:

ir@unicycive.com
(650) 543-5470

SOURCE: Unicycive Therapeutics, Inc.


FAQ

What is the orphan drug designation granted by the FDA to UNI-494?

The FDA granted orphan drug designation to UNI-494 for the prevention of Delayed Graft Function (DGF) in kidney transplant patients.

What is the potential benefit of orphan drug designation for UNI-494?

Orphan drug designation may provide tax credits for qualified clinical trials, exemption of user fees, and up to seven years of market exclusivity after approval.

What is the mechanism of action of UNI-494?

UNI-494 is a cytoprotective agent that activates KATP channels in mitochondria to restore mitochondrial function, eliciting an ischemic preconditioning effect.

What is Delayed Graft Function (DGF) in kidney transplant patients?

Delayed Graft Function (DGF) is one of the most serious complications resulting from kidney transplantation.

When will Unicycive present data on UNI-494?

Unicycive will present data on the efficacy of UNI-494 in animal models of DGF and the Phase 1 clinical trial design on March 12, 2024, at a conference.

Unicycive Therapeutics, Inc.

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