FDA decision deadline for olezarsen in familial chylomicronemia syndrome (FCS) — an ultra-rare lipid disorder where patients have triglycerides >880 mg/dL and high pancreatitis risk. Olezarsen would be Ionis’s first wholly-owned U.S. commercial product. Same indication: Arrowhead’s plozasiran (Phase 3 readout Q1 2027).
What’s at stake
Olezarsen is a monthly subcutaneous antisense oligonucleotide (ASO) developed by Ionis that suppresses hepatic production of apolipoprotein C-III (ApoC-III) — a protein that inhibits triglyceride clearance enzymes — to treat familial chylomicronemia syndrome (FCS). FCS is an ultra-rare inherited disorder in which genetic inability to clear dietary fat causes triglyceride levels exceeding 2,000 mg/dL and recurrent life-threatening pancreatitis attacks; there is currently only one approved therapy, which has limited uptake due to platelet toxicity. An NDA has been filed with a PDUFA date of December 2026; approval would make olezarsen Ionis's first wholly-owned commercial product in the United States.
No primer in glossary yet.
This event was extracted from a primary disclosure. The full chain of citations is in the disclosure trail below.
- NDAregulatoryNew Drug Application
FDA submission for approval of a small-molecule drug. Triggers the PDUFA clock.
- PDUFAregulatoryPrescription Drug User Fee Act
The FDA's self-imposed review deadline for an NDA/BLA. Standard reviews are ~10 months from filing; priority reviews are ~6 months.
Competitive landscape
| Drug | Company | Modality | Mechanism | Phase | Next catalyst |
|---|---|---|---|---|---|
| plozasiran | ARWR | siRNA | APOC3-targeting RNAi | CONFERENCE · May 26 | |
| AMVUTTRAvutrisiran | ALNY | siRNA | TTR-targeting RNAi | PDUFA · Dec 26 | |
| XPHOZAHtenapanor | ARDX | small molecule | NHE3 inhibitor | CMC · Jul 26 | |
| VERVE-102 | VERV | gene therapy | LNP-delivered base editor targeting PCSK9 | INTERIM · Nov 26 |
Prior IONS reactions to PDUFA events
| Date | Headline | Outcome | 1W | 1M | 6M |
|---|---|---|---|---|---|
| Mar 2025 | olezarsen — PDUFA — Approved | positive | +40.1% | +24.6% | +43.1% |
| Dec 2024 | olezarsen — PDUFA — CRL Issued | negative | -26.7% | -26.7% | -20.3% |
Disclosure trail
- Mar 22, 2026·1mo agopinned · highest confidenceHIGH confFDAEXACTtop claimDEC 192026
“PDUFA action date for olezarsen NDA (familial chylomicronemia syndrome): December 19, 2026.”
contextFDA PDUFA Action Date Calendar — public notice.
conf 99%via fda calendar