Abeona Therapeutics® Announces Favorable Medicare Reimbursement Decisions for Pz-cel
13 Agosto 2024 - 8:30AM
Abeona Therapeutics Inc. (Nasdaq: ABEO) today announced that the
Centers for Medicare and Medicaid Services (CMS) has granted a
product-specific procedure code ICD-10-PCS (International
Classification of Diseases, 10th Revision, Procedure Coding System)
for prademagene zamikeracel (pz-cel), Abeona’s investigational
autologous cell-based gene therapy currently in development for
recessive dystrophic epidermolysis bullosa (RDEB). If pz-cel
receives U.S. marketing approval, this code will allow for
efficient and accurate documentation, billing, and analysis of
inpatient hospital procedures using pz-cel. The code will go into
effect on October 1, 2024.
Abeona also announced, as part of the Inpatient
Prospective Payment System (IPPS) Final Rule for fiscal year 2025,
CMS assigned Medicare reimbursement of pz-cel to Pre-Major
Diagnostic Category, Medicare Severity Diagnosis Related Group 018
(Pre-MDC MS-DRG 018), which is among the highest available
inpatient hospital reimbursement levels for cell and gene
therapies. The DRG code for pz-cel will go into effect on October
1, 2024.
Madhav Vasanthavada, Chief Commercial Officer of
Abeona, said, “We are pleased that CMS has issued a
product-specific procedure code and Medicare reimbursement for
pz-cel that recognizes the breakthrough nature of this gene therapy
technology for RDEB patients. The favorable Medicare decisions
complement the positive feedback we have heard from commercial
payers, giving us confidence as we seek to secure strong access and
reimbursement for all RDEB patients. The CMS coding assignment is a
major step in simplifying inpatient hospital billing across all
payers and increasing speed to access of pz-cel after its potential
FDA approval.”
About prademagene zamikeracel
(pz-cel) Prademagene zamikeracel (pz-cel), Abeona’s
investigational autologous cell-based gene therapy, is currently
being developed for the treatment of recessive dystrophic
epidermolysis bullosa (RDEB). RDEB is a rare connective tissue
disorder caused by a defect in the COL7A1 gene that results in the
inability to produce Type VII collagen. Pz-cel is designed to
incorporate the functional collagen-producing COL7A1 gene into a
patient’s own skin cells and enable long-term gene expression by
using a retroviral vector to stably integrate into the dividing
target cell genome. Pz-cel is being investigated for its ability to
enable normal Type VII collagen expression and to facilitate wound
healing and pain reduction in even the toughest-to-treat RDEB
wounds after a one-time application procedure. The pivotal Phase 3
VIITAL™ study is a randomized clinical trial that evaluated the
efficacy, safety and tolerability of pz-cel in 43 large chronic
wound pairs in 11 subjects with RDEB. Pz-cel has been granted
Regenerative Medicine Advanced Therapy, Breakthrough Therapy,
Orphan Drug and Rare Pediatric Disease designations by the U.S.
FDA. Abeona produces pz-cel for the VIITAL™ study at its fully
integrated gene and cell therapy manufacturing facility in
Cleveland, Ohio.
About Abeona Therapeutics
Abeona Therapeutics Inc. is a clinical-stage biopharmaceutical
company developing cell and gene therapies for serious diseases.
Prademagene zamikeracel (pz-cel) is Abeona’s investigational
autologous cell-based gene therapy currently in development for
recessive dystrophic epidermolysis bullosa. The Company’s fully
integrated cell and gene therapy cGMP manufacturing facility served
as the manufacturing site for pz-cel used in its Phase 3 VIITAL™
trial, and is capable of supporting commercial production of pz-cel
upon FDA approval. The Company’s development portfolio also
features AAV-based gene therapies for ophthalmic diseases with high
unmet medical need. Abeona’s novel, next-generation AAV capsids are
being evaluated to improve tropism profiles for a variety of
devastating diseases. For more information, visit
www.abeonatherapeutics.com.
Forward-Looking Statements This
press release contains certain statements that are forward-looking
within the meaning of Section 27A of the Securities Act of 1933, as
amended, and Section 21E of the Securities Exchange Act of 1934, as
amended, and that involve risks and uncertainties. We have
attempted to identify forward-looking statements by such
terminology as “may,” “will,” “believe,” “anticipate,” “expect,”
“intend,” “potential,” and similar words and expressions (as well
as other words or expressions referencing future events, conditions
or circumstances), which constitute and are intended to identify
forward-looking statements. Actual results may differ materially
from those indicated by such forward-looking statements as a result
of various important factors, numerous risks and uncertainties,
including but not limited to, the timing and results of ongoing
testing and other corrective actions being performed in response to
the FDA’s identified deficiencies, which could delay the Company’s
BLA resubmission; the timing and outcome of the FDA’s review of our
resubmission; the FDA’s grant of a Priority Review Voucher upon
approval; continued interest in our rare disease portfolio; our
ability to enroll patients in clinical trials; the outcome of
future meetings with the FDA or other regulatory agencies,
including those relating to preclinical programs; the ability to
achieve or obtain necessary regulatory approvals; the impact of any
changes in the financial markets and global economic conditions;
risks associated with data analysis and reporting; and other risks
disclosed in the Company’s most recent Annual Report on Form 10-K
and subsequent periodic reports filed with the Securities and
Exchange Commission. The Company undertakes no obligation to revise
the forward-looking statements or to update them to reflect events
or circumstances occurring after the date of this press release,
whether as a result of new information, future developments or
otherwise, except as required by the federal securities laws.
Investor and Media Contact:Greg
GinVP, Investor Relations and Corporate CommunicationsAbeona
Therapeuticsir@abeonatherapeutics.com
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