FDA Rejects Applied Therapeutics' Govorestat for Galactosemia, Causing Stock Collapse, Plans for SORD Deficiency Approval Continue

The FDA has denied approval of Applied Therapeutics' govorestat, a treatment designed for classic galactosemia, citing deficiencies in the clinical application[1][2]. This decision came after the drug failed to meet its primary efficacy endpoint in a Phase III trial, despite showing some post-hoc benefits[1][3]. As a result of the rejection, the company's stock dropped significantly, alongside plans to meet with the FDA to discuss the potential for resubmission or appeal[1][2]. Despite this setback, Applied remains committed to continuing the development of govorestat for another rare condition, SORD deficiency, with regulatory filings anticipated in early 2025[1][2].
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What specific deficiencies did the FDA cite in the clinical application of govorestat for galactosemia?
How does Applied Therapeutics plan to address the FDA's concerns to potentially secure future approval for govorestat?
What are the primary causes of the dramatic stock drop for Applied Therapeutics following the FDA denial?
How does the mechanism of govorestat work for treating SORD deficiency compared to galactosemia?
What are the potential implications for biotech companies developing treatments for rare diseases following Applied Therapeutics' experience with the FDA?