FDA Accepts Resubmission of New Drug Application for RAYALDEE®

OPKO Health (Ireland)

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April 27, 2016 12:43pm EDT

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MIAMI--(BUSINESS WIRE)--

OPKO Health, Inc. (NYSE: OPK )

today announced the U.S. Food and Drug Administration (FDA) has accepted

OPKO’s resubmission on April 22, 2016 of the New Drug Application (NDA)

for RAYALDEE ® (calcifediol) for the treatment of secondary

hyperparathyroidism (SHPT) in patients with stage 3 or 4 chronic kidney

disease (CKD) and vitamin D insufficiency.

OPKO resubmitted the NDA following receipt of a complete response letter

(CRL) from the FDA on March 29, 2016, in which the FDA indicated the NDA

could not be approved due to deficiencies observed during a facility

inspection of OPKO’s third party manufacturer. The observations were not

specific to RAYALDEE manufacturing, and the CRL did not cite any safety,

efficacy or labeling issues with regard to RAYALDEE, nor did it request

any additional studies to be conducted prior to FDA approval.

A six month review period has been assigned for the resubmitted NDA, and

the new Prescription Drug User Fee Act (PDUFA) date will be October 22,

2016.

"We have worked closely with our third party manufacturer to ensure the

FDA’s inspection observations are promptly and fully addressed, and we

believe that our resubmission reflects OPKO’s strong commitment to

providing a new treatment for SHPT in CKD patients as soon as possible,”

stated Phillip Frost, M.D., Chairman and CEO of OPKO. “If approved,

RAYALDEE will be the first drug approved for this important indication.”

About RAYALDEE

RAYALDEE (calcifediol) extended-release capsules are pending approval by

the U.S. Food and Drug Administration (FDA) for the treatment of SHPT in

adult patients with stage 3 or 4 CKD and vitamin D insufficiency.

RAYALDEE has a proprietary formulation designed to raise serum total

25-hydroxyvitamin D (prohormone) concentrations to targeted levels (at

least 30 ng/mL) and to reduce elevated intact parathyroid hormone

(iPTH). RAYALDEE is presently expected to be launched in the U.S. by

OPKO's dedicated sales force in 4Q 2016.

About Chronic Kidney Disease

CKD is a condition characterized by a progressive decline in kidney

function. The kidney is normally responsible for excreting waste and

excess water from the body, and for regulating various hormones. CKD is

classified in five stages — mild (stage 1) to severe (stage 5) disease —

as measured by the kidney's glomerular filtration rate. According to the

National Kidney Foundation, CKD afflicts over 26 million people in the

U.S., including more than 20 million patients with moderate (stages 3 or

4) and severe (stage 5) forms of CKD. In stage 5 CKD, kidney function is

minimal to absent and patients require regular dialysis or a kidney

transplant for survival.

About Vitamin D Insufficiency

Vitamin D insufficiency is a condition in which the body has low vitamin

D stores, characterized by inadequate blood levels of vitamin D

prohormone, known as 25-hydroxyvitamin D. An estimated 70-90% of CKD

patients have vitamin D insufficiency, which can lead to SHPT and

resultant debilitating bone diseases. Vitamin D insufficiency has been

associated with increased mortality in CKD.

About Secondary Hyperparathyroidism (SHPT)

SHPT is a condition commonly associated with CKD in which the

parathyroid glands secrete excessive amounts of parathyroid hormone

(PTH). SHPT arises as a result of vitamin D insufficiency or impaired

kidney function that prevents sufficient production of vitamin D hormone

to properly regulate calcium and phosphorus metabolism, and PTH

secretion. Prolonged elevation of blood PTH causes excessive calcium and

phosphorus to be released from bone, leading to elevated serum calcium

and phosphorus, softening of the bones (osteomalacia) and calcification

of vascular and renal tissues. SHPT affects 40-60% of patients with

moderate CKD and approximately 90% of patients with severe CKD.

About OPKO Health, Inc.

OPKO Health, Inc. is a diversified healthcare company that seeks to

establish industry-leading positions in large, rapidly growing markets.

Our diagnostics business includes Bio-Reference Laboratories, the

nation's third-largest clinical laboratory with a core genetic testing

business and a 420-person sales force to drive growth and leverage new

products, including the 4Kscore® prostate cancer test and the Claros®1

in-office immunoassay platform. Our pharmaceutical business features

RAYALDEE, a treatment pending FDA approval for SHPT in stage 3-4 CKD

patients with vitamin D insufficiency, and VARUBI™ for

chemotherapy-induced nausea and vomiting (oral formulation approved by

FDA and launched by partner Tesaro, IV formulation in Phase 3). Our

biologics business includes hGH-CTP, a once-weekly human growth hormone

injection (in Phase 3 and partnered with Pfizer), and a long-acting

Factor VIIa drug for hemophilia (entering Phase 2a). We also have

production and distribution assets worldwide, multiple strategic

investments and an active business development strategy. More

information is available at www.opko.com .

This press release contains "forward-looking statements," as that

term is defined under the Private Securities Litigation Reform Act of

1995 (PSLRA), regarding product development efforts and other

non-historical facts about our expectations, beliefs or intentions

regarding our business, technologies and products, financial condition,

strategies or prospects, including statements regarding whether

inspection observations at our third party manufacturer have been fully

addressed, whether RAYALDEE will be approved by the FDA and the timing

thereof, the expected PDUFA date and launch date for RAYALDEE, our

ability to successfully launch and commercialize RAYALDEE, expectations

about RAYALDEE, and that RAYALDEE will effectively control secondary

hyperparathyroidism in patients with stage 3 or 4 chronic kidney disease

by correcting vitamin D insufficiency. Many factors could cause our

actual activities or results to differ materially from the activities

and results anticipated in forward-looking statements. These factors

include those described in our filings with the Securities and Exchange

Commission, as well as risks inherent in funding, developing and

obtaining regulatory approvals of new, commercially-viable and

competitive products and treatments, including the risks that the phase

3 clinical trials for RAYALDEE may not have generated data that would

support the approval or marketing of this product for the indications

being studied, that others may develop products which are superior to

RAYALDEE, and that RAYALDEE may not have advantages or prove to be

superior over presently marketed products, including the currently used

high monthly doses of prescription vitamin D2, activated vitamin D

hormone and over-the-counter vitamin D supplements. In addition,

forward-looking statements may also be adversely affected by general

market factors, competitive product development, product availability,

federal and state regulations and legislation, the regulatory process

for new products and indications, manufacturing issues that may arise,

patent positions and litigation, among other factors. The

forward-looking statements contained in this press release

speak only as of the date the statements were made and we do not

undertake any obligation to update forward-looking statements. We intend

that all forward-looking statements be subject to the safe-harbor

provisions of the PSLRA.

View source version on businesswire.com: http://www.businesswire.com/news/home/20160427006350/en/

OPKO Health, Inc.

Tara Mackay, 305-575-4100

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Source: OPKO Health, Inc.

Released April 27, 2016

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