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FDA Grants Accelerated Approval to Forzinity, First Therapy for Barth Syndrome

The agency based its decision on gains in knee‑extensor strength judged reasonably likely to signal real‑world benefit.

Overview

  • Eligibility covers patients with Barth syndrome who weigh at least 30 kilograms, according to the FDA authorization.
  • Forzinity is a once‑daily subcutaneous injection that binds to the inner part of mitochondria to improve their structure and function.
  • The surrogate endpoint reflects improved strength in the muscle that straightens the knee, which the FDA says may translate into standing more easily or walking farther.
  • Stealth Biotherapeutics must run a post‑market confirmatory trial, and the FDA can seek withdrawal if effectiveness is not verified.
  • Barth syndrome is a rare mitochondrial disorder that primarily affects males, often causing severe heart failure in infancy, with an estimated 230 to 250 identified cases worldwide as of 2020.