FDA Issues CRL for Orviglance NDA - Report - MDSpire

FDA Issues CRL for Orviglance NDA

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  • Kathryn Wighton

  • July 6, 2026

  • 2 min

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Clinical Report: FDA Issues CRL for Orviglance NDA

Overview

The FDA has issued a Complete Response Letter for Ascelia Pharma's New Drug Application for Orviglance, indicating that the application cannot be approved in its current form. The FDA has requested additional clinical data and product documentation.

Background

Orviglance is an investigational oral MRI contrast agent aimed at improving the detection of focal liver lesions in patients with severe kidney impairment, where traditional gadolinium-based contrast agents may pose risks.

Data Highlights

No numerical data provided in the source material.

Key Findings

  • The FDA issued a Complete Response Letter for Orviglance's NDA, requesting additional data.
  • Ascelia Pharma plans to request a Type A meeting with the FDA for clarification.
  • Orviglance is designed for patients with severe kidney impairment requiring contrast-enhanced liver MRI.
  • The pivotal Phase 3 SPARKLE study met its primary endpoint, showing improved visualization of liver lesions.
  • The NDA was based on a development program that included nine clinical studies with positive efficacy and safety results.

Clinical Implications

Clinicians should remain informed about the status of this investigational agent.

Conclusion

The issuance of the Complete Response Letter reflects the regulatory process involved in the approval of new diagnostic agents.

Related Resources & Content

  1. Ascelia Pharma, Orviglance, 2026 -- FDA Issues CRL for Orviglance NDA
  2. Ophthalmology Management, 2026 -- FDA Issues CRL for Outlooks Resubmitted ONS5010 BLA
  3. Retinal Physician, 2022 -- SUBSPECIALTY NEWS: FDA approves Cimerli, GATHER2 GA trial meets primary endpoint, and more.
  4. Ophthalmology Management, 2026 -- FDA Accepts Outlooks Resubmitted BLA for ONS5010 for Wet AMD
  5. Ophthalmology Management — The Latest News in Ophthalmology
  6. Orviglance® – ASCELIA
  7. https://edge.sitecorecloud.io/americancoldf5f-acrorgf92a-productioncb02-3650/media/ACR/Files/Clinical/Contrast-Manual/ACR-Manual-on-Contrast-Media.pdf
  8. AASLD Practice Guidance on prevention, diagnosis, and treatment of hepatocellular carcinoma - PMC
  9. https://open.fda.gov/apis/transparency/completeresponseletters/

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