Pierre Fabre Pharmaceuticals Responds to FDA's Letter on Tabelecleucel Approval
On January 9, 2026, Pierre Fabre Pharmaceuticals, Inc. faced a major setback when the U.S. Food and Drug Administration (FDA) issued a Complete Response Letter (CRL) regarding their Biologics License Application (BLA) for Tabelecleucel. This communication indicated that the application could not be approved in its current form, leading to disappointment from the company amidst rising healthcare needs.
The CRL was unexpected, particularly as Pierre Fabre had believed they were aligned with the FDA after previous communications. Tabelecleucel is intended for patients suffering from Epstein-Barr virus-positive post-transplant lymphoproliferative disease (EBV+ PTLD), a condition that currently lacks any FDA-approved treatment—leaving patients with dire prognoses, often living with only weeks to months of life expectancy.
In their statement, Pierre Fabre expressed profound surprise at the FDA's decision. The findings in the letter highlighted that, despite resolving a previously identified GMP-related deficiency—elementary conditions outlined in a preceding CRL—the Agency no longer deems the single-arm ALLELE study adequate to support the accelerated approval. This new perspective from the FDA reflects a significant deviation from more than five years of prior consultations.
The company outlined its concerns that this decision could create substantial obstacles to the future of rare disease treatment development, particularly making it more challenging to produce clinical evidence for ultra-rare conditions. The possibility of delaying or completely obstructing patient access to urgently required therapies is alarming, especially for such a vulnerable population.
Pierre Fabre firmly believes Tabelecleucel represents a crucial advancement in treating EBV+ PTLD, asserting that the extensive data backing its efficacy and safety must be recognized. The company plans to engage with the FDA to explore a pathway towards approval, working closely with Atara Biotherapeutics and other clinical partners to pave the way for accelerated access.
Additionally, Pierre Fabre has highlighted that Tabelecleucel has been utilized in real-world conditions in various countries outside the U.S., indicating its clinical value which further supports their call for U.S. approval. They remain dedicated to ensuring the availability of Tabelecleucel to patients in the U.S. through their Expanded Access Program.
Pierre Fabre Pharmaceuticals operates under the parent company Pierre Fabre Laboratories, which has a long-standing history of over seven decades in the healthcare sector. Their mission centers around providing innovative therapies in oncology and rare conditions, focusing on high unmet needs and limited options for patients.
With therapies currently in the pipeline for several conditions, including EBV+ PTLD and other rare diseases, the commitment of Pierre Fabre to improving patient access is paramount. The company aspires to maintain a robust conversation with health authorities to navigate the complexities surrounding drug development, ensuring that patient perspectives and needs are always at the forefront of their initiatives.
For those seeking further information about their initiatives and progress, detailed insights can be found on the
Pierre Fabre Pharmaceuticals website, which showcases their commitment to innovative healthcare solutions and philanthropy in improving patient outcomes uniformly across the globe.