FDA Expands Takeda’s Vonvendi Approval to Broader Range of von Willebrand Disease Patients

FDA Expands Takeda’s Vonvendi Approval to Broader Range of von Willebrand Disease Patients

Takeda announced that the US Food and Drug Administration (FDA) has approved the supplemental Biologics License Application (sBLA) for Vonvendi [von Willebrand factor (Recombinant)], expanding its indications.

Expanded Indications

Vonvendi is now approved for:

  • Adults with VWD (Type 1, 2, and severe Type 3) → routine prophylaxis to reduce the frequency of bleeding episodes.
  • Paediatric patients with VWD → on-demand treatment and perioperative management of bleeding.

This makes Vonvendi the only recombinant von Willebrand Factor (VWF) therapy approved for both adults and children.

Background on Vonvendi

  • Previously approved for:
    - On-demand and perioperative use in adults with VWD.
    - Routine prophylaxis in severe Type 3 adult patients.
  • Unique features:
    - Infused replacement therapy for missing or dysfunctional VWF.
    - Long half-life: 22.6 hours in adults, 14.3 hours in children.
  • Clinical data: Most bleeds in trials were treated with a single infusion, adults (157/192) and children (80/104).

Clinical Significance

VWD (von Willebrand Disease):

  • The most common inherited bleeding disorder, affecting >3 million people in the US.
  • Caused by low or dysfunctional VWF.
  • Leads to life-threatening bleeds, heavy menstrual bleeding, prolonged nosebleeds, GI bleeds, complications after surgery, and childbirth risks.

Jonathan C. Roberts, MD, Bleeding and Clotting Disorders Institute:

“Prophylaxis as the standard of care for all adults with VWD is a significant step forward, reducing spontaneous and joint bleeds and easing daily burdens.”

Data Supporting Approval

FDA’s decision was based on results from:

  • Phase 3 trial in adults with VWD (NCT02973087)
  • Phase 3 trial in children with VWD (NCT02932618)
  • Phase 3b continuation study in adults & children (NCT03879135)
  • Supported by real-world evidence.

Corporate Commentary

Cheryl Schwartz, SVP, Takeda US Rare Disease Business Unit:

“Vonvendi’s expanded use will help more patients — both adults and children — manage bleeding risk, reinforcing Takeda’s long-standing commitment to the blood and bleeding disorders community.”

Next Steps

  • Takeda has filed for approvals in Japan (paediatric on-demand & perioperative use) and in the EU (Veyvondi for paediatric on-demand use).

About Takeda

Takeda is an independent, global pharmaceutical company focused on rare diseases, oncology, neuroscience, vaccines, plasma-derived therapies, and GI & inflammation. The company’s purpose is to deliver life-transforming treatments while advancing global health and sustainability.

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