Regulatory & Policy

Calico Life Sciences' ABBV-CLS-628 secures US FDA Fast Track designation for ADPKD treatment

Calico Life Sciences LLC, a biotechnology company founded by Alphabet Inc., [announced](https://www.prnewswire.com/news-releases/calico-life-sciences-announces-us-fda-fast-track-designation-for-investigational-treatment-of-autosomal-dominant-polycystic-kidney-disease-302573172.html) on October 2, 2025 that the U.S. Food and Drug Administration (FDA) has granted Fast Track Designation to ABBV-CLS-6

Calico Life Sciences Receives FDA Fast Track Designation for ADPKD Treatment

Calico Life Sciences LLC, a biotechnology company founded by Alphabet Inc., announced on October 2, 2025 that the U.S. Food and Drug Administration (FDA) has granted Fast Track Designation to ABBV-CLS-628, an investigational therapy targeting autosomal dominant polycystic kidney disease (ADPKD).

Disease Background

ADPKD is the most common inherited kidney disorder worldwide. The progressive genetic condition is characterized by fluid-filled cyst development in both kidneys, ultimately leading to kidney failure in more than 50% of patients by age 60. Currently, patients have limited treatment options, with dialysis or kidney transplantation being the primary interventions once kidney function significantly declines.

Drug Mechanism and Development

ABBV-CLS-628 is a human monoclonal antibody designed to inhibit pregnancy-associated plasma protein-A (PAPP-A) activity. Developed through a collaboration between Calico and AbbVie Inc., the investigational therapy aims to slow kidney function decline in patients with high-risk ADPKD progression.

Clinical Development Status

The drug is currently in a Phase 2 clinical trial (NCT06902558) enrolling approximately 95 sites globally. Key trial details include:

  • Intravenous administration every 4 weeks
  • 92-week treatment duration
  • Safety and efficacy evaluation
  • Participants receiving either ABBV-CLS-628 or placebo

A previous Phase 1 study in healthy volunteers demonstrated the drug's safety and tolerability, with no significant adverse events reported.

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Regulatory Context

Fast Track Designation represents an FDA mechanism to expedite development and review of therapies addressing serious conditions with unmet medical needs. This status provides increased FDA communication and potential for accelerated approval pathways.

Leadership Perspective

Arthur D. Levinson, Calico's CEO, emphasized the significance of the designation, noting the substantial unmet need in the ADPKD community and the potential for ABBV-CLS-628 to provide meaningful treatment options.

Broader Implications

The Fast Track Designation highlights the ongoing research into novel approaches for managing genetic kidney disorders. By targeting PAPP-A, Calico is exploring a potentially innovative mechanism to slow disease progression.

Calico continues to advance its research, with this designation representing a promising step in developing targeted therapies for complex genetic conditions.


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