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[8-K] Akebia Therapeutics, Inc. Reports Material Event

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Akebia Therapeutics (AKBA) announced a strategic setback. After meeting with the U.S. Food and Drug Administration, the company did not reach alignment on the design of the VALOR clinical trial evaluating vadadustat for anemia in late-stage chronic kidney disease patients not on dialysis. As a result, Akebia does not plan to initiate VALOR and does not expect to pursue a broad U.S. label for Vafseo in non-dialysis dependent CKD.

This decision narrows the company’s near-term U.S. regulatory path for vadadustat in the non-dialysis setting and shifts focus away from a broad label expansion. The disclosure was made under Regulation FD and as an Other Event, highlighting its significance to the company’s clinical and commercial strategy.

Akebia Therapeutics (AKBA) ha annunciato un passo indietro strategico. Dopo un incontro con la Food and Drug Administration statunitense, l'azienda non ha raggiunto un allineamento sul disegno dello studio VALOR che valuta vadadustat per l'anemia in pazienti con malattia renale cronica in stadio avanzato non in dialisi. Di conseguenza, Akebia non intende avviare VALOR e non si aspetta di perseguire un'etichetta ampia negli Stati Uniti per Vafseo in CKD non dipendente dalla dialisi.

Questa decisione restringe il percorso regolatorio statunitense a breve termine per vadadustat nel contesto non dialitico e sposta l'attenzione dall'espansione di un'etichetta ampia. La divulgazione è stata fatta ai sensi del Regulation FD e come Altro Evento, evidenziando la sua importanza per la strategia clinica e commerciale dell'azienda.

Akebia Therapeutics (AKBA) anunció un revés estratégico. Tras reunirse con la Administración de Alimentos y Medicamentos de EE. UU., la empresa no alcanzó un acuerdo sobre el diseño del ensayo VALOR que evalúa vadadustat para la anemia en pacientes con enfermedad renal crónica en estadio avanzado que no están en diálisis. Como resultado, Akebia no tiene previsto iniciar VALOR y no espera perseguir una etiqueta amplia de Vafseo en EE. UU. para CKD no dependiente de diálisis.

Esta decisión reduce el camino regulatorio estadounidense a corto plazo para vadadustat en el entorno no dialítico y desvía el enfoque de una expansión amplia de la etiqueta. La divulgación se realizó en virtud del Regulation FD y como Other Event, destacando su importancia para la estrategia clínica y comercial de la empresa.

Akebia Therapeutics (AKBA) 가 전략적 차질을 발표했습니다. 미국 식품의약국(FDA)와의 회의 후, 회사는 말라질 베다수다트의 VALOR 임상시험 설계에 합의를 이루지 못했습니다. 말초신부전증 환자 중 말기에서 투석을 받지 않는 경우의 빈혈 평가를 위한 VALOR의 설계에 합의하지 못했습니다. 결과적으로 Akebia는 VALOR를 시작할 계획이 없으며 투석 여부에 관계없는 CKD에서 Vafseo에 대한 광범위한 미국 처방전을 추구할 것으로 기대하지 않습니다.

이 결정은 투석이 필요하지 않은 CKD 설정에서 Vadadustat에 대한 단기간 미국 규제 경로를 축소하고 광범위한 라벨 확장에서 벗어나려는 초점을 이동시킵니다. Regulation FD에 따라 공개되었으며 Other Event로 회사의 임상 및 상업 전략에 대한 중요성을 강조합니다.

Akebia Therapeutics (AKBA) a annoncé un revers stratégique. Après une réunion avec la Food and Drug Administration américaine, la société n’a pas obtenu d’accord sur le design de l’essai VALOR évaluant le vadadustat pour l’anémie chez les patients atteints d’une maladie rénale chronique avancée ne recevant pas de dialyse. En conséquence, Akebia ne prévoit pas lancer VALOR et ne s’attend pas à poursuivre une étiquette large pour Vafseo dans les États-Unis pour une MRC non dépendante de la dialyse.

Cette décision restreint le parcours réglementaire américain à court terme pour le vadadustat dans le cadre non dialysis et déplace l’accent loin d’une expansion large de l’étiquette. La divulgation a été faite en vertu du Regulation FD et comme un Autre Événement, soulignant son importance pour la stratégie clinique et commerciale de l’entreprise.

Akebia Therapeutics (AKBA) meldete einen strategischen Rückschlag. Nach einem Treffen mit der US-amerikanischen Food and Drug Administration konnte sich das Unternehmen nicht über das Design der VALOR-Studie einigen, die Vadadustat zur Behandlung von Anämie bei fortgeschrittener CKD-Patienten, die nicht dialysepflichtig sind, bewertet. Infolgedessen plant Akebia nicht, VALOR zu initiieren und erwartet nicht, eine breite US-Markeneinführung für Vafseo bei CKD ohne Dialyse abzuschließen.

Diese Entscheidung verengt den kurzfristigen US-regulatorischen Weg für Vadadustat im nicht-dialyseabhängigen CKD-Bereich und verlagert den Fokus von einer breiten Label-Erweiterung. Die Offenlegung erfolgte gemäß Regulation FD und als Other Event, wodurch ihre Bedeutung für die klinische und kommerzielle Strategie des Unternehmens hervorgehoben wird.

أكيبيا ثيرابيوتيكس (AKBA) أعلنت عن انتكاسة استراتيجية. بعد اجتماع مع إدارة الغذاء والدواء الأمريكية، لم تتمكن الشركة من التوصل إلى اتفاق بشأن تصميم تجربة VALOR التي تقييم vadadustat لعلاج فقر الدم لدى مرضى مرض الكلى المزمن في مراحله المتقدمة غير الذين يخضعون للغسيل الكلوي. ونتيجة لذلك، لا تخطط Akebia لبدء VALOR ولا تتوقع متابعة علامة تجارية أمريكية واسعة لـ Vafseo في CKD غير المعتمدة على الغسيل الكلوي.

هذه القرار يضيق مسار التنظيم الأمريكي القريب الأجل لـ vadadustat في الإعداد غير المعتمد على الغسيل الكلوي ويحرف التركيز عن توسيع العلامة إلى نطاق واسع. تم الكشف عن ذلك بموجب Regulation FD وكحدث آخر، مما يبرز أهميته لاستراتيجية الشركة السريرية والتجارية.

Positive
  • None.
Negative
  • No VALOR initiation; no broad U.S. label pursuit for Vafseo in CKD non-dialysis, following lack of FDA alignment on trial design.

Insights

Akebia will not pursue a broad U.S. Vafseo label after FDA misalignment.

Akebia reports it failed to reach alignment with the FDA on the VALOR trial design for vadadustat in late-stage CKD patients not on dialysis. Without agreement, the company will not initiate VALOR, removing the pathway it had identified to seek a broad U.S. label for Vafseo in the non-dialysis population.

Commercially, the absence of a broad non-dialysis label limits the U.S. addressable market for Vafseo versus prior expectations. The update is positioned as a regulatory and strategic shift, not an operational delay, and it directly affects potential label expansion.

Key dependencies now center on any remaining approved indications or geographies not referenced here and future regulatory interactions. Subsequent disclosures may clarify revised development priorities and any alternative pathways.

Akebia Therapeutics (AKBA) ha annunciato un passo indietro strategico. Dopo un incontro con la Food and Drug Administration statunitense, l'azienda non ha raggiunto un allineamento sul disegno dello studio VALOR che valuta vadadustat per l'anemia in pazienti con malattia renale cronica in stadio avanzato non in dialisi. Di conseguenza, Akebia non intende avviare VALOR e non si aspetta di perseguire un'etichetta ampia negli Stati Uniti per Vafseo in CKD non dipendente dalla dialisi.

Questa decisione restringe il percorso regolatorio statunitense a breve termine per vadadustat nel contesto non dialitico e sposta l'attenzione dall'espansione di un'etichetta ampia. La divulgazione è stata fatta ai sensi del Regulation FD e come Altro Evento, evidenziando la sua importanza per la strategia clinica e commerciale dell'azienda.

Akebia Therapeutics (AKBA) anunció un revés estratégico. Tras reunirse con la Administración de Alimentos y Medicamentos de EE. UU., la empresa no alcanzó un acuerdo sobre el diseño del ensayo VALOR que evalúa vadadustat para la anemia en pacientes con enfermedad renal crónica en estadio avanzado que no están en diálisis. Como resultado, Akebia no tiene previsto iniciar VALOR y no espera perseguir una etiqueta amplia de Vafseo en EE. UU. para CKD no dependiente de diálisis.

Esta decisión reduce el camino regulatorio estadounidense a corto plazo para vadadustat en el entorno no dialítico y desvía el enfoque de una expansión amplia de la etiqueta. La divulgación se realizó en virtud del Regulation FD y como Other Event, destacando su importancia para la estrategia clínica y comercial de la empresa.

Akebia Therapeutics (AKBA) 가 전략적 차질을 발표했습니다. 미국 식품의약국(FDA)와의 회의 후, 회사는 말라질 베다수다트의 VALOR 임상시험 설계에 합의를 이루지 못했습니다. 말초신부전증 환자 중 말기에서 투석을 받지 않는 경우의 빈혈 평가를 위한 VALOR의 설계에 합의하지 못했습니다. 결과적으로 Akebia는 VALOR를 시작할 계획이 없으며 투석 여부에 관계없는 CKD에서 Vafseo에 대한 광범위한 미국 처방전을 추구할 것으로 기대하지 않습니다.

이 결정은 투석이 필요하지 않은 CKD 설정에서 Vadadustat에 대한 단기간 미국 규제 경로를 축소하고 광범위한 라벨 확장에서 벗어나려는 초점을 이동시킵니다. Regulation FD에 따라 공개되었으며 Other Event로 회사의 임상 및 상업 전략에 대한 중요성을 강조합니다.

Akebia Therapeutics (AKBA) a annoncé un revers stratégique. Après une réunion avec la Food and Drug Administration américaine, la société n’a pas obtenu d’accord sur le design de l’essai VALOR évaluant le vadadustat pour l’anémie chez les patients atteints d’une maladie rénale chronique avancée ne recevant pas de dialyse. En conséquence, Akebia ne prévoit pas lancer VALOR et ne s’attend pas à poursuivre une étiquette large pour Vafseo dans les États-Unis pour une MRC non dépendante de la dialyse.

Cette décision restreint le parcours réglementaire américain à court terme pour le vadadustat dans le cadre non dialysis et déplace l’accent loin d’une expansion large de l’étiquette. La divulgation a été faite en vertu du Regulation FD et comme un Autre Événement, soulignant son importance pour la stratégie clinique et commerciale de l’entreprise.

Akebia Therapeutics (AKBA) meldete einen strategischen Rückschlag. Nach einem Treffen mit der US-amerikanischen Food and Drug Administration konnte sich das Unternehmen nicht über das Design der VALOR-Studie einigen, die Vadadustat zur Behandlung von Anämie bei fortgeschrittener CKD-Patienten, die nicht dialysepflichtig sind, bewertet. Infolgedessen plant Akebia nicht, VALOR zu initiieren und erwartet nicht, eine breite US-Markeneinführung für Vafseo bei CKD ohne Dialyse abzuschließen.

Diese Entscheidung verengt den kurzfristigen US-regulatorischen Weg für Vadadustat im nicht-dialyseabhängigen CKD-Bereich und verlagert den Fokus von einer breiten Label-Erweiterung. Die Offenlegung erfolgte gemäß Regulation FD und als Other Event, wodurch ihre Bedeutung für die klinische und kommerzielle Strategie des Unternehmens hervorgehoben wird.

أكيبيا ثيرابيوتيكس (AKBA) أعلنت عن انتكاسة استراتيجية. بعد اجتماع مع إدارة الغذاء والدواء الأمريكية، لم تتمكن الشركة من التوصل إلى اتفاق بشأن تصميم تجربة VALOR التي تقييم vadadustat لعلاج فقر الدم لدى مرضى مرض الكلى المزمن في مراحله المتقدمة غير الذين يخضعون للغسيل الكلوي. ونتيجة لذلك، لا تخطط Akebia لبدء VALOR ولا تتوقع متابعة علامة تجارية أمريكية واسعة لـ Vafseo في CKD غير المعتمدة على الغسيل الكلوي.

هذه القرار يضيق مسار التنظيم الأمريكي القريب الأجل لـ vadadustat في الإعداد غير المعتمد على الغسيل الكلوي ويحرف التركيز عن توسيع العلامة إلى نطاق واسع. تم الكشف عن ذلك بموجب Regulation FD وكحدث آخر، مما يبرز أهميته لاستراتيجية الشركة السريرية والتجارية.

Akebia Therapeutics (AKBA) 宣布了一项战略性挫折。 在与美国食品药品监督管理局会谈后,该公司未能就 VALOR 临床试验的设计达成一致,该试验评估 vadadustat 在晚期慢性肾病非透析患者的贫血治疗。因此,Akebia 不计划启动 VALOR,也不指望在美国就 Vafseo 在非透析依赖的 CKD 上寻求广泛适应症标签。

此决定缩短了 vadadustat 在非透析环境中的近期美国监管路径,并将重点从广泛标签扩张转移开。此披露是在 Regulation FD 下及作为 Other Event 进行,强调了其对公司临床和商业策略的重要性。

0001517022FALSE00015170222025-10-282025-10-28

UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
_____________________

FORM 8-K
_____________________
CURRENT REPORT
PURSUANT TO SECTION 13 OR 15(D)
OF THE SECURITIES EXCHANGE ACT OF 1934
Date of Report (Date of earliest event reported): October 28, 2025
_____________________

AKEBIA THERAPEUTICS, INC.
(Exact name of registrant as specified in its charter)
_____________________
Delaware 001-36352 20-8756903
(State or other jurisdiction
of incorporation)
 (Commission
File Number)
 (IRS Employer
Identification No.)
245 First Street
Cambridge, Massachusetts
 02142
(Address of principal executive offices) (Zip Code)
Registrant’s telephone number, including area code: (617) 871-2098
N/A
(Former name or former address, if changed since last report)
_____________________
Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:
 Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)
 Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)
 Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))
 Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))
Securities registered pursuant to Section 12(b) of the Act:
Title of each class Trading
symbol(s)
 Name of each exchange
on which registered
Common Stock, par value $0.00001 per share AKBA 
The Nasdaq Capital Market
Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933 (§ 230.405 of this chapter) or Rule 12b-2 of the Securities Exchange Act of 1934 (§ 240.12b-2 of this chapter).
Emerging growth company
If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ☐





Item 7.01.    Regulation FD Disclosure.

On October 28, 2025, Akebia Therapeutics, Inc. (the “Company”) issued a press release announcing that after meeting with the U.S. Food and Drug Administration (“FDA”), it has not come to alignment on a path forward for the design of the VALOR clinical trial for the use of vadadustat to treat anemia in patients with late-stage chronic kidney disease (“CKD”) not on dialysis. As a result, the Company does not plan to initiate VALOR and therefore does not expect to pursue a broad label for Vafseo for CKD non-dialysis dependent patients.

A copy of the Company’s press release containing this information is attached as Exhibit 99.1 to this Current Report on Form 8-K (“Report”) and is incorporated herein by reference.

The information in Item 7.01 of this Report (including Exhibit 99.1) shall not be deemed “filed” for purposes of Section 18 of the Securities Exchange Act of 1934, as amended (the “Exchange Act”), or otherwise subject to the liabilities of that section, nor shall it be deemed incorporated by reference in any filing under the Exchange Act or the Securities Act of 1933, as amended, except as expressly set forth by specific reference in such a filing.

Item 8.01.    Other Events.

On October 28, 2025, the Company announced that after meeting with the FDA, it has not come to alignment on a path forward for the design of the VALOR clinical trial for the use of vadadustat to treat anemia in patients with late-stage CKD not on dialysis. As a result, the Company does not plan to initiate VALOR and therefore does not expect to pursue a broad label for Vafseo for CKD non-dialysis dependent patients.

Item 9.01. Financial Statements and Exhibits.

(d) Exhibits
Exhibit No.
Description
99.1
Press Release, dated October 28, 2025, issued by Akebia Therapeutics, Inc.
104
Cover Page Interactive Data File (embedded within the Inline XBRL document)
Cautionary Note Regarding Forward-Looking Statements

This Report contains forward-looking statements of the Company that involve substantial risks and uncertainties. All statements, other than statements of historical facts, contained in this Report are forward-looking statements. The words “anticipate,” “believe,” “build,” “can,” “contemplate,” “continue,” “could,” “should,” “designed,” “estimate,” “project,” “expect,” “forecast,” “future,” “goal,” “intend,” “likely,” “may,” “plan,” “possible,” “potential,” “predict,” “strategy,” “seek,” “target,” “will,” “would,” derivatives of these words, and similar references are intended to identify forward-looking statements, although not all forward-looking statements contain these identifying words. These forward-looking statements include, among others, statements relating to the Company’s plans to not initiate the VALOR clinical trial and that the Company therefore does not expect to pursue a broad label for Vafseo for CKD non-dialysis dependent patients. Actual results may differ materially from those projected or implied in these forward-looking statements. You should not place undue reliance on these forward-looking statements. Certain risks and uncertainties relating to the Company and its business can be found under the caption “Risk Factors” included in the Company’s Quarterly Report on Form 10-Q for the quarter ended June 30, 2025, and other filings that the Company may make with the U.S. Securities and Exchange Commission in the future. Any forward-looking statements contained in this Report (except as otherwise noted) speak only as of the date hereof, and, except as required by law, the Company does not undertake, and specifically disclaims, any obligation to update any forward-looking statements contained in this Report.



SIGNATURE
Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.
AKEBIA THERAPEUTICS, INC.
Date: October 28, 2025
By: /s/ John P. Butler
Name: John P. Butler
Title: President and Chief Executive Officer


FAQ

What did Akebia Therapeutics (AKBA) announce?

Akebia said it did not reach alignment with the FDA on the VALOR trial design for vadadustat in late-stage CKD not on dialysis and will not initiate the trial.

How does this affect Vafseo’s U.S. label strategy for AKBA?

Akebia does not expect to pursue a broad label for Vafseo for CKD non-dialysis dependent patients.

What is VALOR in the context of Akebia’s pipeline?

VALOR is a planned clinical trial intended to support vadadustat use in anemia for late-stage CKD patients not on dialysis.

Did the FDA reject vadadustat or Vafseo in this update?

The update states the parties did not reach alignment on VALOR trial design; it does not state a rejection decision.

Is this disclosure considered filed or furnished?

Information under Item 7.01 (including the press release) is furnished and not deemed filed under Section 18 of the Exchange Act.

Where can I find more details from Akebia?

A press release dated October 28, 2025 is attached as Exhibit 99.1 and incorporated by reference.
Akebia Therapeut

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