2nd FDA Rejection for Apricus ED Drug

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FDA has sent a second complete response letter to Apricus Biosciences on its NDA for Vitaros (alprostadil topical cream) for treating erectile dysfunction. The company says the letter indicates that the agency cannot approve the submission in its present form, identifying deficiencies related to chemistry, manufacturing and controls and certain safety concerns specific to the 2.5% concentration of DDAIP HCl, which is a pharmaceutical ingredient added to topical products to increase penetration through the skin, contained in the current formulation. The company says it is assessing the letter’s content with its regulatory experts, including the information that may be needed to resolve the deficiencies.

The first complete response letter was sent in 2008 and it suggested additional analyses of existing clinical and non-clinical data. Subsequently, an FDA feedback meeting determined that Vitaros, under current regulations, is considered a drug-device combination and, as such, Apricus was advised to meet with the Office of Product Quality to confirm the necessary device engineering and compliance requirements for the NDA resubmission, the company said.

Vitaros contains alprostadil plus a novel excipient. The product delivers rapid onset (generally five to 30 minutes) and treatment duration of about one to two hours, according to the company. Vitaros is intended to provide a first line alternative to oral treatment.

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