Amneal Files NDA for Parkinson’s Drug

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Amneal Pharmaceuticals has submitted an NDA for IPX203, a company-described novel formulation of carbidopa/levodopa (CD/LD) extended-release capsules for treating Parkinson’s disease (PD). The submission is based on data from the pivotal Phase 3 RISE-PD clinical trial that Amneal says demonstrated more “good on” time compared to immediate-release CD/LD, “even when IPX203 was dosed on average three times per day and immediate-release CD/LD was dosed on average five times per day. The trial also showed that subjects on IPX203 demonstrated significantly less ‘off’ time compared with immediate-release CD/LD.”

“‘On’” time refers to periods when Parkinson’s symptoms are better controlled, and patients can move and function better,” Amneal says. “Extending ‘good on’ time and reducing ‘off’ time are often key goals for patients, caregivers and healthcare providers as this can provide more consistent symptom control throughout the day,” it adds.

Amneal says IPX203 contains immediate-release granules and extended-release coated beads. “The IR granules consist of CD and LD, with a disintegrant polymer to allow for rapid dissolution,” it explains. “The ER beads consist of LD, coated with a sustained release polymer to allow for slow release of the drug, a mucoadhesive polymer to keep the granules adhered to the area of absorption longer, and an enteric coating to prevent the beads from disintegrating prematurely in the stomach. This formulation is distinct from Rytary (carbidopa/levodopa) extended-release capsules, Amneal’s extended-release CD/LD treatment for PD approved by the FDA in 2015.”

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