Brilinta sNDA Accepted for Reducing Strokes

FDA has accepted for priority review an AstraZeneca supplemental NDA for Brilinta (ticagrelor) for reducing subsequent strokes in patients who experienced an acute ischemic stroke or transient ischemic attack. The user fee review action is expected in the fourth quarter. The submission is based on results from the Phase 3 THALES trial, which showed aspirin plus Brilinta 90mg used twice daily for 30 days resulted in a statistically significant and clinically meaningful reduction in the risk of stroke and death, compared to aspirin alone. Brilinta was originally approved for preventing atherothrombotic events in adult patients with acute coronary syndrome. In May, FDA approved a label update to include reducing the risk of a first heart attack or stroke in high-risk patients with coronary artery disease.

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