Complete Response Letter to Actelion for Opsumit sNDA

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FDA has issued Johnson & Johnson's Actelion Pharmaceuticals a complete response letter for its supplemental NDA for Opsumit (macitentan) for treating adults with inoperable chronic thromboembolic pulmonary hypertension (CTEPH) to improve pulmonary vascular resistance (PVR) and exercise capacity. The agency said that additional data are needed to evaluate the use of OPSUMIT in treating CTEPH.

 

Actelion says the proposed new indication is based on investigational data from MERIT-1 (Macitentan for the treatment of inoperable chronic thromboembolic pulmonary hypertension), a Phase 2 study to assess the efficacy, safety and tolerability of macitentan 10 mg in patients with inoperable CTEPH (WHO Group 4).

 

Opsumit is an orally active endothelin receptor antagonist currently approved in the U.S. for treating pulmonary arterial hypertension to reduce the risks of disease progression and hospitalization. For all female patients, the therapy is available only through a restricted program called the OPSUMIT Risk Evaluation and Mitigation Strategy, which is related to a Boxed Warning for embryo-fetal toxicity.

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