Evoke Pharma Gets ‘Complete Response’ on Gimoti

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FDA has issued Evoke Pharma a complete response letter on its 505(b)(2) NDA for Gimoti (metoclopramide) nasal spray for the relief of symptoms associated with acute and recurrent diabetic gastroparesis. The letter cites fewer issues than a company-received multidisciplinary review letter, Evoke says. It states that two remaining approvability issues must be resolved:  clinical pharmacology and product quality/device quality. The agency did not request any new clinical data and did not raise any safety concerns, according to the company.

 

“The clinical pharmacology issue was specific to a low Cmax in subjects representing less than 5% of the total administered Gimoti doses in the pivotal pharmacokinetic (PK) study,” the company says. “The agency recommended a root cause analysis to determine the origin of the PK variability and mitigation strategies to address the issue. Additionally, FDA requested data from previously planned registration batches of commercial product to be manufactured by the company. These data were requested to provide additional support for the proposed acceptance criteria for droplet size distribution after actuation of the sprayer device.”

 

Gastroparesis is a debilitating, episodic condition that disproportionately affects adult women and is characterized by slow or delayed gastric emptying of the stomach’s contents after meals, often resulting in flares of symptoms that include nausea, vomiting, abdominal pain and bloating.

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