Eyenovia ‘Complete Response’ Related to Genus Decision
Eyenovia has received a complete response letter on its NDA for MydCombi (tropicamide and phenylephrine), indicated for in-office pupil dilation, because the agency had reclassified the drug as a drug-device combination product. The reclassification was prompted by FDA’s recent court loss (see earlier story) in Genus Medical Technologies, LLC v. FDA., according to the company.
In August, FDA announced it was implementing an appeals court decision affirming a district court ruling that it is not afforded discretion when a combination product meets the definition of both a device and a drug. The notice provided information about the way in which impacted products should be transitioned from drug to device status.
The Mydcombi NDA was filed in March as a drug after FDA determined that an accompanying eye dropper would not make it a combination product. Eyenovia says it will provide in early 2022 additional information to the agency as requested in the letter to meet the new requirements the Genus decision creates.
The NDA was based on data from the MIST-1 and MIST-2 studies. They showed that about 94% of treated eyes achieved 6 mm or greater dilation at 35 minutes post-instillation, according to the company. Adverse events were infrequent, with fewer than 1% of patients reporting blurred vision, reduced acuity, photophobia or instillation site pain.