FDA Accepts NDA for Eye Dilating Combo Product

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FDA has accepted for review an Eyenovia resubmitted NDA for MydCombi ophthalmic spray, a drug-device combination product that comprises tropicamide and phenylephrinem, which is delivered using its Optejet drug delivery technology, for in-office pupil dilation. The agency has assigned it a standard review and a 5/8/2023 user fee review action target date.

Last year, FDA issued the company a complete response letter on the initial NDA because the agency reclassified the drug as a drug-device combination product. The reclassification was prompted by FDA’s 2021 court loss (see earlier story)  in Genus Medical Technologies, LLC v. FDA, according to the company. About the same time, FDA announced it was implementing the 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. A notice provided information about the way in which impacted products should be transitioned from drug to device status.

The NDA is 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.

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