FDA Approves Axsome’s Migraine Drug

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FDA has approved Axsome Therapeutics’ Symbravo (meloxicam and rizatriptan) for the acute treatment of migraine with or without aura in adults. Approval was based on data from the Phase 3 MOMENTUM trial which treated moderate and severe migraine pain, the Phase 3 INTERCEPT trial which treated mild migraine pain, and the Phase 3 MOVEMENT long-term open-label safety trial, according to the company.

The trial data demonstrated a statistically significantly greater percentage of patients on Symbravo achieved pain freedom and freedom from their most bothersome symptom (photophobia, phonophobia, nausea) two hours after dosing compared to placebo, Axsome says. The drug also “demonstrated statistical superiority for pain relief (reduction of moderate or severe pain to no pain or mild pain) and the ability to perform normal daily activities,” it says. Regarding safety, the most common adverse reactions observed were somnolence and dizziness.

The company says Symbravo is engineered with Axsome’s MoSEIC (Molecular Solubility Enhanced Inclusion Complex) rapid absorption technology. “MoSEIC results in a five times faster median time to maximum plasma concentration for meloxicam while maintaining a long plasma half-life, enabling meloxicam’s use as a new molecular entity for the acute treatment of migraine,” it says.

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