FDA Refuses to Review Alkermes NDA for Depression Drug
FDA has issued Alkermes a Refusal to File letter on its NDA for New ALKS 5461 (buprenorphine and samidorphan), a once-daily, oral investigational medicine for the adjunctive treatment of major depressive disorder in patients with an inadequate response to standard antidepressant therapies. According to the company, FDA said it was unable to complete a substantive review of the regulatory package, based on insufficient evidence of overall effectiveness for the proposed indication, and that additional well-controlled clinical trials were needed prior to resubmission. In addition, the agency requested a bioavailability study to generate additional bridging data between ALKS 5461 and the reference listed drug, buprenorphine.
In response, Alkermes said it strongly disagreed with FDA’s position and it plans to appeal the decision. The company also intends to seek immediate guidance, including requesting a Type A meeting with the agency, to determine appropriate next steps and any additional information that may be required to resubmit the NDA.
ALKS 5461 acts as an opioid system modulator and represents a novel mechanism of action for the adjunctive treatment of major depressive disorder in patients with an inadequate response to other therapies, Alkermes said.