FDA Tells Catalyst it Needs More Firdapse Trials
FDA has told Catalyst Pharmaceuticals that it will need positive results from an additional study of the company’s Firdapse (amifampridine phosphate) in patients with Lambert-Eaton myasthenic syndrome (LEMS) before the agency will accept Catalyst’s NDA for filing. FDA told the company that it is open to discuss a study design that could efficiently accomplish the requirement with a small, short-term study. FDA also wants several additional short-term toxicology studies. The drug has been given breakthrough therapy and orphan drug designations for its proposed LEMS indication and is also seeking an indication for congenital myasthenic syndrome.
Catalyst officials say they are surprised by the request for an additional clinical study, and are in discussions with FDA on the protocol and logistics for the study. They say they are continuing Firdapse development for additional indications and have recently started a study in patients with MuSK-antibody positive myasthenia gravis. Catalyst also expects to complete this year a clinical trial of Firdapse in pediatric patients with congenital myasthenic syndrome.