Glenmark NDA Accepted for Allergy Nasal Spray
FDA has accepted for review a Glenmark Pharmaceuticals NDA for Ryaltris (olopatadine hydrochloride [665 mcg] and mometasone furoate [25 mcg]), an investigational fixed-dose combination antihistamine/steroid nasal spray for treating seasonal allergic rhinitis in patients 12 years of age and older. The submission includes efficacy and safety results from two pivotal, placebo-controlled trials in 2,352 adults and adolescents 12 years of age and older. “Assessment of efficacy was based on patient-reported reflective total nasal symptom score (rTNSS), along with other patient-reported measures of nasal and ocular symptoms,” the company says. Data from these showed that treatment with Ryaltris resulted in statistically significant improvements in rTNSS compared to placebo, it says.
Additionally, the NDA includes data from a long-term safety study in 601 adults and adolescents who were randomized to 52 weeks of twice-daily treatment with Ryaltris, or two different formulations of a placebo nasal spray. “The incidence of adverse reactions in four placebo-controlled clinical studies was 13.9% in the Ryaltris treatment groups versus 9.5% of patients in the placebo groups,” Glenmark says. “The most frequently reported adverse reactions with Ryaltris greater than placebo was loss of taste sensitivity (3.0% vs. 0.3%, respectively), nosebleed (1.0% vs. 0.6%) and nasal discomfort (1.0% vs. 0.8%).”