Heron NDA for Nausea Drug Approved
FDA has approved a Heron Therapeutics NDA for Cinvanti (aprepitant) injectable emulsion, a P/neurokinin-1 receptor antagonist indicated in adults, in combination with other antiemetic agents, for preventing acute and delayed nausea and vomiting associated with initial and repeat courses of highly emetogenic cancer chemotherapy. The therapy is also indicated for treating nausea and vomiting associated with initial and repeat courses of moderately emetogenic cancer chemotherapy. Approval was based on data demonstrating the bioequivalence of Cinvanti to Merck’s Emend IV (fosaprepitant). “Results from two pivotal randomized, cross-over bioequivalence studies of Cinvanti and Emend IV showed subjects receiving Cinvanti reported fewer adverse events than those receiving Emend IV, including substantially fewer infusion-site reactions,” the company says.
Heron says Cinvanti is contraindicated in patients with hypersensitivity to any of the drug’s components. “Serious hypersensitivity reactions, including anaphylaxis and anaphylactic shock, have been reported with fosaprepitant, a prodrug of aprepitant, and with oral aprepitant,” it says.