Milestone Pharma Refiling Etrpamil NDA

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Milestone Pharmaceuticals says it will resubmit an NDA in the second quarter for etripamil nasal spray, a novel calcium channel blocker for treating paroxysmal supraventricular tachycardia (PSVT). The filing will address issues raised in a 12/2023 FDA refuse-to-file action that found the NDA was not sufficiently complete to permit a substantive review. “The FDA requested clarification about the time of data recorded for adverse events in Phase 3 clinical trials; FDA did not express concerns about the nature or severity of adverse events,” the company said at the time.

Milestone says it recently held a Type A meeting with the agency. “FDA indicated that the timing of adverse events (AEs) in question had minimal impact on the overall characterization of the etripamil safety profile,” the company says. “To align with FDA’s guidance, the company will restructure the data sets that capture timing of reported AEs, reformat certain data files to facilitate FDA’s analyses, and resubmit the NDA.”

The company says about two million people in the U.S. are currently diagnosed with PSVT, which is a type of arrhythmia or abnormal heart rhythm. It is characterized by episodes of sudden onset rapid heartbeats often exceeding 150 to 200 beats per minute, which can cause disabling severe palpitations, shortness of breath, chest discomfort, dizziness, and distress, it says.

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