Orexo Complete Response on Naloxone NDA

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FDA has issued Orexo AB a complete response letter on its NDA for OX124, a high-dose naloxone rescue medication being developed for opioid overdose. The letter cites the need for an additional human factors (HF) study, and requests additional technical data on the final commercial product, according to the company, adding that the letter does not indicate a need for additional clinical or non-clinical studies.

“In response to the comments received in April 2024, Orexo has worked intensively to optimize the instructions of use,” the company says. “To meet the FDA requirement, a new HF study has been successfully completed. The requirement from FDA to provide additional technical data was unexpected, and Orexo will now work expeditiously in consultation with the FDA to address this to enable a resubmission of the NDA to FDA as soon as possible.”

OX124 is described as a high dose proprietary naloxone formulation and its rapid absorption and high bioavailability can reverse an overdose in a patient who has taken synthetic opioids.

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