Otsuka/Lundbeck sNDA for Alzheimer’s Agitation

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FDA has accepted for priority review an Otsuka Pharmaceutical and H. Lundbeck supplemental NDA for brexpiprazole for use in treating agitation associated with Alzheimer’s dementia. Brexpiprazole was previously approved in 2015 for use as an adjunctive therapy to antidepressants in adults with major depressive disorder and as a treatment for schizophrenia in adults. The agency has set a user fee review action target date of 5/10 for the supplemental NDA and an advisory committee meeting will also be held to assist with the review.

The submission is based on data from two Phase 3 studies. Study 331-12-283 demonstrated brexpiprazole 2 mg/day was statistically superior to placebo for the primary endpoint of mean change in Cohen-Mansfield Agitation Inventory Total Score from baseline to Week 12, the companies say. In Study 331-14-213, treatment with brexpiprazole 2 and 3 mg/day showed statistically significant improvement compared with placebo for the same primary efficacy endpoint, they add.

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