Panel Backs Sage Postpartum Depression Drug
FDA’s Psychopharmacologic Drugs Advisory Committee and Drug Safety and Risk Management Advisory Committee has voted 17 to 1 that data support the benefit-risk profile of Sage’s Zulresso (brexanolone) injection for treating postpartum depression (PPD). Panel members recommended that the drug be administered by qualified staff in a facility that has been certified under a Risk Evaluation and Mitigation Strategies program. If approved, Zulresso would be the first drug specifically for treating PPD.
The REMS program was also recommended by FDA reviewers in a briefing document released before the meeting. The agency’s major safety concern was a loss of consciousness/pre-syncope(LOC) during the infusion (6 of 140 women exposed to brexanolone). “After examining dose, timing of dose, blood level, concurrent medications, available medical history, and patient characteristics (e.g., age, body mass index) we observed no relationships of these variables to LOC events,” the reviewers said. “Because LOC can be abrupt, and there is no way to predict the event, the agency did not feel the risk could be mitigated solely through labeling.”