Reviewers See Oliceridine Abuse, Overdose Potential
FDA medical reviewers are raising safety concerns about Trevena’s next generation opioid oliceridine injection, for which the company is seeking an indication for managing moderate-to-severe pain in adult patients for whom an intravenous opioid is warranted. The Trevena NDA will be considered by the agency’s Anesthetic and Analgesic Drug Products Advisory Committee at its 10/11 meeting.
A briefing document distributed in advance of the meeting says the company hypothesizes that the mechanism of action of the G protein-based ligand will result in less respiratory depression, less slowing of gastrointestinal motility, and less sedation compared with morphine.
Medical reviewers tell committee members that their overall assessment of abuse-related data from clinical studies leads to the finding that oliceridine has an abuse potential, overdose potential, and ability to produce physical dependence that is similar to other such treatments.
Committee members are being asked to comment on the drug’s efficacy and safety for the proposed indication, oliceridine’s abuse potential, concerns about the drug’s impact on public health, and whether they recommend approval.