Rolling NDA Filed for OTC Opioid Overdose
Harm Reduction Therapeutics (HRT) has begun a rolling NDA for RiVive (3 mg intranasal naloxone), indicated as an over-the-counter emergency treatment for opioid overdose. In July, FDA agreed to the company’s rolling review proposal after it granted the company fast track status, according to HRT.
HRT describes itself as a 501(c)(3) nonprofit pharmaceutical company whose mission is to prevent opioid overdose deaths by making free or low-cost over-the-counter (OTC) naloxone available to everyone. It says the prescription status and high cost of naloxone products “continues to limit access to this life–saving drug.”
The submission will be based on data from HRT’s nonclinical program and a pivotal bioavailability study “demonstrating that RiVive produced a 3-fold higher systemic exposure with comparable early absorption to the reference naloxone product,” the company says. “Moreover, our human factors validation study demonstrated that laypeople were able to administer RiVive in a simulated emergency overdose situation supporting that it will be appropriately used as an OTC product by the vast majority of people who need to administer it to victims of opioid overdose in order to save lives.”
Additionally, HRT says it has entered into a commercial supply agreement with a contract manufacturer in anticipation of FDA approval and U.S. launch in early 2024.