Satsuma ‘Complete Response’ on Migraine Drug
FDA has issued Satsuma Pharmaceuticals a complete response letter on its NDA for STS101 (dihydroergotamine nasal powder), an investigational product for the acute treatment of migraine with or without aura in adults. The letter said the application cannot be approved in its present form due to chemistry, manufacturing, and controls (CMC) considerations. Satsuma says it intends to consult with the agency to determine next steps for resubmission.
STS101 is described as a proprietary drug-device that incorporates Satsuma’s nasal powder formulation of dihydroergotamine (DHE) administered via a nasal delivery device. “The product is designed to provide patients and easy-to-use and easy-to-carry treatment option,” the company says.
The NDA was based on two clinical studies (Phase 1 PK trial and ASCEND Phase 3 open-label, long-term safety trial), “which demonstrated fast absorption, rapid achievement of high DHE plasma concentrations, and sustained DHE plasma levels over time as well as safety and tolerability in subjects with migraine,” Satsuma says.