Theravance/Mylan NDA for COPD Drug Filed
FDA has accepted for review a Theravance Biopharma and Mylan NDA for revefenacin (TD-4208), an investigational long-acting muscarinic antagonist for treating chronic obstructive pulmonary disease (COPD). The agency has set a user fee review action target date of 11/13, and it has told the companies that an advisory committee review is currently not planned.
The submission is based on data from two replicate pivotal Phase 3 efficacy studies, where revefenacin demonstrated statistically significant and clinically meaningful improvements as compared to placebo in trough forced expiratory volume in one second (FEV1) and in overall treatment effect on trough FEV1 after 12 weeks of dosing, according to the companies. “Both doses of revefenacin had comparable rates of adverse events (AEs) to placebo, low rates of serious adverse events (SAEs), and no clinically meaningful differences in blood parameters or electrocardiogram (ECG) data, across all treatment groups (active and placebo),” they say. The most commonly reported adverse events were exacerbations, cough, dyspnea and headache.
Theravance and Mylan are working under a strategic collaboration to develop and commercialize nebulized revefenacin products for COPD and other respiratory diseases. Under the agreement, Theravance is spearheading the U.S. development program, with all costs related to the registration program reimbursed by Mylan up until the approval of the first NDA. Mylan is responsible for outside-the-U.S. development and commercialization.