NexMed Defends Vitaros: The Candid Approach

July 23 was a challenging day for NexMed's lead product (Vitaros, a cream formulation of alprostadil for erectile dysfunction) and, by extension, for its platform technology (the NexACT permeation enhancer). That was day the company had to explain an FDA "not approvable" letter. The FDA decision undercut the safety image that NexMed had been proclaiming for its permeation enhancer. NexMed's forthright discussion of its problems may be a model for the new era of complete response letters.

As recently as two weeks before the Food & Drug Administration sent NexMed Inc. a "not approvable" letter, the company touted its drug delivery ingredient as "powerful" and "safe" with over 100 animal studies to support it. The combination of attributes, NexMed said, would set NexACT—the platform technology used in Vitaros—apart form other drug delivery technologies.

NexMed had openly proclaimed July 19, the user fee deadline date for Vitaros, as a day of reckoning: "the day we should know the fate of this product," the company...

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