Although the US FDA first recommended a dedicated ambulatory blood pressure monitoring study in March 2017, AMAG did not move forward with such a trial until late 2018 and only after the agency said the results were needed prior to approving bremelanotide, the Pink Sheet's latest Drug Review Profile finds.
US Food and Drug Administration approval of AMAG Pharmaceuticals Inc.'s Vyleesi (bremelanotide) for hyposexual sexual desire disorder was delayed three months by the need to conduct a dedicated ambulatory blood pressure monitoring trial during the review – a study that the agency first recommended more than two years before approval.
Elevation in blood pressure and decreases in heart rate were seen during ambulatory BP assessments in a Phase II study following a single bremelanotide dose
The company’s failure to show its potency assays measured attributes directly related to the mesenchymal stromal cell product’s therapeutic effect highlights the importance of a robust CMC program for complex cell therapies.
Agency staff repeatedly said the BLA based on a single-arm study in 55 patients lacked substantial evidence of effectiveness in steroid-refractory acute graft-versus-host disease and a randomized trial was needed, but changed course “based on additional consideration” after a second CRL.
The Pink Sheet’s Drug Review Profile looks at the timeline for the clinical development and US FDA review of Mesoblast’s remestemcel for graft-versus-host disease.
The Pink Sheet drug review profile investigates the long and rigorous process behind the FDA’s recent relaxation of the cardiovascular safety warning for testosterone products.
