Milnacipran Hydrochloride

精彩内容 近日，京卫制药的氢溴酸伏硫西汀片获批上市。米内网数据显示，2023年中国公立医疗机构终端抗抑郁药市场止跌回升，涨逾4%；豪森首登龙头宝座，辉瑞跌出前三；产品TOP20草酸艾司西酞普兰片蝉联榜一，品牌TOP20豪森的阿戈美拉汀片首次夺冠。国产抗抑郁化药1类创新药研发推进，23款处于获批临床及以上阶段，涉及东阳光药、华海、石药等。 市场止跌回升！抗抑郁药“一哥”易主 抑郁症是目前全球第四大疾病，药物治疗是其主要治疗手段。米内网数据显示，抗抑郁药此前在中国城市公立医院、县级公立医院、城市社区中心及乡镇卫生院（简称中国公立医疗机构）终端销售额持续攀升，从2013年的超过41亿元增长至2019年的超过90亿元；随后受集采及疫情影响，市场进入调整期，2020-2022年分别同比下滑2.35%、0.93%、5.35%；2023年销售额接近86亿元，同比增长4.12%，市场止跌回升。 中国公立医疗机构终端抗抑郁药销售情况（单位：万元）来源：米内网中国公立医疗机构药品终端竞争格局 从抗抑郁药企业销售额排名上看，豪森药业、灵北、京卫制药、辉瑞、华海药业依次位列前五。7家企业销售额增逾10%，其中施维雅大涨54.37%，丽珠集团大涨28.18%，雅培、福宁药业均涨逾21%，豪森药业、华海药业、海默尼药业均涨逾10%。 2023年中国公立医疗机构终端抗抑郁药TOP5厂家来源：米内网中国公立医疗机构药品终端竞争格局 其中，豪森药业以微弱优势首次登顶榜首，近年来公司市场份额持续扩大，从2019年的不足3%发展至2023年的8.76%；辉瑞自2013年至2021年均为抗抑郁药市场“销冠”厂家，受舍曲林、文拉法辛集采影响，市场份额明显下滑，2022年排名跌至第三、2023年跌出前三。 抗抑郁药TOP20！豪森、丽珠、京卫上榜 抗抑郁药产品TOP20中，草酸艾司西酞普兰片自2015年以来持续稳居榜首，以超过17亿元的销售额遥遥领先；阿戈美拉汀片位列第二，销售额超过9亿元；盐酸舍曲林片位列第三，销售额超过8亿元；米氮平片、马来酸氟伏沙明片分别位列第四、第五。 2023年中国公立医疗机构终端抗抑郁药产品TOP20来源：米内网中国公立医疗机构药品终端竞争格局 7个产品销售额涨逾10%，盐酸米那普仑片暴涨221.22%，销售额创下历史新高；马来酸氟伏沙明片、盐酸安非他酮缓释片均涨逾20%；阿戈美拉汀片大涨19.57%、盐酸曲唑酮片大涨17.73%。 盐酸米那普仑片首仿企业为上海现代制药，最早于2010年获国家药监局批准上市，独占国内市场十余年；2023年11月21日四川科瑞德该产品获批上市，成为国产第2家；2024年4月24日河北龙海药业该产品获批上市，成为国产第3家。 抗抑郁药品牌TOP20中，豪森药业的阿戈美拉汀片首次登顶榜首，目前该药在国内仅有原研厂家施维雅和首仿厂家豪森药业获批；京卫制药、灵北的草酸艾司西酞普兰片分别位列第二、第三，借助集采国产替代机会，京卫制药该产品销售额持续领先；辉瑞的盐酸舍曲林片位列第四，集采后市场份额依然领先；丽珠集团的马来酸氟伏沙明片位列第五，今年该药迎来了新玩家桂林华信制药、倍特药业。 2023年中国公立医疗机构终端抗抑郁药品牌TOP20来源：米内网中国公立医疗机构药品终端竞争格局 23款抗抑郁1类新药！东阳光药、华海、石药发力 随着社会对心理健康的重视程度提升，国内药企布局抗抑郁药的积极性也持续提高。 今年以来，国内已有9个抗抑郁药品种迎来了新玩家，包括京卫制药的氢溴酸伏硫西汀片、盐酸帕罗西汀肠溶缓释片，倍特药业的马来酸氟伏沙明片，重庆药友制药的盐酸舍曲林片，新华制药的草酸艾司西酞普兰片等。 2024年至今获批上市的国产抗抑郁药 9个品种中，盐酸舍曲林片国产厂家已达18家、草酸艾司西酞普兰片有15家、氢溴酸伏硫西汀片有11家。盐酸舍曲林片、草酸艾司西酞普兰片已纳入国家集采，氢溴酸伏硫西汀片有望纳入第十批集采，“光脚”企业可借助集采中标抢占市场。 此外，马来酸氟伏沙明片、盐酸米那普仑片国产厂家均只有3家，盐酸文拉法辛缓释片有4家，竞争格局较好。其中，马来酸氟伏沙明片还有20款仿制药上市申请在审评中，包括石四药、京卫制药、万高药业、洞庭药业、辰欣药业等。 值得关注的是，近年来不少本土药企在布局创新管线时，避开拥挤的抗肿瘤药研发赛道，将目光投向了抗抑郁创新药的研发。 据不完全统计，针对抑郁症，国内企业已有23款抗抑郁化药1类创新药处于获批临床及以上阶段，涉及绿叶制药、东阳光药、华海药业、石药集团、天士力、豪森药业、信立泰、恩华药业、康弘药业等多家企业。 国产抗抑郁化药1类创新药在研情况 23款国产抗抑郁化药1类创新药中，绿叶制药的盐酸托鲁地文拉法辛缓释片于2022年11月1日获批上市，实现国产抗抑郁创新化药“零”的突破；吉贝尔的JJH201501片已处于Ⅲ期临床研究阶段、东阳光药的HEC113995PA·H2O片已处于Ⅱ/Ⅲ期临床研究阶段，上市可期。 此外，华海药业的盐酸羟哌吡酮片、石药集团的盐酸阿姆西汀肠溶片、广为医药的GW117胶囊、天士力的JS1-1-01片、豪森药业的HS-10353胶囊等处于Ⅱ期临床研究阶段。 数据来源：米内网数据库注：米内网《中国公立医疗机构药品终端竞争格局》，统计范围是：中国城市公立医院、县级公立医院、城市社区中心以及乡镇卫生院，不含民营医院、私人诊所、村卫生室；上述销售额以产品在终端的平均零售价计算。 本文为原创稿件，转载请注明来源和作者，否则将追究侵权责任。投稿及报料请发邮件到872470254@qq.com稿件要求详询米内微信首页菜单栏商务及内容合作可联系QQ：412539092 【分享、点赞、在看】点一点不失联哦

Tonmya is a potential new first-line, centrally acting non-opioid analgesic for the management of fibromyalgia, supported by statistically significant results from two Phase 3 trials Primary physician research found high level of interest in Tonmya as a potential new treatment option for fibromyalgia Significant dissatisfaction reported with drugs currently approved by FDA for the treatment of fibromyalgia Analysis of claims data revealed that addictive opioids are prescribed more frequently than currently approved drugs following fibromyalgia diagnosis New Drug Application (NDA) submission to the FDA on track for the second half of 2024 CHATHAM, N.J., May 21, 2024 (GLOBE NEWSWIRE) -- Tonix Pharmaceuticals, Inc. (Nasdaq: TNXP) (Tonix or the Company), a fully-integrated biopharmaceutical company with marketed products and a pipeline of development candidates, announced today that EVERSANA® Life Science Services, LLC, a leading provider of commercialization services to the global life sciences industry, completed the initial phase of an assessment of the U.S market opportunity for TonmyaTM (also known as TNX-102 SL, cyclobenzaprine HCl sublingual tablets), a potential new first line therapy for the management of fibromyalgia. Tonix previously announced that EVERSANA was selected to support the launch strategy and commercial planning of Tonmya. Specifically, EVERSANA is working with Tonix to assess the fibromyalgia landscape and help plan an efficient go-to-market (GTM) strategy. “The primary research and analysis conducted by EVERSANA provides valuable insights and informs the vision for the commercialization of Tonmya,” said Seth Lederman, M.D., Chief Executive Officer of Tonix Pharmaceuticals. “We are excited to refine our business strategy for the anticipated launch of Tonmya in 2025. It has been approximately fifteen years since patients suffering with fibromyalgia have been provided a new therapeutic option. The market research conducted by EVERSANA with physicians indicates a continued high unmet need, with the need ranked > 4.0 on a 5-point scale.” Dr. Lederman continued, “We were surprised to learn that opioids dominate the fibromyalgia prescription market, despite the well-known risks of dependency. Opioids are prescribed to more patients following fibromyalgia diagnosis than all the FDA-approved fibromyalgia drugs combined. If approved, we believe that Tonmya can provide a non-opioid, centrally-acting solution for fibromyalgia patients. This is corroborated by EVERSANA’s primary market research in which physicians indicated median interest of 4.0 on a 5-point scale and intended use of Tomya in 40% of their fibromyalgia patients, upon approval.1 We look forward to submitting the NDA for Tonmya in the second half of this year and expect an FDA decision on approval in 2025.” EVERSANA’s analysis of the market size was based on medical claims databases and epidemiological studies on prevalence and diagnosis2. Primary research with physicians was conducted to test the potential adoption of Tonmya based on its activity and tolerability. Key findings from claims data analyses2: ~2.7 million adults in the U.S. currently diagnosed and treated for fibromyalgia. ~90 percent of patients diagnosed with fibromyalgia are female. Percentage of fibromyalgia patients who were prescribed certain drugs3: FDA-approved fibromyalgia drug prescriptions: Duloxetine (generic Cymbalta®): 23%, pregabalin (generic Lyrica®): 13%, and Savella® (milnacipran): 1% Off-label drug prescriptions: Gabapentin: 26%, hydroxycodone: 20%, cyclobenzaprine: 18%, oxycodone: 19%, tramadol: 13%, meloxicam: 12%, and amitriptyline: 6% Off-label opioids prescriptions: Hydroxycodone: 20%, oxycodone: 19%, and tramadol: 13% Targeted prescriber strategy for launch. High prescribers are rheumatologists, pain medicine specialists, primary care physicians, neurologists, and psychiatrists. ~50 percent of diagnosed fibromyalgia patients are covered by Medicare. Medicare population stands to benefit from a decrease in out-of-pocket prescription drug liability to $2,000 per year when the changes from the Inflation Reduction Act are enacted in 2025. Key findings from primary physician research4: High level of dissatisfaction with currently prescribed drugs. Physicians interviewed estimate that 85% of their patients fail first-line therapy due to efficacy and tolerability issues and 79% of their patients are on multiple therapies. Prescribers indicate high unmet need in fibromyalgia, ranked >4.0 on a 5-point scale. High level of interest in Tonmya from physicians interviewed as a potential new treatment option based on favorable activity and tolerability pro in Tonmya fibromyalgia clinical studies. Median interest in Tonmya of 4 on a 5-point scale. Physicians indicated intended use of Tonmya in 40% of their fibromyalgia patients.1 Tonmya is a centrally acting, non-opioid medication. As previously announced, Tonix’s second statistically significant Phase 3 study, RESILIENT, met its pre-specified primary endpoint, significantly reducing daily pain compared to placebo (p=0.00005) in participants with fibromyalgia. Statistically significant and clinically meaningful results (p=0.001 or better) were also seen in all key secondary endpoints related to improving sleep quality, reducing fatigue, and improving overall fibromyalgia symptoms and function. Tonix plans to submit an NDA to the U.S. Food and Drug Administration (FDA) in the second half of 2024 for Tonmya for the management of fibromyalgia and has scheduled a Type B pre-NDA meeting with FDA for the second quarter of 2024. 1 40% was the median preference share amongphysicians interviewed,assuming no market access barriers. 2EVERSANA analysis of claims database, May 2024; commissioned by Tonix 3Note: the total number of patients is greater than 100% because of switching between medications and polypharmacy. 4EVERSANA primary physician research, May 2024; commissioned by Tonix About Tonmya* (also known as TNX-102 SL) Tonmya is a centrally acting, non-opioid, non-addictive, bedtime medication. The tablet is a patented sublingual formulation of cyclobenzaprine hydrochloride developed for the management of fibromyalgia. In December 2023, the company announced highly statistically significant and clinically meaningful topline results in RESILIENT, a second positive Phase 3 clinical trial of Tonmya for the management of fibromyalgia. In the study, Tonmya met its pre-specified primary endpoint, significantly reducing daily pain compared to placebo (p=0.00005) in participants with fibromyalgia. Statistically significant and clinically meaningful results were also seen in all key secondary endpoints related to improving sleep quality, reducing fatigue and improving overall fibromyalgia symptoms and function. RELIEF, the first positive Phase 3 trial of Tonmya in fibromyalgia, was completed in December 2020. It met its pre-specified primary endpoint of daily pain reduction compared to placebo (p=0.010) and showed activity in key secondary endpoints. *Tonmya™ is conditionally accepted by the U.S. Food and Drug Administration (FDA) as the tradename for TNX-102 SL for the management of fibromyalgia. Tonmya has not been approved for any indication. About EVERSANA® EVERSANA® is a leading independent provider of global services to the life sciences industry. The company’s integrated solutions are rooted in the patient experience and span all stages of the product life cycle to deliver long-term, sustainable value for patients, prescribers, channel partners and payers. The company serves more than 650 organizations, including innovative start-ups and established pharmaceutical companies, to advance life sciences solutions for a healthier world. To learn more about EVERSANA, visit eversana.com or connect through LinkedIn and X. Tonix Pharmaceuticals Holding Corp.* Tonix is a fully-integrated biopharmaceutical company focused on developing, licensing and commercializing therapeutics to treat and prevent human disease and alleviate suffering. Tonix’s development portfolio is focused on central nervous system (CNS) disorders. Tonix’s priority is to submit a New Drug Application (NDA) to the FDA in the second half of 2024 for Tonmya, a product candidate for which two positive Phase 3 studies have been completed for the management of fibromyalgia. TNX-102 SL is also being developed to treat acute stress reaction as well as fibromyalgia-type Long COVID. Tonix’s CNS portfolio includes TNX-1300 (cocaine esterase) a biologic designed to treat cocaine intoxication with Breakthrough Therapy designation. Tonix’s immunology development portfolio consists of biologics to address organ transplant rejection, autoimmunity and cancer, including TNX-1500, which is a humanized monoclonal antibody targeting CD40-ligand (CD40L or CD154) being developed for the prevention of allograft rejection and for the treatment of autoimmune diseases. Tonix also has product candidates in development in the areas of rare disease and infectious disease. Tonix Medicines, our commercial subsidiary, markets Zembrace® SymTouch® (sumatriptan injection) 3 mg and Tosymra® (sumatriptan nasal spray) 10 mg for the treatment of acute migraine with or without aura in adults. *Tonix’s product development candidates are investigational new drugs or biologics and have not been approved for any indication. Zembrace SymTouch and Tosymra are registered trademarks of Tonix Medicines. All other marks are property of their respective owners. This press release and further information about Tonix can be found at . Forward-Looking Statements Certain statements in this press release are forward-looking within the meaning of the Private Securities Litigation Reform Act of 1995. These statements may be identified by the use of forward-looking words such as “anticipate,” “believe,” “forecast,” “estimate,” “expect,” and “intend,” among others. These forward-looking statements are based on Tonix's current expectations and actual results could differ materially. There are a number of factors that could cause actual events to differ materially from those indicated by such forward-looking statements. These factors include, but are not limited to, risks related to the failure to obtain FDA clearances or approvals and noncompliance with FDA regulations; risks related to the failure to successfully commercialize any of our products; risks related to the timing and progress of clinical development of our product candidates; our need for additional financing; uncertainties of patent protection and litigation; uncertainties of government or third party payor reimbursement; limited research and development efforts and dependence upon third parties; and substantial competition. As with any pharmaceutical under development, there are significant risks in the development, regulatory approval and commercialization of new products. Tonix does not undertake an obligation to update or revise any forward-looking statement. Investors should read the risk factors set forth in the Annual Report on Form 10-K for the year ended December 31, 2023, as filed with the Securities and Exchange Commission (the “SEC”) on April 1, 2024, and periodic reports filed with the SEC on or after the date thereof. All of Tonix's forward-looking statements are expressly qualified by all such risk factors and other cautionary statements. The information set forth herein speaks only as of the date thereof. Investor Contact Jessica Morris Tonix Pharmaceuticals investor.relations@tonixpharma.com (862) 904-8182 Peter Vozzo ICR Westwicke peter.vozzo@westwicke.com (443) 213-0505 Media Contact Katie Dodge LaVoieHealthScience kdodge@lavoiehealthscience.com (978) 360-3151 Matt Braun EVERSANA Matt.braun@eversana.com