Modafinil

– Post-hoc analysis from pivotal Phase 3 REST-ON trial confirmed the efficacy of LUMRYZ in study participants who were and were not using a stable dose of an alerting agent – – Baseline data underscore that alerting agents alone are often insufficient for excessive daytime sleepiness – DUBLIN, Sept. 25, 2024 (GLOBE NEWSWIRE) -- Avadel Pharmaceuticals plc (Nasdaq: AVDL), a biopharmaceutical company focused on transforming medicines to transform lives, today announced the publication of results of a post-hoc analysis from the completed pivotal Phase 3 REST-ON clinical trial. Results demonstrated clinically significant improvements from baseline in wakefulness, overall condition, number of weekly cataplexy episodes, and excessive daytime sleepiness in patients taking LUMRYZ (sodium oxybate) compared to those taking placebo, regardless of concomitant use of alerting agents. The paper, titled “Efficacy of Once-Nightly Sodium Oxybate (FT218) on Daytime Symptoms in Individuals With Narcolepsy With or Without Concomitant Alerting Agent Use: A Post Hoc Analysis From the Phase 3 REST-ON Trial,” was published online in Sleep Medicine. “Treatment of narcolepsy often requires multiple medicines to adequately control symptoms. Alerting agents, including stimulants and wake-promoting agents, are often the first treatment prescribed for narcolepsy,” said Richard K. Bogan, MD, FCCP, FAASM, Associate Clinical Professor at the University of South Carolina School of Medicine and Medical University of South Carolina in Charleston. “In REST-ON, subjects in the alerting agent subgroup were also pathologically sleepy at baseline and could only remain awake for approximately five minutes during the maintenance of wakefulness test. Both subgroups had marked improvement on daytime sleepiness with once-at-bedtime LUMRYZ. While this would be expected clinically, this type of post-hoc analysis has not been previously undertaken to evaluate the addition of an oxybate to a stable alerting agent regimen.” The randomized, double-blind, placebo-controlled, pivotal Phase 3 REST-ON trial evaluated once-at-bedtime LUMRYZ in adults with narcolepsy. Primary endpoints included change from baseline in mean sleep latency on the Maintenance of Wakefulness Test (MWT), Clinical Global Impression-Improvement (CGI-I) rating, and number of weekly cataplexy episodes. Secondary endpoint was change from baseline in the Epworth Sleepiness Scale (ESS) score (a measure of sleepiness in everyday situations). Dauvilliers et al. evaluated the efficacy of LUMRYZ on these endpoints in participants with narcolepsy who were taking and not taking alerting agents (modafinil, armodafinil, various amphetamines, dexamphetamine sulfate and methylphenidate hydrochloride). A total of 119 study participants (63%) were taking alerting agents and 71 (37%) were not. Results of the post-hoc analysis: Significant improvements with LUMRYZ at all doses were seen versus placebo for MWT, CGI-I and number of weekly cataplexy episodes (p<0.05) regardless of alerting agent use, which were also clinically meaningful.Similarly, ESS was significantly improved with LUMRYZ at all doses versus placebo in the group taking alerting agents (p<0.05), with significant improvements for the non-alerting agent group at the 7.5 g and 9 g dose, and directional improvement at Week 3 with the 6 g dose. “It is important for clinicians and people with narcolepsy to recognize that alerting agents alone may not be sufficient to treat excessive daytime sleepiness. As with other oxybates trials, a high proportion of subjects were on stable doses of alerting agents, yet still qualified for study entry based upon pathological sleepiness,” said Jennifer Gudeman, Pharm.D., Senior Vice President, Medical and Clinical Affairs at Avadel. “These data should help initiate discussions between patients and clinicians to assess whether an alerting agent regimen alone is sufficiently managing their narcolepsy. Additionally, for the 37% of participants not on alerting agents, these results show that LUMRYZ monotherapy may be sufficient to manage narcolepsy symptoms.” About LUMRYZ™ (sodium oxybate) for extended-release oral suspensionLUMRYZ is an extended-release sodium oxybate medication approved by the FDA on May 1, 2023 as the first and only once-at-bedtime treatment for cataplexy or excessive daytime sleepiness (EDS) in adults with narcolepsy. The FDA approval of LUMRYZ was supported by results from REST-ON, a randomized, double-blind, placebo-controlled, pivotal Phase 3 trial in adults with narcolepsy. LUMRYZ demonstrated statistically significant and clinically meaningful improvements in the three co-primary endpoints: EDS, clinicians’ overall assessment of patients’ functioning (CGI-I), and cataplexy attacks, for all three evaluated doses when compared to placebo. With its approval, the FDA also granted seven years of Orphan Drug Exclusivity to LUMRYZ for the treatment of cataplexy or EDS in adults with narcolepsy due to a finding of clinical superiority of LUMRYZ relative to currently available oxybate treatments. In particular, the FDA found that LUMRYZ makes a major contribution to patient care over currently available, twice-nightly oxybate products by providing a once-nightly dosing regimen that avoids nocturnal arousal to take a second dose. IMPORTANT SAFETY INFORMATION WARNING: Taking LUMRYZ™ (sodium oxybate) with other central nervous system (CNS) depressants, such as medicines used to make you fall asleep, including opioid analgesics, benzodiazepines, sedating antidepressants, antipsychotics, sedating anti-epileptic medicines, general anesthetics, muscle relaxants, alcohol or street drugs, may cause serious medical problems, including trouble breathing (respiratory depression), low blood pressure (hypotension), changes in alertness (drowsiness), fainting (syncope) and death.The active ingredient of LUMRYZ (sodium oxybate) is a form of gamma hydroxybutyrate (GHB), a controlled substance. Abuse or misuse of illegal GHB alone or with other CNS depressants (drugs that cause changes in alertness or consciousness) have caused serious side effects. These effects include seizures, trouble breathing (respiratory depression), changes in alertness (drowsiness), coma and death. Call your doctor right away if you have any of these serious side effects.Because of these risks, LUMRYZ is available only by prescription and filled through certified pharmacies in the LUMRYZ REMS. You must be enrolled in the LUMRYZ REMS to receive LUMRYZ. Further information is available at www.LUMRYZREMS.com or by calling 1-877-453-1029. INDICATIONS LUMRYZ (sodium oxybate) for extended-release oral suspension is a prescription medicine used to treat the following symptoms in adults with narcolepsy: sudden onset of weak or paralyzed muscles (cataplexy)excessive daytime sleepiness (EDS) It is not known if LUMRYZ is safe and effective in people less than 18 years of age.Do not take LUMRYZ if you take other sleep medicines or sedatives (medicines that cause sleepiness), drink alcohol or have a rare problem called succinic semialdehyde dehydrogenase deficiency. Keep LUMRYZ in a safe place to prevent abuse and misuse. Selling or giving away LUMRYZ may harm others and is against the law. Tell your doctor if you have ever abused or been dependent on alcohol, prescription medicines or street drugs.Anyone who takes LUMRYZ should not do anything that requires them to be fully awake or is dangerous, including driving a car, using heavy machinery or flying an airplane, for at least six (6) hours after taking LUMRYZ. Those activities should not be done until you know how LUMRYZ affects you. Falling asleep quickly, including while standing or while getting up from the bed, has led to falls with injuries that have required some people to be hospitalized. LUMRYZ can cause serious side effects, including the following: Breathing problems, including slower breathing, trouble breathing and/or short periods of not breathing while sleeping (e.g., sleep apnea). People who already have breathing or lung problems have a higher chance of having breathing problems when they take LUMRYZ.Mental health problems, including confusion, seeing or hearing things that are not real (hallucinations), unusual or disturbing thoughts (abnormal thinking), feeling anxious or upset, depression, thoughts of killing yourself or trying to kill yourself, increased tiredness, feelings of guilt or worthlessness and difficulty concentrating. Tell your doctor if you have or had depression or have tried to harm yourself. Call your doctor right away if you have symptoms of mental health problems or a change in weight or appetite.Sleepwalking. Sleepwalking can cause injuries. Call your doctor if you start sleepwalking. Tell your doctor if you are on a salt-restricted diet or if you have high blood pressure, heart failure or kidney problems. LUMRYZ contains a lot of sodium (salt) and may not be right for you. The most common side effects of LUMRYZ in adults include nausea, dizziness, bedwetting, headache and vomiting. Your side effects may increase when you take higher doses of LUMRYZ. LUMRYZ can cause physical dependence and craving for the medicine when it is not taken as directed. These are not all the possible side effects of LUMRYZ. For more information, ask your doctor or pharmacist. Call your doctor for medical advice about side effects. You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088. Please see full Prescribing Information, including BOXED Warning. About Avadel Pharmaceuticals plcAvadel Pharmaceuticals plc (Nasdaq: AVDL) is a biopharmaceutical company focused on transforming medicines to transform lives. Our approach includes applying innovative solutions to the development of medications that address the challenges patients face with current treatment options. Avadel’s commercial product, LUMRYZ™, was approved by the U.S. Food & Drug Administration (FDA) as the first and only once-at-bedtime oxybate for the treatment of cataplexy or excessive daytime sleepiness (EDS) in adults with narcolepsy. For more information, please visit www.avadel.com. Cautionary Disclosure Regarding Forward-Looking StatementsThis press release includes “forward-looking statements” within the meaning of Section 27A of the Securities Act of 1933 and Section 21E of the Securities Exchange Act of 1934. These forward-looking statements relate to our future expectations, beliefs, plans, strategies, objectives, results, conditions, financial performance, prospects or other events. Such forward-looking statements include, but are not limited to, expectations regarding the potential therapeutic benefit of LUMRYZ in treating EDS, including its efficacy in improving narcolepsy symptoms regardless of concomitant use of an alerting agent; alerting agents alone not being sufficient for treatment of EDS; and LUMRYZ monotherapy being sufficient to manage narcolepsy symptoms. In some cases, forward-looking statements can be identified by the use of words such as “will,” “may,” “could,” “believe,” “expect,” “look forward,” “on track,” “guidance,” “anticipate,” “estimate,” “project,” “next steps” and similar expressions and the negatives thereof (if applicable). The Company’s forward-looking statements are based on estimates and assumptions that are made within the bounds of our knowledge of our business and operations and that we consider reasonable. However, the Company’s business and operations are subject to significant risks, and, as a result, there can be no assurance that actual results and the results of the company’s business and operations will not differ materially from the results contemplated in such forward-looking statements. Factors that could cause actual results to differ from expectations in the Company’s forward-looking statements include the risks and uncertainties described in the “Risk Factors” section of Part I, Item 1A of the Company’s Annual Report on Form 10-K for the year ended December 31, 2023, which was filed with the Securities and Exchange Commission (SEC) on February 29, 2024, and subsequent SEC filings. Forward-looking statements speak only as of the date they are made and are not guarantees of future performance. Accordingly, you should not place undue reliance on forward-looking statements. The Company does not undertake any obligation to publicly update or revise our forward-looking statements, except as required by law. AvadelInvestor Contact:Courtney MogerleyPrecision AQCourtney.Mogerley@precisionAQ.com(212) 698-8687 Media Contact:Lesley StanleyReal Chemistrylestanley@realchemistry.com (609) 273-3162

药智数据显示，8月有146个品种通过/视同通过一致性评价，涉及149家企业（以集团企业进行统计），其中27家企业为多品种过评，过评企业数和过评品种数较7月明显减少。 过评 1、一致性过评整体情况 8月，通过/视同通过一致性评价品种数低于2024年过评平均品种数（184），在7月基础上减少1/5，共146个品种。其中44个品种以仿制药补充申请通过一致性评价，还有106个品种以新注册分类仿制药视同通过一致性评价。 以已上市药品批文统计，8月有6个品种以新注册分类仿制药上市，首家视同通过一致性评价，还有6个品种以一致性评价补充申请首家通过一致性评价，仅白消安注射液，此前已有厂家以仿制药上市视同通过一致性评价。详见文末表1。 图1 2024年1月-2024年8月一致性过评趋势 注：以药品名称除重后统计过评品种数 2、企业过评品种数 从企业过评品种数而言，8月通过/视同通过一致性评价的品种共有146个，涉及149家集团企业，其中27家企业为多品种过评。 石家庄四药有限公司过评品种数最多，共5个品种；其次齐鲁制药、人福医药、上海现代制药、四川科伦药业各有4个品种通过/视同通过一致性评价。 图2 2024年8月企业过评品种数TOP10 注：以药品名称+持有人对应的集团企业进行除重后统计 石家庄四药有限公司目前已有27个品种以一致性评价补充申请过评，还有77个品种以新注册分类仿制药视同通过一致性评价，在集团过评总品种数中排名第八，共104个品种过评。8月，石家庄视同通过一致性评价的5个品种分别为：尼可地尔片、重酒石酸去甲肾上腺素注射液、钠钾镁钙注射用浓溶液、多巴丝肼片、间苯三酚注射液；无以一致性评价补充申请过评品种。 齐鲁制药集团有限公司目前已有60个品种以一致性评价补充申请过评，还有123个品种以新注册分类仿制药视同通过一致性评价，在集团过评总品种数中排第一，共183个品种过评。8月，齐鲁制药有3个品种视同通过一致性评价，分别为：达格列净片、头孢克肟颗粒、达沙替尼片，还有盐酸班布特罗片以一致性评价补充申请首家通过一致性评价。 四川科伦药业股份有限公司目前已有67个品种以一致性评价补充申请过评，还有88个品种以新注册分类仿制药视同通过一致性评价，在集团过评总品种数中排第三，共155个品种过评。8月，四川科伦药业有3个品种视同通过一致性评价，分别为：布比卡因脂质体注射液、瑞戈非尼片、艾地骨化醇软胶囊，还有甘露醇注射液以一致性评价补充申请通过一致性评价。 3、品种过评企业数 从品种过评企业数而言，8月有26个品种为多企业过评，以注射用头孢唑肟钠过评企业数最多，地夸磷索钠滴眼液次之，有5家企业过评，二羟丙茶碱注射液和盐酸丙卡特罗口服溶液各有4家企业过评。 图3 2024年8月品种过评企业数 注：以药品名称+持有人对应的集团企业进行除重后统计 注射用头孢唑肟钠用于敏感菌所致的下呼吸道感染、尿路感染、腹腔感染、盆腔感染、败血症、皮肤软组织感染、骨和关节感染、肺炎链球菌或流感嗜血杆菌所致脑膜炎和单纯性淋病。继7月首家过评一致性评价后，8月新增8家企业通过/视同通过一致性评价，目前共有12家企业通过/视同通过一致性评价。8月过评的企业分别为：湖南柏齐鹤药物研发有限公司、Chong Kun Dang Pharmaceutical Corp、上海现代制药股份有限公司、广州白云山医药集团股份有限公司、山东睿鹰制药集团有限公司、灵康药业集团股份有限公司、舒美奇成都生物科技有限公司、浙江亚太药业股份有限公司。 地夸磷索钠滴眼液适用于经诊断为伴随泪液异常的角结膜上皮损伤的干眼患者，目前共有25家企业以新注册分类仿制药视同通过一致性评价上市，8月过评的企业分别为：中山万远新药研发有限公司、珠海亿胜生物制药有限公司、浙江莎普爱思药业股份有限公司、浙江浙北药业有限公司、广州润尔眼科生物科技有限公司。 4、集采情况 8月过评的品种中，69个品种已纳入集采，占36.51%，其中系统用抗感染药最多，共有19个品种；非集中采购品种中，消化道及代谢用药最多，有21个品种。 图4 2024年8月通过集采品种情况 备注：以药品名称+持有人对应的集团企业进行除重后统计 图5 2024年8月纳入集采品种ATC分类情况 注：以药品名称+持有人对应的集团企业进行除重后统计 图6 2024年8月未纳入集采品种ATC分类情况 注：以药品名称+持有人对应的集团企业进行除重后统计 5、参比制剂情况 在参比制剂方面，8月已过评的146个品种中，有2个品种暂无NMPA公布的参比制剂正式通稿信息，分别为：甘露醇注射液和莫达非尼胶囊。 NMPA虽未公布莫达非尼胶囊的参比制剂正式通稿信息，但是，官网在2020年就已公布了同活性成分、同给药途径的莫达非尼片的正式通稿信息。结合7月过评的盐酸依匹斯汀胶囊以盐酸依匹斯汀片作为参比制剂，推测莫达非尼胶囊可能选用莫达非尼片作为参比制剂。 申报 1、一致性申报整体情况 在一致性评价补充申请品种数量方面，从2024年1月，申请品种数逐月减少，7月有短暂回升后，8月再次下降，有34个品种申报。在新注册分类仿制药上市方面，8月申报品种数明显高于2024年申报平均品种数。 图7 2024年1月至2024年8月申报详情 注：数据按药品名称除重后进行统计 2、一致性评价补充申请ATC分类 从申报一致性评价补充申请药品的ATC分类而言，系统用抗感染药一直是最受申报企业青睐的领域，8月有17个品种申报，其次为消化道代谢领域，有6个品种。 图8 2024年8月申报一致性评价品种ATC分类 注：榜单数据按通过一致性评价品种ATC分类1级分类进行统计 3、一致性评价补充申请参比制剂情况 8月，各企业申报一致性评价补充申请的品种中，诺氟沙星胶囊虽无同剂型对应的参比制剂，但白云山汤阴东泰药业有限责任公司和广东恒健制药有限公司均选用杏林製薬株式会社生产的诺氟沙星片（商品名：BACCIDAL，规格：0.1 g）为参比制剂。 表1 2024年8月首家通过一致性评价详情表 数据来源：药智数据企业版——仿制药一致性评价分析系统 声明：本内容仅用作医药行业信息传播，为作者独立观点，不代表药智网立场。如需转载，请务必注明文章作者和来源。对本文有异议或投诉，请联系maxuelian@yaozh.com。 责任编辑 | 史密斯 转载开白 | 马老师 18996384680（同微信） 商务合作 | 王存星 19922864877（同微信）  阅读原文，是受欢迎的文章哦