Actinogen's New Deal with the FDA Marks Key Progress for Alzheimer’s Drug

Actinogen Medical Limited's Breakthrough with the FDA
Actinogen Medical Limited (ACW) is celebrating a significant milestone after its recent Type C meeting with the US Food & Drug Administration (FDA). This meeting has outlined a clear pathway toward marketing approval for Xanamem, a promising treatment for Alzheimer’s disease (AD).
Understanding the FDA Agreement
The discussions with the FDA have yielded crucial insights regarding what is required for Xanamem's future success. Not only did Actinogen and the FDA align on regulatory starting materials for the drug’s production, they also settled on the design of an additional pivotal clinical trial aimed at reinforcing existing data supporting Xanamem's effectiveness.
Key Agreement Highlights
Among the key elements of the agreement were the following:
- Regulatory starting materials for manufacturing Xanamem (emestedastat).
- General design for the interim analysis for the XanaMIA trial.
- Approval of one additional, well-controlled pivotal Phase 3 trial to bolster the previous XanaMIA results.
- Study of a single 10 mg Xanamem dose versus a placebo in the pivotal trial.
- Clarity on the number of patients required for the New Drug Application (NDA), adhering to FDA guidelines.
- A limited number of ancillary clinical pharmacology trials as necessary.
- Nonclinical studies aimed at further understanding Xanamem's metabolism and excretion pathways.
Impact of the FDA's Decision
This agreement is monumental for Actinogen, especially as the company gears up for its earliest NDA submission in the US, as well as submissions to other global regulators. With this clarity, Actinogen is well-positioned for discussions with potential partners focused on development and marketing.
Next Steps for Actinogen
Looking ahead, Actinogen plans a similar meeting with the European Medicines Agency in the future, along with interactions with the UK Medicines and Healthcare products Regulatory Agency and other authorities. This strategic alignment reinforces the global push to find innovative and effective therapies for Alzheimer’s disease, where current treatments fall short.
CEO's Remarks
Dr. Steven Gourlay, CEO and Managing Director of Actinogen, expressed satisfaction with the FDA’s clear guidance. He noted, "We are excited about the confirmation of our streamlined development plan for Xanamem. The agreement for only one additional pivotal trial using a single 10 mg dose is a firm step forward in our quest to secure marketing approval for Alzheimer’s treatment in the US.”
About Actinogen Medical
Actinogen Medical Limited is an ASX-listed biotechnology company that is engaged in developing Xanamem, an oral therapy aimed at treating Alzheimer's disease and depression. The company has conducted multiple clinical trials involving hundreds of participants, ensuring a promising safety profile for Xanamem. Currently, Actinogen's ongoing clinical trial, known as XanaMIA, is set to enroll 220 participants with mild to moderate Alzheimer’s disease across various locations.
About Xanamem
Xanamem’s unique mechanism involves targeting cortisol levels in the brain. It inhibits the enzyme responsible for cortisol synthesis while allowing normal cortisol production to continue. This is particularly crucial as elevated cortisol levels have been linked to the progression of Alzheimer’s disease, posing risks to brain health and cognitive function.
Frequently Asked Questions
What does the FDA agreement mean for Actinogen Medical?
The FDA agreement clarifies the requirements for future drug approval, helping Actinogen plan its development strategy for Xanamem more effectively.
What is Xanamem?
Xanamem is an investigational drug aimed at treating Alzheimer’s disease by managing cortisol levels in the brain, which may enhance brain health and cognitive function.
How many trials has Xanamem undergone?
Xanamem has been studied in eight clinical trials with over 400 participants treated, showcasing its potential safety and efficacy.
What are the next steps for Actinogen regarding Xanamem?
Actinogen plans to submit an NDA in the US while continuing discussions with European and other global regulators to advance Xanamem’s approval process.
Who is leading Actinogen Medical?
The company is led by Dr. Steven Gourlay, who is actively guiding the development and strategic planning for Xanamem to ensure its success in the market.
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