J&J seeks FDA approval of Spravato as monotherapy for treatment-resistant depression

Betsy Goodfellow | July 24, 2024 | News story | Medical Communications J&J, Johnson & Johnson, Neurology, Spravato, treatment-resistant depression 

Johnson & Johnson (J&J) has announced that it has submitted a supplemental New Drug Application (sNDA) to the US Food and Drug Administration (FDA) for the approval of Spravato (esketamine) CIII nasal spray as a monotherapy for the treatment of adult patients living with treatment-resistant depression (TRD).

This submission follows positive phase 4 trial results which assessed the efficacy, safety and tolerability of the drug administered as a monotherapy. The randomised, double-blind, multi-centre, placebo-controlled study demonstrated a ‘rapid change in Montgomery-Asberg Depression Rating Scale (MADRS) total score as early as 24 hours after the first Spravato dose, and sustained through at least 4 weeks of treatment’, according to the press release.

The safety profile of the drug as a monotherapy remained consistent with the existing data around it in combination with an oral antidepressant. No new safety concerns were noted.

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Bill Martin PhD, global therapeutic area head of neuroscience at J&J Innovative Medicine, commented: “Many patients living with challenging-to-treat depression spend far too long cycling through multiple treatments that don’t effectively resolve their symptoms, which can cause a significant functional and emotional burden on patients and their loved ones. We’re pleased to build on the more than a decade of research reinforcing the safety and efficacy of Spravato and look forward to working with the FDA to bring this innovative treatment to patients as a monotherapy option.”

Betsy Goodfellow

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