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Abstract Details

Radicava® (edaravone) for Amyotrophic Lateral Sclerosis: New Formulation and Its Development Plan
Neuromuscular and Clinical Neurophysiology (EMG)
P1 - Poster Session 1 (5:30 PM-6:30 PM)
12-014

To provide updated pharmacokinetic (PK) data for a potential new oral suspension formulation of edaravone and describe its anticipated planned development.

An intravenous (IV) formulation of edaravone (Radicut®/Radicava®) is approved for use in amyotrophic lateral sclerosis (ALS) in several countries and is administered in 4-week treatment cycles: 2 weeks of daily treatment followed by 2 weeks off treatment. An oral formulation may provide an alternative option to complement IV edaravone.

A Phase 1, oral, dose-ranging PK study was conducted in healthy volunteers.

Preliminary results indicated that Cmax and AUC increased with dose increases up to 300 mg. A single oral dose of approximately 100 mg of edaravone is expected to have similar Cmax and AUC as observed with the 60 mg/60 min IV infusion. No new safety findings were noted following single doses of up to 300 mg of oral edaravone relative to IV infusion. Significant reductions in Cmax and AUC occurred when oral edaravone was administered with food.

The clinical development plan for the oral suspension is ongoing and may be revised based on the results. Proposed studies include a PK bridging strategy (to expedite the development of the oral formulation), a pivotal cross-over study demonstrating equivalent PK between the oral and IV formulations, an open-label safety study in patients with ALS, and a study to investigate 3 different regimens for the oral formulation: an oral 2-week on/off cycle, a daily oral dosing at the equivalent IV dose, and a daily “high-dose” treatment.

The poster will include updated information on the oral suspension formulation of edaravone in ALS and the potential regulatory pathway. 
Authors/Disclosures
Koji Takei (Mitsubishi Tanabe Pharma Corporation)
PRESENTER
No disclosure on file
No disclosure on file
No disclosure on file
No disclosure on file
No disclosure on file
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Makoto Akimoto No disclosure on file
No disclosure on file
Joseph M. Palumbo, MD (BioVie) Dr. Palumbo has received personal compensation for serving as an employee of BioVie. An immediate family member of Dr. Palumbo has received personal compensation for serving as an employee of Merck Research Laboratories. Dr. Palumbo has received personal compensation in the range of $10,000-$49,999 for serving as a Consultant for Stalicla SA. Dr. Palumbo has received personal compensation in the range of $0-$499 for serving on a Scientific Advisory or Data Safety Monitoring board for Psychae Therapeutics Pty Ltd. Dr. Palumbo has received personal compensation in the range of $500-$4,999 for serving on a Scientific Advisory or Data Safety Monitoring board for Phocus Pharmaceuticals Inc.. Dr. Palumbo has received personal compensation in the range of $0-$499 for serving as an officer or member of the Board of Directors for BioVie. Dr. Palumbo has or had stock in BioVie. An immediate family member of Dr. Palumbo has or had stock in Merck Research Laboratories. The institution of Dr. Palumbo has received research support from United States Department of Defense. Dr. Palumbo has received intellectual property interests from a discovery or technology relating to health care. Dr. Palumbo has received intellectual property interests from a discovery or technology relating to health care. Dr. Palumbo has received intellectual property interests from a discovery or technology relating to health care.