Scopolamine

Pictured: FDA signage at its office in Washington, DC/iStock, JHVEPhoto The FDA on Tuesday rejected Defender Pharmaceuticals’ investigational intranasal gel formulation of scopolamine, which was being proposed to prevent nausea and vomiting from motion sickness in adults. The Missouri-based biotech did not provide the FDA’s reasons in the Complete Response Letter (CRL) for the rejection of its New Drug Application. Defender CEO Barry Feinberg in a statement said the company will schedule a formal meeting with the regulator to “fully understand the issues raised in the CRL so we can develop and implement a comprehensive action plan.” “We remain confident that our intranasal scopolamine is a safe and effective therapy for the prevention of motion sickness, and we will work closely with the FDA to ensure that we can bring this innovative new product to the market,” Feinberg added. Scopolamine is a well-known anticholinergic compound that mimics the natural neurotransmitter acetylcholine and targets the parasympathetic nervous system. This mechanism of action allows scopolamine to address the symptoms of motion sickness, including vomiting and nausea, as well as other conditions such as major depressive disorder and virtual reality sickness, according to Defender’s website. The label for scopolamine states that it was first approved by the FDA in 1979. The drug is now administered via a patch behind the ear. Defender is proposing an intranasal gel formulation of scopolamine, which it had been developing in partnership with the United States Naval Medical Research Unit and the National Aeronautics Space Administration. Defender’s clinical development was focused on military personnel and astronauts, whose job performance can be strongly compromised by motion sickness. In September 2023, the FDA accepted Defender’s NDA for its intranasal gel formulation of scopolamine, backed by a data from more than 1,300 patients that had participated in the company’s clinical program. In June 2023, Defender released data from its pivotal Phase III DPI-386-MS-33 study showing that—compared with placebo—scopolamine’s investigational formulation significantly increased the proportion of patients who did not vomit or require rescue antihistamine medication after riding an ocean-going vessel. The pivotal trial also reported a significant drop in moderate-severe nausea after treatment with the experimental formulation versus placebo. Beyond motion sickness, Defender is also developing its intranasal scopolamine formulation for major depressive disorder with suicidal ideation, chemical exposure, traumatic brain injury and virtual reality sickness. Tristan Manalac is an independent science writer based in Metro Manila, Philippines. He can be reached at tristan@tristanmanalac.com or tristan.manalac@biospace.com.

St. Louis-based Defender Pharmaceuticals revealed that the U.S. FDA issued a complete response letter in response to the company’s NDA for intranasal scopolamine for the prevention of nausea and vomiting induced by motion. While Defender did not share the reasons why the agency rejected the application, the company said it plans to schedule a formal meeting with the FDA to fully understand the issues raised in the CRL and implement an action plan. Scopolamine has been approved for decades as a transdermal system for the treatment of motion sickness and postoperative nausea/vomiting. According to Defender, when administered as an intranasal gel, scopolamine demonstrated rapid absorption, which means the formulation could potentially bring relief faster. The intranasal gel, Defender's lead program, is intended for specific military personnel and astronauts. The company has been working with the U.S. Naval Medical Research Unit and NASA on the development.