Showing posts with label medical device. Show all posts
Showing posts with label medical device. Show all posts

Friday, December 27, 2024

Reviewing the FDA’s Major Psychiatry Approvals in 2024

The FDA’s approval of Cobenfy (xanomeline and trospium chloride) at the end of September was an important moment in psychopharmacology, ushering in the first truly “new” schizophrenia medication in decades. But Cobenfy was not the only new psychiatric treatment to join the armamentarium. In case you missed it, here are some other FDA approvals, clearances, new formulations, and expanded indications from this past year:

March

FDA approves Risvan, a once-monthly risperidone injectable, for the treatment of schizophrenia that does not require a loading dose, enabling seamless switching from oral to injectable treatment.

April

FDA clears Rejoyn—a smartphone-based therapeutic app—as an adjunct treatment of major depressive disorder among adults ages 22 years and older who are using antidepressant medication.

FDA also clears Mama Lift Plus, a prescription digital therapeutic that offers behavioral therapy as an adjunct to clinician-managed outpatient care for patients 22 years of age and older with mild to moderate postpartum depression.

FDA approves Rezenopy, a high-dose naloxone hydrochloride nasal spray, for the treatment of known or suspected opioid overdose in adults and children.

FDA expands the approval of Fanapt (iloperidone) to include the acute treatment of manic or mixed episodes associated with bipolar I disorder in adults.

FDA approves a new “sprinkle” formulation of Ingrezza (valbenazine) for patients with tardive dyskinesia or Huntington’s chorea who may have difficulty swallowing.

FDA clears Modius Stress, an at-home transdermal neurostimulation device, for the treatment of generalized anxiety disorder among adults ages 22 years and older.

May

FDA approves Onyda XR, an extended-release oral suspension of clonidine, for the treatment of ADHD among pediatric patients 6 years of age and older; Onyda is the first liquid non-stimulant medication available for ADHD.

FDA approves new once-daily tablets of Austedo XR (deutetrabenazine) in doses ranging from 30 to 48 mg. Austedo was approved in 2023 (up to 24 mg) for the treatment of tardive dyskinesia and chorea in adults.

June

FDA clears Endeavor—previously a prescription-only video game–based therapeutic for the treatment of ADHD—as an over-the-counter treatment.

July

FDA approves Kisunla (donanemab), the third antibody-based treatment for early Alzheimer’s disease. Donanemab is the first Alzheimer’s treatment that is delivered in monthly rather than biweekly infusions.

FDA approves Erzofri, a monthly extended-release injectable suspension of paliperidone palmitate, for the treatment of schizophrenia and schizoaffective disorder in adults.

FDA approves Zunveyl (benzagalantamine) for the treatment of mild to moderate Alzheimer’s disease; Zunveyl is a modified form of galantamine that has reduced gastrointestinal side effects.

August

FDA approves Zurnai, a pre-filled nalmefene hydrochloride auto-injector, for the treatment of known or suspected opioid overdose in people at least 12 years old.

FDA approves Crexont for the treatment of Parkinson’s disease; Crexont is a novel formulation of carbidopa and levodopa that combines both immediate-release granules and extended-release pellets.

September

FDA clears DaylightRx, a prescription digital therapeutic that delivers cognitive behavioral therapy as an adjunct to usual care in the treatment of generalized anxiety disorder in patients 22 years old or older.

October

FDA approves Vyalev (foscarbidopa/foslevodopa) for the treatment of motor fluctuations in adults with advanced Parkinson’s disease.

FDA expands the approval of Lumryz, an oral suspension of sodium oxybate, for the treatment of cataplexy or excessive daytime sleepiness in pediatric patients ages 7 years or older.

(Image: Getty Images/iStock/JHVEPhoto)




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Monday, April 22, 2019

FDA Clears First Device for Treatment of ADHD


On Friday, the Food and Drug Administration (FDA) announced that it is permitting the marketing of the first medical device for the treatment of attention-deficit/hyperactivity disorder (ADHD). The device, called the Monarch external Trigeminal Nerve Stimulation (eTNS) System, will be available by prescription only and is indicated for children aged 7 to 12 years who are not taking prescription ADHD medications.

“This new device offers a safe, nondrug option for treatment of ADHD in pediatric patients through the use of mild nerve stimulation, a first of its kind,” said Carlos Peña, Ph.D., director of the FDA’s Division of Neurological and Physical Medicine Devices, in the agency press release. “Today’s action reflects our deep commitment to working with device manufacturers to advance the development of pediatric medical devices so that children have access to innovative, safe, and effective medical devices that meet their unique needs.”

The Monarch eTNS System delivers low-level electrical pulses to a child’s trigeminal nerve while the child sleeps via wires and a small patch adhered to the child’s forehead. The exact mechanism of eTNS is not yet known, but neuroimaging studies have shown that the trigeminal nerve connects to brain regions that are important in regulating attention, emotion, and behavior.

The efficacy of the Monarch system was shown in a recently published clinical trial of 62 children with ADHD. The participants randomly received either eTNS or sham nerve stimulation nightly for four weeks. At the study’s completion, the children using the eTNS device had a statistically significant improvement in their ADHD symptoms compared with the sham group, as measured with the clinician-administered ADHD Rating Scale. The device was well tolerated; the most common side effects observed with eTNS were drowsiness, increased appetite, trouble sleeping, teeth clenching, headache, and fatigue.

The FDA cautions that the Monarch eTNS System should not be used in children with active implantable pacemakers, active implantable neurostimulators, or body-worn devices such as insulin pumps. The eTNS System also should not be used in the presence of cellular phones, since the low levels of electromagnetic energy emitted by the phone may interrupt the therapy.

The Monarch eTNS System will be marketed by NeuroSigma. To read more about the Monarch eTNS clinical study, see the Psychiatric News article, “NoninvasiveElectrical Stimulation Shown Effective for ADHD.”

(image: iStock/evgenyatamanenko)

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