Capsaicin Patch for Diabetic Neuropathy Foot Pain Gets Nod From FDA

A skin patch that delivers an 8% capsaicin formulation intradermally and that first received US Food and Drug Administration approval in 2009 for the treatment of postherpetic pain now has agency approval for the treatment of neuropathic pain associated with diabetic peripheral neuropathy of the feet in adults, according to a company announcement on July 21.

The patch, marketed as Qutenza, is a topical, nonsystemic, nonopioid pain treatment and is “the first and only treatment of its kind to deliver prescription strength capsaicin directly into the skin,” according to Averitas Pharma, which will market the patch in the United States.

“Pain associated with diabetic neuropathy is an extremely challenging condition to diagnose, treat and manage effectively, which has a significant quality of life impact for many patients,” said David M. Simpson, MD, lead investigator of the STEP study that established the patch’s efficacy in this setting. He is professor of neurology at the Icahn School of Medicine at Mount Sinai, New York City.

“In addition, patients are dissatisfied with unresolved pain and the side effects associated with current systemic treatments,” noted Simpson in the company press release.

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Triple Inhaled Therapy at Two Glucocorticoid Doses in Moderate to Very Severe COPD is Beneficial

Phase 3 trial findings compared outcomes for COPD patients who had triple fixed-dose inhaled corticosteroid, long-acting muscarinic antagonist, and long-acting beta₂ agonist with patients who received one of two dual-therapy combinations. The results were presented at the American Thoracic Society’s virtual clinical trial session.

A total of 8,509 patients were randomized on a 1:1:1:1 basis to receive twice daily:

    • Single-inhaler combinations of the inhaled corticosteroid (ICS) budesonide at one of two doses, the long-acting muscarinic antagonist (LAMA) glycopyrrolate, and the long-acting beta₂ agonist (LABA) formoterol.

    • Dual-therapy combination glycopyrrolate and formoterol.

    • Dual-therapy combination budesonide and formoterol.

The annual rate of moderate or severe COPD exacerbations was 1.08 and 1.07 for the triple combinations with 320 mcg and 180 mcg doses of budesonide, respectively, compared with 1.42 for glycopyrrolate-formoterol, and 1.24 for budesonide-formoterol.

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