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POZEN (POZN) Slammed as FDA May Limit PA32540 Treatment in Post-CABG Patients

April 27, 2012 10:16 AM EDT
POZEN Inc. (Nasdaq: POZN) is seeing a massive spike in volatility Friday on the following disclosure made in an SEC filing late Thursday. Implied volatility is up 19.7 percent to 59 percent, though its still below the annual one-year average.

Shares are down 18 percent. Below is the filing made with the SEC:

During a pre-submission meeting with respect to its New Drug Application for PA32540, which contains 325 mg of enteric coated aspirin and 40 mg of omeprazole in a single tablet, the United States Food & Drug Administration suggested that POZEN Inc. also seek approval for a lower dose formulation of the product containing 81 mg of enteric coated aspirin as part of its NDA for PA32540. Absent the availability of such a lower dose formulation in the market if PA32540 is approved, the FDA indicated that it may limit the indication for PA32540 to use in post coronary artery bypass graft surgery (CABG) with a treatment duration not to exceed one year. The Company believes that the FDA is concerned that, without a formulation containing a lower dose of aspirin, physicians will not have a full range of dosing options available to prescribe in accordance with current cardiovascular treatment guidelines, which recommend doses of 81 mgs or 162 mgs of aspirin for most indications. The Company intended to seek an indication for the secondary prevention of cardiovascular disease in patients at risk for gastric ulcers.

The Company has generated clinical pharmacology data and chemical, manufacturing and controls (CMC) data for a product which contains 81 mg of enteric coated aspirin and 40 mg of omeprazole in a single tablet (PA8140). The Company intends to file this existing data, together with additional CMC data to be generated and evidence from the scientific literature relating to the ulcerogenic risk of 81 mg of aspirin as part of its NDA for PA32540. At this time, the Company does not intend to conduct Phase 3 clinical trials for PA8140. The Company anticipates that the data package submitted for PA8140 will be similar to that used to gain approval for a lower dosage formulation of VIMOVO™ (naproxen/esomeprazole magnesium) containing 375 mg of naproxen.

Generation of additional data with respect to PA8140 and incorporation of data into the NDA for PA32540 may delay submission of the NDA for approximately 6 months from the original planned submission date in the third quarter of 2012, but the exact timing of the NDA submission has not yet been determined. The Company is also assessing what additional development activities with respect to PA8140 will be required and the costs thereof.

The Company has no guarantee such data will be sufficient for the FDA to approve PA8140 or to allow a broader indication for PA32540. The FDA will make a final determination with respect to the approvability of and indications for PA32540 and PA8140 during the review of the Company’s NDA for the products.


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