Jaz­z's re­worked nar­colep­sy drug wins 7 years of or­phan ex­clu­siv­i­ty thanks to rare 'clin­i­cal su­pe­ri­or­i­ty' find­ing from FDA

Jazz Phar­ma­ceu­ti­cals suc­cess­ful­ly re­designed its block­buster nar­colep­sy drug Xyrem to make it safer by great­ly re­duc­ing its sodi­um con­tent. That tweak was enough for Jazz to win 7 years of or­phan drug ex­clu­siv­i­ty for that re­designed fol­lowup — mar­ket­ed as Xy­wav — as part of an in­fre­quent­ly used FDA pro­gram that eval­u­ates drugs on the ba­sis of demon­strat­ing clin­i­cal su­pe­ri­or­i­ty.

“The dif­fer­ences in the sodi­um con­tent of the two prod­ucts at the rec­om­mend­ed dos­es will be clin­i­cal­ly mean­ing­ful in re­duc­ing car­dio­vas­cu­lar mor­bid­i­ty in a sub­stan­tial pro­por­tion of pa­tients for whom the drug is in­di­cat­ed,” FDA said in mak­ing its des­ig­na­tion for Xy­wav. The agency has de­clared such “clin­i­cal su­pe­ri­or­i­ty” find­ings just eight oth­er times since Au­gust 2017 and is al­lowed to do so thanks to the FDA Reau­tho­riza­tion Act of 2017.

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