Oton­o­my's res­ur­rect­ed ear drug is now dead again — and in­vestors aren't hang­ing around

More than three years af­ter it was raised from the dead, Oton­o­my’s lead drug ap­pears head­ed to the scrap heap for good.

The drug, Otividex, failed to beat place­bo at re­duc­ing de­fin­i­tive ver­ti­go days for the in­tent-to-treat pop­u­la­tion of pa­tients with Ménière’s dis­ease. The p-val­ue, at 0.312, was a far cry from sta­tis­ti­cal sig­nif­i­cance.

De­spite de­fin­i­tive flops in ear­li­er tri­als, ex­ecs had in­sist­ed they had a shot af­ter a sec­ond Phase III — which they had orig­i­nal­ly said they would drop — ap­par­ent­ly backed up their be­lief that they could mine pos­i­tive da­ta if they fo­cused on the av­er­age num­ber of ver­ti­go days at month 3. And that’s not the on­ly tweak they would make to the tri­al: Back in Ju­ly, they went to the FDA with a re­vised sta­tis­ti­cal analy­sis plan us­ing a “neg­a­tive bi­no­mi­al mod­el.”

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