Pharma

Salix gets FDA letter on IBS drug, but company won’t disclose details

The U.S. Food and Drug Administration’s formal letter explaining why it won’t approve Salix Pharmaceuticals drug Xifaxan has finally arrived. But the North Carolina company isn’t saying what exactly the FDA wants in order to approve Xifaxan for nonconstipation irritable bowel syndrome.

Salix Pharmaceuticals finally received formal U.S. Food and Drug Administration notice that the agency would not approve the company’s irritable bowel syndrome drug, but so far, the company is saying little else.

Morrisville, North Carolina-based Salix (NASDAQ:SLXP) said it would request a meeting with the FDA to discuss the drug Xifaxan. Salix said that until the meeting is held and the company has an opportunity to evaluate its options, Salix cannot plan future development of Xifaxan for nonconstipation irritable bowel syndrome.

Salix, a specialty pharmaceutical company focusing on gastrointestinal treatments, said it received the FDA’s complete response letter the evening of March 7. The company had disclosed on Feb. 24 that the FDA indicated it would be sending a complete response letter regarding Xifaxan, news that sent Salix shares into a dive. Such letters typically outline why the FDA cannot approve a drug and what the FDA needs to see in order for the drug to gain approval.

Xifaxan is already approved for treating traveler’s diarrhea as well as hepatic encephalopathy, a brain disorder associated with severe liver disease. Salix had been seeking to add  nonconstipation irritable bowel syndrome as a new indication for the drug. If the FDA requires additional clinical trials on Xifaxan, that would mean more time and money spent on the drug.

Salix did not disclose the contents of the FDA letter, nor has the letter been filed with the company’s securities filings. Salix said that it will provide its next update during the first-quarter earnings conference call, which is scheduled for early May.

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A Deep-dive Into Specialty Pharma

A specialty drug is a class of prescription medications used to treat complex, chronic or rare medical conditions. Although this classification was originally intended to define the treatment of rare, also termed “orphan” diseases, affecting fewer than 200,000 people in the US, more recently, specialty drugs have emerged as the cornerstone of treatment for chronic and complex diseases such as cancer, autoimmune conditions, diabetes, hepatitis C, and HIV/AIDS.