The Food and Drug Administration said Monday that the effectiveness of a proposed lung drug from Forest Laboratories Inc. (FRX) was "quite modest."

The drug, roflumilast, is designed to treat chronic obstructive pulmonary disease, or COPD. If approved the product would be sold under the brand name Daxas.

The product faces a review Wednesday by the FDA's pulmonary-allergy advisory committee, which is composed of non-FDA medical experts. The panel is being asked to make recommendations about whether it thinks the agency should approve Daxas. The FDA isn't required to follow the advice of its panels but usually does.

In a review of Daxas posted to FDA's Web site on Monday, the agency also said there were more psychiatric side effects seen in clinical studies of the drug and gastrointestinal side effects such as diarrhea and nausea.

"Of significant concern are the occurrence of three completed suicides and two suicide attempts" among patients receiving Daxas compared to no suicides or attempts in the placebo group, FDA said.

The agency said, while clinical studies looking at Daxas showed there was a statistical significant improvement in lung function compared to groups of patients not taking the drug, "the differences between the groups in mean change from baseline were quite modest."

Daxas, an oral tablet that would be taken once daily, works by inhibiting an enzyme called phosphodiesterase 4, which is believed to play a role in the inflammatory process involved with airway constriction.

Another company, Nycomed, submitted the Daxas application to FDA last July, but the application was transferred to Forest in December, according to FDA.

The agency said Forest proposed a narrower indication for Daxas as well as a warning regarding neuropsychiatric events.

-By Jennifer Corbett Dooren, Dow Jones Newswires; 202-862-9294; jennifer.corbett@dowjones.com

 
 
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