VEVYE® is the First and Only
Cyclosporine-Based Product Indicated for the Treatment of Both
Signs and Symptoms of Dry Eye Disease with Efficacy Demonstrated
After Four Weeks
VEVYE® is the Only Water-Free Ophthalmic
Product with Convenient Twice-Daily (BID) Dosing
Harrow (Nasdaq: HROW), a leading U.S. eyecare pharmaceutical
company, and Novaliq GmbH, a German biopharmaceutical company
focusing on first- and best-in-class ocular therapeutics, today
announced an agreement under which Harrow will acquire the U.S. and
Canadian commercial rights for VEVYE® (cyclosporine ophthalmic
solution) 0.1%, a patented, non‑preserved, ophthalmic solution
prescription drug based on Novaliq’s proprietary EyeSol® water-free
technology. VEVYE, which is dispensed topically in a unique 10
microliter per one drop and is labeled for twice‑daily (BID)
dosing, is the first and only cyclosporine-based product indicated
for the treatment of both signs and symptoms of dry eye disease
(DED). VEVYE was approved on May 30, 2023, by the U.S. Food and
Drug Administration (FDA).
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In commenting on the transaction, Mark L. Baum, Chairman and
Chief Executive Officer of Harrow, said, “The acquisition of the
U.S. and Canadian commercial rights to VEVYE demonstrates our
commitment to the highly underserved dry eye and ocular surface
inflammation markets. We are particularly excited about adding
VEVYE to our portfolio because of our strong belief that the U.S.
DED market is in need of a cyclosporine‑based product that is
generally well tolerated, improves both the signs and symptoms of
DED and, critically, reduces the time it takes for patients to
experience relief from this all-too-common and, in many cases,
debilitating disease. VEVYE not only feels better in the eye, but
it performs differently, and we believe it addresses the numerous
unmet needs in the large and growing U.S. DED market. We look
forward to making VEVYE available in the U.S. later this year.”
“There’s good news for dry eye patients and for our colleagues,”
commented Laura M. Periman, M.D., Director of Dry Eye Services and
Clinical Research, Periman Eye Institute, in Seattle, Washington.
“VEVYE, which is expected to be available soon, is a unique
cyclosporine formulation indicated for treatment of the signs and
symptoms of DED. The rapid onset and magnitude of improvements on
ocular surface epithelial damage, combined with the tolerability of
the non-aqueous vehicle, are key differentiators to existing
cyclosporin formulations. These features represent an exciting
advancement in addressing the medical needs of dry eye patients and
clinicians.”
“For patients with chronic and symptomatic dry eye disease, the
tolerability profile of the medication can be critical for
compliance and treatment success,” said Paul Karpecki, O.D.,
director, Cornea and External Disease, Kentucky Eye Institute, and
associate professor, University of Pikeville, Kentucky College of
Optometry. “Most patients are not comfortable with drops in their
eyes that cause burning or stinging. As a water-free drug product,
VEVYE does not require potentially irritating ingredients, such as
preservatives, oils or surfactants, and has demonstrated in
clinical trials a high patient satisfaction rate. Having a new
treatment option with a favorable comfort and tolerability profile
is a significant advancement for the dry eye patient, especially
those who experience burning and stinging with topical eye
medications.”
Christian Roesky, Ph.D., Chief Executive Officer of Novaliq,
stated, “We are excited to partner with Harrow, one of the fastest
growing and most dynamic ophthalmic pharmaceutical companies in the
U.S., to commercialize VEVYE in the U.S. and Canadian markets.
Harrow and its commercial team have a distinguished track record
for successfully commercializing new and clinically important
pharmaceutical products in the U.S. market, and they specifically
have many years of experience successfully marketing
cyclosporine-based formulations to U.S. eyecare professionals. The
Novaliq team looks forward to supporting Harrow during the launch
of VEVYE, a truly unique and powerful new treatment option for U.S.
eyecare professionals and the more than 16 million Americans who
have been diagnosed with DED.”
VEVYE Clinical Data
The safety and efficacy of VEVYE (development name: CyclASol®)
for the treatment of dry eye disease were assessed in a total of
1,369 patients with dry eye disease, of which 738 received
VEVYE.
Study CYS-001 (NCT02113293) was the first-in-human study
and was conducted to investigate the safety, tolerability, and
pharmacokinetics (PK) in healthy volunteers. In this study, VEVYE
was shown to be safe, and no systemic exposure of cyclosporin was
observed after ocular administration.
Study CYS-002 (NCT02617667, Wirta et al 2019)
demonstrated that VEVYE-dosed patients showed a statistically
significant early and clinically meaningful increase in Schirmer’s
tear test score at Day 29 compared to vehicle. Additionally, VEVYE
showed greater improvement in corneal and conjunctival staining
compared to (i) vehicle and (ii) Restasis® over the four-month
treatment period. The favorable safety and tolerability profile of
VEVYE was confirmed.
Study CYS-003 (ESSENCE-1; NCT03292809, Sheppard et al
2021) confirmed the effects seen in CYS-002. Compared to vehicle at
the end of treatment, there was a statistically significant higher
percentage of patients with increases of ≥10 mm from baseline in
Schirmer’s tear test score at Day 85. Notably, the study
demonstrated statistically significant reduction in total, central
corneal fluorescein and conjunctival staining scores favoring VEVYE
at all time points, in addition to VEVYE meeting the primary
endpoint of the study. 52.9% of patients responded within four
weeks with a clinically meaningful improvement of ≥3 grades in
total corneal staining, which was significantly higher compared to
vehicle. Responders showed statistically significant improvements
in a variety of symptoms compared to non-responders. VEVYE was
safe, well tolerated, and comfortable over the three-month
treatment duration.
Study CYS-004 (ESSENCE-2; NCT04523129, Akpek et al 2023)
was designed to replicate CYS-003 and met the primary corneal
staining endpoint. In this study, 71.6% of patients responded
within four weeks with a clinically meaningful improvement of ≥3
grades in total corneal staining. Again, responders showed
statistically significant improvements in a variety of symptoms
compared to non-responders at Day 29. Subjects with high central
corneal staining at baseline were shown to benefit from VEVYE with
statistically significant improvements in their blurred vision
score compared to vehicle CYS-004 studies as shown in CYS-003.
Schirmer’s tear test responses of ≥10 mm increase was statistically
significantly higher in the VEVYE compared vehicle at Day 29. VEVYE
was safe, well tolerated, and comfortable over the one-month
duration.
Study CYS-005 (NCT04523142, Wirta et al 2023) was an open
label extension study of CYS-004. VEVYE was shown to be safe and
well tolerated during long-term use over 12 months. Sign and
symptom endpoints continued to improve over the course of the study
demonstrating sustained efficacy over 52 weeks of therapy in both
signs and symptoms.
- Wirta DL, Torkildsen GL, Moreira HR, Lonsdale JD, Ciolino JB,
Jentsch G, Beckert M, Ousler GM, Steven P, Kr�sser S. A Clinical
Phase II Study to Assess Efficacy, Safety, and Tolerability of
Waterfree Cyclosporine Formulation for Treatment of Dry Eye
Disease. Ophthalmology. 2019; 126:793-800
- Sheppard JD, Wirta DL, McLaurin E, Boehmer BE, Ciolino CB,
Meides AS, Schlüter T, Ousler GW, Usner D, Kr�sser S. A Water‑free
0.1% Cyclosporine A Solution for Treatment of Dry Eye Disease:
Results of the Randomized Phase II/III ESSENCE Study. Cornea. 2021;
40:1290-1297
- Akpek EK, Wirta DL, Downing JE, Tauber J, Sheppard JD, Ciolino
JB, Meides AS, Kr�sser S: Efficacy and Safety of a Water-Free
Topical Cyclosporine, 0.1%, Solution for the Treatment of Moderate
to Severe Dry Eye Disease: The ESSENCE-2 Randomized Clinical Trial.
JAMA Ophthalmology. 2023; 141(5):459-466.
- Wirta DL, Kr�sser S, Long -Term Safety and Efficacy of a
Water-Free Cyclosporine Ophthalmic Solution for the Treatment of
Dry‑Eye Disease: ESSENCE-2-OLE study. ASCRS 2023 paper
presentation.
About VEVYE® (cyclosporine ophthalmic solution) 0.1%
VEVYE (cyclosporine ophthalmic solution) 0.1%, non-preserved,
for topical ophthalmic use.
INDICATIONS AND USAGE
VEVYE is indicated for the treatment of the signs and symptoms
of dry eye disease.
CONTRAINDICATIONS
None.
WARNINGS AND PRECAUTIONS
Potential for Eye Injury and Contamination. To avoid the
potential for eye injury and/or contamination, patients should not
touch the bottle tip to the eye or other surfaces.
Use with Contact Lenses. VEVYE should not be administered while
wearing contact lenses. If contact lenses are worn, they should be
removed prior to administration of the solution. Lenses may be
reinserted 15 minutes following administration of VEVYE ophthalmic
solution.
ADVERSE REACTIONS
Clinical Trials Experience. Because clinical trials are
conducted under widely varying conditions, adverse reaction rates
observed in the clinical trials of a drug cannot be directly
compared to rates in the clinical trials of another drug and may
not reflect the rates observed in practice. In clinical trials with
738 subjects receiving at least 1 dose of VEVYE, the most common
adverse reactions were instillation site reactions (8%) and
temporary decreases in visual acuity (3%).
USE IN SPECIAL POPULATIONS
Pregnancy. There are no adequate and well-controlled studies of
VEVYE administration in pregnant women to inform a drug-associated
risk.
Lactation. Caution should be exercised when VEVYE is
administered to a nursing woman.
For additional information about VEVYE®, please see the Full
Prescribing Information.
About Novaliq
Novaliq is a private biopharmaceutical company focusing on the
development and commercialization of first- and best-in-class
ocular therapeutics based on EyeSol®, the worldwide first
water-free technology. Novaliq GmbH is headquartered in Heidelberg,
Germany, and Novaliq Inc. has an office in Cambridge, MA, USA. The
long-term shareholder is dievini Hopp BioTech holding GmbH &
Co. KG, an active investor in Life and Health Sciences companies.
More on novaliq.com.
About Harrow
Harrow Health, Inc. (Nasdaq: HROW) is a leading U.S. eyecare
pharmaceutical company engaged in the discovery, development, and
commercialization of innovative ophthalmic prescription therapies
that are accessible and affordable. Harrow owns U.S. commercial
rights to ten branded FDA-approved ophthalmic pharmaceutical
products. Harrow also owns and operates ImprimisRx, a leading U.S.
ophthalmic‑focused pharmaceutical compounding business, which also
serves as a mail-order pharmacy licensed to ship prescription
medications in all 50 states. Harrow has non-controlling equity
positions in Surface Ophthalmics, Inc. and Melt Pharmaceuticals,
Inc., companies that began as subsidiaries of Harrow. Harrow also
owns royalty rights in four late-stage drug candidates being
developed by Surface and Melt.
Harrow Forward-Looking Statements
This press release contains “forward-looking statements” within
the meaning of the U.S. Private Securities Litigation Reform Act of
1995. Any statements in this release that are not historical facts
may be considered such “forward-looking statements.”
Forward-looking statements are based on management's current
expectations and are subject to risks and uncertainties which may
cause results to differ materially and adversely from the
statements contained herein. Some of the potential risks and
uncertainties that could cause actual results to differ from those
predicted include, among others, risks related to: liquidity or
results of operations; our ability to successfully implement our
business plan, develop and commercialize our products, product
candidates and proprietary formulations in a timely manner or at
all, identify and acquire additional products, manage our pharmacy
operations, service our debt, obtain financing necessary to operate
our business, recruit and retain qualified personnel, manage any
growth we may experience and successfully realize the benefits of
our previous acquisitions and any other acquisitions and
collaborative arrangements we may pursue; competition from
pharmaceutical companies, outsourcing facilities and pharmacies;
general economic and business conditions, including inflation and
supply chain challenges; regulatory and legal risks and
uncertainties related to our pharmacy operations and the pharmacy
and pharmaceutical business in general; and physician interest in
and market acceptance of our current and any future formulations
and compounding pharmacies generally. These and additional risks
and uncertainties are more fully described in Harrow’s filings with
the Securities and Exchange Commission (“SEC”), including its
Annual Report on Form 10-K and its Quarterly Reports on Form 10-Q.
Such documents may be read free of charge on the SEC's web site at
sec.gov. Undue reliance should not be placed on forward-looking
statements, which speak only as of the date they are made. Except
as required by law, Harrow undertakes no obligation to update any
forward-looking statements to reflect new information, events, or
circumstances after the date they are made, or to reflect the
occurrence of unanticipated events.
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Harrow: Investors Jamie Webb
Director of Communications and Investor Relations
jwebb@harrowinc.com 615-733-4737 Media
Deb Holliday Holliday Communications, Inc.
deb@hollidaycommunications.net 412-877-4519 Novaliq:
Media Simone Angstmann-Mehr
info@novaliq.com
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