News from the FDA/CDC

FDA OKs Voquezna for Heartburn Relief in Nonerosive Gastroesophageal Reflux Disease


 

The US Food and Drug Administration (FDA) approved Voquezna (vonoprazan, Phathom Pharmaceuticals) 10-mg tablets for the relief of heartburn associated with nonerosive gastroesophageal reflux disease (GERD) in adults.

It represents the third indication for the potassium-competitive acid blocker, which is already approved to treat all severities of erosive esophagitis and to eradicate Helicobacter pylori infection in combination with antibiotics.

A stamp saying "FDA approved." Olivier Le Moal/Getty Images

The approval in nonerosive GERD was supported by results of the PHALCON-nonerosive GERD-301 study, a phase 3 randomized, placebo-controlled, double-blind, multicenter study evaluating the safety and efficacy of once-daily Voquezna in more than 700 adults with nonerosive GERD experiencing at least 4 days of heartburn per week.

“Vonoprazan was efficacious in reducing heartburn symptoms in patients with [nonerosive GERD], with the benefit appearing to begin as early as the first day of therapy. This treatment effect persisted after the initial 4-week placebo-controlled period throughout the 20-week extension period,” the study team wrote in a paper published online in Clinical Gastroenterology and Hepatology , and reported on by this news organization.

Voquezna “provides physicians with a novel, first-in-class treatment that can quickly and significantly reduce heartburn for many adult patients” with nonerosive GERD, Colin W. Howden, MD, AGAF, professor emeritus, University of Tennessee College of Medicine in Memphis, said in a news release.

Dr. Colin W. Howden, professor emeritus, University of Tennessee College of Medicine in Memphis

Dr. Colin W. Howden

The most common adverse events reported in patients treated with Voquezna during the 4-week placebo-controlled period were abdominal pain, constipation, diarrhea, nausea, and urinary tract infection.

Upper respiratory tract infection and sinusitis were also reported in patients who taking Voquezna in the 20-week extension phase of the trial.

Full prescribing information is available online.

A version of this article appeared on Medscape.com.

Recommended Reading

FDA Expands Dupilumab for EoE to Younger Children
MDedge Family Medicine
FDA OKs First Oral Agent for Eosinophilic Esophagitis
MDedge Family Medicine
Real-World Dupilumab Wins in Treating Refractory EoE
MDedge Family Medicine
Dupilumab for Eosinophilic Esophagitis: How Is it Improving Treatment?
MDedge Family Medicine
GLP-1s May Increase Post-Endoscopy Aspiration Pneumonia Risk
MDedge Family Medicine
AGA Clinical Guideline Stresses Patient Preferences in Barrett’s Treatment
MDedge Family Medicine
Endoscopic Procedure Targets ‘Hunger Hormone’ for Weight Loss
MDedge Family Medicine
Healthy Sleep Linked to Lower Odds for Digestive Diseases
MDedge Family Medicine
Dupilumab Effective in PPI-Refractory Pediatric EoE
MDedge Family Medicine
Which GI Side Effects Should GLP-1 Prescribers Worry About?
MDedge Family Medicine