NDA for first tablet with stomach-activated digital sensor filed
“The “Beyond the Pill” movement marked a
major milestone with the FDA’s acceptance of the first digital medicine-New Drug
Application. It will pair Proteus Digital Health’s ingestible sensor
platform with Otsuka Pharmaceuticals’ FDA-approved Abilify drug to treat people
with schizophrenia, bipolar disorder and in some cases for major depressive
disorder to monitor adherence.
The Abilify tablet contains an ingestible
sensor that communicates with a wearable sensor patch and medical software
application. The idea is to measure adherence.
Otsuka CEO for development and
commercialization Dr. William Carson said in a statement that patients
suffering from severe mental illnesses struggle with adhering to or
communicating with their healthcare teams about their medication regimen, which
can greatly impact outcomes and disease progression.
The technology behind the embedded sensor is
pretty cool. Stomach juices activate an energy source - similar to a potato
starch battery. The embedded sensor sends signals to a skin patch electrode,
which wirelessly transmits information such as vital signs, body position and
verification of medication ingestion.
The sensor would be embedded during the drug
manufacturing process as a combination drug-device, communicating with the
Proteus patch and relevant medical software.
If approved, the combination drug-device could be used to tailor
medicines more closely to reflect each of our medication-taking patterns and
lifestyle choices, Andrew Thompson, Proteus Digital Health CEO said in a
statement.
The complexities behind poor adherence loom
large in the face of attempts to improve it. But with schizophrenia the
consequences of non adherence include relapse, hospitalization and attempted
suicide, depending on the severity of the condition.
Last year Proteus Digital Health raised $120
million to commercialize its digital medicines.
The FDA’s move follows its clearance of
Propeller Health’s remote monitoring platforms for GSK and Boehringer Ingelheim
to better track how people with asthma and COPD use their inhalers between
appointments. The idea is that by tracking how patients use the devices Propeller’s
platform can provide useful information to physicians to help alert them to
potential problems with patients’ medication or the inhaler, before the
problems worsen.
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