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Drug information

Drug's link(s)
Generic name

LY03010 (Paliperidone Palmitate Once-Monthly [PP1M])

Brand names

ERZOFRI®

Compound type

Small molecule

Summary

LY03010 (paliperidone palmitate once-monthly injectable) marketed under the brand name ERZOFRI® is indicated for the treatment of schizophrenia and schizoaffective disorders. A New Drug Application (NDA) was submitted to the U.S. Food and Drug Administration (FDA) based on a multicenter, randomized, open-label relative bioavailability study (NCT04922593) which established the bioequivalence of LY03010 and INVEGA SUSTENNA® at steady state and comparatively evaluated the pharmacokinetics of paliperidone during the initial dosing regimen (IDR). Comparable therapeutic levels of paliperidone were observed during the IDRs of both drugs, however, LY03010 is given consistently once a month from initiation, in comparison to two weekly injections for the initiation doses of INVEGA SUSTENNA®.

Approval status

A New Drug Application (NDA) for LY03010 was submitted to the U.S. FDA via the 505(b)(2) pathway. Following this submission, Luye Pharma Group Ltd. sent a Paragraph IV patent declaration to the Marketing Authorisation Holder and the patent owner of INVEGA SUSTENNA®. LY03010 was granted a patent (Patent No.11,666,573) in the U.S. in 2023, which will expire in 2039. On July 28 2024, the U.S. FDA approved LY03010 under the brand name ERZOFRI® for the treatment of schizophrenia in adults and schizoaffective disorder in adults as monotherapy, as well as an adjunct to mood stabilizers or antidepressants. Administered once monthly, ERZOFRI® is the first patented paliperidone palmitate long-acting injectable developed in China to be approved in the U.S.

Regulatory authorities

Unknown

Therapeutic area(s)

  • Mental health
Use case(s)
  • Treatment

Administration route

Intramuscular

Associated long-acting platforms

Aqueous drug particle suspension

Use of drug

Ease of administration
  • Administered by a nurse
  • Administered by a specialty health worker
User acceptance

Not provided

Comment & Information

The NCT04922593 study established the bioequivalence (BE) of LY03010 and INVEGA SUSTENNA® (IS) at steady state and comparatively evaluated the pharmacokinetics of paliperidone during the IDRs (Days 1 to 28 for LY03010 and Days 1 to 35 for IS). A total of 281 adult patients were randomized (1:1) to receive 6 intramuscular (IM) injections of LY03010 (351 mg on Day 1 and 156 mg monthly thereafter) or 7 IM injections of IS (Days 1 [234 mg], 8 [156 mg], and 156 mg monthly thereafter). The 90% confidence intervals for the geometric least squares means ratios (LY03010:LD) for paliperidone Cmax and AUCtau at steady state were within the BE limits (80% to 125%). After the initial injection of 351 mg LY03010, a therapeutic level of paliperidone was reached rapidly without oral supplementation.

Developer(s)

Luye Pharma Group Ltd.
Generic
China

Luye Pharma Group Ltd. is an international pharmaceutical company who develop and manufacture advanced drug delivery systems including microspheres, liposomes and transdermal approaches. The company has established R&D centres in China, the United States and Europe, with a robust pipeline of 40 drug candidates intended for the Chinese market and more than 10 drug candidates overseas.

Drug structure

Scale-up and manufacturing prospects

Scale-up prospects

Compound is commercially manufactured. In June 27 2024, Luye Pharma successfully completed a Pre-Approval Inspection (PAI) conducted by the U.S. FDA at its manufacturing facility for LY03010. This inspection is a standard requirement for new drug applications and is designed to assess the facility's compliance with Good Manufacturing Practices (GMP) standards.

Tentative equipment list for manufacturing

Not provided

Manufacturing

Not provided

Specific analytical instrument required for characterization of formulation

Not provided

Excipients

Proprietary excipients used

Not provided

Novel excipients or existing excipients at a concentration above Inactive Ingredient Database (IID) for the specified route of administration

Not provided

Residual solvents used

Not provided

Delivery device(s)

No delivery device

There are either no relevant patents or these were not yet submitted to LAPaL

Collaborate for development

Consider on a case by case basis, collaborating on developing long acting products with potential significant public health impact, especially for low- and middle-income countries (LMICs), utilising the referred to long-acting technology

Share technical information for match-making assessment

Provide necessary technical information to a potential partner, under confidentiality agreement, to enable preliminary assessment of whether specific medicines of public health importance in LMICs might be compatible with the referred to long-acting technology to achieve a public health benefit

Work with MPP to expand access in LMICs

In the event that a product using the referred to long-acting technology is successfully developed, the technology IP holder(s) will work with the Medicines Patent Pool towards putting in place the most appropriate strategy for timely and affordable access in low and middle-income countries, including through licensing