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FDA Concludes Inspection of BioXcel's TRANQUILITY II Phase 3 Trial Site with VAI Status

4 months ago2 min read

Key Insights

  • The FDA has completed its inspection of BioXcel Therapeutics' TRANQUILITY II Phase 3 trial site, designating it as "Voluntary Action Indicated" and releasing the Establishment Inspection Report.

  • Independent audit findings from October 2023 combined with the FDA's inspection closure support the data integrity of the trial site, strengthening potential sNDA submission plans.

  • BioXcel Therapeutics is proceeding with the TRANQUILITY In-Care Phase 3 trial for BXCL501 following FDA protocol feedback.

The U.S. Food and Drug Administration has concluded its inspection of a key clinical trial site in BioXcel Therapeutics' TRANQUILITY II Phase 3 study, marking a significant milestone for the company's development program. The regulatory agency has designated the site with "Voluntary Action Indicated" (VAI) status and has released the Establishment Inspection Report under 21 C.F.R.20.64(d)(3).
The inspection closure, coupled with positive findings from an independent audit conducted in October 2023, provides crucial validation for the trial's data integrity. This development strengthens BioXcel's position as they prepare for a potential supplemental New Drug Application (sNDA) submission.
Dr. Vimal Mehta, CEO of BioXcel Therapeutics, expressed confidence in the outcome, stating, "We believe this report and the closing of the investigation, together with the positive findings from the independent audit we announced in October 2023, further reaffirm the data integrity from the single site and the body of clinical evidence we intend to include in a potential sNDA submission."

Advancing Clinical Development Program

The company has already received FDA feedback regarding the protocol for their TRANQUILITY In-Care Phase 3 trial, which will evaluate their lead neuroscience candidate, BXCL501. This regulatory milestone enables BioXcel to proceed with confidence in their clinical development program.
The VAI designation from the FDA indicates that while objectionable conditions were found during the inspection, they are not significant enough to warrant official action. This classification allows the company to address any identified issues through voluntary measures while maintaining the progress of their development program.

Strategic Implications for Development Pipeline

The successful closure of the FDA inspection represents a critical step forward in BioXcel's regulatory pathway. The company's ability to maintain data integrity standards and address regulatory requirements effectively positions them well for future submissions and potential approvals.
The advancement of the TRANQUILITY program, particularly with BXCL501, demonstrates BioXcel's commitment to developing innovative neuroscience therapeutics while maintaining compliance with regulatory standards. The company continues to build upon this momentum as they move forward with their clinical development strategy.
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