Ikano Therapeutics (ITI) has received Orphan Drug designation for midazolam in the acute treatment of certain forms of epileptic seizure.
ITI has a nasally administered form of midazolam called ITI-111 in late stage clinical development that is aimed at the treatment of these specific seizure types in an outpatient setting where other routes of administration can be difficult or inappropriate.
Midazolam belongs to a class of medicines known as benzodiazepines that are a commonly recognised acute treatment for seizure. While the use of nasally administered midazolam to patients having seizures has been extensively documented in the clinical literature, there is no form of the drug currently approved for treatment of epilepsy or seizures.
Benzodiazepines have proven difficult to formulate for nasal administration, and ITI-111 employs a proprietary formulation that permits administration of a full dose for the treatment of these seizure types in a single, unit-dose nasal spray.
Lawrence Hirsch, clinical advisor to ITI said: “ITI-111 is a product with great potential value for patients with poorly controlled epilepsy of the cluster-type included in this designation. These patients struggle to lead normal lives. With this nasal preparation, patients will be able to function with greater independence and greater confidence that their seizures can be treated successfully when they occur.
“In addition, this is a much more practical and acceptable dosage form than any currently approved acute treatment of seizure clusters in the outpatient setting. Having a well studied, standardised midazolam formulation that is optimised for intranasal delivery and absorption will be a major advance in the outpatient care of patients with epilepsy. Orphan Drug status is a welcome step towards that goal.”