Bupivacaine Hydrochloride

Axsome Therapeutics公司日前宣布，美国FDA已批准扩展Auvelity（dextromethorphan HBr和bupropion HCl）的适应症，用于治疗阿尔茨海默病所致痴呆相关激越。该公司新闻稿指出，Auvelity是一款用于治疗阿尔茨海默病相关激越的“first-in-class”疗法，靶向N-甲基-D-天冬氨酸（NMDA）受体和sigma-1受体。FDA新闻稿显示，这是FDA批准用于治疗这一适应症的首款非抗精神病药物。 阿尔茨海默病是一种进展性且不可逆的脑部疾病，是最常见的痴呆类型。除认知功能下降外，高达76%的阿尔茨海默病患者会报告出现激越，其症状可包括踱步或坐立不安，以及言语和身体攻击行为。 FDA的这一批准得到了包括3期临床试验ADVANCE-1和ACCORD-2研究在内的综合性临床项目支持。ADVANCE-1是一项为期5周的双盲、平行分组研究，患者被随机分配接受Auvelity、安慰剂或bupropion治疗（bupropion组因无效性而提前终止）。在ADVANCE-1中，在第5周以Cohen-Mansfield激越量表（CMAI）总分评估的激越症状改善方面，Auvelity与安慰剂相比达到统计学显著优效性，这是该研究的主要终点。在改良版阿尔茨海默病合作研究-临床总体印象变化量表（mADCS-CGIC）的应答这一关键次要终点上，与安慰剂相比，接受Auvelity治疗的患者中，被临床医生评定为至少轻微改善的患者比例更高。 ACCORD-2是一项长期、双盲、随机撤药试验，已确认对Auvelity有应答的患者在最长6个月的双盲阶段被随机分配至继续接受Auvelity治疗或切换至安慰剂。在ACCORD-2中，继续接受Auvelity治疗的患者，与切换至安慰剂的患者相比，更晚出现激越症状复发。 Auvelity在阿尔茨海默病所致痴呆相关激越中的安全性和耐受性特征已在短期和长期试验中得到确立。在ADVANCE-1试验中，最常见的不良反应为头晕和消化不良。在该研究中，1.3%的患者因不良事件而停用Auvelity，与安慰剂组比例相同。 Auvelity通过其dextromethorphan成分作用于脑内NMDA受体以及sigma-1受体。Auvelity中的bupropion成分可通过抑制细胞色素P450 2D6（CYP2D6）来提高dextromethorphan在血液中的药物浓度。Auvelity治疗阿尔茨海默病所致痴呆相关激越的确切作用机制尚未得到完全澄清。此前，FDA已授予Auvelity用于治疗阿尔茨海默病所致痴呆相关激越的突破性疗法认定。 Auvelity已获得FDA批准用于治疗成人重度抑郁障碍，迄今为止，它已在临床试验和真实世界环境中用于超过30万名患者。 参考资料： [1] Axsome Therapeutics Announces FDA Approval of AUVELITY® (dextromethorphan HBr and bupropion HCl) for the Treatment of Agitation Associated with Dementia due to Alzheimer’s Disease. Retrieved May 1, 2026, from https://axsometherapeuticsinc.gcs-web.com/news-releases/news-release-details/axsome-therapeutics-announces-fda-approval-auvelityr [2] FDA Approves First Non-Antipsychotic Drug to Treat Agitation Associated with Dementia. Retrieved May 1, 2026, from https://www.fda.gov/news-events/press-announcements/fda-approves-first-non-antipsychotic-drug-treat-agitation-associated-dementia?utm_medium=email&utm_source=govdelivery 免责声明：本文仅作信息交流之目的，文中观点不代表药明康德立场，亦不代表药明康德支持或反对文中观点。本文也不是治疗方案推荐。如需获得治疗方案指导，请前往正规医院就诊。 版权说明：欢迎个人转发至朋友圈，谢绝媒体或机构未经授权以任何形式转载至其他平台。转载授权请在「药明康德」微信公众号回复“转载”，获取转载须知。

NEW YORK, May 01, 2026 (GLOBE NEWSWIRE) -- Axsome Therapeutics, Inc. (NASDAQ: AXSM), a biopharmaceutical company leading a new era in the treatment of central nervous system (CNS) disorders, will host a virtual investor event and conference call today at 8:00 AM Eastern Time to discuss the U.S. Food and Drug Administration (FDA) approval of AUVELITY ® (dextromethorphan HBr and bupropion HCl) for the treatment of agitation associated with dementia due to Alzheimer’s disease. 1 AUVELITY is a first-in-class treatment for Alzheimer’s disease agitation which targets the N-methyl D-aspartate (NMDA) and sigma-1 receptors. On the call, Dr. Jeffrey Cummings, Chambers-Grundy Professor of Brain Sciences, UNLV Kirk Kerkorian School of Medicine, will provide an overview of Alzheimer’s disease agitation, its current treatment landscape, and share his clinical perspective on AUVELITY in the indication. The Axsome management team will provide an overview of AUVELITY and anticipated commercial plans. The presenters will be available to answer questions at the end of the presentation. To access the live webcast, please click here. Experience the interactive FDA-Approval Multimedia News Release here . Conference Call Information To participate in the live conference call, please dial (877) 405-1239 (toll-free domestic) or +1 (201) 389-0851 (international). A live webcast of the conference call can be accessed on the “Webcasts & Presentations” page of the “Investors” section of the Company’s website at axsome.com. A replay of the conference call will be available for approximately 30 days following the live event. About Agitation Associated with Dementia Due to Alzheimer’s Disease Alzheimer’s disease is the most common form of dementia affecting more than 7 million people in the U.S. 2 Agitation associated with dementia due to Alzheimer’s disease is a neuropsychiatric condition reported in up to 76% of patients with Alzheimer’s disease and is characterized by emotional distress, verbal and physical aggressiveness, disruptive irritability, and disinhibition. 2,3 The exact cause of agitation in the brain is not known but it is associated with changes in glutamate and monoamine signaling. 4,5 Agitation has been associated with accelerated cognitive decline, increased caregiver burden, and increased mortality risk, and is a leading cause of assisted living or nursing home placement. 6 About AUVELITY AUVELITY (dextromethorphan HBr/bupropion HCl) is an oral N-methyl-D-aspartate (NMDA) receptor antagonist, sigma-1 agonist, and aminoketone CYP2D6 inhibitor. AUVELITY is a first-in-class medicine, with a distinct mechanism of action, for the treatment of agitation associated with dementia due to Alzheimer’s disease. AUVELITY was initially approved by the U.S. FDA in 2022 for the treatment of major depressive disorder (MDD) in adults, and it is the first and only rapid-acting oral treatment approved with labeling of statistically significant improvement in depressive symptoms compared to placebo, starting at one week, for the treatment of MDD. AUVELITY is protected by a robust patent estate extending to at least 2043. INDICATION AND IMPORTANT SAFETY INFORMATION WHAT IS AUVELITY (aw-VEHL-ah-tee)? It is a prescription oral medicine used to treat adults with major depressive disorder (MDD) and agitation that may happen with dementia due to Alzheimer’s disease (AAD). AUVELITY should not be used as an “as needed” treatment for agitation that may happen with dementia due to Alzheimer’s disease. It is not known if AUVELITY is safe and effective in children with MDD. WHAT IS THE MOST IMPORTANT INFORMATION I SHOULD KNOW ABOUT AUVELITY? AUVELITY and other antidepressant medicines may increase suicidal thoughts and actions in some children, adolescents, and young adults, especially within the first few months of treatment or when the dose is changed. AUVELITY is not for use in children. You should pay close attention to any new or sudden changes in mood, behavior, thoughts, or feelings or if you develop suicidal thoughts or actions. This is very important when starting or changing the dose of an antidepressant medicine. Call your healthcare provider (HCP) or get emergency help right away if you or your loved one have any of the following symptoms, especially if they are new, worse, or worry you: suicidal thoughts or actions new or worsening depression or anxiety agitation or restlessness trouble sleeping (insomnia) acting aggressive, being angry, or violent an extreme increase in activity and talking (mania) panic attacks new or worsening irritability acting on dangerous impulses other unusual changes in behavior or mood Do not take AUVELITY if you: have or had a seizure disorder. have or had an eating disorder like anorexia or bulimia. have recently and suddenly stopped drinking alcohol or use medicines called benzodiazepines, barbiturates, or anti-seizure medicines, and you have recently suddenly stopped taking them. are taking a monoamine oxidase inhibitor (MAOI), have stopped taking an MAOI in the last 14 days, or are being treated with the antibiotic linezolid or intravenous methylene blue. Ask your HCP or pharmacist if you are unsure whether you take an MAOI. Do not start taking an MAOI until you have stopped taking AUVELITY for at least 14 days. are allergic to dextromethorphan, bupropion, or any other ingredients in AUVELITY. AUVELITY may cause serious side effects. Ask your HCP how to recognize the serious side effects below and what to do if you think you have one: Seizures. There is a risk of seizures during treatment with AUVELITY. The risk is higher if you take higher doses of AUVELITY, have certain medical problems, or take AUVELITY with certain other medicines. Do not take AUVELITY with other medicines unless your healthcare provider tells you to. If you have a seizure during treatment with AUVELITY, stop taking AUVELITY and call your HCP right away. Do not take AUVELITY again if you have a seizure. Increases in blood pressure (hypertension). Some people may get high blood pressure during treatment with AUVELITY. Your HCP should check your blood pressure before you start taking and during treatment with AUVELITY. Manic episodes. Manic episodes may happen in people with bipolar disorder who take AUVELITY. Symptoms may include: greatly increased energy racing thoughts unusually grand ideas talking more or faster than usual severe trouble sleeping reckless behavior excessive happiness or irritability Unusual thoughts or behaviors. One of the ingredients in AUVELITY (bupropion) can cause unusual thoughts or behaviors, including delusions (believing you are someone else), hallucinations (seeing or hearing things that are not there), paranoia (feeling that people are against you), or feeling confused. If this happens to you, call your HCP. Eye problems (angle-closure glaucoma) . AUVELITY may cause a type of eye problem called angle-closure glaucoma in people with certain other eye conditions. You may want to undergo an eye examination to see if you are at risk and receive preventative treatment if you are. Call your HCP if you have eye pain, changes in your vision, or swelling or redness in or around the eye. Dizziness. AUVELITY may cause dizziness which may increase your risk for falls. Serotonin syndrome. A potentially life-threatening problem called serotonin syndrome can happen when you take AUVELITY with certain other medicines . Call your HCP or go to the nearest hospital emergency room right away if you have any of the following signs and symptoms: agitation hallucinations confusion coma fast heartbeat blood pressure changes dizziness sweating flushing high body temperature (hyperthermia) shaking (tremors), stiff muscles, or muscle twitching loss of coordination seizures nausea, vomiting, diarrhea Hyponatremia. Low sodium levels in the blood, sometimes severe and causing death, have occurred as a result of treatment with AUVELITY. Elderly patients may be at greater risk. Low sodium levels could be the result of a condition called syndrome of inappropriate antidiuretic hormone secretion (SIADH). Taking AUVELITY with antidepressants called SSRIs may increase the risk. Stop taking AUVELITY and call your HCP or go to the nearest hospital emergency room right away if you have any of the following signs or symptoms: headache, difficulty concentrating, memory loss, confusion, weakness and unsteadiness which can lead to falls. COMMON SIDE EFFECTS The most common side effects of AUVELITY when treating MDD include dizziness, headache, diarrhea, feeling sleepy, dry mouth, sexual function problems, and excessive sweating. The most common side effects of AUVELITY when treating agitation that may happen with dementia due to Alzheimer’s disease include dizziness and indigestion. These are not all the possible side effects of AUVELITY. Tell your doctor if you have any side effects. You are encouraged to report side effects of prescription drugs to the FDA. Visit or call 1–800-FDA-1088. BEFORE USING Tell your HCP about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements. It is important to tell your HCP if you are taking: other medicines containing bupropion or dextromethorphan medicines to treat depression, anxiety, psychotic or thought disorders, including selective serotonin reuptake inhibitors (SSRIs) and tricyclic antidepressants theophylline corticosteroids oral diabetes medicines or use insulin to control your blood sugar medicines to control appetite (anorectic) nicotine medicines to help you stop smoking street (illicit) drugs benzodiazepines, sedative-hypnotic (sleep medicines), or opiates If you are unsure if you take any of these medicines, ask your HCP. They can tell you if it is safe to take AUVELITY with your other medicines. Tell your HCP if you are pregnant or plan to become pregnant. AUVELITY may harm your unborn baby if you take it during pregnancy. AUVELITY is not recommended during pregnancy. Your HCP will prescribe another treatment for females who plan to become pregnant. One of the ingredients in AUVELITY passes into your breast milk. Do not breastfeed during treatment with AUVELITY and for 5 days after the final dose. Tell your HCP about all your medical conditions, including if you: have problems with your liver or kidneys. have diabetes, heart disease, or high blood pressure. have a history of seizure, stroke, eating disorder, head injury, or have a tumor in your brain or spinal cord. have a history of alcohol or drug abuse. have a history of seizure, eating disorder, or abuse alcohol or drugs. have low blood sugar, low blood sodium levels, or a history of falls. you take certain other medicines that could interact with AUVELITY. have or had a condition known as bipolar disorder, a family history of bipolar disorder, suicide, or depression. have high pressure in the eye (glaucoma). Review the list below with your HCP. AUVELITY may not be right for you if: you drink a lot of alcohol. you abuse prescription or street drugs. you are pregnant or plan to become pregnant. you are breastfeeding or plan to breastfeed. HOW TO TAKE Take AUVELITY exactly as instructed by your HCP. MDD: Take AUVELITY 45 mg/105 mg once daily in the morning for 3 days. On Day 4, increase to the maximum recommended dosage of AUVELITY 45 mg/105 mg twice a day, taken at least 8 hours apart. Do not take more than 2 AUVELITY tablets in 24 hours. AAD: Take 1 AUVELITY 30 mg/105 mg tablet once daily in the morning for 7 days. On Day 8, increase to AUVELITY 30 mg/105 mg twice a day, taken at least 8 hours apart. Do not take more than 2 AUVELITY tablets in 24 hours. On Day 15 after starting AUVELITY, increase to the maximum recommended dosage of AUVELITY 45 mg/ 105 mg twice a day, taken at least 8 hours apart, based on tolerability. Do not take more than 2 AUVELITY tablets in 24 hours. If you miss a dose, do not take an extra dose. Wait and take your next dose at the regular time. Do not take more than 1 dose of AUVELITY at a time. Do not change your dose or stop taking AUVELITY without talking to your HCP. Swallow AUVELITY tablets whole. Do not crush, chew, or divide the tablets. Do not give AUVELITY to other people. If you take too much AUVELITY call your poison control center at 1-800-222-1222 or go to the nearest hospital emergency room right away. LEARN MORE For more information about AUVELITY, call 866-496-2976 or visit AUVELITY.com. This summary provides basic information about AUVELITY but does not include all information known about this medicine. Read the information that comes with your prescription each time your prescription is filled. This information does not take the place of talking with your doctor. Be sure to talk to your doctor or other HCP about AUVELITY and how to take it. Your HCP is the best person to help you decide if AUVELITY is right for you. AUVELITY is available as 30 mg dextromethorphan/105 mg bupropion and 45 mg dextromethorphan/105 mg bupropion tablets. AUC CON BS 04/2026 Please see full Prescribing Information , including Boxed Warning for suicidal thoughts and behaviors, and Medication Guide . About Axsome Therapeutics Axsome Therapeutics is a biopharmaceutical company leading a new era in the treatment of central nervous system (CNS) conditions. We deliver scientific breakthroughs by identifying critical gaps in care and develop differentiated products with a focus on novel mechanisms of action that enable meaningful advancements in patient outcomes. Our industry-leading neuroscience portfolio includes FDA-approved treatments for agitation associated with dementia due to Alzheimer’s disease, major depressive disorder, excessive daytime sleepiness associated with narcolepsy and obstructive sleep apnea, and migraine, and multiple late-stage development programs addressing a broad range of serious neurological and psychiatric conditions that impact over 150 million people in the United States. Together, we are on a mission to solve some of the brain’s biggest problems so patients and their loved ones can flourish. For more information, please visit us at and follow us on LinkedIn and X . Forward Looking Statements Certain matters discussed in this press release are “forward-looking statements”. The Company may, in some cases, use terms such as “predicts,” “believes,” “potential,” “continue,” “estimates,” “anticipates,” “expects,” “plans,” “intends,” “may,” “could,” “might,” “will,” “should” or other words that convey uncertainty of future events or outcomes to identify these forward-looking statements. In particular, the Company’s statements regarding trends and potential future results are examples of such forward-looking statements. The forward-looking statements include risks and uncertainties, including, but not limited to, the commercial success of the Company’s SUNOSI ® , AUVELITY ® , and SYMBRAVO ® products and the success of the Company’s efforts to obtain any additional indication(s) with respect to solriamfetol and/or AXS-05; the Company’s ability to maintain and expand payer coverage; the success, timing and cost of the Company’s ongoing clinical trials and anticipated clinical trials for the Company’s current product candidates, including statements regarding the timing of initiation, pace of enrollment and completion of the trials (including the Company’s ability to fully fund the Company’s disclosed clinical trials, which assumes no material changes to the Company’s currently projected revenues or expenses), futility analyses and receipt of interim results, which are not necessarily indicative of the final results of the Company’s ongoing clinical trials, and/or data readouts, and the number or type of studies or nature of results necessary to support the filing of a new drug application (“NDA”) for any of the Company’s current product candidates; the Company’s ability to fund additional clinical trials to continue the advancement of the Company’s product candidates; the timing of and the Company’s ability to obtain and maintain U.S. Food and Drug Administration (“FDA”) or other regulatory authority approval of, or other action with respect to, the Company’s product candidates, including statements regarding the timing of any NDA submission; the Company’s ability to successfully defend its intellectual property or obtain the necessary licenses at a cost acceptable to the Company, if at all; the Company’s ability to successfully resolve any intellectual property litigation, and even if such disputes are settled, whether the applicable federal agencies will approve of such settlements; the successful implementation of the Company’s research and development programs and collaborations; the success of the Company’s license agreements; the acceptance by the market of the Company’s products and product candidates, if approved; the Company’s anticipated capital requirements, including the amount of capital required for the commercialization of SUNOSI, AUVELITY, and SYMBRAVO and for the Company’s commercial launch of its other product candidates, if approved, and the potential impact on the Company’s anticipated cash runway; the Company’s ability to convert sales to recognized revenue and maintain a favorable gross to net sales; unforeseen circumstances or other disruptions to normal business operations arising from or related to domestic political climate, geo-political conflicts or a global pandemic and other factors, including general economic conditions and regulatory developments, not within the Company’s control. The factors discussed herein could cause actual results and developments to be materially different from those expressed in or implied by such statements. The forward-looking statements are made only as of the date of this press release and the Company undertakes no obligation to publicly update such forward-looking statements to reflect subsequent events or circumstances. Investors: Ashley Dong Senior Director, Investor Relations (929) 687-1614 adong@axsome.com Media: Darren Opland Senior Director, Corporate Communications (929) 837-1065 dopland@axsome.com References: AUVELITY [Prescribing Information]. New York, NY: Axsome Therapeutics, Inc. Alzheimer’s Association. 2025 Alzheimer’s Disease Facts and Figures. Van der Mussele, S. et al. Agitation-associated behavioral symptoms in mild cognitive impairment and Alzheimer's dementia. Aging Ment Health. 2015;19(3):247-57. Cummings J.L., et al. An overview of the pathophysiology of agitation in Alzheimer's dementia with a focus on neurotransmitters and circuits. CNS Spectr 2024:1–10. Rosenberg P.B., et al. Neuropsychiatric symptoms in Alzheimer's disease: What might be associated brain circuits? Mol Aspects Med 2015;43-44:25–37. Porsteinsson, A.P. and Antonsdottir, I.M. An update on the advancements in the treatment of agitation in Alzheimer’s disease. Expert Opin Pharmacother. 2017 Apr;18(6):611-620.