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Axsome Therapeutics Announces FDA Pre-NDA Meeting Minutes for AXS-12 in Narcolepsy Supporting NDA Submission

Axsome Therapeutics (AXSM) | December 31, 2025

By Noah Edwards

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Axsome Therapeutics received formal pre-New Drug Application (NDA) meeting minutes from the U.S. FDA supporting an NDA submission for AXS-12 in narcolepsy.

AXS-12 is a highly selective and potent norepinephrine reuptake inhibitor and cortical dopamine modulator.

The NDA submission is on track for January 2026, pending FDA review.

The development of AXS-12 signifies a strategic advancement for Axsome Therapeutics in the treatment of narcolepsy, presenting a potential new therapeutic option for patients suffering from this chronic disorder.

Purpose of FDA Meeting

The FDA meeting aimed to secure agreement on the proposed content and format of the NDA submission for AXS-12 in narcolepsy, aligning the company's strategy with regulatory expectations.

Regulatory Data Package

Axsome Therapeutics has compiled a regulatory data package considered sufficient for the NDA submission of AXS-12, particularly targeting the treatment of cataplexy in narcolepsy patients, a significant milestone in the drug development process.

NDA Submission Timeline

The company anticipates completing the NDA submission for AXS-12 in January 2026, contingent on the FDA's review process, indicating a potential timeline for future FDA approval and commercialization.

Orphan Drug Designation

AXS-12 has been granted Orphan Drug Designation, recognizing its potential to address unmet medical needs in narcolepsy patients, positioning the drug for market exclusivity benefits upon FDA approval.

  • The development and forthcoming NDA submission of AXS-12 signify Axsome Therapeutics' strategic commitment to addressing the unmet medical needs of narcolepsy patients, potentially establishing a competitive edge in the market.
  • The Orphan Drug Designation for AXS-12 elevates its market potential, paving the way for enhanced market exclusivity and potential competitive advantages post-approval, bolstering the company's long-term commercial prospects.
  • The regulatory data package's sufficiency for NDA submission underscores Axsome Therapeutics' attention to detail in meeting regulatory requirements, indicating a streamlined path towards potential FDA approval and commercial launch.

Axsome Therapeutics' progress in the development and upcoming NDA submission of AXS-12 marks a pivotal milestone in its journey to provide innovative therapeutic solutions for narcolepsy, potentially enhancing its market position and revenue streams. The Orphan Drug Designation further underscores the value and potential exclusivity of AXS-12, aligning with the company's strategic focus on addressing unmet medical needs.