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Expert Interview

Slingshot members are talking to an expert! The topic is:

Discussing Biogen’s zuranolone following Phase 3 SKYLARK results in women with postpartum depression

Ticker(s): BIIB

Who's the expert?

A psychiatrist with experience in treating PPD

Interview Questions
Q1.

Please describe your clinical practice. How many patients with PPD do you see on a yearly basis? What is the standard of care, and how well do patients respond to it?

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Q2.

How often and well do antidepressants work in PPD? What is the most important criteria in selecting first-line anti-depressant medication such as sertraline SSRI?

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Q3.

Brexanolone reported Breastmilk level results, where 95% of patients had milk allopregnanolone levels <10 mcg/L at 36 hours after the end of the infusion. The predicted weight-adjusted percent of maternal dosage was 1.3% and that the amount in milk was 1% to 2% of the weight-adjusted maternal dosage. Could you discuss on the limitations of this data and what your thoughts are on the subject?

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Q4.

How often is non-pharmacotherapy/ hormone therapy the more indicated approach and in which circumstances?

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Q5.

Could you draw some parallels to the other allopregnanolone analogs under evaluation for use in the treatment of PPD such as ganaxolone?

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Q6.

How likely are patients to opt out of the therapy considering its approval under the Risk Evaluation and Mitigation Strategy (REMS) program, where the therapy consists of a 60-hour infusion process and the patient requires constant supervision?

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Q7.

How could potential side-effects such as flushing and loss of consciousness, suicidal thoughts or behavior influence the therapy’s uptake in the future. Do you see risks there?

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Q8.

How likely would you be to switch patients to zuranolone?

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