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Milestone Enrolls First Canadian Patient In Phase 3 For Etripamil

By RTTNews Staff Writer   ✉  | Published:  | Google News Follow Us  | Join Us

Milestone Pharmaceuticals Inc. (MIST), a biopharmaceutical company, on Friday announced the enrollment of the first patient in the Canadian site of the Phase 3 ReVeRA-301 trial evaluating the Etripamil nasal spray for treating atrial fibrillation with rapid ventricular rate (AFib-RVR).

Etripamil received approval from the U.S. Food and Drug Administration (FDA) in December 2025 and is marketed in the country as CARBAMYST. The drug is formulated as a nasal spray for treating Paroxysmal Supraventricular Tachycardia (PSVT), and was made available in retail pharmacies in January 2026, with a national sales force launched in February. A Marketing Authorization Approval (MAA) for the drug is expected from the European Medicines Agency (EMA) in mid 2027.

The Phase 3 ReVeRA-301 trial is a multinational, multi-center, randomized, double-blind, placebo-controlled study that plans to enroll 150 patients of Afib-RVR. The study aims to test etripamil when administered in a 70 mg repeated daily dose at home, with the primary endpoint set at a change in ventricular rate (VR) within 30 minutes of dosing.

The company plans to submit a supplemental new drug application (sNDA) for the same based on the strength of the study's results.

MIST closed Friday at $0.79, down 0.82%.

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