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NRx Pharmaceuticals (Nasdaq:NRXP) Receives FDA Approval of Preservative-Free Ketamine Ahead of November 10 FDA Goal Date

  • The FDA approved NRx Pharmaceuticals' Abbreviated New Drug Application (ANDA) for Preservative-Free Ketamine on October 30, 2026, ahead of the November 10 goal date.
  • This formulation eliminates Benzethonium Chloride (BZT), a toxic preservative banned by the FDA from new drugs, hand cleansers, wipes, and intravenous formulations due to its lack of GRAS status.
  • NRx Pharmaceuticals manufactured the sterile injectable drug in West Columbia, South Carolina, using modern blow-fill-seal technology in partnership with Nephron Pharmaceuticals.
  • The approval addresses the ongoing shortage of traditional glass-bottled ketamine, which has been on the FDA drug shortage list since 2018.
  • NRx filed a Citizen Petition with the FDA to remove BZT from ketamine, supported by a toxicology report indicating current dosages may exceed the FDA's maximum daily exposure limit of 1 milligram.
  • Jonathan Javitt, MD, MPH, the company's Chairman and CEO, stated the product allows for repeat treatments without the dangers associated with the banned preservative.
  • The drug is primarily used for anesthesia and pain control, including in labor and delivery, where it is the only IV anesthetic that minimizes breathing suppression in babies.
  • NRx is a clinical-stage biopharmaceutical company developing therapeutics for depression, PTSD, and suicidality based on its NMDA receptor platform.
  • The company holds Fast Track Designation for NRX-100 (intravenous ketamine) for suicidal ideation in depression and Breakthrough Therapy Designation for NRX-101 for suicidal bipolar depression.
  • In October 2026, the Defense Advanced Research Projects Agency awarded NRx an $11.25 million contract for a phase 3 trial of NRX-101.
  • A conference call regarding the FDA approval was scheduled for 8:30 a.m. ET on October 30, 2026, with a live webcast available on the company's investor relations website.