January 9, 2026
Finance

ARS Pharmaceuticals Gains on Regulatory Hurdle for Competitor's Epinephrine Treatment

FDA Highlights Deficiencies in Aquestive's Anaphylm NDA, Extending Market Exclusivity for ARS's Neffy

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Summary

Shares of ARS Pharmaceuticals (NASDAQ:SPRY) increased sharply following an FDA announcement regarding deficiencies in Aquestive Therapeutics' (NASDAQ:AQST) pending New Drug Application for Anaphylm. This development delays potential competition for ARS's needle-free epinephrine product, Neffy, allowing ARS additional time to consolidate its market position. Despite the FDA's ongoing review, analysts view the setback for Aquestive favorably for ARS's shares.

Key Points

FDA notes deficiencies in Aquestive's Anaphylm NDA, hindering current labeling discussions.
ARS Pharmaceuticals' Neffy remains the only needle-free epinephrine product commercially available for now.
ARS filed a petition requesting delay of Anaphylm approval due to safety and efficacy concerns.
Analysts view ARS favorably, citing Neffy's potential and strong financial backing.
On Friday, ARS Pharmaceuticals Inc. experienced a significant uptick in its stock value after the U.S. Food and Drug Administration (FDA) released an update about its competitor, Aquestive Therapeutics Inc.'s New Drug Application (NDA) for Anaphylm. The FDA identified notable deficiencies in Aquestive's NDA that currently prevent discussions concerning the drug's labeling and any post-marketing requirements. It is important to note that this FDA communication does not represent a final decision, as the agency is still actively reviewing the application. Market analysts responded to the FDA's update with optimism for ARS Pharmaceuticals. William Blair, in an investor commentary issued Friday, expressed that while these findings were somewhat anticipated, they constitute a positive development for ARS shares. This perspective stems from the fact that the FDA's identification of deficiencies likely postpones or removes the immediate threat of a competing needle-free epinephrine product entering the market, a factor that has previously weighed negatively on ARS's stock price. Analyst Lachlan Hanbury-Brown further elaborated on the situation, indicating that although he awaits the FDA's final review decision as well as clarity on a potential regulatory pathway forward for Anaphylm, this interim setback effectively leaves ARS's 'Neffy' as the sole needle-free epinephrine device available commercially. This exclusivity presents ARS with a valuable window to further entrench Neffy as a preferred alternative before any possible future competition materializes. Beyond the FDA’s recent determination, ARS Pharmaceuticals has taken a proactive stance in the competitive landscape. Back in September, the company submitted a formal petition urging the FDA to delay approval of Aquestive's sublingual epinephrine film, branded as Anaphylm. ARS's petition raised concerns spanning safety profiles, dosage accuracy, and real-world application of the drug. Specifically, they advocated for the FDA to mandate a boxed warning on the Anaphylm product label, emphasizing potential cardiovascular risks tied to its use. ARS contends that the existing clinical data underpinning Anaphylm does not adequately demonstrate its safety or effectiveness in treating anaphylaxis sufferers. To remedy these uncertainties, the company requested that the FDA require further clinical studies focusing on the product’s usability and pharmacological attributes. William Blair's analysis continues to paint a bullish outlook for ARS Pharmaceuticals, noting that Neffy exhibits blockbuster potential. The firm’s strong financial position is highlighted as a facilitator that will underpin the product's forthcoming market launch. Based on these insights, the analyst has maintained an "Outperform" rating on ARS shares. The market has already reflected this positive sentiment. As of the time of this report on Friday, ARS Pharmaceuticals' share value surged by 18.86%, reaching $13.01, according to Benzinga Pro data. This represents a marked reversal compared to the performance of Aquestive Therapeutics, whose shares closed at $3.81 after a significant decline of 38.7% amid the FDA's announcement. In summary, the FDA's highlighting of deficiencies in Aquestive's Anaphylm NDA has materially altered the competitive dynamics within the needle-free epinephrine market. ARS Pharmaceuticals benefits from extended market exclusivity for Neffy, enhancing its prospects ahead of potential competition. Nevertheless, the final outcomes depend on the FDA’s continued review and regulatory decisions moving forward, with uncertainties persisting around approval timelines and additional requirements. Key Points:
  • FDA identified deficiencies in Aquestive's Anaphylm NDA, delaying label discussions and post-marketing commitments.
  • ARS Pharmaceuticals’ Neffy currently remains the only needle-free epinephrine device on the market.
  • ARS has petitioned the FDA to delay approval of Anaphylm, citing safety and efficacy concerns and requesting a boxed warning.
  • Analysts express optimism about Neffy’s blockbuster potential and ARS’s financial capabilities supporting the product launch.
Risks and Uncertainties:
  • The FDA’s review of Aquestive’s Anaphylm application is ongoing, with no final decision reached yet.
  • Potential approval of Anaphylm in the future could introduce competition to ARS’s needle-free epinephrine device.
  • Safety and efficacy concerns raised by ARS about Anaphylm remain to be resolved through additional studies, the outcome of which is uncertain.
  • Market reactions and stock performance may continue to fluctuate based on further regulatory developments and product launches.
Risks
  • Final FDA decision on Anaphylm NDA is pending, regulatory risk remains.
  • Future approval of Anaphylm could introduce competition impacting ARS's market share.
  • Safety and effectiveness data gaps necessitate further studies for Anaphylm's approval.
  • Stock market volatility tied to regulatory outcomes and competitive landscape changes.
Disclosure
Education only / not financial advice
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SPRY - positive AQST - negative
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