Showing posts with label FDA Updates. Show all posts
Showing posts with label FDA Updates. Show all posts

FDA OKs New Psoriasis Drug Stelara

The FDA today approved a new biologic drug called Stelara for the treatment of moderate to severe plaque psoriasis in adults.

Plaque psoriasis is an immune system disorder that results in the rapid overproduction of skin cells. According to the FDA, about 6 million people in the U.S. have plaque psoriasis, which is characterized by thickened patches of inflamed, red skin, often covered with silvery scales.

Stelara is given by injection. After the first shot, patients get another shot four weeks later, and then a shot every 12 weeks.

An FDA advisory panel recommended the drug for FDA approval in June 2008. At the time, Stelara was referred to by the name of its active ingredient, ustekinumab.

"This approval provides an alternative treatment for people with plaque psoriasis, which can cause significant physical discomfort from pain and itching and result in poor self-image for people who are self-conscious about their appearance," Julie Beitz, MD, director of the Office of Drug Evaluation III in the FDA's Center for Drug Evaluation and Research, says in a news release.

Stelara is a monoclonal antibody, a lab-made molecule that mimics the body's own antibodies that are produced as part of the immune system. Stelara treats psoriasis by blocking the action of two proteins that contribute to the overproduction of skin cells and inflammation.

The FDA approved Stelara based on three studies of 2,266 patients who either got shots of Stelara or a placebo. Patients who got Stelara were more likely to achieve the studies' benchmark for reduction in psoriasis, according to Centocor Ortho Biotech Inc., which makes Stelara.

In a news release, the FDA notes that because Stelara reduces the immune system's ability to fight infections, the product poses a risk of infection. "Serious infections have been reported in patients receiving the product and some of them have led to hospitalization. These infections were caused by viruses, fungi, or bacteria that have spread throughout the body. There may also be an increased risk of developing cancer," the FDA states.

The FDA is requiring a risk evaluation and mitigation strategy for Stelara that includes a communication plan targeted to health care providers and a medication guide for patients.



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GenSpera Receives FDA Approval for G-202 Phase I Cancer Trial

GenSpera, Inc. announced today that the Food and Drug Administration (FDA) has
approved its Investigational New Drug (IND) application to begin a Phase I study
with its target activated pro-drug, G-202, for the treatment of cancer.

GenSpera`s Phase I clinical study is anticipated to begin in the fourth quarter of 2009 at two major cancer centers: the Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins, in Baltimore, MD, and the University of Wisconsin Carbone Cancer Center, in Madison, WI. The study is designed to enroll patients with cancers that have progressed after treatment with other anti-cancer agents. The primary endpoints of the open-label, dose-escalation study will be to determine the safety, tolerability and pharmacokinetics of the drug, although
the design allows the collection of efficacy data as well.

"The acceptance of our IND by the FDA constitutes a defining milestone in the development of an entirely new class of anti-cancer agent that is expected to have broad utility across many tumor types," commented Dr. Craig Dionne, GenSpera CEO. "We are also pleased that this event underscores the company`s drug development capabilities and commitment to timely achievement of important corporate milestones."

G-202 is a pro-drug that is selectively activated within tumors by an enzyme present on the tumor blood vessels. In preclinical testing, G-202 was shown to ablate tumors in animal models of breast cancer, prostate cancer and kidney cancer. GenSpera, Inc. owns and controls all rights to G-202 and anticipates a strategic partnership to maximize the value of the drug as it progresses through future clinical trials.

About GenSpera

GenSpera, Inc. is a development stage oncology company focused on therapeutics which deliver a potent, unique and patented drug directly to tumors. GenSpera`s technology platform combines a potent cytotoxin (12ADT) with a pro-drug delivery system that activates the drug only within the tumor. Unlike standard cancer drugs, plant-derived 12ADT kills cells independent of their division rate, thus making it effective at killing all fast- and slow- growing cancers and cancer stem cells. GenSpera`s pro-drug platform is the subject of six issued patents
with six additional patents pending.

GenSpera plans to initiate a Phase I cancer trial with its lead drug, G-202, in the fourth quarter of 2009. G-202 targets the established blood vessels that nourish solid tumors, thus destroying the tumor`s blood supply. This is a dramatic improvement upon anti-angiogenic drugs that primarily only stop the growth of new blood vessels. Upon completion of its Phase I trial, GenSpera expects to initiate multiple Phase II trials for G-202 in several different cancer types. The company`s second drug, G-115, will directly target prostate cancer.



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FDA Approves Intuniv

Shire plc, the global specialty biopharmaceutical company, today announced that it has received approval from the US Food and Drug Administration (FDA) for Intuniv (guanfacine) Extended Release Tablets for the treatment of Attention-Deficit/Hyperactivity Disorder (ADHD) in children and adolescents aged 6 to 17 years. Intuniv, a once-daily formulation of guanfacine, is the first selective alpha-2A adrenergic receptor agonist approved for the treatment of ADHD.

Although the mechanism of action is unknown, Intuniv is thought to directly engage receptors found in the prefrontal cortex - an area of the brain that has been linked in preclinical research to ADHD. Stimulation of the postsynaptic alpha-2A receptors is thought to strengthen working memory, reduce susceptibility to distraction, improve attention regulation, improve behavioral inhibition, and enhance impulse control.

"Shire is proud to introduce Intuniv, providing clinicians, patients, and their families with a novel ADHD treatment option," said Mike Cola, President of Shire Specialty Pharmaceuticals. "This is a complex disorder in which patients may present with multiple symptoms and behaviors that can be disruptive. Intuniv expands the Shire ADHD portfolio with a nonscheduled medication, allowing clinicians to optimize their overall approach toward managing ADHD and may help provide symptom control for children and teens with ADHD who often have difficulty responding appropriately to everyday situations and challenges."

Once-daily Intuniv is expected to be available in US pharmacies in November and will come in four dosage strengths (1 mg, 2 mg, 3 mg, and 4 mg). Intuniv will be marketed in the United States by the existing Shire ADHD sales team of nearly 600 representatives. Intuniv is not a controlled substance and has no known potential for abuse or dependence.

"Everyday situations and challenges may be difficult for children and adolescents with ADHD as it is a disruptive disorder that includes symptoms and behaviors such as being easily distracted, always on the go, interrupting others, arguing with adults, or temper outbursts," said Frank A. Lopez, MD, a neurodevelopmental pediatrician in private practice at Children's Developmental Center in Winter Park, Florida. "In clinical trials, Intuniv, a selective alpha-2A receptor agonist, significantly reduced ADHD symptoms across a full day as measured by parents at 6 pm, 8 pm, and 6 am the next morning. This is important because children with ADHD require symptom control at home, school, and during after school activities."

The introduction of Intuniv is consistent with the strategy of Shire to expand and diversify its ADHD portfolio, which now consists of four ADHD treatment options of scheduled and nonscheduled medicines in the United States and two ADHD medicines available outside the United States.

Source : www.drugs.com


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FDA accepts new drug application from Pozen for arthritis drug

Shares in pharmaceutical firm Pozen (Nasdaq: POZN) climbed 7 percent Monday after the company disclosed that the U.S. Food and Drug Administration had accepted its new drug application for Vimovo.

The drug targets arthritis and includes the heartburn product “purple pill” Nexium from AstraZeneca. AstraZeneca is partnering with Pozen in development of Vimovo.

Shares traded at $6.93, up 46 cents, in late-morning trading. By early afternoon, the rally cooled to a 4.5 percent gain of 29 cents. Pozen closed at $6.73, up 4 percent for the day or 26 cents.

The FDA acceptance of the application triggered a $10 million milestone payment from AstraZeneca. Pozen filed the application in June.

Tthe drug formerly known as PN 400 combines Nexium with the anti-inflammatory drug naproxen. It is designed to help patients who face the risk of developing ulcers related to pain relievers.

Vimovo has been tested in clinical trials as a treatment for osteoarthritis, rheumatoid arthritis and a condition known as ankylosing spondylitis.

In September 2007, Pozen and AstraZeneca announced the launch of a Phase III clinical trial. Under a revised partnership agreement. Pozen could earn as much as $345 million from AstraZeneca.

Pozen has proprietary technology that enables the combination of drugs into one compound. It brought a migraine headache pain reliever to market in partnership with GlaxoSmithKline.

"Millions of people worldwide suffer from arthritis and we are excited about the prospect of developing and bringing an important new therapy to these patients," said Tony Zook, president and chief executive officer at AstraZeneca, at the time of the PN 400 partnership announcement.

Source : localtechwire.com


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FDA criticizes Genzyme study of leukemia drug

Just days before a key meeting to consider Genzyme Corp.’s application for a new leukemia drug to treat older patients, the Food and Drug Administration released a briefing document criticizing the Cambridge biotechnology company’s clinical study of the drug, called Clolar.

Genzyme said the drug deserves to be approved to treat adult acute myeloid leukemia in people who aren’t healthy enough to undergo chemotherapy, citing results of its study involving patients over 60 years old.

The company said it found older patients with the disease had a 45.5 percent overall remission rate when they took the treatment.

Clolar, the brand name for the drug clofarabine, won FDA approval in 2004 to treat a different form of leukemia - cancer of the blood or bone marrow - in patients under 21 who have had relapses after undergoing chemotherapy. Genzyme filed a new drug application Nov. 21 for older patients with acute myeloid leukemia.

The company and the FDA are scheduled to present their findings Tuesday to an outside panel of specialists, called the Oncological Drug Advisory Committee, which will make a recommendation. Such recommendations are typically followed by the agency.

But in the briefing document posted on the FDA’s website yesterday, regulators said Genzyme didn’t follow the agency’s guidance in designing its Phase II clinical study. While the FDA had advised the company to conduct a “randomized’’ study, comparing patients who took Clolar with those who underwent an alternative treatment or took a so-called sham drug, the company ran a “single-arm’’ study consisting only of patients who used Clolar.

The regulatory feedback suggests the FDA believes “this study was poorly conceived,’’ said Ira Loss, health care analyst for Washington Analysis, a research firm advising institutional investors on regulatory trends. “My strong sense is that the committee will recommend against approving the drug for this indication.’’

Shares of Genzyme, which has been working to get production problems at its Allston Landing plant under control, slid $1.37, or 2.4 percent, to $55.53 yesterday on the Nasdaq exchange.

Beth Trehu, product general manager for clofarabine at Genzyme, said the company wanted to run a randomized study, it was unable to get physicians to agree on a “comparative’’ treatment for the population of older patients with acute myeloid leukemia.

Nonetheless, said Trehu, “we think our study shows a very positive benefit/risk ratio, a very positive response rate, and very durable remissions. We’re hoping the [oncology] panel will recommend approving our drug based on its efficacy and safety.’’

Source : www.boston.com


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Lundbeck Inc. Announces FDA Marketing Approval for Sabril for the Treatment of Two Difficult-to-Treat Epilepsies

Lundbeck Inc. , a wholly owned subsidiary of H. Lundbeck A/S in Denmark (Copenhagen: LUN), announced today that the U.S. Food and Drug Administration (FDA) has granted two New Drug Application (NDA) approvals for Sabril® (vigabatrin) Tablets and Oral Solution. Lundbeck plans to launch Sabril in the United States in the third quarter.

Sabril is indicated as monotherapy for pediatric patients one month to two years of age with infantile spasms (IS) for whom the potential benefits outweigh the potential risk of vision loss, and as adjunctive (add-on) therapy for adult patients with refractory complex partial seizures (CPS) who have inadequately responded to several alternative treatments and for whom the potential benefits outweigh the risk of vision loss.1,2 Sabril is not indicated as a first line agent for CPS.

Sabril causes permanent bilateral concentric visual field constriction in 30 percent or more of patients that ranges in severity from mild to severe, including tunnel vision to within 10 degrees of visual fixation and can result in disability. In some cases, Sabril also can damage the central retina and may decrease visual acuity. Sabril causes permanent vision loss in infants, children and adults. The onset is unpredictable and can occur within weeks of starting treatment, or sooner, or at any time during treatment, even after months or years. Because of this risk of permanent vision loss, Sabril approval is accompanied by an FDA-mandated Risk Evaluation and Mitigation Strategy (REMS) and is available only through a special restricted distribution program called SHARE (Support Help and Resources for Epilepsy).

Sabril is the first therapy approved for the treatment of IS and an important new option as add-on therapy for the approximately 30 to 36 percent of adults with CPS whose seizures remain uncontrolled in spite of having many antiepileptic therapies already available.3,4

“The approval of Sabril is great news for patients and their families who have been waiting a long time for access to this new therapy,” said Dr. W. Donald Shields, Director of the Pediatric Epilepsy Program at the University of California at Los Angeles. “Having more than a decade of experience with Sabril, I have felt this drug was important to the epilepsy community. Lundbeck shared my commitment to getting this important therapy approved and without their support, Sabril would not be available today in the U.S.”

Commenting on the approval of the lead compound in its central nervous system (CNS) pipeline, Jeffrey S. Aronin, President and Chief Executive Officer of Lundbeck Inc., said, “We have been working hard to address the unmet medical needs of patients faced with infantile spasms and to offer a new add-on option for treating refractory complex partial seizures. FDA approval of Sabril is an important victory for the entire epilepsy community.”

In conjunction with marketing approval of Sabril, Lundbeck has developed an FDA-mandated REMS to manage the risk of permanent vision loss associated with Sabril. The Sabril REMS, a critical component in receiving FDA approval, specifies elements, such as restricted product distribution, required vision testing and mandatory benefit-risk assessments, to manage the risk of permanent vision loss associated with Sabril. The Sabril REMS is administered through Lundbeck’s SHARE program, a comprehensive patient and physician support program designed to provide tools and resources for all of Lundbeck’s epilepsy products, including Sabril. Through SHARE and the recently established SHARE Call Center, patients, caregivers and physicians will have access to information and tools to help manage severe and uncontrolled epilepsy, programs to help facilitate initial and ongoing use of Sabril, and support from a team dedicated to helping people fully understand and navigate the Sabril prescribing process.

Source : www.businesswire.com


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FDA - Ibuprofen Pain Relief Gels Are Unproven

A new tougher Food and Drug Administration (FDA) is issuing another crackdown – this time on creams that claim to relieve pain because they contain ibuprofen, among other active ingredients.

A number of Ibuprofen ointments or creams claim they are safer than pills because they do not cause stomach ulcers. The FDA says there has been no research supporting that claims and that the over-the-counter products are unapproved.

"These companies have an obligation to demonstrate to the FDA that their products are safe and effective, and they have failed to do so," said Deborah Autor, director of FDA's office of compliance.

The FDA says companies must submit an application for new drug approval.

Eight companies have received warning letters from the FDA to stop marketing the drugs, among them, Tennessee-based Wonder Laboratories, New Mexico-based Meditrend and Alabama-based Progressive Emu Inc.

Progressive Emu says it has already responded to the FA and removed all claims off of its labels.

Other companies cited are: Colorado-based Biocentric Laboratories, Wisconsin-based Core Products International, Florida-based Geromatrix Health Products, New Jersey-based MEKT LLC, and Texas-based Ridge Medical Products.

Ibuprofen is available in tablet form such as Advil, as a pain reliever.

As part of a more regulatory-conscious FDA, chief Margaret Hamburg has issued a number of enforcement actions against companies that make unsubstantiated claims or sell dangerous products. Last month makers of supplements that contain metabolic steroids were told to pull their products from the market.

And in June, consumers were warned that the cold remedy, Zicam Cold, can permanently damage the sense of smell, while the FDA has also told dozens of Web sites to stop making phony swine flu remedies,

Source : www.injuryboard.com


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FDA Approves New Cholesterol-Lowering Drug

The U.S. Food and Drug Administration approved the 4 milligram maximum dose of Livalo (pitavastatin), a drug intended to improve blood cholesterol levels in persons with elevated or abnormal blood cholesterol levels.

Like other statins, Livalo is intended for patients when diet and exercise fail to lower their cholesterol levels. Statins improve elevated blood cholesterol levels primarily by inhibiting a liver enzyme called HMG Co-A reductase, thus reducing the liver's ability to make cholesterol.

"Elevated or abnormal cholesterol levels are associated with an increased risk for heart disease and stroke," said Eric C. Colman, M.D., deputy director, Division of Metabolism and Endocrinology Products, in the FDA's Center for Drug Evaluation and Research. "Today's approval offers patients and their health care professionals another alternative way to treat high cholesterol."

Livalo was approved on the basis of five clinical trials comparing its efficacy and safety to that of three currently marketed statins.

The most frequently reported adverse reactions from taking Livalo were muscle pain, back pain, joint pain and constipation.

Livalo is manufactured by Kowa Pharmaceuticals America Inc. of Montgomery, Ala.

Source : www.medicalnewstoday.com


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Approves New Drug For Treating Mental Illnesses

The FDA has approved the drug Saphris for treating schizophrenia and Bipolar I disorders.

Both are serious mental conditions that have been treated by a variety of drugs that are effective in some, and ineffective in others.

Schizophrenia is a condition where a person will begin to have delusions and hallucinations, such as auditory phenomenon that makes them believe they are hearing voices. They also experience paranoia, such as believing that others are after them, or can read their thoughts.

Bipolar I is a severe condition where the person in question as rapid shifts in mood, energy level, ability to sleep, and other problems, such as lack in appetite, or use of controlled substances. Behavior may also be badly effected during a manic phase, or in times of ‘lows’, where extreme depression makes it hard for the sufferer to cope with everyday life.


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Immunomedics Announces FDA Allowance of Investigational New Drug Application for Milatuzumab-Doxorubicin Conjugate

Immunomedics, Inc. , a biopharmaceutical company focused on developing monoclonal antibodies to treat cancer and other serious diseases, today announced the allowance of an investigational new drug (IND) application filed with the U.S. Food and Drug Administration (FDA) to initiate a Phase I/II clinical trial of the doxorubicin conjugate of milatuzumab for the treatment of patients with multiple myeloma. This product candidate is the Company's first antibody-drug conjugate to enter human studies.

The primary objective of the open-label, multi-center study is to evaluate the safety and tolerability of the antibody-drug conjugate in patients with recurrent or refractory multiple myeloma. Preliminary information on efficacy, pharmacokinetics, and immunogenicity will also be obtained.

"Due to its rapidly internalizing nature when bound to the CD74 receptor, milatuzumab is an ideal antibody for the targeted delivery of chemotherapeutic agents, such as doxorubicin, to tumors expressing CD74, as indicated in several articles published by our scientists," commented Cynthia L. Sullivan, President and CEO. "We are pleased with the allowance and are eager to begin the clinical assessment of the antibody-drug conjugate, which has demonstrated very potent anti-tumor activities in preclinical studies," she added. Ms. Sullivan elaborated further: "Our chemists have developed some unique drug conjugation methods that have been applied to doxorubicin, as well as to SN-38, the active principle of irinotecan (CPT-11), a potent drug used in the treatment of metastatic colorectal cancer. Thus, we intend this to be the first in a series of clinical studies to evaluate the therapeutic opportunities for our antibody-drug conjugates."

Source : money.cnn.com


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FDA OKs New Schizophrenia, Bipolar Drug

The FDA has approved a new drug called Saphris to treat schizophrenia and bipolar I disorder in adults.

"Mental illnesses like schizophrenia and bipolar disorder can be devastating to patients and families, requiring lifelong treatment and therapy," Thomas Laughren, MD, director of the division of psychiatry products in the FDA's Center for Drug Evaluation and Research, says in a news release.

"Effective medicines can help people with mental illness live more independent lives," Laughren says.

The FDA notes that the most common symptoms of schizophrenia include hearing voices or seeing things that are not there, having false beliefs (for example, believing that others are controlling thoughts, reading minds, or plotting harm), and being inappropriately suspicious or paranoid.

Bipolar I disorder is a chronic, severe, and recurrent psychiatric disorder that causes alternating periods of depression and high, increased activity and restlessness, racing thoughts, fast talking, impulsive behavior, and a decreased need for sleep.

Saphris, which comes in tablets, belongs to a class of drugs called atypical antipsychotics.

The FDA approved Saphris based on clinical trials in which the drug trumped a placebo at reducing schizophrenia symptoms in adults and other trials in which Saphris was better than a placebo at treating symptoms of bipolar disorder.

In clinical trials, the most common side effects reported by schizophrenia patients being treated with Saphris were the inability to sit still or remain motionless, decreased oral sensitivity, and drowsiness.

The most common side effects in clinical trials of patients treated with Saphris for bipolar disorder were drowsiness, dizziness, movement disorders other than the inability to sit still or remain motionless, and weight gain.

All atypical antipsychotic drugs carry a "black box" warning, the FDA's sternest warning, alerting prescribers about an increased risk of death associated with off-label use of these drugs to treat behavioral problems in older people with dementia-related psychosis. Saphris isn't approved for those patients.

Saphris is made by the drug company Schering-Plough.

Source : www.webmd.com


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What a drug label doesn't tell you -- but should

The Food and Drug Administration requires a lot of detailed information on the labels that come with prescription drugs. But labels don't provide doctors and patients with information on how the medication compares to other drugs. That's a serious oversight that should be corrected, according to the authors of an essay appearing today in the New England Journal of Medicine.

When drugs are in development, they are usually compared with placebos and are ultimately approved because they are safe and more effective than the placebo. But studies typically don't test whether New Drug A is better than Old Drug B. Indeed, the fiercely competitive nature of the pharmaceutical business means that manufacturers often create "me too" drugs that are quite similar to existing drugs, say the authors of the essay, from Stanford University's Prevention Research Center. New drugs are typically heavily advertised and cost more.

"If the FDA label were required to indicate what is known and not known about a product's superiority to other treatments, clinicians, patients, and payers would likely be less willing to pay more for a new treatment without proof that it improved health outcomes," the authors state. And manufacturers would have an incentive to conduct comparison trials.

Labels should carry what the Stanford researchers call "comparative effectiveness" information. The labels could say something like, "Although this drug has been shown to lower blood pressure more effectively than placebo, it has not been shown to be more effective than other members of the same drug class," the essay suggests.

The drug development process is lengthy and expensive. But consumers deserve honest information about what is known and not known about medications.

"A few products will be breakthroughs that improve health outcomes; most will offer little, if any, advantage over existing treatment," the authors state. "At the time of FDA approval, it is rarely clear whether a new drug or device falls into the first or second category."

Source : latimesblogs.latimes.com


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FDA Issues Final Rules to Help Patients Gain Access to Investigational Drugs

The U.S. Food and Drug Administration published two rules today that seek to clarify the methods available to seriously ill patients interested in gaining access to investigational drugs and biologics when they are not eligible to participate in a clinical trial and don’t have other satisfactory treatment options.

To support the effort to help these patients, the agency also is launching a new Web site where patients and their health care professionals can learn about options for investigational drugs. In general, these options include being treated with a drug that has been approved by FDA, being given an investigational drug as part of a clinical trial, or obtaining access to an investigational drug outside of a clinical trial.

The new rule, “Expanded Access to Investigational Drugs for Treatment Use,” makes investigational drugs more widely available to patients by clarifying procedures and standards. The other rule, “Charging for Investigational Drugs Under an Investigational New Drug Application,” clarifies the specific circumstances and the types of costs for which a manufacturer can charge patients for an investigational drug when used as part of a clinical trial or when used outside the scope of a clinical trial.

“With these initiatives, patients will have the information they need to help them decide whether to seek investigational products,” said Margaret A. Hamburg, M.D., Commissioner of Food and Drugs. “For patients seeking expanded access to investigational drugs and biologics, the new rules make the process easier to understand.”

Clinical trials are studies of drugs and biologics that are still in development and have not yet been approved by the FDA. Many patients enroll in clinical trials to gain access to investigational therapies and contribute to finding out how well an investigational therapy works, and how safe it is for patients. Obtaining a drug or biologic under an expanded access program may be an option for some patients who are not able to enroll in clinical trials.

The FDA has allowed expanded access to experimental drugs and biologics since the 1970s. That access has allowed tens of thousands of patients with HIV/AIDS, cancer, and other conditions to receive promising therapies when no approved alternative is available.

“The final rules balance access to promising new therapies against the need to protect patient safety and seek to ensure that expanded access does not discourage participation in clinical trials or otherwise interfere with the drug development process,” said Janet Woodcock, M.D., director of the FDA’s Center for Drug Evaluation and Research. “Clinical trials are the most important part of the drug development process in determining whether new drugs are safe and effective, and how to best use them.”

Source : www.fda.gov


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FDA approves new drug for treatment of cold sores

The US Food and Drug Administration (FDA) have approved a new drug for treating cold sores.

Lipsovir (Medivir AB) is a patented combination of hydrocortisone (an anti-inflammatory agent) and acyclovir (an antiviral) intended for the topical treatment of cold sores.

Like other cold sore pharmaceuticals, Lipsovir will be a prescription product in the US. The label, that is the indication text endorsed by the FDA, states “Acyclovir and Hydrocortisone Cream is indicated for the early treatment of recurrent herpes labialis (cold sores) to reduce the likelihood of ulcerative cold sores and to shorten the lesion healing time”.

Treatment is approved for adults and children aged 12 years and older.

No product currently marketed for the treatment of cold sores has a corresponding label or has been shown to prevent an outbreak with early treatment according to a Medivir press release.

Source : www.examiner.com


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TNF blockers raise cancer risk in kids

Blockbuster prescription drugs used to treat rheumatoid arthritis and other conditions can increase the risk of potentially deadly cancer in children and teenagers, U.S. health regulators said Tuesday in ordering stronger warnings on such medications.

The Food and Drug Administration, which urged greater caution with so-called TNF blockers last September, said an analysis of 48 reported cancer cases in children using the drugs "showed an increased risk of cancer, occurring after 30 months of treatment on average."

Eleven of the reported cases were fatal, the FDA said.

Anti-TNF drugs include Johnson & Johnson's Simponi or golimumab and its Remicade or infliximab; Abbott Laboratories ' Humira or adalimumab; UCB SA's Cimzia or certolizumab pegol; and Amgen Inc and Wyeth's Enbrel or etanercept.

Rheumatoid arthritis is an autoimmune disease that can strike young people, causing pain, stiffness and swelling.

It affects about 20 million people worldwide.

The drugs are used to treat other inflammatory conditions, including the bowel disorder known as Crohn's disease.

TNF (tumor necrosis factor) blockers make billions of dollars for manufacturers, but it is unclear how much they earn specifically from sales for children and teens. Not all of the drugs are approved for use in children for all related conditions.

Last year, Abbott's Humira earned $4.5 billion worldwide, while Amgen and Wyeth's Ebrel earned $1.2 billion. J&J's Remicade had 2008 sales of $3.7 billion. Its newer drug, Simponi, was approved earlier this year. UCB's Cimzia, launched in 2008, had about $14.4 million in global sales.

The drugs already carry the strongest warnings possible about the risk of possible serious infections. A new caution about cancer in younger patients will be added to the so-called "black box", the FDA said.


EVALUATING THE CANCER RISK

The FDA said in a statement on its website that its year-long analysis of the increased cancer risk in children showed about half the 48 cases involved lymphoma, which targets the immune system.

Rates for cancer cases with J&J's Remicade "were consistently higher compared to expected background rates for lymphomas and all malignancies," the FDA said. Cancer rates for lymphoma were also higher for Amgen and Wyeth's Enbrel, but rates for all cancers were similar to background rates, the FDA said.

The FDA did not calculate cancer rates for Abbott's Humira and UCB's Cimzia "because of minimal use in pediatric patients." J&J's Simponi was not approved at the time of the time of the analysis.

The FDA said it had "identified new safety information related to the occurrence of leukemia and new-onset psoriasis" that would also be included on the drugs' labeling.

An Abbott spokeswoman said the company would follow the regulator's new warning guidance.

"We will comply with FDA's guidance regarding labeling changes for the anti-TNF class and will continue to monitor the data to ensure patients and physicians have the information they need to make decisions about treatment," Abbott spokeswoman Raquel Powers said.

The FDA said it had reviewed 147 reports of leukemia in adults and children using TNF blockers, including 30 deaths.

While rheumatoid arthritis patients may already be at greater risk for the white blood cell cancer, "there is a possible association between treatment with TNF blockers and the development of leukemia in all patients treated with these drugs," the FDA said.

The FDA also reviewed 69 cases of psoriasis and said it found a possible link between the skin disorder and use of TNF blockers.

Brian Kenney, a spokesman for Johnson & Johnson's Centocor Ortho Biotech Inc unit, which makes Remicade and Simponi, said the company would work with the FDA to adopt the new warnings.

Amgen and Wyeth also said in a statement that they would revise their product warnings and continue evaluating risks and benefits of Enbrel.

Source : www.forbes.com


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FDA Approves New Cholesterol-Lowering Drug

The U.S. Food and Drug Administration today approved the 4 milligram maximum dose of Livalo (pitavastatin), a drug intended to improve blood cholesterol levels in persons with elevated or abnormal blood cholesterol levels.

Like other statins, Livalo is intended for patients when diet and exercise fail to lower their cholesterol levels. Statins improve elevated blood cholesterol levels primarily by inhibiting a liver enzyme called HMG Co-A reductase, thus reducing the liver's ability to make cholesterol.

"Elevated or abnormal cholesterol levels are associated with an increased risk for heart disease and stroke," said Eric C. Colman, M.D., deputy director, Division of Metabolism and Endocrinology Products, in the FDA’s Center for Drug Evaluation and Research. “Today’s approval offers patients and their health care professionals another alternative way to treat high cholesterol.”

Livalo was approved on the basis of five clinical trials comparing its efficacy and safety to that of three currently marketed statins.

The most frequently reported adverse reactions from taking Livalo were muscle pain, back pain, joint pain and constipation.

Livalo is manufactured by Kowa Pharmaceuticals America Inc. of Montgomery, Ala.

Source : www.fda.gov


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FDA Approves New Botox Black Box Warning, Drug Name Changes

The FDA has signed off on a new “black box” warning for Botox and other botulinum toxic drug products, and has approved generic name changes to avoid potential pharmacy errors that could result in life-threatening injuries.

New black box warnings and medication guides were announced on August 3 for Botox, Botox Cosmetic, Myobloc and Dysport, which was recently approved in April 2009.

The stronger warnings were first ordered in April due to the risk that Botox side effects could cause potentially life-threatening problems similar to botulism if the products spread from the area of injection to other parts of the body. Most of these Botox problems have occurred when the injections are given off-label, particularly for treatment of muscle spasticity in children with cerebral palsy.

The drugs contain small quantities of the botulinum toxin, which is the bacteria associated with the development of botulism, a muscle paralyzing conditon.

To avoid confusion for doctors and pharmacies, the FDA also approved generic name changes for the three products. Botox and Botox Cosmetic, manufactured by Allergan, have changed their generic names from Botulinum Toxin Type A to onabotulinumtoxinA. Myobloc, manufactured by Solstice Neurosciences, has changed its generic name from Botulinum Toxin Type B to rimabotulinumtoxinB. The recently approved Dysport maintains the generic name abobotulinumtoxinA.

Although Botox is the most commonly known of the products for its cosmetic uses to remove wrinkles, the drugs are also approved to treat a variety of conditions, such as crossed eyes, excess sweating, involuntary blinking of the eye, contractions of neck and shoulder muscles and cervical dystonia.

The FDA issued a public health warning in February 2009 about the potential risk of serious injury or death from Botox, particularly among children with cerebral palsy who are often given much larger doses off-label. Although the FDA has not approved such uses, many disabled children have been given the injections, as the toxin prevents muscles from involuntarily contracting, helping to alleviate stiff, jerky and difficult movements commonly associated with cerebral palsy.

According to a 2008 report released by the consumer advocacy group Public Citizen, at least 180 adverse event reports have been received by the FDA, which revealed that patients treated with Botox or Myobloc showed symptoms such as aspiration pneumonia, difficulty swallowing or muscle weakness. As the toxin spreads from the injection site, it has been associated with symptoms like weakness, blurred vision, drooping eyelids, slurred speech, dry mouth, partial paralysis, respiratory distress and death.

No definitive serious reports of distant spread of the toxin have been associated with dermatologic use of Botox or Botox Cosmetic at the recommended doses, according to the FDA. In addition, no reports have been associated with Botox when used at approved doses for eyelid twitches or crossed eyes.

Several Botox lawsuits have been filed against Allergan, Inc. on behalf of people who allege that severe or fatal injuries were caused by treatments used for a variety of purposes. It has been alleged that Allergan actively promoted Botox for uses that were not approved by the FDA and failed to warn about the potential risks.

Source : www.aboutlawsuits.com


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AstraZeneca, Bristol-Myers diabetes drug wins U.S. OK

AstraZeneca PLC and Bristol-Myers Squibb Co won U.S. approval on Friday to sell a new pill for adults with diabetes.

Onglyza enters a field clouded in recent years by concerns about heart-related risks. U.S. regulators have pressed manufacturers to more closely evaluate cardiovascular safety of proposed new medicines.

The Food and Drug Administration said Onglyza was not linked to increased heart problems in low-risk patients but the agency was requiring future study cardiovascular safety for higher-risk diabetics.

Though there are numerous diabetes therapies on the market, some cause weight gain or other complications and many patients do not reach optimal blood sugar levels, creating an opportunity for new treatments.

The companies hope Onglyza will carve out substantial sales by competing against Merck & Co's blockbuster drug, Januvia, which had $1.4 billion worldwide sales in 2008.

BMO Capital Markets analyst Robert Hazlett forecast Onglyza sales of $60 million in 2009, rising to $450 million in 2011 with peak sales approaching $1 billion over time.

Onglyza, a once-a-day pill known generically as saxagliptin, is AstraZeneca's first new drug since cholesterol fighter Crestor went on sale in 2003.

Both Onglyza and Januvia enhance the body's ability to lower elevated blood sugar levels and are part of a class of drugs known as dipeptidyl peptidase-4 (DPP-4) inhibitors.

The drugs are cleared to treat Type 2 diabetes, which is linked with obesity, poor diet and lack of exercise. Nearly 24 million people in the United States, or nearly 8 percent of the population, have the condition, government statistics show.

FDA officials took a closer look at the cardiovascular safety of diabetes medicines after researchers linked GlaxoSmithKline PLC's pill Avandia to greater heart-related risks in 2007. A strong warning was added to the drug, although Glaxo says it is as safe as other approved diabetes medicines.

Onglyza's most common side effects include upper respiratory tract and urinary tract infections and headaches, the FDA said. Allergic-like reactions such as rashes and hives also were reported.
European regulators recommended approval of Onglyza in June, clearing the way for its launch there in the coming months.

Shares of Bristol-Myers gained 0.8 percent to close at $21.74 on the New York Stock Exchange. AstraZeneca shares gained 0.2 percent to close at $46.44, also on the NYSE.

Source : www.reuters.com


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FDA panel rejects J&J's new cancer drug

Cancer drugs are among the toughest and riskiest medicines to develop, because many of them offer only a small incremental benefit at a steep cost to patients and payers.

That's a lesson that that Johnson & Johnson and partner Zeltia are learning again today, after an FDA advisory panel voted to reject a new drug for ovarian cancer.

The panel said that risks of heart and liver toxicity outweight its ability to keep the disease in check, according to Reuters.

The panel voted 14-1 to recommend that the FDA reject the drug, called Yondelis. The FDA often follows the advisory panel's recommendations.

The panel also pointed out that the 6-week benefit in progression-free survival shown in a pivotal late-stage clinical trial did not justify approval.

Source : blogs.indystar.com


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Long-used pain pills to carry new warnings

Propoxyphene, better known by long-used brand names Darvon and Darvocet, may stay on the market, but must carry a new, stronger version of the Food and Drug Administration's most serious warnings to consumers and physicians. Products containing propoxyphene, an opiate used to treat mild to moderate pain, will now carry more stringent warnings about the dangers of taking more than the recommended dose, the FDA announced today.

The agency also announced that it has ordered studies on the risk of dangerous cardiac side effects associated with Darvon and related pain medications, as well as on the extent of their use in the elderly -- a population for which propoxyphene is considered to be problematic and less effective than newer, safer drugs.

Propoxyphene's dangers most recently came to light in February 2006, when the group Public Citizen petitioned the FDA to remove the drug from the market. The FDA said today that while it may take further action against the pain drug after studies have been completed, it would allow its continued sale, with the strengthened "black-box" warnings.

The decision came as the agency also considers the advice of one of its own advisory panels, which recently recommended banning further sale of several other widely prescribed opiate pain medications -- those that include acetaminophen, among them Vicodin and Percocet.

Propoxyphene was found to have been associated with roughly 2,110 deaths in the United States between 1981 and 1999, and during the same period was found in autopsies to have been implicated in 5.6% of drug-related deaths in the U.S. Public Citizen had sued the FDA in June of last year for failing to rule on its 2006 petition, prompting the FDA to act this week.

Source : latimesblogs.latimes.com


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