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FDA panel rules against investigational NSAID after agency reviewers question BP-related benefits of drug

Wednesday, May 19 2010 | Comments
Evidence Grade 0 What's This?

A Food and Drug Administration panel voted 16-1 to recommend against approval of NicOx SA's naproxcinod, an investigational nonsteroidal anti-inflammatory drug (NSAID), for use in relieving the signs and symptoms of osteoarthritis. Panelists said there was not enough safety evidence from the company's trials of the NSAID to support its use. In documents released prior to the meeting, NicOx said naproxcinod combines the established efficacy of the NSAID naproxen with the...

A Food and Drug Administration panel voted 16-1 to recommend against approval of NicOx SA's naproxcinod, an investigational nonsteroidal anti-inflammatory drug (NSAID), for use in relieving the signs and symptoms of osteoarthritis.

Panelists said there was not enough safety evidence from the company's trials of the NSAID to support its use.

In documents released prior to the meeting, NicOx said naproxcinod combines the established efficacy of the NSAID naproxen with the "well-known effect of nitric oxide," which is intended to improve the safety profile by mitigating the NSAID-induced increase in blood pressure that can occur.

In separate documents, agency reviewers questioned the drug's effect on reducing blood pressure, particularly the variability of the effect seen through the dosing interval.

"Typically drugs with meaningful effects on cardiac outcomes have an effect on systolic and diastolic blood pressure that persists through the dosing interval," they wrote. "In this case the potential impact on cardiac outcomes is unclear."

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FDA approves naproxen-esomeprazole combination drug Verusmed

Wednesday, May 05 2010 | Comments
Evidence Grade 0 What's This?
The Food and Drug Administration approved a combination drug containing naproxen and esomeprazole magnesium for relieving the signs and symptoms of osteoarthritis, rheumatoid arthritis, and ankylosing spondylitis and to decrease the risk of developing gastric ulcers in patients who are at risk of developing them because of nonsteroidal anti-inflammatory drug (NSAID) use.

The combination therapy combines delayed-release, enteric-coated naproxen...
Tags: Arthritis


Abatacept provides clinically meaningful efficacy, acceptable safety for RA patients, data reveal Verusmed

Thursday, November 12 2009 | Comments
Evidence Grade 3 What's This?
Abatacept appears to have an acceptable safety and tolerability profile and provides clinically meaningful efficacy over 6 months for patients with active rheumatoid arthritis who have had an inadequate response to anti-tumor necrosis factor (TNF) therapy, according to recent Phase IIIb data.

In the international, open-label trial, 1,046 patients were treated with a fixed dose of abatacept of approximately 10 mg/kg on days 1, 15, and 29, and then every 4 weeks thereafter up to...
Tags: Arthritis


Lyon Schuss, fixed flexion radiographs provide similar reproducibility for joint space width but differences in joint space narrowing Verusmed

Thursday, November 13 2008 | Comments
Evidence Grade 3 What's This?
Lyon Schuss (LS) and fixed flexion (FF) radiographs provide similar reproducibility in the measurement of joint space width, but the LS view is much more sensitive in evaluating joint space narrowing in osteoarthritis (OA) knees, according to a recent head-to-head trial.

The analysis included 161 women aged >=40 years and in good general health. Sixty-two patients had radiographic OA at baseline and 99 were age- and sex-matched controls without OA. Patients and controls were...

Oral JAK-3 inhibitor plus methotrexate efficacious, safe in RA Verusmed

Thursday, October 30 2008 | Comments
Evidence Grade 7 What's This?
By David MacDougall

CP-690,550, an oral inhibitor of Janus kinase 3 (JAK-3), is safe and efficacious when used in combination with methotrexate in patients with rheumatoid arthritis (RA) who have had an inadequate response to methotrexate alone, according to findings from a double-blind, Phase IIb, dose-finding study.

JAK-3 is a tyrosine kinase essential for proper signal transduction downstream of selected cytokine...
Tags: Arthritis




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