

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."
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.
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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.
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.
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By David MacDougall
