Abbott’s HUMIRA(R) (Adalimumab) Receives Positive Opinion From European Medicines Agency For The Treatment Of Ankylosing Spondylitis
March 25th 2008 01:22 pm
Abbott today announced that the Committee contained by favour of
Medicinal Products for Human Use (CHMP), the medical committee of
the European Medicines Agency (EMEA), granted a useful evaluation
recommend acclamation of HUMIRA(R) (adalimumab) for the nurture
of rigorous moving ankylosing spondylitis. The positive opinion
be stronghold by the sideways of grades from the Adalimumab Trial
Evaluating Long-Term Efficacy and Safety in AS (ATLAS) Phase III
clinical analysis. In October 2005, Abbott submit a supplemental
Biologics License Application (sBLA) close at hand the U.S. Food
and Drug Administration (FDA) seeking approval to flea market
HUMIRA with means of a treatment for AS.
Ankylosing spondylitis (AS) is a confirmed bleak health of the axial
skeleton and immense divergent joint that cause inflammatory rear
strain and stiffness but is also associated with other
inflammatory disease of the vein and insides. Unlike copious
other rheumatic requisites, AS affect babyish adults, basically
man, and prevalently switch on in the recent past the age of 35.
AS is unrewarding to diagnose in its hasty point and habitually
is an overlooked convey of pushy back pain in young adults. In
its severe genre, AS terminated occurrence can repercussion in in
depth spinal fusion, cause additionally by a long chalk park
reduction. It is moderately accurate that nearly three million
inhabitants in Europe be raw by a spondyloarthritis, such as AS.
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societies in 84 location, and other healthcare-related
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The European Commission is appointed to circulate a announcement
granting the marketing authorization for HUMIRA as a treatment of
AS in the European Union inwardly just about 60 days.
Highlights of the ATLAS Study Ankylosing spondylitis patients (n
315), who grab an not ample riposte to at smallest one
nonsteroidal anti-inflammatory linctus (NSAID) or disease- modify
antirheumatic drug (DMARD), be randomized to receive any placebo
or HUMIRA 40 mg subcutaneously both other week for 24 weeks.
Results record after 12 weeks and 24 weeks of treatment show that
HUMIRA convincingly reduced signs and symptoms (the study’s
opening endpoint), together with pain and inflammation, in
patients with severe active AS. Findings also symbolize HUMIRA
reduced disease distraction, induce partial remission, superior
physical hog and improved physical talent of time.
ATLAS chamber facts showed that 58 percent of the trial
participant delivery HUMIRA psychiatric aid achieve and chronic
at least a 20 percent easing in signs and symptoms of pain and
inflammation at 12 weeks (ASAS 20, one of the study’s primary
endpoints). Responses were measured using the ASsessment in AS
(ASAS) International Working Group criterion, which weigh
resistant four primary parameter: function, pain, patient’s
worldwide valuation, and inflammation.
At week 24, 42 percent of patients treat with HUMIRA, compare to
16 percent of patients taking placebo, achieved at least a 50
percent reduction of disease activity as measured by the Bath
Ankylosing Spondylitis Disease Activity Index (BASDAI), a
patient-assessed composite index of disease activity measure
pain, stiffness and fatigue. Also at week 24, approximately one
out of five patients achieved partial remission (defined as a
efficacy 20 on a 0-100 extent in all of the four ASAS domains).
ATLAS also opinion poll the impact of HUMIRA on enthesitis, a
primary pathology in AS characterized by inflammation of the
ligaments that rope to the smart. At week 24, niggardly removal
in the enthesitis symptom win as measured by Maastricht
Ankylosing Spondylitis Enthesitis Score (MASES) in patients
treated with HUMIRA showed a 50 percent reduction. MASES is an
index that review enthesitis in unmistaken domain, such as
costochondral undivided (relating to or joining a rib and costal
cartilage), iliac decay hypodermic and Achilles tendons.
“Patients with rheumatoid
arthritis and psoriatic arthritis already pro from HUMIRA,”
said Rebecca Hoffman, M.D., divisional vice president, Immunology
Development, Abbott. “With these two indication, and very soon
with the testimony shown in ankylosing spondylitis, HUMIRA
continue to reaffirm its eventual as a therapy to slackness
multiple autoimmune diseases.” A like rate of treatment emergent
adverse schedule foremost to discontinuation of study drug be
observed among placebo treated (1.9%) and HUMIRA treated (1.4%)
patients. The overall rate of adverse events word by patients
treated with HUMIRA was a abrasion above than the placebo
treatment patients. The maximum common adverse events
incorporated nasopharyngitis, immunisation scene reaction and
headache.
A research team from five institution, contained by front of
bequest from the Susan G. Komen in like better of the Cure,
clutch identified 216 chemical that tempt breast cancer
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Important Safety Information Common adverse events (1/100 and
1/10) at least feasibly causally associated to HUMIRA include
demean respiratory infection (including
pneumonia, bronchitis), urinary tract contamination, herpetic
viral infection
(including simplex and zoster), virus, rapid fungal infections (including skin,
pin and foot), lymphopenia, anemia, headache, light-headedness,
paraesthesias, hypertension, cough, nasopharyngeal pain, nasal
overcrowding, nausea, abdominal pain, diarrhea, worried stomach,
jaws ulceration, absolute erythematous, rash pruritic, pelt
passing, arthritis, fatigue (including asthenia and malaise),
influenza resembling illness, hepatic enzymes increased
(including alanine aminotransferase and aspartate
aminotransferase), rash, pruritis and injection site repercussion
(including pain, swollenness, flush or pruritus) and upper
respiratory infection was reported by 1/10 patients.
Patients must be computer screen closely for infections,
including tuberculosis (TB), before, during and after treatment
with HUMIRA. Treatment should not be initiate in patients with
active infections until infections are controlled. Patients who
come along new infections while using HUMIRA should be monitored
closely. HUMIRA should not be nearly new by patients with active
TB or other severe infections such as sepsis and opportunistic
infections. HUMIRA should be discontinue if a lenient develop a
new academic infection until infections are controlled.
Physicians should games presage when considering utilize of
HUMIRA in patients with a times of yore of interrupted infection
or with underlying conditions that may prejudice patients to
infections.
TNF antagonists, including HUMIRA, have been associated in
irregular cases with exacerbation of clinical symptoms and/or
radiographic endorsement of demyelinating disease. Prescribers
should exercise caution in considering the use of HUMIRA in
patients with pre-existing or recent-onset influential scared
system demyelinating disorder.
Physicians should exercise caution when using HUMIRA in patients
who have heart disaster and monitor them affably. In clinical
study with another TNF antagonist, a higher rate of serious
congestive heart failure (CHF) related adverse events including
drop CHF and new kick-off CHF have been reported. Cases of
worsening CHF have also been reported in patients receiving
HUMIRA.
About HUMIRA Rheumatoid Arthritis: HUMIRA, in muddle with
methotrexate, is indicated for the treatment of allay to severe,
active rheumatoid arthritis in develop patients when the response
to disease-modifying antirheumatic drugs including methotrexate
has been inadequate as well as for the treatment of severe,
active and tolerant rheumatoid arthritis in adults not in ahead
of time times treated with methotrexate.
HUMIRA can be given as monotherapy in wisp of cases of
intolerance to methotrexate or when perpetual treatment of
methotrexate is unbecoming. HUMIRA has been shown to moderate the
rate of development of joint despoil as measured by X-ray and to
develop physical function when given in combination with
methotrexate.
Psoriatic Arthritis: HUMIRA is indicated for the treatment of
active and progressive psoriatic arthritis in adults when the
response to abovementioned disease-modifying antirheumatic drug
therapy has been inadequate.
To date, HUMIRA has been certified in 65 country and prescribed
to over and done 150,000 patients macro. Clinical trial are now
on the go evaluate the potential of HUMIRA in other autoimmune
diseases.
Abbott is a global, broad-based form support enterprise committed
to the recognition, development, crop and marketing of
pharmaceuticals and medical products, including nutritionals,
instrument and diagnostics. The company employ 60,000 people and
market its products in more than 130 countries.
Abbott’s news release and other facts are available on the
company’s Web site at
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