Saturday, November 12, 2011

FDA Approves Ferriprox( FDA new drug approvals)


FDA Approves Ferriprox( FDA new drug approvals)

Ferriprox
Generic  Name: Deferiprone
Company: ApoPharma Inc.
Date of Approval: October 14, 2011
Treatment for: Transfusional Iron Overload

The U.S. Food and Drug Administration has approved Ferriprox (deferiprone) to treat patients with iron overload due to blood transfusions in patients with thalassemia, a genetic blood disorder that causes anemia, who had an inadequate response to prior chelation therapy.
Patients with thalassemia have excess iron in the body from the frequent blood transfusions (transfusional iron overload), a condition that is serious and can be fatal. These patients also have a risk of developing liver disease, diabetes, arthritis, heart failure or an abnormal heart rhythm.
The standard of care to treat transfusional iron overload is chelation therapy - chemical agents that are used to remove heavy metals from the body. Ferriprox is intended for use when chelation therapy is inadequate.
What is Ferriprox?
Ferriprox (deferiprone) is an iron-chelating agent. It binds to iron and removes it from the blood stream.
Ferriprox is used to treat iron overload caused by blood transfusions in patients with thalassemia (a generic blood disorder that causes anemia) who have not responded to other chelation treatments.
Ferriprox may also be used for purposes not listed in this medication guide.
Important information about Ferriprox
You should not use Ferriprox if you:
·      are allergic to deferiprone or any of the other ingredients in Ferriprox.
·      have had a history of episodes of neutropenia (low white clood cell count) or agranulocytosis.
·      you are pregnant or breastfeeding.
Before taking Ferriprox, tell your doctor if you have kidney or liver disease, cancer (especially blood cell cancer such as leukemia), or a weak immune system.
Take Ferriprox as directed by your doctor (usually three times daily). Taking Ferriprox with food may reduce any associated nausea symptoms.
Stop taking Ferriprox and call your doctor at once if you experience any symptoms of infection such as fever, sore throat or flu-like symptoms. Seek immediate medical attention if you experience palpitations, dizziness, lightheadedness, syncope or seizures.
If you are taking antacids that contain aluminum (such as Amphojel, Gaviscon, Maalox, Mi-Acid, Mylanta, Rulox, and others) or supplements that contain iron or zinc, allow at least a four hour interval before or after taking Ferriprox.
Tell your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal products.
Do not start a new medication without telling your doctor. Keep a list of all your medicines and show it to any healthcare provider who treats you.

New Drug Approvals
The following drugs have recently been approved by the FDA. Includes newly approved drugs and new indications for drugs already approved.
November 2011
November 4
Xarelto(rivaroxaban)
New Indication Approved: November 4, 2011
bupivacaine) Injectable Suspension
Company: Pacira Pharmaceuticals, Inc.
Date of Approval: October 28, 2011
Treatment for: Pain
Exparel (bupivacaine liposome injectable suspension) is a long-acting non-opioid local analgesic for the management of postsurgical pain.

(clobazam) Tablets
Company: Lundbeck Inc.
Date of Approval: October 21, 2011
Treatment for: Lennox-Gastaut Syndrome
Onfi (clobazam) is a benzodiazepine antiepileptic drug for the treatment of patients with Lennox-Gastaut syndrome (LGS).

(deferiprone) Tablets
Company: ApoPharma Inc.
Date of Approval: October 14, 2011
Treatment for: Hemosiderosis
Ferriprox (deferiprone) is an iron chelator indicated for the treatment of patients with transfusional iron overload due to thalassemia syndromes when current chelation therapy is inadequate.
(simvastatin and sitagliptin) Tablets
Company: Merck & Co., Inc.
Date of Approval: October 7, 2011
Treatment for: Diabetes Mellitus Type II, Homozygous Familial Hypercholesterolemia, Heterozygous Familial Hypercholesterolemia, Hypertriglyceridemia
Juvisync (simvastatin and sitagliptin) is an HMG-CoA reductase inhibitor (statin) and dipeptidyl peptidase-4 (DPP-4) inhibitor fixed dose combination for the treatment of high cholesterol and type 2 diabetes.
(crizotinib) Capsules
Company: Pfizer Inc.
Date of Approval: August 26, 2011
Treatment for: Non-Small Cell Lung Cancer
Xalkori (crizotinib) is an oral first-in-class anaplastic lymphoma kinase (ALK) inhibitor for the treatment of patients with advanced non-small cell lung cancer (NSCLC) whose tumors are ALK-positive.
(icatibant) Injection
Company: Shire plc
Date of Approval: August 25, 2011
Treatment for: Angioedema
Firazyr (icatibant) is a selective B2 bradykinin receptor antagonist indicated for the treatment of acute attacks of hereditary angioedema.
brentuximab vedotin) Injection
Company: Seattle Genetics, Inc.
Date of Approval: August 19, 2011
Treatment for: Lymphoma, Hodgkin's Disease
Adcetris (brentuximab vedotin) is a CD30-directed antibody-drug conjugate (ADC) indicated for the treatment of relapsed or refractory Hodgkin lymphoma and systemic anaplastic large cell lymphoma (ALCL).
vemurafenib) Tablets
Company: Genentech, Inc.
Date of Approval: August 17, 2011
Treatment for: Melanoma - Metastatic
Zelboraf (vemurafenib) is a kinase inhibitor indicated for the treatment of patients with metastatic melanoma with BRAFV600E mutation as detected by an FDA-approved test.
(mometasone furoate) Implant
Company: Intersect ENT, Inc.
Date of Approval: August 15, 2011
Treatment for: Sinusitis
Propel (mometasone furoate) is a corticosteroid implant offering localized, controlled drug delivery for chronic sinusitis patients.
(emtricitabine, rilpivirine and tenofovir disoproxil fumarate) Tablets
Company: Gilead Sciences, Inc.
Date of Approval: August 10, 2011
Treatment for: HIV Infection
Complera (emtricitabine/rilpivirine/tenofovir disoproxil fumarate) is a combination of three antiretroviral medications indicated for the once daily treatment of HIV-1 infection in treatment-naïve adults.
(antivenom (centruroides scorpion)) Injection
Date of Approval: August 3, 2011
Treatment for: Scorpion Stings
Anascorp (Centruroides (Scorpion) Immune F(ab’)2 (Equine)) is an antivenom indicated for treatment of clinical signs of scorpion envenomation.
(ticagrelor) Tablets
Company: AstraZeneca
Date of Approval: July 20, 2011
Treatment for: Acute Coronary Syndrome
Brilinta (ticagrelor) is a P2Y12 platelet inhibitor indicated to reduce the rate of thrombotic cardiovascular events in patients with acute coronary syndrome.
(rivaroxaban) Tablets
Company: Janssen Pharmaceuticals, Inc.
Date of Approval: July 1, 2011
Treatment for: Deep Vein Thrombosis Prophylaxis after Knee Replacement Surgery, Deep Vein Thrombosis Prophylaxis after Hip Replacement Surgery, Prevention of Thromboembolism in Atrial Fibrillation
Xarelto (rivaroxaban) is a factor Xa inhibitor indicated for the prophylaxis of deep vein thrombosis (DVT) in patients undergoing knee or hip replacement surgery, and to reduce the risk of stroke in people who have abnormal heart rhythm (non-valvular atrial fibrillation).
indacaterol) Neohaler - formerly QAB149
Company: Novartis Pharmaceuticals Corp.
Date of Approval: July 1, 2011
Treatment for: Chronic Obstructive Pulmonary Disease
Arcapta (indacaterol inhalation powder) is a long-acting beta2-agonist (LABA) for the long-term maintenance treatment of airflow obstruction in patients with chronic obstructive pulmonary disease (COPD).
(fentanyl) Nasal Spray - formerly NasalFent
Company: Archimedes Pharma
Date of Approval: June 30, 2011
Treatment for: Pain
Lazanda (fentanyl) is an opioid analgesic nasal spray for the management of breakthrough pain in cancer patients.
(azficel-T)
Company: Fibrocell Science, Inc.
Date of Approval: June 22, 2011
Treatment for: Wrinkles
Azficel-T is an autologous cell therapy for the treatment of moderate to severe nasolabial fold wrinkles in adults.
(nitroglycerin) Ointment - formerly Cellegesic
Company: ProStrakan Group plc
Date of Approval: June 21, 2011
Treatment for: Anal Fissure and Fistula
Rectiv (nitroglycerin) is a topical ointment for the treatment of moderate to severe pain associated with chronic anal fissures.
(oxycodone) Tablets - formerly Acurox
Company: Pfizer Inc. and Acura Pharmaceuticals Inc.
Date of Approval: June 17, 2011
Treatment for: Pain
Oxecta (oxycodone hydrochloride) is an abuse-deterrent opioid analgesic formulation for the relief of moderate to severe pain.
Nulojix (belatacept) Injection
Company: Bristol-Myers Squibb Company
Date of Approval: June 15, 2011
Treatment for: Organ Transplant -- Rejection Prophylaxis
Nulojix (belatacept) is a selective T-cell costimulation blocker indicated for prophylaxis of organ rejection in adult patients receiving a kidney transplant.
Potiga (ezogabine) Tablets
Company: GlaxoSmithKline and Valeant Pharmaceuticals International
Date of Approval: June 10, 2011
Treatment for: Seizures
Potiga (ezogabine) is a potassium channel opener indicated for the adjunctive treatment of adults with partial-onset seizures.

Shamna
Sr lecturer
Alshifa college of pharmacy

Hepatosplenic T-Cell Lymphoma


ISSUE: FDA continues to receive reports of a rare cancer of white blood cells (known as Hepatosplenic T-Cell Lymphoma or HSTCL, primarily in adolescents and young adults being treated for Crohn’s disease and ulcerative colitis with medicines known as tumor necrosis factors (TNF) blockers, as well as with azathioprine, and/or mercaptopurine.  TNF blockers include Remicade (infliximab), Enbrel (etanercept), Humira (adalimumab), Cimzia (certolizumab pegol) and Simponi (golimumab).
BACKGROUND: HSTCL is an aggressive (fast-growing) cancer and is usually fatal. The majority of cases reported were in patients being treated for Crohn’s disease or ulcerative colitis, but also included a patient being treated for psoriasis and two patients being treated for rheumatoid arthritis. FDA is now updating the number of reported cases of HSTCL.Although most reported cases of HSTCL occurred in patients treated with a combination of medicines known to suppress the immune system, including the TNF blockers, azathioprine, and/or mercaptopurine, there have been cases reported in patients receiving azathioprine or mercaptopurine alone.
RECOMMENDATIONS:
·      Educate patients and caregivers about the signs and symptoms of malignancies such as HSTCL so that they are aware of and can seek evaluation and treatment of any signs or symptoms. These may include splenomegaly, hepatomegaly, abdominal pain, persistent fever, night sweats, and weight loss.
·      Monitor for the emergence of malignancies when a patient has been treated with TNF blockers, azathioprine, and/or mercaptopurine.
·      Know that people with rheumatoid arthritis, Crohn's disease, ankylosing spondylitis, psoriatic arthritis and plaque psoriasis may be more likely to develop lymphoma than the general U.S. population. Therefore, it may be difficult to measure the added risk of TNF blockers, azathioprine, and/or meracaptopurine.






 Exparel
Generic Name: bupivacaine liposome injectable suspension
Date of Approval: October 28, 2011
Company: Pacira Pharmaceuticals, Inc.
Treatment for: Postsurgical Pain
The U.S. Food and Drug Administration (FDA) has approved Exparel (bupivacaine liposome injectable suspension) 1.3% for administration into the surgical site to produce postsurgical analgesia.Exparel combines bupivacaine with DepoFoam®, a delivery technology that delivers medication over a desired time period. By utilizing the DepoFoam platform, a single dose of Exparel delivers bupivacaine for an extended period of time, providing analgesia with reduced opioid requirements for up to 72 hours. Exparel represents the first and only multivesicular liposome local anesthetic that can be utilized in the peri- or postsurgical setting in the same fashion as current local anesthetics, which provide a relatively short duration of efficacy.
The safety of Exparel has been evaluated in 21 clinical trials, which include over 1300 subjects in the safety database. Exparel administered locally into the surgical site was evaluated in 10 randomized, double-blind, clinical studies involving 823 patients undergoing various surgical procedures. Patients were administered a dose ranging from 66 mg to 532 mg of Exparel. Exparel is contraindicated in obstetrical paracervical block anesthesia. Other formulations of bupivacaine should not be administered within 96 hours following administration of Exparel. In these studies, the most common adverse reactions (incidence >10%) following Exparel administration were nausea, constipation, and vomiting.

Highlights of Prescribing Information

What is Arthritis? Learn about how to manage the aches and pains.
Indications and Usage
Exparel is a liposome injection of bupivacaine, an amide local anesthetic, indicated for single-dose infiltration into the surgical site to produce postsurgical analgesia.
Dosage and Administration
Exparel is intended for single-dose administration only. The recommended dose of Exparel is based on the surgical site and the volume required to cover the area.
Inject Exparel slowly into soft tissue via infiltration.
Dosage Forms and Strengths
Exparel (bupivacaine liposome injectable suspension)
·      10 mL single use vial, 1.3% (13.3 mg/mL)
·      20 mL single use vial, 1.3% (13.3 mg/mL)
Contraindications
Exparel is contraindicated in obstetrical paracervical block anesthesia.
Warnings and Precautions
·      Monitoring of cardiovascular and neurological status, as well as vital signs should be performed during and after injection of Exparel as with other local anesthetic products.
·      Because amide-type local anesthetics, such as bupivacaine, are metabolized by the liver, Exparel should be used cautiously in patients with hepatic disease. Patients with severe hepatic disease, because of their inability to metabolize local anesthetics normally, are at a greater risk of developing toxic plasma concentrations.
·      Other formulations of bupivacaine should not be administered within 96 hours following administration of Exparel. 

Shamna 
Sr lecturer
Alshifa college of pharamcy

Saturday, October 22, 2011


NEW BLOOD TEST TO DIAGNOSE HEART ATTACKS
The Loyola University Chicago, Stritch School of Medicine researchers have reported a possible new blood test to help diagnose heart attacks. In the Journal of Molecular and Cellular Cardiology, researchers report that a large protein known as cardiac myosin binding protein-C (cMyBP-C) is released to the blood following a heart attack.
Between 60 and 70 percent of all patients who complain of chest pain do not have heart attacks. Many of these patients are admitted to the hospital, at considerable time and expense, until a heart attack is definitively ruled out.
An electrocardiogram can diagnose major heart attacks, but not minor ones. There also are blood tests for various proteins associated with heart attacks. But most of these proteins are not specific to the heart. Elevated levels could indicate a problem other than a heart attack, such as a muscle injury.
Only one protein now used in blood tests, called cardiac troponin-I, is specific to the heart. But it takes at least four to six hours for this protein to show up in the blood following a heart attack. So the search is on for another heart attack protein that is specific to the heart.
The Loyola study is the first to find that cMyBP-C is associated with heart attacks. The protein is specific to the heart. And it may be readily detectable in a blood test because of its large molecular size and relatively high concentration in the blood.
Researchers evaluated blood samples from heart attack patients. They also evaluated rats that had experienced heart attacks. They found that in both humans and rats, cMyBP-C was elevated significantly following heart attacks.
Sadayappan said cMyBP-C is a large assembly protein that stabilizes heart muscle structure and regulates cardiac function. During a heart attack, a coronary artery is blocked, and heart muscle cells begin to die due to lack of blood flow and oxygen. As heart cells die, cMyPB-C breaks into fragments and is released into the blood.

REFERENCES
1.      www.globalpharmasectornews.com
2.      www.eurekalert.org
3.      www.dailypioneer.com
4.      www.ibtimes.com
5.      www.sciencenewsline.com

ASLAM ARGODAN
FIRST YEAR M PHARM
AL-SHIFA COLLEGE OF PHARMACY


Tuesday, September 20, 2011


WONDER PILL TO CURE OBESITY, CANCER

According to a study published in the journal Scientific Reports an all-in-one tablet is being developed to treat obesity, diabetes, heart disease and cancer. The drug, which is being made by the biotech firm Sirtris, could be available within three years.The excitement surrounds a family of drugs based on resveratrol, the “miracle ingredient” in red wine credited with inhibiting the development of cancer and heart disease. The drugs would activate a gene called SIRT1 that is the key to longevity and energy, and their potency would give them the equivalent health benefits of 8,000 bottles of wine. In the study conducted, mice given one of the drugs, known as SRT1720, did not gain an ounce of weight despite being fed fatty foods, and blood tests suggested that they were protected against diabetes. They also showed improved stamina.  Now a follow-up study, led by the U.S.government’s health research arm, has confirmed the drug’s promise. This time, giving it to “middle-aged” mice allowed them to escape many of the dangers of a bad diet, with those eating fatty foods living almost as long as mice fed normally. At high doses, the drug extended the life of the junk food group by as much as 44 per cent. In addition, it stopped fat from clogging up their livers and, once again, appeared to protect against Diabetes.









REFERENCES
·        www.globalpharmasectornews.com
·        www.andhranews.net
·        www.topnews.in
·        www.silobreaker.com


FEMINA CP
FIRST YEAR M PHARM
AL-SHIFA COLLEGE OF PHARMACY

FDA APPROVED FIRST DRUG RELEASING IMPLANT FOR CHRONIC SINUSITIS PATIENTS

The U.S. Food and Drug Administration (FDA) approved the Intersect ENT, Inc.’s Pre-market Approval (PMA) application for the Propel™ mometasone furoate implant offering localized, controlled drug delivery for chronic sinusitis patients.Chronic sinusitis is a condition in which patients’ sinuses become swollen and inflamed, leading to difficulty breathing, facial pain or headache, and reduced sense of smell and taste. The condition is common, affecting one in seven adults in theU.S., and greatly impacts quality of life. Chronic sinusitis often requires a complex combination of surgical and medical treatments. Each year, 500,000 patients undergo sinus surgery to treat the condition.  Although sinus surgery is effective, the majority of patients experience recurrent symptoms within the first year; as many as 25 percent then undergo revision surgery due to recurrent obstruction of the sinus cavity.Propel is the first of a new category of products offering localized, controlled delivery of steroid directly to the sinus tissue. Inserted by a physician following endoscopic sinus surgery, the spring-like implant expands to prop open the sinus and gradually delivers an advanced corticosteroid with anti-inflammatory properties directly to the sinus lining to maintain sinus patency.The Propel system has been clinically proven to prevent obstruction of the ethmoid sinus following surgery. The result is improved post-operative outcomes, reducing the need for additional surgical procedures and systemic steroids that can have serious side effects.






REFERENCES
1.     www.globalpharmasectornews.com
2.     www.medscape.com
3.     www.qmed.com
4.     www.emedicinelive.com
5.     www.pharmabiz.com


APARNA S
FIRST YEAR M PHARM
AL-SHIFA COLLEGE OF PHARMACY
















POOR SLEEP QUALITY ENHANCES RISK OF HIGH BLOOD PRESSURE

According to the a report published in Hypertension: Journal of the American Heart Association, a reduced level of dreamless, deep sleep is a powerful predictor for developing high blood pressure in older men. High quality sleep is as important to health as diet and exercise.Reduced slow wave sleep (SWS) is one of the deeper stages of sleep, is characterized by non-rapid eye movement (non-REM) from which it’s difficult to awaken. It’s represented by relatively slow, synchronized brain waves called delta activity on an electroencephalogram. Researchers from the Outcomes of Sleep Disorders in Older Men Study (MrOs Sleep Study) found that people with the lowest level of SWS had an 80 percent increased risk of developing high blood pressure.This study shows for the first time that poor quality sleep, reflected by reduced slow wave sleep, puts individuals at significantly increased risk of developing high blood pressure, and that this effect appears to be independent of the influence of breathing pauses during sleep,Men who spent less than 4 percent of their sleep time in SWS were significantly more likely to develop high blood pressure during the 3.4 years of the study. Men with reduced SWS had generally poorer sleep quality as measured by shorter sleep duration and more awakenings at night and had more severe sleep apnea than men with higher levels of SWS. However, of all measures of sleep quality, decreased SWS were the most strongly associated with the development of high blood pressure. This relationship was observed even after considering other aspects of sleep quality.




REFERENCES
1.    www.globalpharmasectornews.com
2.    www.allheadlinenews.com
3.    www.sciencedaily.com
4.    www.medicalxpress.com
5.    www.eurekalert.org

VINOD B
FIRST YEAR M PHARM
AL-SHIFA COLLEGE OF PHARMACY

POOR SLEEP QUALITY ENHANCES RISK OF HIGH BLOOD PRESSURE

According to the a report published in Hypertension: Journal of the American Heart Association, a reduced level of dreamless, deep sleep is a powerful predictor for developing high blood pressure in older men. High quality sleep is as important to health as diet and exercise.Reduced slow wave sleep (SWS) is one of the deeper stages of sleep, is characterized by non-rapid eye movement (non-REM) from which it’s difficult to awaken. It’s represented by relatively slow, synchronized brain waves called delta activity on an electroencephalogram. Researchers from the Outcomes of Sleep Disorders in Older Men Study (MrOs Sleep Study) found that people with the lowest level of SWS had an 80 percent increased risk of developing high blood pressure.This study shows for the first time that poor quality sleep, reflected by reduced slow wave sleep, puts individuals at significantly increased risk of developing high blood pressure, and that this effect appears to be independent of the influence of breathing pauses during sleep,Men who spent less than 4 percent of their sleep time in SWS were significantly more likely to develop high blood pressure during the 3.4 years of the study. Men with reduced SWS had generally poorer sleep quality as measured by shorter sleep duration and more awakenings at night and had more severe sleep apnea than men with higher levels of SWS. However, of all measures of sleep quality, decreased SWS were the most strongly associated with the development of high blood pressure. This relationship was observed even after considering other aspects of sleep quality.




REFERENCES
1.    www.globalpharmasectornews.com
2.    www.allheadlinenews.com
3.    www.sciencedaily.com
4.    www.medicalxpress.com
5.    www.eurekalert.org

VINOD B
FIRST YEAR M PHARM
AL-SHIFA COLLEGE OF PHARMACY