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Sunday, December 6, 2015
Takeda Reports Five-Year Overall Survival Data for ADCETRIS® (Brentuximab Vedotin) Demonstrate Durable Remissions in Relapsed/Refractory Hodgkin Lymphoma
ORLANDO, Fla.--(BUSINESS WIRE)--Takeda Pharmaceutical Company Limited (TSE:4502)
announced post-treatment follow up data from the pivotal phase 2 study
of single-agent brentuximab vedotin for the treatment of relapsed or
refractory Hodgkin lymphoma following autologous stem cell
transplantation (ASCT). Lamisil (Terbinafine) with free prescription The data demonstrated that the estimated
five-year overall survival (OS) rate among ADCETRIS-treated patients was
41 percent (95% CI: 31%, 51%); median OS was 40.5 months (95% CI: 28.7,
61.9 [range 1.8 to 72.9+]) and median progression-free survival (PFS)
was 9.3 months (95% CI: 7.1 to 12.2 months). Mobic (Meloxicam) with no prescription The safety profile of
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information. Buy Ashwafera () with free Rx These results were presented today at the 57th
American Society of Hematology (ASH) annual meeting in Orlando, FL.
“The five year overall survival rates reported in this pivotal trial are
very promising in improving the long-term outlook for patients in this
setting as outcomes have historically been very poor,” said Professor
Andreas Engert, M.D., University Hospital of Cologne, Germany. Buy Invagesic without Rx “These
data further reinforce the emergence of ADCETRIS as a standard of care
for patients with Hodgkin lymphoma who experience relapse or disease
progression following salvage therapy and ASCT.”
Also presented today at the ASH annual meeting, data from the phase 3
AETHERA trial of brentuximab vedotin consolidation therapy in Hodgkin
lymphoma patients at high risk of relapse following ACST demonstrated
that after three years of follow-up, patients treated with brentuximab
vedotin continued to show a significant improvement in PFS per
investigator assessment (61%; 95% CI:53%, 68% HR 0.52) compared to
placebo (43%; 95% CI:36%, 51% HR 0.52). Buy Capoten (Captopril) with no Rx The safety profile of ADCETRIS
was generally consistent with the existing prescribing information.
ADCETRIS (brentuximab vedotin) is an antibody-drug conjugate (ADC)
directed to CD30, a defining marker of classical Hodgkin lymphoma. Buy Huperzine online
ADCETRIS is currently approved in more than 55 countries for the
treatment of relapsed or refractory Hodgkin lymphoma and systemic
anaplastic large cell lymphoma (sALCL). http://cholesterolreviews.wordpress.com The utility of ADCETRIS is
currently being explored across a number of types of cancer, and data
from six studies in the ADCETRIS clinical trial program were presented
at the ASH meeting, including four as oral presentations.
“With more than 45 clinical trials across multiple lines of therapy
underway and ongoing research focused on understanding the underlying
pathogenesis of Hodgkin lymphoma, our commitment to advancing the care
of people battling this disease is far-reaching,” said Dirk Huebner,
M.D., Executive Medical Director, Oncology Therapeutic Area Unit, Takeda
Pharmaceutical Company. “The positive long-term results from these two
pivotal studies are very important in our work to advance the care of
people living with Hodgkin lymphoma whose disease has progressed.”
About the Studies
Study 1: Five-year Survival Data Demonstrating Durable Responses
from a Pivotal Phase 2 Study of Brentuximab Vedotin in Patients with
Relapsed or Refractory Hodgkin Lymphoma [Abstract 2736, presented
December 6, 2015]
Five-year follow up data from the pivotal phase 2 study evaluating the
safety and efficacy of brentuximab vedotin in heavily pre-treated
patients with relapsed/refractory Hodgkin lymphoma post-ASCT were
presented as a poster by Robert Chen, M.D., City of Hope National
Medical Center, California. In the study, the 102 enrolled patients
received 1.8 mg/kg brentuximab vedotin once every three weeks as a 30
minute outpatient intravenous (IV) infusion for up to 16 cycles. The
primary endpoint was the objective response rate (ORR) per independent
review according to the Revised Response Criteria for Malignant Lymphoma
(Cheson 2007). Key secondary endpoints included complete response (CR)
rate, duration of response, PFS, OS, safety and tolerability. Survival
and disease status were assessed every three months for two years and
then every six months through year five. A study protocol amendment
removed the requirement of routine CT scanning during follow up, and so
disease status was assessed by the investigator. At the time of the
amendment, 18 patients were still being assessed for progression; these
patients had been in long-term follow-up for a median of over 30 months.
Patients received a median of nine cycles (range, 1-16) of brentuximab
vedotin. The study met its primary endpoint demonstrating 72 percent ORR
and a CR rate of 33 percent. The most common treatment-related adverse
events were peripheral sensory neuropathy, nausea, fatigue, neutropenia,
and diarrhea. Grade 3 or higher adverse events occurred in >=5 percent of
patients and included neutropenia, peripheral sensory neuropathy,
thrombocytopenia, and anemia.
Fifteen of the 102 enrolled patients remained in follow-up and in
remission at study closure. Of the 15 patients, six received
consolidative allogeneic SCT and nine received no further therapy since
completing treatment with brentuximab vedotin.
Study 2: Updated Efficacy and Safety Data from the AETHERA Trial
of Consolidation with Brentuximab Vedotin After Autologous Stem Cell
Transplant (ASCT) in Hodgkin Lymphoma Patients at High Risk of Relapse
[Abstract 3172, presented December 6, 2015]
Updated efficacy and safety data from the phase 3 AETHERA trial were
presented as a poster by John Sweetenham, M.D., Huntsman Cancer
Institute, University of Utah. The AETHERA trial was designed to
evaluate the potential of single-agent brentuximab vedotin to extend PFS
post-ASCT in patients with Hodgkin lymphoma with at least one risk
factor for progression. In addition to the primary endpoint of PFS,
secondary endpoints included OS, safety and tolerability. Eligible
patients must have had a history of refractory Hodgkin lymphoma, have
relapsed within one year from receiving frontline chemotherapy and/or
had extranodule disease at the time of pre-ASCT relapse. These factors
are consistently reported to be associated with poor prognosis after
transplant. Patients received brentuximab vedotin or placebo every three
weeks for up to approximately one year. This international multi-center
trial was conducted at 78 sites in the United States, Eastern and
Western Europe and Russia.
A total of 329 Hodgkin lymphoma patients at risk of relapse were
enrolled, including 165 on the brentuximab vedotin arm and 164 on the
placebo arm. Patients received a median of 15 cycles of treatment on
both arms.
As reported at the ASH annual meeting in 2014, the AETHERA trial met its
primary endpoint, demonstrating significant improvement in PFS among
patients who received brentuximab vedotin compared to patients who
received placebo (median of 43 months versus 24 months, respectively;
HR=0.57; p=0.001). Approximately three years after the last patient was
randomized, consolidation therapy with ADCETRIS continued to show an
improvement in PFS. At three years, PFS was 61 percent (95% CI:53–68)
for patients in the brentuximab vedotin arm compared to 43 percent (95%
CI 36-51) for the placebo arm.
At three years, treatment-emergent peripheral neuropathy resolved for
most patients, and no additional secondary malignancies were observed in
either treatment arm.
Among the 112 patients in the brentuximab vedotin arm who experienced
treatment-emergent peripheral neuropathy, 99 patients (88%)
experienced some improvement (23%) or complete resolution (65%) of
neuropathy symptoms at the time of analysis.
Secondary malignancies were comparable between the two treatment arms
(n=4 brentuximab vedotin, n=2 placebo).
Discontinuation of treatment due to an adverse event (AE) occurred in
54 patients (33%) who received ADCETRIS, most commonly due to
peripheral sensory and motor neuropathies (14% and 7%, respectively).
Patients who discontinued brentuximab vedotin treatment as a result of
an AE received a median of 9.5 cycles (range, 1 to 15). The two-year
PFS rate in these patients was 69 percent (95% CI 54–79) versus 82
percent (95% CI 71–89) for patients who completed all 16 treatment
cycles.
Six PFS events (2 progressions and 4 deaths) were recorded after the
24-month evaluation period in the brentuximab vedotin arm versus three
in the placebo arm (2 progressions and 1 death). The hazard ratio (HR)
for PFS per independent review was 0.57 (95% CI 0.41–0.82).
About ADCETRIS®
ADCETRIS is an ADC comprising an anti-CD30 monoclonal antibody attached
by a protease-cleavable linker to a microtubule disrupting agent,
monomethyl auristatin E (MMAE). The ADC employs a linker system that is
designed to be stable in the bloodstream but to release MMAE upon
internalization into CD30-expressing tumor cells.
ADCETRIS was granted conditional marketing authorization by the European
Commission in October 2012 for two indications: (1) for the treatment of
adult patients with relapsed or refractory CD30-positive Hodgkin
lymphoma following autologous stem cell transplant (ASCT), or following
at least two prior therapies when ASCT or multi-agent chemotherapy is
not a treatment option, and (2) the treatment of adult patients with
relapsed or refractory sALCL. ADCETRIS has received marketing
authorization by regulatory authorities in more than 55 countries. See
important safety information below.
ADCETRIS for intravenous injection has received approval from the FDA
for three indications: (1) regular approval for the treatment of
patients with classical Hodgkin lymphoma after failure of autologous
hematopoietic stem cell transplantation (auto-HSCT) or after failure of
at least two prior multi-agent chemotherapy regimens in patients who are
not auto-HSCT candidates, (2) regular approval for the treatment of
classical Hodgkin lymphoma patients at high risk of relapse or
progression as post-auto-HSCT consolidation, and (3) accelerated
approval for the treatment of patients with systemic anaplastic large
cell lymphoma (sALCL) after failure of at least one prior multi-agent
chemotherapy regimen. The sALCL indication is approved under accelerated
approval based on overall response rate. Continued approval for the
sALCL indication may be contingent upon verification and description of
clinical benefit in confirmatory trials. Health Canada granted ADCETRIS
approval with conditions for relapsed or refractory Hodgkin lymphoma and
sALCL.
ADCETRIS is being evaluated broadly in more than 30 ongoing clinical
trials, including the phase 3 ALCANZA trial and two additional phase 3
studies, one in frontline classical Hodgkin lymphoma and one in
frontline mature T-cell lymphomas, as well as trials in many additional
types of CD30-expressing malignancies, including B-cell lymphomas.
Seattle Genetics and Takeda are jointly developing ADCETRIS. Under the
terms of the collaboration agreement, Seattle Genetics has U.S. and
Canadian commercialization rights and Takeda has rights to commercialize
ADCETRIS in the rest of the world. Seattle Genetics and Takeda are
funding joint development costs for ADCETRIS on a 50:50 basis, except in
Japan where Takeda is solely responsible for development costs.
ADCETRIS Global Important Safety Information
ADCETRIS® is indicated for the treatment of adult patients with relapsed
or refractory (r/r) CD30+ Hodgkin lymphoma (HL):
1. Following autologous stem cell transplant or
2. Following at least 2 prior therapies when autologous stem cell
transplantation is not a treatment option
ADCETRIS is indicated for the treatment of adult patients with relapsed
or refractory systemic anaplastic large cell lymphoma (sALCL).
ADCETRIS is contraindicated for patients who are hypersensitive to
ADCETRIS. In addition, combined use of bleomycin and ADCETRIS causes
pulmonary toxicity, and is contraindicated.
ADCETRIS can cause serious side effects, including:
Progressive multifocal leukoencephalopathy (PML): John
Cunningham virus (JCV) reactivation resulting in PML and death has
been reported in patients treated with ADCETRIS. Patients should be
closely monitored for new or worsening neurological, cognitive, or
behavioral signs or symptoms, which may be suggestive of PML.
Pancreatitis: Acute pancreatitis has been observed in patients
treated with ADCETRIS. Fatal outcomes have been reported. Patients
should be closely monitored for new or worsening abdominal pain.
Pulmonary Toxicity: Cases of pulmonary toxicity have been
reported in patients receiving ADCETRIS. In the event of new or
worsening pulmonary symptoms (e.g., cough, dyspnoea), a prompt
diagnostic evaluation should be performed.
Serious infections and opportunistic infections: Serious
infections such as pneumonia, staphylococcal bacteraemia,
sepsis/septic shock (including fatal outcomes), and herpes zoster, and
opportunistic infections such as Pneumocystis jiroveci pneumonia and
oral candidiasis have been reported in patients treated with ADCETRIS.
Patients should be carefully monitored during treatment for emergence
of possible serious and opportunistic infections.
Infusion-related reactions: Immediate and delayed
infusion-related reactions, as well as anaphylaxis, have occurred with
ADCETRIS. Patients should be carefully monitored during and after an
infusion.
Tumor lysis syndrome (TLS): TLS has been reported with
ADCETRIS. Patients with rapidly proliferating tumor and high tumor
burden are at risk of TLS and should be monitored closely and managed
according to best medical practice.
Peripheral neuropathy (PN): ADCETRIS treatment may cause PN
that is predominantly sensory. Cases of peripheral motor neuropathy
have also been reported. Patients should be monitored for symptoms of
PN, such as hypoesthesia, hyperesthesia, paresthesia, discomfort, a
burning sensation, neuropathic pain, or weakness.
Hematological toxicities: Grade 3 or Grade 4 anemia,
thrombocytopenia, and prolonged (equal to or greater than one week)
Grade 3 or Grade 4 neutropenia can occur with ADCETRIS. Complete blood
counts should be monitored prior to administration of each dose.
Febrile neutropenia: Febrile neutropenia has been reported.
Patients should be monitored closely for fever and managed according
to best medical practice.
Stevens-Johnson syndrome (SJS) and Toxic Epidermal Necrolysis (TEN): SJS
and TEN have been reported. Fatal outcomes have been reported.
Hyperglycemia: Hyperglycemia has been reported during trials in
patients with an elevated body mass index (BMI) with or without a
history of diabetes mellitus. Any patient who experiences an event of
hyperglycemia should have their serum glucose closely monitored.
Renal and hepatic impairment: There is limited experience
in patients with renal and hepatic impairment. Population
pharmacokinetic analysis indicated that MMAE clearance might be
affected by moderate and severe renal impairment, and by low serum
albumin concentrations. Elevations in alanine aminotransferase (ALT)
and aspartate aminotransferase (AST) have been reported. Liver
function should be routinely monitored in patients receiving
brentuximab vedotin.
Sodium content in excipients: This medicinal product contains a
maximum of 2.1 mmol (or 47mg) of sodium per dose. To be taken into
consideration for patients on a controlled sodium diet.
Serious adverse drug reactions were: neutropenia, thrombocytopenia,
constipation, diarrhea, vomiting, pyrexia, peripheral motor neuropathy
and peripheral sensory neuropathy, hyperglycemia, demyelinating
polyneuropathy, tumor lysis syndrome, and Stevens-Johnson syndrome.
ADCETRIS was studied as monotherapy in 160 patients in two Phase 2
studies. Across both studies, adverse reactions defined as very common
(>=1/10) were: infections, neutropenia, peripheral sensory neuropathy,
diarrhea, nausea, vomiting, alopecia, pruritis, myalgia, fatigue,
pyrexia, and infusion-related reactions. Adverse reactions defined as
common (>=1/100 to <1/10) were: upper respiratory tract infection, herpes
zoster, pneumonia, anemia, thrombocytopenia, hyperglycemia, peripheral
motor neuropathy, dizziness, demyelinating polyneuropathy, cough,
dyspnea, constipation, rash, arthralgia, back pain, and chills.
These are not all of the possible side effects with ADCETRIS. Please
refer to Summary of Product Characteristics (SmPC) before prescribing.
About Takeda
Located in Osaka, Japan, Takeda (TSE:4502)
is a research-based global company with its main focus on
pharmaceuticals. As the largest pharmaceutical company in Japan and one
of the global leaders of the industry, Takeda is committed to strive
towards better health for people worldwide through leading innovation in
medicine.
Additional information about Takeda is available through its corporate
website, .takeda.com.
Monday, November 2, 2015
Biothera to Present Three Abstracts at AACR-NCI-EORTC International Conference on Molecular Targets and Cancer Therapeutics
Saturday, October 24, 2015
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Saturday, October 10, 2015
Remedy Pharmaceuticals’ Drug CIRARA™ Cut Death Rates from Severe Stroke by More Than Half
NEW YORK--(BUSINESS WIRE)--Remedy Pharmaceuticals announced today that preliminary results from
GAMES-RP, an exploratory Phase 2 randomized double blind,
placebo-controlled, multi-center trial in severe stroke patients
administered CIRARA®, a revolutionary intravenous drug for acute central
nervous system conditions, were presented in an exclusive 75-minute
session at the Neurocritical Care Society Annual Meeting in Scottsdale,
AZ on October 9, 2015.
Key initial findings from the 90-day follow up include:
Mortality in the CIRARA group was reduced by 53% vs. Clarinex (Desloratadine) with free prescription placebo.
There were no deaths in patients treated with CIRARA less than 8
hours from onset of stroke. About Symbicort (Budesonide Formoterol) with no Rx In contrast, half the placebo subjects
treated in less than 8 hours died.
29% more CIRARA-treated subjects had 0-4 modified Rankin Scale
(mRS) — a standard measure of functional outcome — vs. Stromectol (Ivermectin) with no prescription placebo
patients.
In subjects dosed <8 hours, 75% of CIRARA patients had 90-day mRS
of 0-4 and 63% had a 90-day mRS of 0-3 vs. Gliclazide without Rx 25% for both mRS of 0-3 and
0-4 in the placebo group.
Midline shift, a key indicator of brain swelling, was halved in the
CIRARA group vs. Buy Erectalis (Tadalafil) with free Rx placebo.
There were no safety issues.
“The evidence in favor of CIRARA’s safety and efficacy in treating cases
of severe stroke is overwhelming,” states Sven Jacobson, CEO of Remedy
Pharmaceuticals. Buy Exfoliators & Scrubs online “All three recognized indicators of outcome, namely
mortality, modified Rankin Scale and midline shift were dramatically
improved, demonstrating CIRARA’s potential in treating these
critically-ill patients.”
MORTALITY VERY DRAMATICALLY REDUCED
Of the 77 patients in the primary analysis, there were 19 deaths within
the first 30-day period, 6 of 41 in the CIRARA group (14%), versus 13 of
36 (36%) in the placebo group (p=0.03), corresponding to a reduction in
mortality of 62%. http://doctor-answers.blogspot.com/ Within the 90-day follow up period, there were a total
of 20 deaths, 7 of 41 subjects in the CIRARA group (17%), versus 13 of
36 (36%) in the placebo group (p=0.06), a reduction in mortality of 53%.
NO DEATHS AND BETTER OUTCOMES IN <8 HOUR CIRARA TREATMENT GROUP
While the average time to treatment was over 9 hours, a post hoc
analysis showed there were 16 patients dosed within 8 hours of onset of
stroke, equally divided 8 patients each between the CIRARA and placebo
groups. Four of the 16 subjects died, all in the placebo group. There
were no deaths in this CIRARA dosed subgroup.
GREATER PROPORTION OF 0-4 mRS PATIENTS
The modified Rankin Scale (mRS) is a common outcome measure to determine
the degree of disability or dependence in the daily activities of people
who have suffered a stroke. The scale runs from 0 to 6, 0 being perfect
health, to 6 indicating death. 61% of CIRARA group had a 90-day mRS of
0-4, versus 47% for the placebo group (p=0.23), or 29% more subjects in
the CIRARA group. The median mRS in the CIRARA group was 4 versus 5 in
the placebo arm (p=0.18). In subjects dosed within 8 hours, 63% (5/8)
had a 90-day mRS of 0-3, versus 25% (2/8) of <8 hour placebo subjects.
MIDLINE SHIFT CUT IN HALF
Brain edema (swelling) formation is a serious and deadly complication in
large strokes. As the affected hemisphere of the brain swells, its
space-occupying effect can lead to midline-shift, where, as the name
implies, the brain shifts past the midline, pushing into and compressing
the other hemisphere of the brain. This shift directly results in
altered consciousness and when severe, coma. Consistent with CIRARA’s
mechanism of action, there was a 50% reduction in edema measured by
midline shift at 72-96 hours of 4.4mm for CIRARA-treated patients,
versus 8.8mm in the placebo group (p=0.0006).
THE EFFECTS OF DECOMPRESSIVE SURGERY
An unexpected observation from the study was the apparent randomness of
decompressive craniotomy (DC), a neurosurgical procedure in which a
large part of the skull is removed (and later re-attached) to allow the
swollen brain room to expand outward, to prevent compressing normal
brain and to lower the intracranial pressure.
Thirteen subjects, or 32% of CIRARA subjects received a DC, versus 8, or
22% of placebo subjects (p=0.35). There was no correlation with either
growth in Diffusion Weighted Image (DWI) lesion volume or midline shift,
two key selection criteria commonly used for determining whether a
patient should undergo DC. Variability in the use of DC appeared to be
predominantly site related. Some centers performed no DCs, and at
others, up to 75% of subjects had a DC. Nevertheless, based on post hoc
analysis CIRARA patients had improved outcomes regardless of whether
they had a DC or not. As a result of this inconsistent practice of DC,
the study missed statistical significance in its primary composite
endpoint of improved 90-day modified Rankin Score (mRS) of 0-4 AND no
DC, which was 42% for CIRARA subjects versus 39% for placebo subjects
(p=0.77).
The three secondary endpoints were also affected by DC. All trended
positive, but due to small study size and the impact of DC, they did not
achieve statistical significance. Death by day 14 or DC improved by 16%,
more specifically 37% in the CIRARA group versus 44% for placebo
subjects (p=0.48). A 26% favorable change in lesional swelling from 0-72
hours was observed, 58 cm3 in the CIRARA subjects
versus 78 cm3 for the placebo subjects (p=0.41). There
was also a 13% improvement in the change in hemispheric volume from 0-72
hours of 68 cm3 for the CIRARA group versus 78 cm3
for placebo subjects (p=0.28). In a post-hoc analysis of hemispheric
swelling in non-DC patients only, the 36% improvement of CIRARA over
placebo was statistically significant, with a mean of 49 cm3
in the CIRARA group versus 77 cm3 for placebo subjects
(p=0.03). Lesional swelling in non-DC patients was reduced by 45% with a
mean of 41 cm3 in the CIRARA group and 75 cm3 in
placebo (p=0.15).
SUMMARIZING THE TRIAL RESULTS
"This exploratory Phase 2 trial was designed to evaluate the safety and
efficacy of intravenous CIRARA administered over a 72-hour period
following the occurrence of severe stroke, and it certainly did just
that quite convincingly,” notes Remedy’s Jacobson. “What’s amazing is
that these were the sickest of the sick stroke patients. The average
lesion size was over 150 cm3. That’s the volume of a tennis
ball, and add to that average time to start treatment of over 9 hours.
The startling reduction in mortality and other robust indicators in the
drug treated subjects suggest the potential for CIRARA to dramatically
transform severe stroke treatment. That’s very exciting.”
“Each hour in which treatment fails to occur, the brain loses as many
neuron as it does in over three-and-a-half years of normal aging,” notes
David Geliebter, Executive Chairman of Remedy. “The fact that there were
no deaths in patients who received CIRARA treatment early (<8 hours) and
that functional outcomes were even better by all standard measures than
those treated later (>=8 hours), is astonishing. We saw a similar
phenomenon in the early tPA trials, which missed their primary endpoints
until later studies focused on minimizing time to treatment. We now have
the critical data needed to move to the next phase in this process of
bringing a life-saving drug to people in need.”
“Brain swelling is a very common cause of death and disability after
stroke and other acute brain disorders,” notes Dr. Kevin Sheth, MD,
chief, Division of Neurocritical Care and Emergency Neurology, and chief
of clinical research, Department of Neurology, Yale University, New
Haven, Connecticut, and co-Principal Investigator of the GAMES-RP study.
“The initial results from this Phase 2 blinded study offer compelling
evidence to support the effort to provide definitive proof of CIRARA’s
effectiveness. Doing so has implications for not just stroke but an
entire range of neurological disorders.”
“GAMES-RP is the first trial of its kind that shows strong evidence of
effect on key intermediate outcomes directed at CIRARA’s proposed
mechanism of action in attenuating brain edema,” states W. Taylor
Kimberly, M.D., Ph.D., Associate Director of the Massachusetts General
Hospital Neuroscience Intensive Care Unit and an Assistant Professor of
Neurology at Harvard Medical School, and co-Principal Investigator of
the GAMES-RP study. “The mortality and functional outcome signals are
notable and provide clear support for a Phase 3 study. ”
NEXT STEPS
“Ischemic stroke continues to be one of the most challenging diseases in
translational neurology,” notes Jacobson. “Edema is one of the strongest
mortality risks associated with large stroke. Some 78% of all deaths in
the first week of a large ischemic stroke are attributable to edema.
This study and other studies and findings suggest that CIRARA plays an
important role in preventing malignant cerebral edema. There are
currently no therapies for patients with large hemispheric strokes,
which are lethal and debilitating. We have an opportunity to change this
bleak landscape, to save and improve lives, and now with these data in
hand, we intend to move quickly to consultation with FDA in regards the
design and implementation of a Phase 3 study.”
ABOUT GAMES-RP
GAMES-RP is a randomized, double blind, placebo controlled,
multi-center, Phase 2 study of CIRARA in patients with a severe ischemic
stroke. The primary data set comprised 77 patients with centrally read
baseline lesion volumes of 82-300 cm3 enrolled and treated
with CIRARA or placebo at 18 U.S. Centers. Mean age was 58 years in the
CIRARA arm, and 62.5 years in the placebo arm. Median baseline NIH
Stroke Score was 20 in the CIRARA arm and 20.5 in placebo, and mean
baseline lesion size was 154 cm3 in the CIRARA group and 159
cm3 in the placebo group. Treatment with CIRARA was commenced
a median of 9.1 hours after stroke (minimum 5.6 hours, maximum 10.6
hours). 90-day clinical follow up was available for all patients.
Eighteen leading medical centers were involved in the GAMES-RP trial (in
alphabetical order): Abington Memorial Hospital, Abington, PA; Cleveland
Clinic, Cleveland, OH; Maine Medical Center, Portland, ME; Massachusetts
General Hospital, Boston, MA; Medical University of South
Carolina, Charleston, SC; Northwestern Memorial Hospital, Chicago, IL;
Oregon Health & Science University Hospital, Portland, OR; Ohio State
University/Wexner Medical Center, Columbus, OH; Rutgers (Robert Wood
Johnson University Hospital), New Brunswick, NJ; Stanford University
Medical Center, Stanford, CA; UMASS Memorial Medical Center,
Worcester, MA; University of Arizona Medical Center - University Campus,
Tucson, AZ; University of Florida, Jacksonville, FL; University of
Louisville Hospital, Louisville, KY; University of Maryland Medical
Center, Baltimore, MD; University of Utah Healthcare, Salt Lake City,
UT; UPMC Presbyterian Hospital, Pittsburgh, PA; and Yale-New Haven
Hospital, New Haven, CT.
ABOUT CIRARA
CIRARA is a patented, high affinity inhibitor of Sur1-Trpm4 channels,
which were discovered by the University of Maryland neurosurgeon, J.
Marc Simard, M.D., Ph.D. to play a crucial role in swelling and
hemorrhage following stroke, traumatic brain injury, spinal cord injury
and other CNS conditions. CIRARA is suitable for intravenous delivery at
the bedside or even in an ambulance. CIRARA uses Remedy’s proprietary,
patented MPD™ technology to enable optimal drug delivery to the injured
area.
ABOUT REMEDY PHARMACEUTICALS
Remedy Pharmaceuticals, Inc. is a privately-held, clinical stage
pharmaceutical company focused on bringing life saving treatment to
millions of people affected by acute central nervous system conditions
-- including stroke and traumatic brain injury as well as other ischemic
injuries and neurological disorders such as subarachnoid hemorrhage and
spinal cord injury. For more information, please visit: .remedypharmaceuticals.com.
Monday, October 5, 2015
Global Fibromyalgia Pipeline Review 2015 - 6 Companies & 10 Drug Profiles
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Saturday, September 26, 2015
Le CHMP europ'een adopte une opinion positive `a l''egard du traitement sous forme de comprim'e unique Genvoya® (elvit'egravir, cobicistat, emtricitabine et t'enofovir alaf'enamide) de Gilead pour le traitement du VIH
FOSTER CITY, Californie--(BUSINESS WIRE)--Gilead Sciences, Inc. Albenza (Albendazole) with free Rx (Nasdaq : GILD) a annonc e aujourd hui que le
Comit e des m edicaments `a usage humain (CHMP), comit e scientifique de
l Agence europ eenne du m edicament (EMA), avait adopt e une opinion
positive au sujet de la demande d autorisation de mise sur le march e
(AMM) de la soci et e pour le traitement exp erimental sous forme de
comprim e `a prise uniquotidienne Genvoya®
(elvit egravir 150 mg/cobicistat 150 mg/emtricitabine 200 mg/t enofovir
alaf enamide (TAF) 10 mg) pour le traitement de l infection par le VIH-1. Zenegra (Sildenafil Citrate) without Rx
Les donn ees soumises dans l AMM appuient l’utilisation du traitement
chez les adultes et les adolescents na"ifs de traitement, les adultes
non-vir emiques changeant de traitement et les adultes atteints
d insuffisance r enale l eg`ere `a mod er ee.
La recommandation du CHMP sera maintenant examin ee par la Commission
europ eenne, qui est autoris ee `a approuver l’utilisation de m edicaments
dans les 28 pays de l’Union europ eenne. Buy Professional Pack-40 () with no Rx S il est autoris e, le Genvoya
sera le premier traitement sous forme de comprim e unique `a contenir du
TAF.
Le TAF est un nouvel inhibiteur nucl eotidique de la transcriptase
inverse (INTI) exp erimental qui a d emontr e une forte efficacit e
antivirale `a une dose inf erieure `a un dixi`eme de celle du Viread®
(fumarate de t enofovir disoproxil, TDF) de Gilead, ainsi qu une
am elioration des marqueurs de s ecurit e r enale et osseuse de laboratoire
de substitution compar e au TDF dans des essais cliniques en combinaison
avec d autres agents antir etroviraux.
L AMM pour Genvoya est soutenue par les donn ees sur 48 semaines de deux
etudes pivot de phase 3 ( Etudes 104 et 111) dans lesquelles le
traitement a atteint son objectif principal de non-inf eriorit e compar e
au Stribild®® (elvit egravir 150 mg/cobicistat 150 mg/emtricitabine 200 mg/fumarate
de t enofovir disoproxil 300 mg) de Gilead chez des patients adultes
na"ifs de traitement. Buy Flurosyn Dans ces etudes, le Genvoya a pr esent e des
am eliorations au niveau des marqueurs de laboratoire de s ecurit e r enale
et osseuse de substitution compar e au Stribild. About Indocin (Indomethacin) L AMM est egalement
soutenue par les donn ees d autres etudes de phase 3 evaluant le
traitement `a base de F/TAF chez des adolescents, des patients adultes
non-vir emiques ayant fait la transition vers le Genvoya et des patients
adultes atteints d insuffisance r enale l eg`ere `a mod er ee.
Outre le Genvoya, deux autres traitements `a base de TAF sont
actuellement en cours d evaluation par l EMA. Buy Copper online Le premier est une
combinaison `a dose fixe exp erimentale d emtricitabine 200 mg et de
t enofovir alaf enamide 25 ou 10 mg (F/TAF) `a utiliser en combinaison avec
d autres agents antir etroviraux. http://future-pharmaceuticals.blogspot.com Le second est un traitement
exp erimental sous forme de comprim e `a prise uniquotidienne qui combine
l emtricitabine 200 mg, le t enofovir alaf enamide 25 mg et la
rilpivirine 25 mg (R/F/TAF). L emtricitabine et le t enofovir alaf enamide
sont commercialis es par Gilead Sciences et la rilpivirine est
commercialis ee par Janssen Sciences Ireland UC, l une des soci et es
pharmaceutiques Janssen de Johnson & Johnson.
TAF et tous les traitements `a base de TAF sont des produits
exp erimentaux et leur innocuit e et leur efficacit e n ont pas et e
etablies dans l Union europ eenne.
`A propos de Gilead
Gilead Sciences est une soci et e biopharmaceutique, sp ecialis ee dans la
d ecouverte, le d eveloppement et la commercialisation de traitements
innovants dans des secteurs insuffisamment pourvus en th erapies.
L’objectif de la soci et e est de faire progresser le traitement des
patients souffrant de maladies engageant le pronostic vital. La soci et e
Gilead, dont le si`ege est install e `a Foster City, en Californie, est
pr esente dans plus de 30 pays.
D eclarations pr evisionnelles
Ce communiqu e de presse contient des d eclarations pr evisionnelles au
sens de la loi Private Securities Litigation Reform Act de 1995, qui
impliquent des risques, des incertitudes et d autres facteurs, notamment
le risque que la FDA n’approuve pas F/TAF et/ou R/F/TAF, et que les
autorisations de mise sur le march e, si accord ees, imposent des
restrictions importantes `a leur utilisation. Ces risques, incertitudes
et d’autres facteurs sont susceptibles de faire sensiblement varier les
r esultats r eels par rapport `a ceux auxquels il est fait r ef erence dans
les d eclarations pr evisionnelles. Le lecteur est avis e de ne pas se fier
`a ces d eclarations pr evisionnelles. Ces risques ainsi que d’autres, sont
d ecrits en d etail dans le rapport trimestriel de Gilead sur
formulaire 10-Q pour le trimestre clos au 30 juin 2015, tel qu il a et e
d epos e aupr`es de la Commission des valeurs mobili`eres des Etats-Unis.
Toutes les d eclarations pr evisionnelles sont fond ees sur des
informations dont Gilead dispose `a l’heure actuelle, et la soci et e
rejette toute obligation de mise `a jour desdites d eclarations
pr evisionnelles, quelles qu’elles soient.
Les RCP europ eennes pour le Stribild et le Viread sont disponibles
sur le site Web de l AEM `a l adresse .ema.europa.eu.
Genvoya, Stribild et Viread sont des marques d epos ees de Gilead
Sciences, Inc., ou de ses soci et es apparent ees.
Pour de plus amples informations sur Gilead Sciences, veuillez
consulter le site Web de la soci et e `a l’adresse .gilead.com,
suivez Gilead sur Twitter (@GileadSciences) ou appelez le service des
relations publiques de Gilead au 1-800-GILEAD-5 ou au 1-650-574-3000
Le texte du communiqu e issu d’une traduction ne doit d’aucune mani`ere
^etre consid er e comme officiel. La seule version du communiqu e qui fasse
foi est celle du communiqu e dans sa langue d’origine. La traduction
devra toujours ^etre confront ee au texte source, qui fera jurisprudence.
Friday, September 11, 2015
La Jolla Pharmaceutical Company Receives Positive Opinion from European Orphan Committee for LJPC-401
SAN DIEGO--(BUSINESS WIRE)--La
Jolla Pharmaceutical Company (Nasdaq: LJPC) (the "Company" or "La
Jolla"), a leader in the development of innovative therapies intended to
significantly improve outcomes in patients suffering from
life-threatening diseases, today announced that the European Medicines
Agency (EMA) Committee for Orphan Medicinal Products (COMP) issued a
positive opinion recommending LJPC-401, La Jolla’s novel formulation of
hepcidin, for designation as an orphan medicinal product for the
treatment of chronic iron overload requiring chelation therapy. About Zithromax Dispersible (Azithromycin) with free prescription Chronic
iron overload occurs in patients suffering from beta thalassemia, sickle
cell disease and hereditary hemochromatosis (HH). About Benicar (Olmesartan) without Rx The final opinion,
which is subject to review and approval by the European Commission (EC),
may include all or a subset of these conditions.
Beta thalassemia and sickle cell disease are genetic diseases of blood
cells that can cause life-threatening anemia and often require frequent
and life-long blood transfusions. Lopressor (Metoprolol) with no prescription These blood transfusions, while
necessary to treat anemia, cause excessive iron accumulation in the
body, which is toxic to vital organs. About Feliz without Rx HH is a disease caused by a
genetic deficiency in hepcidin production, resulting in excessive iron
accumulation. Maxolon (Metoclopramide) without Rx HH is the most common genetic disease in Caucasians and
causes liver cirrhosis, liver cancer, heart disease and/or failure,
dementia and diabetes.
Iron chelators are drugs that bind to and help clear excessive iron from
the body. Buy CatName online However, chelators cause significant toxicity, including
kidney failure, liver failure or gastrointestinal hemorrhage.
LJPC-401 is La Jolla’s novel formulation of hepcidin, a naturally
occurring peptide hormone that is the body’s regulator of iron
absorption and distribution. http://webmd-board.blogspot.com Hepcidin prevents excessive iron
accumulation in organs, such as the liver and heart, where it can cause
significant damage and even result in death. La Jolla is developing
LJPC-401 for the treatment of iron overload, which occurs as a result of
diseases such as HH, beta thalassemia and sickle cell disease.
In a separate decision, the EMA’s Innovation Task Force (ITF) has
granted a meeting with La Jolla to review future development plans for
LJPC-401. The ITF provides an interactive platform for applicants with
novel and innovative therapies to proactively discuss the scientific,
legal and regulatory aspects of development for such therapies with the
EMA. This early dialogue is intended to contribute to the preparedness
of an applicant and to increase EMA awareness and education of emerging
therapies and technologies.
“We believe that LJPC-401 can have a major impact on the lives of
patients suffering from chronic iron overload,” said George F. Tidmarsh,
M.D., Ph.D., President and Chief Executive Officer of La Jolla. “We are
encouraged by the positive feedback and support of the EU regulatory
authorities and are excited to further our clinical development of
LJPC-401.”
Emas Pharma Limited served as La Jolla’s European regulatory
representative for these regulatory interactions.
About European Orphan Drug Designation
Orphan drug designation is a status assigned to a medicine intended for
use in rare diseases. To be granted orphan status in the European Union
(EU), the medicine must be for the treatment of a life-threatening or
chronically debilitating condition that affects no more than five in
10,000 people in the EU and for which no satisfactory treatments exist
or, where they do exist, the medicine will be of significant benefit to
those affected by that condition.
Applications for orphan designation are evaluated by the European
Medicines Agency’s (EMA) Committee for Orphan Medicinal Products (COMP),
which provides its opinion on whether or not the medicine qualifies as
an orphan medicine for the treatment, prevention or diagnosis of a rare
disease. If the COMP issues a positive opinion, the European Commission
(EC) may then grant the medicine orphan status.
An orphan designation allows a pharmaceutical company to benefit from
incentives from the EU to develop a medicine for a rare disease, such as
reduced fees, regulatory support during the product development phase,
access to the centralized authorization procedure (a single application
for all EU countries), and 10 years of market exclusivity once the
medicine is approved.
About the European Medicines Agency’s Innovation Task Force
The European Medicines Agency (EMA) established its Innovation Task
Force (ITF) in order to provide support for medical innovation in the
European Union (EU), with a particular focus on emerging therapies and
technologies. The ITF provides an interactive platform for applicants
with novel and innovative therapies to proactively discuss the
scientific, legal and regulatory aspects of development for such
therapies with the EMA. This early dialogue is intended to contribute to
the preparedness of an applicant and to increase EMA awareness and
education of emerging therapies and technologies.
About Beta Thalassemia
Beta thalassemia is a disease characterized by a genetic mutation that
results in the underproduction of hemoglobin, the body’s natural
oxygen-carrying molecule contained in red blood cells. There are three
types of beta thalassemia: beta thalassemia minor, beta thalassemia
intermedia and beta thalassemia major. Patients with the more severe
forms (intermedia and major) suffer from severe and sometimes
life-threatening anemia, bone deformities and enlargement of the spleen.
Standard treatment includes frequent, life-long blood transfusions.
While lifesaving, these transfusions cause an excess of iron
accumulation, which in turn is toxic to vital organs, such as the liver
and heart. The only currently approved treatments for iron overload are
iron chelators, which may cause kidney failure, liver failure or
gastrointestinal hemorrhage.
About Sickle Cell Disease
Sickle cell disease is the most common inherited blood disorder in the
United States. Sickle cell disease is characterized by a genetic
mutation that results in the production of abnormal hemoglobin, the
body’s natural oxygen-carrying molecule contained in red blood cells.
The abnormal hemoglobin causes the red blood cells to form a “sickle,”
or crescent, shape. Patients with severe forms suffer from severe and
sometimes life-threatening anemia, strokes, and damage to vital organs
such as the lungs, spleen, kidney and liver. Standard treatment includes
frequent, life-long blood transfusions. While lifesaving, these
transfusions cause an excess of iron accumulation, which in turn is
toxic to vital organs, such as the liver and heart. The only currently
approved treatments for iron overload are iron chelators, which may
cause kidney failure, liver failure or gastrointestinal hemorrhage.
About Hereditary Hemochromatosis
Hereditary hemochromatosis (HH) is the most common genetic disease in
Caucasians. HH is a disease characterized by a genetic mutation that
results in a deficiency in the production of hepcidin, which is the
body’s naturally occurring regulator of iron absorption and
distribution. Without proper levels of hepcidin, excessive amounts of
iron accumulate in the body and can lead to liver cirrhosis, liver
cancer, heart disease and/or failure, dementia and diabetes. With no
FDA-approved treatments for HH, patients are treated with iron chelators
and phlebotomy, which do not address the underlying disease pathology,
carry significant toxicity and/or adversely impact quality of life.
About LJPC-401
LJPC-401 is La Jolla’s novel formulation of hepcidin. Hepcidin, an
endogenous peptide hormone, is the body’s naturally occurring regulator
of iron absorption and distribution. Hepcidin prevents excessive iron
accumulation in tissues, such as the liver and heart, where it can cause
significant damage and even result in death.
La Jolla is developing LJPC-401 for the treatment of iron overload,
which occurs as a result of diseases such as hereditary hemochromatosis
(HH), beta thalassemia and sickle cell disease. HH is a disease caused
by a genetic deficiency in hepcidin that results in excessive iron
accumulation. HH is the most common genetic disease in Caucasians and
causes liver cirrhosis, liver cancer, heart disease and/or failure,
dementia and diabetes. Beta thalassemia and sickle cell disease are
genetic diseases of the blood that can cause life-threatening anemia and
usually require frequent and life-long blood transfusions. These blood
transfusions cause excessive iron accumulation in the body, which is
toxic to vital organs, such as the liver and heart.
LJPC-401 has been shown to be effective in reducing serum iron in
preclinical testing. La Jolla’s Investigational New Drug Application
(IND) has been accepted by the FDA, and La Jolla expects to release
preliminary results from a Phase 1 study by the end of 2015.
About La Jolla Pharmaceutical Company
La Jolla Pharmaceutical Company is a biopharmaceutical company focused
on the discovery, development and commercialization of innovative
therapies intended to significantly improve outcomes in patients
suffering from life-threatening diseases. The Company has several
product candidates in development. LJPC-501 is La Jolla’s proprietary
formulation of angiotensin II for the potential treatment of
catecholamine-resistant hypotension. LJPC-401 is La Jolla’s novel
formulation of hepcidin for the potential treatment of iron overload,
which occurs as a result of diseases such as hereditary hemochromatosis
(HH), beta thalassemia and sickle cell disease. LJPC-30Sa and LJPC-30Sb
are La Jolla’s next-generation gentamicin derivatives for the potential
treatment of serious bacterial infections and rare genetic disorders,
such as cystic fibrosis and Duchenne muscular dystrophy. For more
information on La Jolla, please visit .ljpc.com.
Forward-Looking Statement Safe Harbor
This document contains forward-looking statements as that term is
defined in the Private Securities Litigation Reform Act of 1995. These
statements relate to future events or the Company’s future results of
operations. These statements are only predictions and involve known and
unknown risks, uncertainties and other factors, which may cause actual
results to be materially different from these forward-looking
statements. The Company cautions readers not to place undue reliance on
any such forward-looking statements, which speak only as of the date
they were made. Certain of these risks, uncertainties, and other factors
are described in greater detail in the Company’s filings with the U.S.
Securities and Exchange Commission (SEC), all of which are available
free of charge on the SEC’s web site .sec.gov.
These risks include, but are not limited to, risks relating to: the
timing for the filing of an Investigational New Drug Application (IND),
commencement of clinical studies and the anticipated timing for
completion of such studies; the success of future development activities
for the Company’s drug candidates; potential indications for which the
Company’s drug candidates may be developed; and the Company’s ability to
obtain the potential benefits of orphan drug designation for its drug
candidates. Subsequent written and oral forward-looking statements
attributable to the Company or to persons acting on its behalf are
expressly qualified in their entirety by the cautionary statements set
forth in the Company’s reports filed with the SEC. The Company expressly
disclaims any intent to update any forward-looking statements.
Friday, August 28, 2015
Murine Double Minute 2 (MDM2) Inhibitors Pipeline Insights Review 2015
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Wednesday, August 19, 2015
Global Basal Cell Carcinoma Pipeline Insights Report 2015
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Monday, July 27, 2015
Pharyngeal Neoplasm - Global Clinical Trials Review, H1, 2015
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2015 Mycosis Fungoides Pipeline Insights
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Tuesday, July 14, 2015
Meningococcal Meningitis - Pipeline Insights 2015
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Sunday, July 12, 2015
Scientists isolate unwanted marijuana side effects
Scientists have successfully isolated the medical benefits of cannabis from its unwanted side effects. Coreg (Carvedilol) with no Rx
Scientists have successfully isolated the unwanted side effects of cannabis from its medical benefits.
Researchers from both the University of East Anglia (UEA), in the UK and University of Pompeu Fabra in Barcelona, Spain, carried out their research on mice and discovered how the main psychoactive ingredient in cannabis, tetrahydrocannabinol, or delta-9-tetrahydrocannabino (THC), is triggered by a pathway that is separate from its other effects. About Spiriva (Tiotropium Bromide) with free Rx
The latest findings, published in PLOS Biology, come from a team who previously found that THC reduced tumor growth in cancer patients. Buy Brahmi () with free Rx It is hoped the new findings can aid the development of cannabis for medical use, without the risk of its unwanted side effects.
Scientists discovered the pathway used for THC involves both a cannabinoid and serotonin receptor. Buy Cyclomune without prescription When blocked, it was discovered THC still exerted several beneficial effects, including pain relief, while also avoiding the impairment of memory, which is a common side effect of cannabis use. Buy Arjuna ()
Researchers undertook behavioral studies in mice and investigating how their brain pathways operate under the effect of THC. Buy Potassium online They found that one serotonin receptor, 5HT2AR, reduced some of the effects of THC - such as its amnesiac effect - but still retained medical benefits, such as pain relief. http://cholesterolreviews.wordpress.com
A study published this year warned of the dangers of a chronic use of cannabis during adolescence with memory problems.
The latest study will add further weight to an already highly contested topic. The potential beneficial medical effects and dangers of cannabis use has rarely strayed from the public s eye. Twenty-three US States and the District of Columbia have already passed legislation allowing the use of cannabis for medical use.
Furthermore, Oregon has recently become the fourth US State, after Alaska, Colorado and Washington, to legalize the drug for recreational use, and studies are increasingly delving further into the full effects of the drug.
Dr. Peter McCormick from UEA s School of Pharmacy, stated this research is important for future development of treatment as it identifies THC s unwanted side effects while maintaining pain reduction.
However, Dr. McCormick was quick to warn of the dangers of individuals self-medicating, but stated he hopes the research would lead to a "safe synthetic equivalent being available in the future."
Written by Peter Lam
Saturday, July 11, 2015
Scientists 'hack' common gut bacterium
In a new study published in the journal Cell Systems, researchers reveal how they have engineered a common gut bacterium to have new functions, enabling control of gene expression in the intestinal tracts of mice.
The researchers hope they can one day use intestinal signaling to modify gene expression via engineered bacteria, which could offer new treatment strategies for numerous health conditions.
Study leaders Timothy K. Buy Avelox (Moxifloxacin) without prescription Lu and Christopher Voigt, of the Massachusetts Institute of Technology (MIT), and colleagues say their study could pave the way for the development of microbes that detect illness in the gut or that can deliver drugs.
Researchers have been increasingly investigating how to engineer gut bacteria so it holds therapeutic potential. Viagra Professional (Sildenafil Citrate)
Last year, for example, Medical News Today reported on a study by researchers from Vanderbilt University in Nashville, TN, which detailed how Escherichia coli bacteria were modified to reduce food intake and obesity in mice.
The MIT team notes, however, that E. Buy Ventolin (Salbutamol) without Rx coli is not present in the gut in abundance - it can be cleared within days of introduction. Buy Colofac As such, they turned their attention to Bacteroides - specifically, a species called Bacteroides thetaiotaomicron.
"Compared to E. Cefaclor () with no prescription coli, Bacteroides populations exhibit low variation in abundance and long-term colonization," the authors explain. Buy Natural Toothpaste online "B. http://allergy-opinion.blogspot.com thetaiotaomicron is both prevalent (present in 46% of humans) and abundant [...] making it a promising organism for both understanding and manipulating the gut environment."
In addition, the researchers say these bacteria are able to express genes "on demand" and engage in long-term interactions with human cells and other gut bacteria. This means a form of this bacteria engineered to deliver drugs and its expressed genes could remain in the gut for longer.
Genes in engineered bacterium expressed based on what mouse is fed
To engineer B. thetaiotaomicron, the MIT team combined a number of tools researchers have previously used to engineer other bacteria, including promoters, ribosome-binding sequences, memory switches and CRISPR interference, and introduced them to the bacterium.
"We then showed that genetic devices could be implemented in the bacteria and be shown to function in the context of the mouse gut microbiome." says Lu.
Explaining what these findings mean, Voigt says:
"The culmination of the work is not only do you have an engineered bacterium that s colonized the mouse gut, but you can turn on which genes in the bacterium are active based on what you feed the mouse. That s really something new. It allows you to control what the bacterium is doing at the site of where it s operating."
The researchers hope to move their work to human trials, but note there are some barriers to overcome first. For example, in this study, the mice had to be given antibiotics before their gut could be colonized with B. thetaiotaomicron.
Also, the team says they need to demonstrate that the bacteria can be engineered to perform more complex functions, such as the ability to respond to a variety of sensory inputs.
The researchers say the long-term goal is to use intestinal signaling to modify gene expression via engineered bacteria, which could offer new treatment strategies for a variety of health conditions.
"The big picture is that the bacteria that live in us or on us impact human health in very significant ways and the existing techniques we have to modulate the microbiome - taking antibiotics or changing our diet - are relatively limited," notes Lu.
"We re hoping that with these tools to precisely engineer the intimate interface between bacteria and humans we re going to be able to tackle some major health-related problems."
Written by Honor Whiteman
Tuesday, July 7, 2015
Diabetes drug proves effective weight-loss aid
A diabetes drug approved in December 2014 for the treatment of obesity has shown promise in a trial of weight loss efficacy published in The New England Journal of Medicine
Once-daily liraglutide helped participants shed pounds.
Used at a higher dose than recommended for type 2 diabetes, liraglutide (sold by Novo Nordisk as Saxenda), taken as an adjunct to diet and exercise, was associated with reduced body weight and improved metabolic control.
The glucagon-like peptide-1 (GLP-1) mimetic at a 3.0 mg daily dose gave a mean average weight loss of 8.4 kg.
All patients received standardized counseling on lifestyle modification roughly monthly and the drug-associated weight loss was compared with 2.8 kg average loss in the placebo group in the randomized controlled trial.
"The mean differential weight loss of 5.6 kg between the liraglutide group and the placebo group is more than what was observed in previous studies of GLP-1 mimetics," says an editorial article about the findings in the same issue of the medical journal.
Written by Dr. About Anafranil Sr (Clomipramine) with no Rx Elias Siraj and Dr. About Wellbutrin Sr (Bupropion) with no Rx Kevin Williams, the editorial explains that GLP-1 mimetics:
Stimulate insulin secretion
Lower postmeal glucagon levels
Slow gastric emptying
Reduce appetite.
The weight loss achieved with liraglutide was maintained over 56 weeks. Buy Glucophage (Metformin) with no prescription A greater proportion of patients (63.2%) taking the daily drug than taking a placebo (27.1%) lost at least 5% of their body weight.
Also, 33.1% of participants taking liraglutide lost 10% of their body weight, compared with 10.6% of participants taking a placebo. Buy Clopivas without Rx Fifteen percent of body weight was lost by 14.4% of the patients taking liraglutide and 3.5% of the placebo group.
Liraglutide joins three other prescription drugs to have won approval from the Food and Drug Administration for use in weight loss in the past 3 years: lorcaserin (Belviq, a serotonin 2C receptor agonist); phentermine, a sympathomimetic amine anorectic, combined with topiramate, an antiepileptic (Qsymia); and naltrexone, an opioid antagonist, combined with bupropion, an aminoketone antidepressant (Contrave).
No obesity cure
No new safety concerns were identified in the trial for liraglutide, and the side effects observed were consistent with those in previous reports.
The most common side effects were gastrointestinal and mild.
"Given previous disappointments with various weight-loss strategies, these are welcome findings," conclude Drs. Cialis Pack-90 () without Rx Siraj and Williams.
"Still, liraglutide is no cure. Buy Motherwort online Most obese participants stayed obese, reversal of the metabolic syndrome was not quantified, and liraglutide may be required indefinitely, like statins, but with delivery by injection and at a nontrivial cost."
"Undoing the detrimental influences of our new environment requires practical strategies for eating less and moving more. http://asthmareview.wordpress.com Fortunately, even modest loss of body weight of 5% to 10% makes nearly all medical issues more manageable.
"On the basis of the current study, modest weight loss may now be easier to achieve, yet we await the results from studies with longer follow-up."
Written by Markus MacGill
Latent HIV cells only 'wake up' once a week following antiretrovirals
A new study published in PLOS Pathogens provides new insight into how often HIV cells "wake up" among individuals undergoing antiretroviral therapy for the virus, bringing researchers one step closer to getting patients off the treatment for good and into remission.
A new study finds after antiretroviral therapy, latent HIV cells only wake up once a week. About Levitra Professional (Vardenafil) Previously, it was thought they awoke four to five times a week.
The study was conducted by Prof. Anafranil Sr (Clomipramine) with no Rx Miles Davenport and colleagues from the Kirby Institute at the University of New South Wales (UNSW) in Australia.
Worldwide, there are around 35 million people living with HIV (human immunodeficiency virus), with the majority of these residing in Sub-Saharan Africa. About Tiova (Tiotropium Bromide) with no prescription
According to the World Health Organization (WHO), there has been a significant increase in the number of people with HIV receiving antiretroviral therapy (ART) in recent years, with more than 2 million individuals newly enrolled to the treatment in 2013.
There is no doubt that ART - which involves the use of three or more drugs to stop HIV cells reproducing - has proved an effective prevention and treatment strategy for HIV. About Cilamin with free prescription WHO say the likelihood of an HIV-infected individual transmitting the virus to their partner is reduced by 96% if they are receiving the treatment.
But Prof. Buy Ditropan Xl (Oxybutynin) Davenport notes researchers in the field of HIV are working toward bigger objectives. Buy Liquid Vitamin E online "At the moment we have very successful drug treatments for HIV, but a broader goal is to get people off antiretroviral therapy entirely," he says.
Latent HIV cells awake 24 times less than previously thought
Previously, researchers thought that among individuals with HIV who had completed antiretroviral therapy (ART), latent HIV cells - infected cells that reproduce at low levels - awoke around four or five times daily.
In order for a patient to enter remission - where no symptoms are displayed - for an average of 1 year, researchers estimated that the number of latent HIV cells would need to be reduced by around 2,000 times.
However, the study from Prof. http://medicalhelper.wordpress.com Davenport and colleagues reveals that HIV cells only awake once a week after ART is ceased - around 24 times less than previously thought - meaning the number of latent HIV cells needed to produce a 1-year remission period would only need to be reduced by around 50-70 times.
"Researchers have been looking at ways of reducing the amount of latent HIV infection in the body, in the hopes of creating a remission so that drug therapy can be suspended," says Prof. Davenport, "but until now we didn t know exactly how long it takes for the latent HIV cells to reactivate and start infecting other cells again after treatment is suspended."
"Our findings represent an important advance in our knowledge about how HIV works," he adds.
Findings provide a more accurate target for HIV remission
To reach their findings, the team analyzed data from the Kirby Institute s PULSE study and three other studies involving patients with HIV undergoing ART therapy.
The researchers combined all the data and applied mathematical modeling and statistical analysis to estimate the average frequency of viral rebound among the patients following ART.
Across all four studies, the team found that latent HIV cells "wake up" an average of once every 5-8 days - a finding they say brings researchers closer to getting HIV patients off ART completely.
Prof. Davenport says:
"While it was previously thought the latent virus woke up many times a day during treatment, we now know that that latently infected cells wake up on average only once a week when treatment has been suspended.
For the first time, we have a measurement of how much we will need to reduce the viral reservoir to produce HIV remission. Essentially, we now have a more accurate target to aim for."
Earlier this week, Medical News Today reported that WHO has validated Cuba as the first country to eliminate mother-to-child transmission of HIV and syphilis.
Written by Honor Whiteman
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